Circulating tumour DNA and its clinical relevance in predicting progression-free survival and overall survival in patients with advanced breast cancer: a systematic review and meta-analysis.
Cæcilie Ottosen, Ea Kragelund, Mette Abildgaard Pedersen et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the prognostic value of circulating tumour DNA (ctDNA) in predicting progression-free survival (PFS) and overall survival (OS) in patients with advanced breast cancer (ABC). The analysis included 64 studies, revealing that elevated baseline ctDNA levels were significantly associated with shorter PFS (pooled HR = 2.0) and OS (pooled HR = 2.6).
Key findings
- Elevated baseline ctDNA levels were associated with shorter PFS (pooled HR = 2.0; 95% CI: 1.8-2.3).
- Elevated baseline ctDNA levels were associated with shorter OS (pooled HR = 2.6; 95% CI: 2.1-3.3).
- Unfavourable changes in ctDNA levels were linked to reduced PFS (pooled HR = 2.5; 95% CI: 1.9-3.4).
- Unfavourable changes in ctDNA levels were associated with reduced OS (pooled HR = 2.4; 95% CI: 1.5-3.8).
Why it matters
The findings suggest that ctDNA can serve as a valuable biomarker for assessing prognosis in advanced breast cancer, potentially guiding treatment decisions and monitoring strategies beyond traditional imaging methods.