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Patients (pts) with node-positive (N+) high-risk clinicopathologic features in the monarchE trial (N+ High-Risk: N1 with Grade 3 [G3] or tumor ≥5 cm; N2; N3) have a real-world (RW) 5-year (y) recurrence risk of 30% on endocrine therapy (ET). In monarchE, 2-y of abemaciclib + ET improved invasive disease-free survival (IDFS) (hazard ratio [HR]=0.68, 5-y rates: 84% abemaciclib + ET vs 76% ET, 8% 5-y absolute benefit). This RW study described overall survival (OS) and IDFS in pts with monarchE high-risk features and in pts with triple negative EBC (TNBC) for context.
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Rugo et al. (2025) studied this question.
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