b Relevant adjuvant studies
| Trial | Design | Histology | Chemotherapy | Median TILs |
LPBC | Tumors with LPBC phenotype | Outcome (per 10% increase in lymphocye infiltration) | Other outcomes |
|---|---|---|---|---|---|---|---|---|
| Loi [52], 2013: patients from the BIG 02-98 trial | Retrosp. | TNBC | Doxorubicin −> CMF or doxorubicin + CP −> CMF vs. doxorubicin + docetaxel −> CMF or doxorubicin −> docetaxel followed by CMF | 10% (sTILS) 2% (iTILS) |
>50% | 10.6% | 17% reduction in the risk of relapse 27% reduction in the risk of death |
5-year DFS: 92.3% LPBC vs. 61.9% non-LPBC 5-year OS: 92.3% LPBC vs. 71.0% non-LPBC |
| Loi [53], 2014: patients from the FinHER trial | Retrosp. | TNBC | Docetaxel or VNR ×3 −> FEC ×3 | − | >50% | 14.3% | 21% reduction in the risk of distant recurrence 20% reduction in the risk of death |
|
| Adams [54], 2014: patients from ECOG 2197 and ECOG 1199 trials | Retrosp. | TNBC | E2197: doxorubicin + CP vs. docetaxel ×4 E1199: doxorubicin + CP ×4 −> different taxane regimens | 10% (sTILS) 0% (iTILS) |
>50% | 4.4% | 18% reduction in the risk of distant recurrence 19% reduction in the risk of death |
|
| Pruneri [55], 2016: from the IEO Breast Cancer Database | Retrosp. | TNBC | CMF or CMF + AC | 20% | >50% | 21.9% | 21% reduction in the risk of distant recurrence 21% reduction in the risk of death |
10-year DFS (LPBC) 71% 10-year DDFS (LPBC) 84% 10-year OS (LPBC) 96% |
| Kotoula [56], 2016: patients from 4 prospective trials | Retrosp. | TNBC | Anthracycline − taxane regimens | 7% sTILS (all tumors) | >50% | 26% | − | 7-year DFS: 96.3% (LPBC) vs. 72.8% (non-LPBC) 7-year OS: 100% (LPBC) vs. 76.3% (non-LPBC) |
sTILs, stromal tumor-infiltrating lymphocytes; iTIL, intratumoral tumor-infiltrating lymphocytes; DD, dose dense; CP, cyclophosphamide; TAC, docetaxel, doxorubicin, and cyclophosphamide; VNR, vinorelbine; CBDCA, carboplatin; CMF, cyclophosphamide, methotrexate, and fluorouracil; FEC, fluorouracil, epirubicin, and cyclophosphamide; AC, Adriamycin and cyclophosphamide; pCR, pathological complete response; DFS, disease-free survival; DDFS, distant DFS; OS, overall survival.