Table 5.
The roles of capecitabine, olaparib, and pembrolizumab in the adjuvant therapy of TNBC, examining both supporting and opposing trial data
| Therapy | Supporting trials | Findings | Opposing trials | Concerns |
|---|---|---|---|---|
| Capecitabine | CREATE-X | Improved DFS and OS in residual disease post-neoadjuvant chemotherapy | Various smaller studies | Inconsistent benefits in different patient subsets |
| Olaparib | OlympiA | Improved DFS and OS in germline BRCA-mutated patients | None explicitly opposing efficacy | Long-term toxicity, cost-effectiveness, limited to BRCA mutations |
| Pembrolizumab | KEYNOTE-522 | Improved pCR rates and EFS when combined with neoadjuvant chemotherapy | Long-term benefit unclear | Significant immune-related adverse events |