Subgroup analysis with respect to cancer therapy showed that ESR1 mutations significantly increase mortality risk in patients under combined CDK 4/6 inhibitor-endocrine therapy (HR=14.6 [1.9-110.1]; p=0.009) but not in patients undergoing chemotherapy (p=0.126)....ESR1 and TP53 are the main predictors of progression free and overall survival in oestrogen receptor-positive, HER2-negative MBC patient.