Peter Schmid, MD, PhD, FRCP, Barts Cancer Institute, London, UK, provides an overview of the latest treatment updates in breast cancer from the San Antonio Breast Cancer Symposium, including DESTINY-Breast03 (NCT03529110) which demonstrated the superiority of trastuzumab deruxtecan in patients with HER2+ advanced breast cancer, as well as the agents activity in patients with brain metastases. Prof. Schmid discusses the final results from the KEYNOTE-355 (NCT02819518) study presented at the San Antonio meeting evaluating pembrolizumab in advanced triple-negative breast cancer, as well as the PADA-1 study (NCT03079011) which investigated first-line aromatase inhibitor plus palbociclib with randomized switch to fulvestrant plus palbociclib upon detection of circulating ESR1 mutation in hormone-receptor-positive, HER2-negative metastatic breast cancer. This interview took place at the San Antonio Breast Cancer Symposium 2021 in San Antonio.