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Stage 4 Cancer

Metastatic Cancer or Stage 4 Cancer, Stage IV

Metastatic cancer, or stage 4 cancer, is a medical term describing a condition where the tumor that started in a specific organ is detected in another organ or location distant from that source organ, also called the “primary tumor”. For example, breast cancer metastases can be diagnosed in the lungs, brain, bones, and liver.

It is important to note that a metastasis is the same tumor as the original tumor, even if it has settled in another organ, and the treatment is addressed accordingly. For example, treatment for lung cancer that has metastasized to the liver will be determined according to the treatment for metastatic lung cancer, not according to the treatment for liver cancer.

The Process of Metastasis Formation

Cancer cells from the original, primary tumor can be released into the bloodstream and lymphatic system, flow through them to distant organs or those adjacent to the primary tumor, “settle” there, and grow.

There are types of cancer for which it is known where metastases can form, for example:

  • Breast cancer can send metastases to the bones, brain, liver, and lungs.
  • Lung cancer can send metastases to the brain, bones, liver, and kidney.
  • Prostate cancer can send metastases to the bones.
  • Colon and rectal cancer can send metastases to the liver and lungs.
Breast cancer metastasis formation process

Chances of Recovery from Metastatic Cancer, Stage 4

In the vast majority of metastatic cases, treatments are not curative. The therapeutic goals are slowing the tumor growth rate, extending life, reducing disease symptoms, and improving the patient’s quality of life.

The efficacy of treatments is affected by multiple factors, including: cancer type, number and location of metastases, tumor burden in the patient’s body, growth rate of cancerous lesions, the patient’s treatment history, background diseases, the tumor microenvironment among the cancer cells themselves, resistance the cancer has developed to previous treatments, and more.

Innovative Personalized Treatments and Clinical Trials in Metastatic Stage 4 Cancer

For most cancer patients, existing treatments do not cure the cancer, hence the need for innovative and effective strategies to fight the disease.

The National Cancer Institute in the USA, the NCI, recommends that patients with advanced-stage cancer participate in one of the many clinical trials existing worldwide to increase therapeutic success chances. Joining this recommendation is the umbrella organization of leading US cancer centers, the NCCN, emphasizing that every patient should be encouraged to participate in clinical trials at every stage of the disease:

“Patients with cancer should be encouraged to participate in clinical trials during all aspects of their diagnosis and treatment”

Today, every patient will be treated with the standard protocols mentioned above, and sometimes the oncologist will offer to join trials open at their institute.

Advancement in cancer treatments lies in clinical trials, where the most advanced and interesting drugs are found, some of which have even earned FDA recognition as “Breakthrough Therapies,” with more data required from studies until final official approval.

A whole world of trials and compassionate use treatments is open and available globally, and it is important to know which treatments from the forefront of science exist worldwide that the patient can benefit from much more than any conventional treatment offered.

For most patients with malignant cancer, existing treatments do not cure the cancer, hence the need for innovative and effective strategies to fight the disease.

You are invited to read our publications about innovative and breakthrough treatments from around the world for metastatic stage 4 cancer >>


Common Questions about Stage 4 Cancer (Summary)

Q: What is the difference between metastatic cancer and primary cancer?

Metastatic cancer (Stage 4) is a condition where cells from the original tumor have migrated to other organs. Treatment is always determined by the origin of the primary tumor, not the organ where the metastasis was detected.

Q: Are there treatments beyond the standard protocol?

Yes. Beyond the standard protocol, there are clinical trials worldwide, compassionate use drugs, and advanced biological treatments (Off-label) that may suit the specific characteristics of the tumor.

Q: Why does the NCI recommend clinical trials?

Because that is where progress lies. Clinical trials allow access to breakthrough drugs that have not yet reached final approval and may be more effective than existing standard treatment.

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Gedatolisib + Palbociclib + Fulvestrant Doubled Progression-Free Survival in Metastatic Breast Cancer – VIKTORIA-1 Results at ASCO 2026

New Update: Gedatolisib in the VIKTORIA-1 Study Presented at ASCO 2026

Viktoria is not a patient, and she is not a woman I know… 😊

This is a new study that was conducted very recently (not in Israel).

The VIKTORIA-1 study is one of the most interesting studies presented this week at ASCO 2026, and the results are certainly noteworthy.

What Did the Study Evaluate?

The study evaluated the combination of:

Gedatolisib + Palbociclib + Fulvestrant

versus:

Alpelisib + Fulvestrant

Key Results

  • 11.1 months progression-free survival (PFS) with the new combination
  • 5.6 months progression-free survival in the comparator arm

In other words, this represents an almost doubling of progression-free survival.

This can be clearly seen in the graph, where the progression-free survival curves begin to separate significantly at an early stage of treatment.

The benefit was also observed among patients without a PIK3CA mutation, while maintaining a relatively favorable safety profile.

Why Is This Study Important?

This is exactly the type of study I like to see.

Not just a small improvement in one endpoint or another, but the opening of new treatment opportunities for patients who may not be suitable candidates for the targeted therapies that have been available until now.

The Importance of Following Clinical Trials in Real Time

At Trial-In Pharma, we follow studies like these in real time, long before they become headlines in newspapers or on social media.

Why is this important?

Because once a study becomes “news,” enrollment has often already closed, or access becomes significantly more challenging.

Who Might This Be Relevant For?

If you or a loved one is facing advanced breast cancer (Stage IV), especially when the CDK4/6 and PI3K/AKT/mTOR pathways are involved, it may be worthwhile exploring which innovative treatment options and clinical trials are currently available worldwide.

Would You Like to Explore What Options May Be Available for You?

Contact us.

Kind regards,

Nir Erez
Trial-In Pharma

Source: Hurvitz et al. VIKTORIA-1 Trial, Journal of Clinical Oncology (2026), presented at ASCO 2026. Copyright © ASCO and the study authors. All rights reserved.

Figure adapted from Hurvitz et al., VIKTORIA-1, ASCO 2026. Copyright © American Society of Clinical Oncology (ASCO). Used for educational purposes.

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Improving therapeutic success, extending life and quality of life are our main business. We extend to metastatic cancer patients and patients with brain tumors, the most advanced treatment options in the world and the best experts in Israel and abroad.

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