Activity Overview
Activation of the PI3K/AKT/mTOR signaling pathway has emerged as a central driver of resistance, with—and pathway alterations or overactivation have been identified in approximately half of patients with hormone receptor-positive/human epidermal growth factor receptor 2–negative (HR+/HER2–) metastatic breast cancer (mBC). The expanding availability of PI3K, AKT, and PTEN-targeted therapies offers new opportunities, but also introduces complexity in managing these malignancies.
This engaging, fast-paced, and interactive Hot Seat program will equip oncologists with a practical, evidence-based framework for integrating pathway-targeted therapies into clinical practice. Faculty will examine the latest clinical trial data, compare distinct toxicity profiles, and discuss optimal sequencing strategies and patient selection in the context of evolving treatment paradigms. Through case-based discussion and expert insight, participants will gain clarity and confidence in personalizing care for patients with advanced HR+/HER2– breast cancer.
This educational activity is an archive of the live virtual symposium held on March 23, 2026.
Target Audience
This educational activity is directed toward medical oncologists, advanced practice providers, nurses, pathologists, pharmacists, and other health care providers involved in the management of mBC.
Learning Objectives
Upon successful completion of this activity, you should be better prepared to:
- Describe the rationale for targeting the PI3K/AKT/PTEN signaling pathway in the treatment of HR+/HER2– mBC
- Apply best practices for molecular testing to identify actionable PI3K/AKT/PTEN pathway alterations in patients with HR+/HER2– mBC
- Integrate recent clinical trial evidence into the selection and sequencing of PI3K/AKT/PTEN pathway inhibitors for patients with HR+/HER2– mBC
- Implement evidence-based strategies to prevent, recognize, and manage adverse events associated with PI3K/AKT/PTEN pathway inhibitors

Rebecca Shatsky, MD
Professor of Medicine
Breast Medical Oncology Team Leader
Director of Breast Cancer Clinical Trials Program
Director of Inflammatory and Triple-Negative Breast Cancer Program
University of California, San Diego
San Diego, CA
Disclosures: Advisor, Consultant, Speaker, Honoraria Recipient: AstraZeneca, Daiichi Sankyo, Gilead, Guardant Health, Lilly, Novartis, Pfizer, Tempus

Maxwell Roger Lloyd, MD
Clinical Fellow in Medicine
Beth Israel Deaconess Medical Center
Boston, MA
Disclosures: Maxwell Roger Lloyd, MD, has no relevant financial relationships with ineligible companies.

Sarah Sammons, MD
Assistant Professor of Medicine
Harvard Medical School
Associate Director, Metastatic Breast Cancer Program
Dana-Farber Cancer Institute
Boston, MA
Disclosures: Advisor, Consultant, Speaker, Honoraria Recipient: AstraZeneca, Daiichi Sankyo, Gilead Sciences, Lilly, Novartis, Pfizer, Relay Therapeutics, Seagen; Grant/Research Funding: Alterome, AstraZeneca, BioNTech, Daiichi Sankyo, Iambic, Lilly, Relay Therapeutics

Sherry Shen, MD
Assistant Attending Physician
Co-Lead, Lobular Breast Cancer Program
Evelyn H. Lauder Breast Center
Memorial Sloan Kettering Cancer Center
New York, NY
Disclosures: Advisor, Consultant, Speaker, Honoraria Recipient: AstraZeneca, GE Healthcare; Grant/Research Funding: Merck, Novartis, Sermonix Pharmaceuticals, SynDevRx
The staff of Physicians’ Education Resource®, LLC have no relevant financial relationships with ineligible companies.
PER® mitigated all COI for faculty, staff, and planners prior to the start of this activity by using a multistep process.
Off-Label Disclosure and Disclaimer
This activity may or may not discuss investigational, unapproved, or off-label use of drugs. Learners are advised to consult prescribing information for any products discussed. The information provided in this accredited activity is for continuing education purposes only and is not meant to substitute for the independent clinical judgment of a health care professional relative to diagnostic, treatment, or management options for a specific patient’s medical condition. The opinions expressed in the content are solely those of the individual faculty members and do not reflect those of PER® or any company that provided commercial support for this activity.

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