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Guidance for Canadian Breast Cancer Practice: National Consensus Recommendations for the Systemic Treatment of Patients with HR+/HER2− Metastatic Breast Cancer 2025

Title: Guidance for Canadian Breast Cancer Practice: National Consensus Recommendations for the Systemic Treatment of Patients with HR+/HER2− Metastatic Breast Cancer 2025
Authors: Katarzyna J. Jerzak; Aalok Kumar; Jean-François Boileau; Nathaniel Bouganim; Christine Brezden-Masley; Jeffrey Q. Cao; David W. Cescon; Stephen Chia; Scott Edwards; Anil Abraham Joy; Kara Laing; Nathalie LeVasseur; Sasha Lupichuk; Sandeep Sehdev; Christine Simmons; Marc Webster; Karen A. Gelmon; Mita Manna; on behalf of patient advocacy, Breast Cancer Canada on behalf of patient advocacy, Breast Cancer Canada
Source: Current Oncology ; Volume 33 ; Issue 2 ; Pages: 106
Publisher Information: Multidisciplinary Digital Publishing Institute
Publication Year: 2026
Collection: MDPI Open Access Publishing
Subject Terms: HR+ HER2− metastatic; advanced; breast cancer; Canadian consensus recommendations; evidence-based; REAL Alliance
Description: Hormone receptor positive (HR+), human epidermal growth factor receptor 2-negative (HER2–) breast cancer accounts for approximately two-thirds of all breast cancers. The treatment landscape for HR+/HER2− metastatic breast cancer has evolved in recent years, with multiple new therapies demonstrating clinical efficacy and improved patient outcomes. To provide evidence-informed guidance on best practices in the management of patients with HR+/HER2− metastatic breast cancer in Canada, consensus recommendations were developed by Research Excellence, Active Leadership Canadian Breast Cancer Alliance (REAL Alliance), a standing nucleus committee with both clinical–academic oncologists from across Canada and representatives from Breast Cancer Canada, a patient advocacy organization. Recommendations were generated using a modified Delphi approach involving up to three anonymous voting rounds, with a predefined consensus threshold of 75%. These consensus recommendations offer guidance on optimal therapeutic strategies for HR+/HER2− metastatic breast cancer within the Canadian landscape, including integration of precision oncology and targeted therapies, optimal sequencing of therapies, and the importance of balancing the benefits of treatments with patient quality of life and preferences.
Document Type: text
File Description: application/pdf
Language: English
Relation: Breast Cancer; https://dx.doi.org/10.3390/curroncol33020106
DOI: 10.3390/curroncol33020106
Availability: https://doi.org/10.3390/curroncol33020106
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.CE73E489
Database: BASE