Table 5 |.
Clinical trial | Phase | HR status | Treatment setting | Anti-HER2 therapy | Concurrent therapies | Results |
---|---|---|---|---|---|---|
CDK4/6 inhibitors | ||||||
NA-PHER2 (NCT02530424)170 | II | ER+ | Neoadjuvant | T+P | Palbociclib ± fulvestrant | pCR rate 27%; mean Ki67 index 31.9 at baseline vs 4.3 at week 2 (n = 25; P <0.0001) and 12.1 at surgery (n = 22, P = 0.013) |
PALTAN (NCT02907918) | II | ER+ | Neoadjuvant | T | Palbociclib + letrozole (+ goserelin in premenopausal women) | Ongoing (recruiting) |
PATRICIA 2 (NCT02448420)171 | II | ER+ | Metastatic | T | Palbociclib ± letrozole | Ongoing (recruiting) |
PATINA (NCT02947685)172 | III | ER+ | Metastatic | T+P | Palbociclib + endocrine therapy | Ongoing (recruiting) |
monarcHER (NCT02675231)173 | II | ER+ | Metastatic | T | Abemaciclib ± fulvestrant | Ongoing (active, not recruiting) |
NCT03530696 | II | ER+ or ER− | Metastatic | T-DM1 | Palbociclib | Ongoing (recruiting) |
TOUCH (NCT03644186) | II | ER+ | Neoadjuvant | T+P | Palbociclib + letrozole | Ongoing (recruiting) |
Immune-checkpoint inhibitors | ||||||
PANACEA (NCT02129556)174 | I/II | ER+ or ER− | Metastatic | T | Pembrolizumab | Objective response achieved in 6 (15) of 40 patients with PD-L1-positive disease, but none in patient with PD-L1-negative disease |
neoHIP (NCT03747120)175 | II | ER+ or ER− | Neoadjuvant | T+P | Pembrolizumab | Ongoing (recruiting) |
NCT03199885 | III | ER+ or ER− | Metastatic | T+P | Atezolizumab | Ongoing (recruiting) |
NCT03417544 | II | ER+ or ER− | Metastatic | T+P | Atezolizumab | Ongoing (recruiting) |
For some trials, ER status actually reflects the hormone receptor status (that is, positive or negative for ER and/or progesterone receptor expression). ER, oestrogen receptor; HR, hormone receptor; n, number of patients; P, pertuzumab; pCR, pathological complete response; PD-L1, programmed cell death 1 ligand 1; T, trastuzumab.