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Peer-Reviewed Publication
ESMO Open2026;11(9):108360.August 19, 2026Journal Article

Circulating tumor DNA dynamics in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative early breast cancer assessed using an ultrasensitive tumor-informed assay.

C H Barcenas1, A Contreras2, A Alexander3, H Lopez3, R Yu4, S Shete4, Y Chen5, C W Abbott5, K C Keough5, S M Boyle5, R O Chen5, D Tripathy3, V Valero3
1Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA. Electronic address: chbarcenas@mdanderson.org.
2Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, USA.
3Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.
4Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, USA.
5Department of Research and Development, Personalis, Fremont, USA.

Abstract

BACKGROUND: Circulating tumor DNA (ctDNA) in early breast cancer (EBC) is prognostic for distant relapses. The ctDNA dynamics in hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-negative EBC, which is considered low-shedding, are challenging to track. We used an ultrasensitive assay to detect molecular residual disease (MRD) and its association with recurrence in this…

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