Exceptional response to alpelisib in a heavily pretreated patient with metastatic breast cancer carrying a PIK3CA mutation outside SOLAR-1 eligible mutations: a case report

Authors

  • Karolina F. Larsson Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden https://orcid.org/0000-0003-2347-3591
  • Annabelle Forsmark Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden
  • Henrik Fagman Department of Laboratory Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden; Department of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Region Vastra Gotaland, Sweden https://orcid.org/0000-0001-5853-6295
  • Maja Drakenberg Danese Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden https://orcid.org/0009-0009-9170-425X
  • Maria Kaire Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden
  • Matilda Liljedahl Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden https://orcid.org/0000-0003-2011-8180
  • Christoffer Vannas Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Oncology, Sahlgrenska University Hospital,Gothenburg, Region Vastra Gotaland, Sweden; Department of Laboratory Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden https://orcid.org/0000-0002-1029-0393

DOI:

https://doi.org/10.2340/1651-226X.2026.46486

Keywords:

Breast neoplasms, neoplasm metastasis, precision medicine, molecular-targeted therapy, PIK3CA gene, phosphatidylinositol 3-kinases

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References

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Published

2026-09-23

How to Cite

Larsson, K. F., Forsmark, A., Fagman, H., Drakenberg Danese, M., Kaire, M., Liljedahl, M., & Vannas, C. (2026). Exceptional response to alpelisib in a heavily pretreated patient with metastatic breast cancer carrying a PIK3CA mutation outside SOLAR-1 eligible mutations: a case report. Acta Oncologica, 65, 776–780. https://doi.org/10.2340/1651-226X.2026.46486