Application Detail
Description of Medical Service
The test is to detect the presence of estrogen receptor 1 gene (ESR1) mutations in tumour tissue using circulating tumour DNA (ctDNA) extracted from blood plasma. This test is for patients with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer (a/mBC), who have disease progression following at least one line of endocrine therapy, including a cyclin-dependent kinase 4/6 inhibitor (CDK4/6i). The test is used to determine eligibility for a potential new PBS subsidised treatment, elacestrant.Description of Medical Condition
Breast cancer is the abnormal growth of cells lining the breast lobules (milk-producing glands) or breast ducts (passages that drain milk from the lobules towards the nipple), or in the fatty and fibrous tissue of the breast. Advanced breast cancer comprises both locally advanced (inoperable) and metastatic disease (a/mBC). Some patients present with a/mBC disease at diagnosis, and many with early breast cancer eventually progress to a/mBC. ER and HER2 describe the receptor subtype of breast cancer which can provide useful information on the patient’s prognosis and how the cancer cells may respond to treatment.Reason for Application
New MBS item (MSAC-PBAC co-dependent submission)Medical Service Type
Investigative technologyPrevious Application Number/s
Not ApplicableAssociated Documentation
Application Summary and PICO Set
Application Summary (PDF 149 KB)Application Summary (Word 28 KB)
Application PICO Set (PDF 489 KB)
Application PICO Set (Word 236 KB)
Consultation Survey
Consultation SurveyPASC Consultation
PASC consultation closes Friday 12 July 2024. Any consultation received after this date will automatically be included in the MSAC consultation for this application.
MSAC Consultation
MSAC consultation TBA – please subscribe to the MSAC email bulletin to be notified when this application is scheduled for MSAC consideration. The bulletin will also advise the closing date for consultation input.
For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation proves please refer to MSAC Consultation Process