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ASCO 2026: Key Breast Cancer Abstracts Driving the Future of Precision Oncology

Breast Caccer Abstracts | ASCO 2026

ASCO 2026: Key Breast Cancer Abstracts Driving the Future of Precision Oncology

Breast cancer is expected to remain a major focus at the 2026 ASCO Annual Meeting, with presentations centered on precision medicine, antibody-drug conjugates (ADCs), ctDNA/MRD testing, and novel immunotherapy combinations across HR+/HER2−, HER2-positive, and triple-negative breast cancer (TNBC). The meeting is anticipated to highlight the continued shift toward biomarker-driven and personalized treatment strategies, particularly in difficult-to-treat and early-stage settings.

Major Themes and Expected Focus Areas

  • Expansion of ADCs into earlier lines of therapy 

  • Advancements in SERDs and endocrine resistance management 

  • Increasing adoption of ctDNA and MRD testing for disease monitoring 

  • Novel immunotherapy combinations in TNBC 

  • AI-driven diagnostics and molecular profiling 

  • Personalized treatment approaches based on biomarker stratification 

  • Long-term safety and cardiometabolic impact of endocrine therapies.

        

Abstract #

Session Type

Company

Drug Name

Indication

Phase

Key Focus/ Known Data

502

Oral Abstract Session

Giredestrant

Estrogen receptor–positive, HER2-negative early breast cancer (ER+, HER2– eBC)

Phase III (lidERA)

Efficacy and safety of giredestrant results by menopausal status

LBA1000

Oral presentations

TRODELVY + KEYTRUDA

Previously untreated PD-L1+ metastatic triple-negative breast cancer (mTNBC)

Phase III (ASCENT-04)

Primary ASCENT-04 data compare first-line chemo–immunotherapy versus sacituzumab govitecan + pembrolizumab for PD-L1–expressing mTNBC, potentially redefining frontline combination intensity

1001

Oral presentations

Sacituzumab govitecan 

Previously untreated metastatic triple-negative breast cancer (mTNBC)

Phase III (ASCENT-03)

Progression-free survival after next line of treatment (PFS2) and subsequent therapies in the ASCENT-03 study 

LBA1007

Oral presentations

Camizestrant + CDK 4/6 inhibitors

HR+/ HER2-advanced breast cancer whose tumours have an emergent ESR1 mutation

Phase III (SERENA-6)

SERENA-6 used ctDNA liquid biopsy to detect emergent ESR1 mutations pre-progression and switched aromatase inhibitors to camizestrant while maintaining CDK4/6 inhibition.

507

Oral Abstract Session

Pembrolizumab + chemotherapy

Stage II–III/high-risk early TNBC populations

Phase III (KEYNOTE-522)

Full KEYNOTE-522 data set to redefine treatment standards in early-stage TNBC

1002

Oral Abstract Session

DATROWAY (datopotamab deruxtecan)

Patients with locally recurrent inoperable or metastatic TNBC who are not candidates for PD-1/PD-L1 inhibitors

Phase III

(TROPION-Breast02)

Additional efficacy endpoints from the TROPION-Breast02

1021

Rapid Oral Abstract

ENHERTU + pertuzumab

1st-line treatment of patients with HER2-positive metastatic breast cancer

Phase III (DESTINY-Breast09)

Exploratory analysis of treatment duration and clinical outcomes by complete response, partial response or stable/progressive disease

3088

poster presentation

OP-3136 + endocrine therapy

ER+, HER2− advanced breast cancer

Phase I

Presenting preliminary results of Phase I data for OP-3136 

222; 221

Poster Session

Bria-IMT + CPI (Immune checkpoint inhibitor; CPI)

Advanced metastatic breast cancer

Phase II

Survival and  quality of life and treatment tolerability of Bria-IMT + CPI at 12 and 24 months

LBA1018

Rapid Oral Presentation

Palbociclib plus Tamoxifen ± goserelin

Maintenance therapy for HER2+ metastatic breast cancer (MBC)

Phase III

Will present final Overall Survival (OS) analysis

1005

Oral Presentation

TUKYSA (tucatinib)

First-line maintenance strategy for HER2+ MBC

Phase III (HER2CLIMB-05)

Extending potential impact of innovative therapies in earlier lines of treatment

2652

Poster Session

Bria-IMT

Advanced metastatic breast cancer

Phase III

Monitoring blood-based biomarkers as early predictors of progression-free survival

3096

Poster Session

XOFIGO (Radium-223 dichloride) +  paclitaxel

Bone metastatic breast cancer

Phase II

(ETCTN 10302)

A randomized trial of radium-223 dichloride in combination with paclitaxel in patients with bone metastatic breast cancer

1098

Poster Session

Elacestrant + capivasertib

ER+/HER2- PI3K/AKT/PTEN- pathway altered metastatic breast cancer

Phase I/II (ELEVATE)

Data from the elacestrant + capivasertib regimen of the ELEVATE study will be presented underscoring its potential in combination settings in mBC

1138

Poster Session

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Combination of atezolizumab, cobimetinib, and eribulin (ACE)

Inflammatory breast cancer (IBC)

Phase Ib/II 

Phase Ib/II ACE analysis identified distinct inflammatory and metabolic response profiles.

508

Rapid Oral Abstract Session

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Capecitabine + trastuzumab

Stage IA HER2-positive breast cancer

Phase II

To determine whether treatment with capecitabine and trastuzumab was well tolerated and yielded clinically acceptable outcome

LBA660

Oral Presentation

Anbenitamab plus nab-docetaxel ± carboplatin

Neoadjuvant therapy for HER2-positive early or locally advanced breast cancer:

Phase III

Evaluate the efficacy and safety of anbenitamab + HB1801 ± carboplatin versus trastuzumab plus pertuzumab and docetaxel ± carboplatin as neoadjuvant therapy

2524

Poster Session

IMC-002

Advanced triple negative breast cancer (TNBC)

Phase Ib

Phase Ib expansion cohort results in TNBC demonstrated safety, efficacy, and soluble biomarker findings

Key Companies to Watch at ASCO 2026

AstraZeneca, Daiichi Sankyo, Roche/Genentech, Gilead Sciences, Bayer, Pfizer, Merck and Olema Oncology are expected to present key breast cancer data across ADCs, SERDs, immunotherapy, ctDNA/MRD testing, and precision medicine approaches.

 

Executive Summary

Breast cancer is expected to remain a major focus at the 2026 ASCO Annual Meeting, with presentations centered on precision medicine, antibody-drug conjugates (ADCs), ctDNA/MRD testing, and novel immunotherapy combinations across HR+/HER2−, HER2-positive, and triple-negative breast cancer (TNBC).

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