Table. Comparison of Short-term Efficacy End Point pCR (ypT0 ypN0) Overall and in Predefined Subgroups.
pCRa | No. (%) [90% CI] | P value, Dmab stratifiedb | No. (%) [90% CI] | P value, nP stratifiedc | Overall No. (%) | ||
---|---|---|---|---|---|---|---|
Dmab | No Dmab | nP wk | nP d1,8 q3 wk | ||||
ypT0 ypN0 (primary definition) | |||||||
No. | 390 | 390 | 390 | 390 | 780 | ||
Yes | 160 (41.0) [36.9-45.1] | 167 (42.8) [38.7-46.9] | .58 | 175 (44.9) [40.7-49.0] | 152 (39.0) [34.9-43.0] | .06 | 327 (41.9) |
ypT0 ypN0 in predefined subgroups | |||||||
ERBB2–/HR+ | |||||||
No. | 153 | 157 | 155 | 155 | 310 | ||
Yes | 33 (21.6) [16.1-27.0] | 35 (22.3) [16.8-27.8] | .96 | 35 (22.6) [17.1-28.1] | 33 (21.3) [15.9-26.7] | .91 | 68 (21.9) |
TNBC | |||||||
No. | 160 | 157 | 159 | 158 | 317 | ||
Yes | 84 (52.5) [46.0-59.0] | 91 (58.0) [51.5-64.4] | .31 | 96 (60.4) [54.0-66.8] | 79 (50.0) [43.5-56.5] | .06 | 175 (55.2) |
ERBB2 + | |||||||
No. | 77 | 76 | 76 | 77 | 153 | ||
Yes | 43 (55.8) [46.5-65.2] | 41 (53.9) [44.5-63.4] | .82 | 44 (57.9) [48.6-67.2] | 40 (51.9) [42.6-61.3] | .29 | 84 (54.9) |
No LPBC | |||||||
No. | 359 | 359 | 359 | 359 | 718 | ||
Yes | 138 (38.4) [34.2-42.7] | 148 (41.2) [37.0-45.5] | .45 | 153 (42.6) [38.3-46.9] | 133 (37.0) [32.9-41.2] | .13 | 286 (39.8) |
LPBC | |||||||
No. | 31 | 31 | 31 | 31 | 62 | ||
Yes | 22 (71.0) [57.6-84.4] | 19 (61.3) [46.9-75.7] | .53 | 22 (71.0) [57.6-84.4] | 19 (61.3) [46.9-75.7] | .14 | 41 (66.1) |
EC every 2 wk | |||||||
No. | 206 | 208 | 207 | 207 | 414 | ||
Yes | 83 (40.3) [34.7-45.9] | 90 (43.3) [37.6-48.9] | .61 | 97 (46.9) [41.2-52.6] | 76 (36.7) [31.2-42.2] | .04 | 173 (41.8) |
EC every 3 wk | |||||||
No. | 184 | 192 | 183 | 183 | 366 | ||
Yes | 77 (41.8) [35.9-47.8] | 77 (42.3) [36.3-48.3] | .79 | 78 (42.6) [36.6-48.6] | 76 (41.5) [35.5-47.5] | .60 | 154 (42.1) |
With Dmab | |||||||
No. | NA | NA | 195 | 195 | 390 | ||
Yes | NA | NA | NA | 94 (48.2) [42.3-54.1] | 66 (33.8) [28.3-39.4] | .03 | 160 (41.0) |
Without Dmab | |||||||
No. | NA | NA | 195 | 195 | 390 | ||
Yes | NA | NA | NA | 81 (41.5) [35.7-47.3] | 86 (44.1) [38.3-50.0] | .67 | 167 (42.8) |
Abbreviations: Dmab, denosumab; EC, epirubicin and cyclophosphamide; d1,8 q3 wk, days 1 and 8 every 3 wk; HR, hormone receptor; LPBC, lymphocyte-predominant breast cancer; NA, not applicable; nP, nab-paclitaxel; pCR, pathological complete response; TNBC, triple-negative breast cancer; wk, weekly.
Primary end point significant to the .10 level; significance level for all further analyses is set to a 2-sided α = .05.
Stratified test, primary analysis (stratified by 3 factors).
Stratified test, primary analysis (stratified by 4 factors including denosumab arm).