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Breast Cancer

Solid tumorIndication · Breast

Breast Cancer arises from malignant transformation of breast tissue and includes multiple molecular subtypes. Biomarker-defined subsets guide targeted therapy decisions.

Approvals
25
Therapies
15
Biomarkers
12
Mapped tests
14

Biomarkers used in this indication

Each approval combines this indication with specific biomarker criteria and a therapy. Select a therapy from the tables below to open its FDA-defined testing pathway.

Indication-specific biomarkers

Defined explicitly for Breast Cancer in FDA labeling.

BiomarkerBiomarker criteriaTherapies
BRCA1 and BRCA2
  • alterations (including mutations)
ERBB2 (HER2)
  • gene amplification
ERBB2 (HER2)
  • HER-2 protein overexpression
ERBB2 (HER2)
  • HER2 ultralow expression (IHC 0 with membrane staining)
ERBB2 (HER2)
  • HER2-low expression (IHC 1+ or IHC 2+/ISH non-amplified)
ESR1
  • ESR1 missense mutations between codons 310 and 547
PIK3CA
  • AKT1/PTEN alterations
PIK3CA
  • alterations (including mutations)
PIK3CA
  • C420R, E542K, E545A, E545D [1635G>T only], E545G, E545K, Q546E, Q546R, H1047L, H1047R, and H1047Y
Tumor-agnostic biomarkers

Defined at the solid tumor level and applicable to Breast Cancer and other solid tumor cancers.

BiomarkerBiomarker criteriaTherapies
deficient mismatch repair (dMMR) proteins
  • MLH1, PMS2, MSH2 and MSH6
MSI-High
  • Microsatellite instability-High
NTRK1, NTRK2 and NTRK3
  • fusions
RET
  • fusions
TMB
  • TMB ≥ 10 mutations per megabase

Therapies with biomarker-defined approvals

Each therapy below has at least one FDA companion diagnostic approval tied to Breast Cancer. Select a therapy to view the specific approval and eligible tests.

Therapy
ENHERTU
fam-trastuzumab deruxtecan-nxki · Daiichi Sankyo, AstraZeneca

ERBB2 (HER2) (HER2 ultralow expression (IHC 0 with membrane staining)); ERBB2 (HER2) (HER2-low expression (IHC 1+ or IHC 2+/ISH non-amplified))

Therapy
HERCEPTIN
trastuzumab · Genentech

ERBB2 (HER2) (gene amplification); ERBB2 (HER2) (HER-2 protein overexpression)

Therapy
ITOVEBI + IBRANCE + FASLODEX

PIK3CA (alterations (including mutations))

Therapy
JEMPERLI
dostarlimag-gxly · GSK

deficient mismatch repair (dMMR) proteins (MLH1, PMS2, MSH2 and MSH6); MSI-High (Microsatellite instability-High)

Therapy
KADCYLA
ado-trastuzumab emtansine · Genentech

ERBB2 (HER2) (gene amplification); ERBB2 (HER2) (HER-2 protein overexpression)

Therapy
KEYTRUDA
pembrolizumab · Merck

deficient mismatch repair (dMMR) proteins (MLH1, PMS2, MSH2 and MSH6); MSI-High (Microsatellite instability-High); TMB (TMB ≥ 10 mutations per megabase)

Therapy
LYNPARZA
olaparib · AstraZeneca, Merck

BRCA1 and BRCA2 (alterations (including mutations))

Therapy
ORSERDU
elacestrant · Stemline Therapeutics

ESR1 (ESR1 missense mutations between codons 310 and 547)

Therapy
PERJETA
pertuzumab · Genentech

ERBB2 (HER2) (gene amplification); ERBB2 (HER2) (HER-2 protein overexpression)

Therapy
PIQRAY
alpelisib · Novartis

PIK3CA (C420R, E542K, E545A, E545D [1635G>T only], E545G, E545K, Q546E, Q546R, H1047L, H1047R, and H1047Y)

Therapy
RETEVMO
selpercatinib · Eli Lilly

RET (fusions)

Therapy
ROZLYTREK
entrectinib · Genentech

NTRK1, NTRK2 and NTRK3 (fusions)

Therapy
TALZENNA
talazoparib · Pfizer

BRCA1 and BRCA2 (alterations (including mutations))

Therapy
TRUQAP + FASLODEX

PIK3CA (AKT1/PTEN alterations)

Therapy
VITRAKVI
larotrectinib · Bayer

NTRK1, NTRK2 and NTRK3 (fusions)

This indication view is scoped to Breast Cancer. You can also explore how it appears alongside other cancers in Know Your Companions™ by searching or filtering on the main map.