#CDK4
But we've continued to innovate. HR+ cancer, treatable with anti-estrogen drugs, received a huge boost in the r/r setting with CDK4 inhibitors:
April 5, 2026 at 2:42 AM
Delighted to share our latest work showing how cells that evade #senescence after CDK4/6 inhibition are primed to become aneuploid because of their increased size (due to defects in cohesion and the mitotic checkpoint). Great work by fab PhD student Aanchal Pareri 👏🧪

www.biorxiv.org/content/10.1...
Cell enlargement causes mitotic errors and aneuploidy in cells that evade senescence after CDK4/6 inhibition
CDK4/6 inhibitors (CDK4/6i) arrest the cell cycle in G1 leading to cellular overgrowth and p53-dependent senescence. They are used to treat metastatic HR+/HER2- breast cancer, but resistance is common...
www.biorxiv.org
July 3, 2025 at 7:17 AM
What to do here? Current SOC is endocrine therapy + CDK4/6 inhibitor but SONIA showed that endocrine therapy alone may be just as good, adding a CDK4/6i later with progression - and preserves QOL better, including lessening financial toxicity. #SABCS24
December 11, 2024 at 10:11 PM
Exciting news in cancer therapy! The order of drugs impacts the duration of treatment, toxicity, and economic cost. A necessary example of how relevant academic, self-funded trials are!!
Breast #cancer #oncosky #oncsky #medsky 🧪 @natureportfolio.bsky.social www.nature.com/articles/d41...
Toxicity and costs of cancer treatment reduced by deferring CDK4/6 inhibitor use
No difference in survival outcomes between use of CDK4/6 inhibitors as first- or second-line treatment in metastatic breast cancer.
www.nature.com
November 27, 2024 at 7:21 PM
Practice change ALERT in the POST-CDK4/6 HR+, HER2- space.
nejm.org NEJM.org @nejm.org · Dec 11
The selective estrogen-receptor degrader imlunestrant plus abemaciclib led to a median progression-free survival of 9.4 months among patients with ER-positive, HER2-negative breast cancer (vs. 5.5 months with imlunestrant alone). Full EMBER-3 trial results: nej.md/4fZ74HX

#MedSky #SABCS24
December 11, 2024 at 2:15 PM
Wow!! 🔥🔥 CDK4/6 inhibition prevents selection of #ClonalHematopoiesis with DNA-damage repair mutations after chemotherapy! Awesome presentation from Irenaeus Chan from @kellybolton.bsky.social lab! #ASH25
December 7, 2025 at 8:28 PM
Now online in JCO #postMonarch

Abemaciclib Plus Fulvestrant in Advanced Breast Cancer Following Progression on CDK4/6 Inhibition: Results from the Phase III postMONARCH Trial ascopubs.org/doi/pdf/10.1... @oncoalert.bsky.social #oncsky
Abemaciclib Plus Fulvestrant in Advanced Breast Cancer Following Progression on CDK4/6 Inhibition: Results from the Phase III postMONARCH Trial
PURPOSECyclin-dependent kinase 4/6 inhibitors (CDK4/6i) combined with endocrine therapy (ET) are the standard first-line treatment for hormone receptor-positive (HR+), human epidermal growth factor re...
ascopubs.org
December 22, 2024 at 10:31 PM
Check out our latest work on cell cycle inhibitors, which has implications for how cancer cells could become resistant to these drugs
#senescence #cellcycle #cancer 🧪

www.biorxiv.org/content/10.1...
Cell enlargement causes mitotic errors and aneuploidy in cells that evade senescence after CDK4/6 inhibition
CDK4/6 inhibitors (CDK4/6i) arrest the cell cycle in G1 leading to cellular overgrowth and p53-dependent senescence. They are used to treat metastatic HR+/HER2-breast cancer, but resistance is common,...
www.biorxiv.org
July 25, 2025 at 4:37 PM
CDK4/6 inhibitors: mechanisms of resistance and where to find them.
An outside of the box review

Main takeaways:
🛑RB1 loss in #ctDNA predicts poorer PFS
⚠️CCNE1 gain impacts PALOMA-3 outcomes
🧩Role of ESR1 still unclear

Read more👇
www.sciencedirect.com/science/arti...

