Here we present exploratory results from AURORA patients treated with first line CDK4/6i + ET….Both TP53 and acquired ESR1 mutations were associated with shorter PFS (hazard ratio [HR] 1.59 [95% CI 1.43-6.73], p=0.004 and 3.10 [95% CI 1.16-2.18], p=0.004 respectively)....Endocrine resistance status and TP53 and acquired ESR1 mutations were associated with shorter PFS.