medRxiv PreprintsInternational13 October 2026
Multimodal Machine Learning-Based Clinical and Genomic Prognostic Factors for Progression-Free Survival in Metastatic Breast Cancer Using Phase III MONALEESA Trials
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Purpose: Cyclin-dependent kinase 4/6 inhibitors in combination with endocrine therapy have become widely adopted as a first-line treatment approach for hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer (ABC). Through a collaboration between Novartis and the US Food and Drug Administration, we integrated multimodal data from phase III MONALEESA trials to identify novel prognostic factors for HR+/HER2- ABC. Experimental Design: Baseline clinical and genomics data were collected from patients in the MONALEESA-2, -3, and -7 trials. Cir
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