Natera, Alliance Foundation Trials launch Phase III NAVIGATE breast cancer study using Signatera MRD-guided CDK4/6 therapy

By Public Technologies
  • Natera joined Alliance Foundation Trials, Genentech to launch AFT-70 NAVIGATE, a global Phase III breast cancer study using Signatera-guided treatment.
  • No trial results have been presented; the study will test whether MRD monitoring can safely limit CDK4/6 inhibitor use.
  • Strategy uses giredestrant as the endocrine backbone, adding a CDK4/6 inhibitor only if Signatera detects residual disease.
  • Enrollment target exceeds 2,000 stage II-III ER-positive, HER2-negative patients across roughly 200 sites in the U.S. and abroad.
  • Focus is maintaining recurrence outcomes while reducing exposure to added therapy burdens, supporting a more selective adjuvant treatment approach.


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