#bcsm #BreastCancer
Cyclin-dependent kinase 4 and 6 inhibitors (CDK4/6i): mechanisms of resistance and where to find them
CDK4/6 inhibitors (CDK4/6i) have significantly impacted on the treatment of HR+ HER2 negative (HER2-) metastatic breast cancer (BC) when combined with…
www.sciencedirect.com
December 20, 2024 at 7:50 AM
The @oncbrothers.bsky.social are discussing the adjuvant CDK4/6 inhibitor landscape, Drs @laurahuppert.bsky.social and @neil-iyengarmd.bsky.social agree shared decision making with patients in key. #SABCS24
December 12, 2024 at 1:50 AM
Delaying and shortening the duration of treatment with CDK4/6 inhibitors in patients with metastatic breast cancer leads to similar survival outcomes while reducing toxicity and achieving substantial cost savings, the SONIA trial shows. Read more ➡️ bit.ly/3Oqw7aX
November 27, 2024 at 4:45 PM
Out in @ESMO_Open by @hoperugo.bsky.social et al real-world data on CDK4/6i in #breastcancer 🌎

No significant OS difference between 1L palbo, ribo, and abema

Are CDK4/6i equal? Do OS differences in randomized trials depend on study design?

@oncoalert.bsky.social

www.esmoopen.com/article/S205...
Comparative overall survival of CDK4/6 inhibitors plus an aromatase inhibitor in HR+/HER2− metastatic breast cancer in the US real-world setting☆
Randomized controlled trials have shown inconsistent overall survival (OS) benefit among the three cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) as first-line (1L) treatment of patients with hormon...
www.esmoopen.com
January 18, 2025 at 9:18 AM
SERENA-6 phase 3 trial: In patients with advanced breast cancer, switching to camizestrant with a CDK4/6 inhibitor after ESR1-mutation detection (and before disease progression) led to significantly longer progression-free survival. nej.md/4k1dRml

#ASCO25 @ascocancer.bsky.social
June 1, 2025 at 2:39 PM
DAWNA-2 — phase 3 trial using CDK4/6i Dalpiciclib in 1L meets primary endpoint PFS #SABCS24 @oncoalert.bsky.social
December 12, 2024 at 1:41 PM
Check out our new paper @jci.org

High 4E-BP-1 expression associates with chromosome 8 gain and CDK4/6 sensitivity in Ewing Sarcoma

www.jci.org/articles/vie...

We show that chr8 gains drive poor outcome in EwS via 4E-BP-1

@dkfz.bsky.social
@nct-heidelberg.bsky.social
@uniheidelberg.bsky.social
JCI - High 4E-BP-1 expression associates with chromosome 8 gain and CDK4/6 sensitivity in Ewing Sarcoma
www.jci.org
October 17, 2025 at 6:31 PM
Now Surender Surender on stage, presenting our data on CDK4/6 inhibition in experimental glioma!
@eanoassociation.bsky.social
@ghtabatabai.bsky.social
@hih-tuebingen.bsky.social
October 18, 2025 at 10:48 AM
#PADMA study presented by Dr. Loibl - looking at induction chemo followed by ET maint vs. upfront ET + CDk4/6 1st L

Another study....chemo inferior to ET + CDK4/6.

🆘 No need to do this folks. Chemo 🚫doesn't help us here.

#SABCS24
@sabcs.bsky.social
@oncoalert.bsky.social
#bcsm
December 11, 2024 at 12:26 AM
VERITAC-2 shows vepdegestrant improves PFS after CDK4/6i among pts with HR+ mutESR1 MBc, from 2.1 months to 5.0 months. @erikahamilton9.bsky.social
@oncoalert.bsky.social #ASCO25
May 31, 2025 at 7:00 PM
SONIA trial - Pts with ER+ breast cancer beginning treatment in the metastatic setting randomized to 1st line vs 2nd line use of CDK4/6 inhibitor (+ endocrine therapy). No sig difference in PFS.

www.nature.com/articles/s41...
Early versus deferred use of CDK4/6 inhibitors in advanced breast cancer - Nature
The phase 3 SONIA trial challenges the benefits of using cyclin-dependent kinase 4 and 6 inhibitors as a first-line compared with second-line treatment.
www.nature.com
November 29, 2024 at 6:16 PM
Presenting phosphorylated FADD as a novel driver of resistance in breast cancer: doi.org/10.1172/JCI1...
Awadia et al. find that blocking FADD phosphorylation restored CDK4/6 inhibitor sensitivity and improved tumor control in resistant ER+ breast cancer models.
September 28, 2026 at 3:02 PM