The present study evaluated the incidence and distribution of de novo PIK3CA mutations in hormone receptor-positive / HER2-negative metastatic breast cancer (MBC) and its impact on clinical outcomes of patients treated with CDK4/6 inhibitors….PIK3CA mutation was associated with shorter progression-free survival (PFS) compared to PIK3CA wild type (18 versus 32.2 months, p-value 0.004)...