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Record W4410463538 · doi:10.1016/j.esmoop.2025.104671

117P PIK3CA mutational status concordance between plasma and tumor in HER2+ advanced breast cancer (ABC) patients (pts) of ALPHABET (GEICAM/2017-01_IBCSG 62-20_BIG 18-04) trial

2025· article· en· W4410463538 on OpenAlexafffund
José Alejandro Pérez Fidalgo, P.L. Bedard, Clara Martínez-Vila, I. Echavarria Diaz-Guardamino, Eduardo Carrasco, M. Mugica Estebanez, M. González-Cordero, Elena Gálve, Manuel García Alonso, M. Balic, Marjon A. de Boer, F.C. Bidard, Virginie Adam, M. Regan, Samantha M. Loi, J L Herranz, Isabel Romero - Camarero, C. Criscitiello, F.G.T. Rojo

Bibliographic record

VenueESMO Open · 2025
Typearticle
Languageen
FieldMedicine
TopicAdvanced Breast Cancer Therapies
Canadian institutionsPrincess Margaret Cancer Centre
FundersGenentechIpsenUniversitat de ValènciaPharmaMarAstellas PharmaSeagenSociedad Española de Oncología MédicaBeiGeneMersana TherapeuticsAstraZeneca EspañaMenarini Silicon BiosystemsLes Laboratories Pierre FabreRegeneron PharmaceuticalsCarrick TherapeuticsBristol-Myers SquibbEli Lilly and CompanyAstraZenecaAmerican Society of Clinical OncologyDana-Farber Cancer InstituteMcGill UniversityMerck KGaADaiichi Sankyo EuropeGilead SciencesSanofiAmgenPfizer
KeywordsConcordanceBreast cancerOncologyInternal medicineMedicineAlphabetCancerHER2 negativeMetastatic breast cancer

Abstract

fetched live from OpenAlex

PIK3CA mutations (mts) are present in 30% of tumors in HER2+ ABC pts and may confer resistance to anti-HER2 therapy (Tx). The aim of this study is to explore if PIK3CA mts in plasma ctDNA are a surrogate of tumor mutational status in HER2+ ABC pts previously treated with anti-HER2 Tx. We report PIK3CA mts analyses in matched baseline plasma and tumor samples in HER2+ ABC pts.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.003
Threshold uncertainty score0.009

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.023
GPT teacher head0.351
Teacher spread0.329 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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