In conclusion, this randomized clinical trial met its primary outcome. Culmerciclib plus fulvestrant is well tolerated and leads to a significant gain in PFS of pretreated HR-positive HER2-negative ABC patients.
ET+CDK4/6i use rose up to ∼50 % after 2017, reaching ∼70 % in recent years among women with good PS, but remained ∼50 % in older patients with poor PS. Broader adoption is needed, with less chemotherapy use. Survival outcomes have improved but, causality cannot be confirmed due to the observational design.
Inpatient glucose monitoring enabled prompt detection of rapid glucose elevation and early intervention before the onset of DKA, resulting in a favorable outcome. Further clinical evidence is required to define optimal intervention strategies for grade 4 hyperglycemia associated with capivasertib therapy.