PMID- 38089455 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231213 IS - 2770-9183 (Electronic) IS - 2770-9191 (Print) IS - 2770-9183 (Linking) VI - 1 IP - 1 DP - 2022 Jun TI - Expert consensus on the clinical application of PI3K/AKT/mTOR inhibitors in the treatment of advanced breast cancer. PG - 25-54 LID - 10.1002/cai2.10 [doi] AB - Phosphoinositide 3-kinase (PI3K)/protein kinase B (PKB or AKT)/mammalian target of rapamycin (mTOR) signaling pathway (PAM pathway) plays an important role in the development of breast cancer and are closely associated with the resistance to endocrine therapy in advanced breast cancer. Therefore, anticancer treatment targeting key molecules in this signaling pathway has become a research hotspot in recent years. Randomized clinical trials have demonstrated that PI3K/AKT/mTOR inhibitors bring significant clinical benefit to patients with advanced breast cancer, especially to those with hormone receptor (HR)-positive, human epidermal growth factor receptor (HER) 2-negative advanced breast cancer. Alpelisib, a PI3K inhibitor, and everolimus, an mTOR inhibitor, have been approved by FDA. Based on their high efficacy and relatively good safety profile, an expanded indication of everolimus in breast cancer has been approved by National Medical Products Administration (NMPA). Alpelisib is expected to be approved in China in the near future. The members of the consensus expert panel reached this consensus to comprehensively define the role of PI3K/AKT/mTOR signaling pathway in breast cancer, efficacy and clinical applications of PI3K/AKT/mTOR inhibitors, management of adverse reactions, and PIK3CA mutation detection, to promote the understanding of PI3K/AKT/mTOR inhibitors for Chinese oncologists, improve clinical decision-making, and prolong the survival of target patient population. CI - (c) 2022 The Authors. Cancer Innovation published by John Wiley & Sons Ltd. on behalf of Tsinghua University Press. CN - Society of Clinical Research of Oncology Medications of China Anticancer Association CN - Breast Cancer Expert Committee of National Cancer Quality Control Center CN - Boao Cancer Innovation Institute LA - eng PT - Journal Article DEP - 20220621 PL - England TA - Cancer Innov JT - Cancer innovation JID - 9918713888606676 PMC - PMC10686175 OTO - NOTNLM OT - PI3K/AKT/mTOR inhibitors OT - breast cancer COIS- All authors declare that there is no conflict of interest except Professor Fei Ma, Professor Binghe Xu, Professor Haili Qian, and Professor Jiuda Zhao, who are members of the Cancer Innovation Editorial Board. To minimize bias, they were excluded from all editorial decision-making related to the acceptance of this article for publication. EDAT- 2022/06/21 00:00 MHDA- 2022/06/21 00:01 PMCR- 2022/06/21 CRDT- 2023/12/13 12:51 PHST- 2022/04/05 00:00 [received] PHST- 2022/05/05 00:00 [accepted] PHST- 2022/06/21 00:01 [medline] PHST- 2022/06/21 00:00 [pubmed] PHST- 2023/12/13 12:51 [entrez] PHST- 2022/06/21 00:00 [pmc-release] AID - CAI210 [pii] AID - 10.1002/cai2.10 [doi] PST - epublish SO - Cancer Innov. 2022 Jun 21;1(1):25-54. doi: 10.1002/cai2.10. eCollection 2022 Jun.