...31 hormonal receptor (HR)-negative HER2-positive BC patients treated with neoadjuvant chemotherapy with or without trastuzumab...The pCR rate of PIK3CA-mutated patients (18.2%, 2/11) was significantly lower than that of PIK3CA wild-type patients (72.7%, 8/11), (P = 0.03)...Among patients treated with chemotherapy plus trastuzumab, all 8 patients with clonal PIK3CA-mutated did not achieve pCR.