
News|Videos|March 6, 2025
Expert Insights: Managing Patients with PIK3CA Mutations
Author(s)Joyce O’Shaughnessy, MD, Alison Conlin, MD
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Episodes in this series

Video content above is prompted by the following:
- Dr. Conlin to Dr. O’Shaughnessy: For patients with PIK3CA mutations, how do you decide between alpelisib vs inavolisib vs capivasertib (
André et al. NEJM 2019 ,Turner et al. NEJM 2024 ,Turner et al. NEJM 2023 )?- What factors guide your decision making?
- What is your impression of the incidence and need to manage hyperglycemia with these agents?
- Dr. O’Shaughnessy to Dr. Conlin: If a patient progresses on 1L CDK4/6 inhibitor plus fulvestrant, do you typically switch to a different CDK4/6 inhibitor or change the endocrine therapy partner or both in the 2L setting?
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