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. 2022 Jul 14;195(1):1–15. doi: 10.1007/s10549-022-06665-6

Table 3.

Randomized clinical trials of neoadjuvant/adjuvant immunotherapy for triple-negative breast cancer

Trial Patient population Treatment arms Subgroups Sample size pCR rate (%)
IN CT IN CT
NCT01042379a I-SPY2 Tumor ≥ 2.5 cm T + pembro × 4 → AC × 4 ITT 29 85 60 22
T × 4 → AC × 4
T + pembro × 4 → pembro × 4 ITT 73b 295b 27 27
T × 4 → AC × 4
olaparib + durvalumab + T × 4 → AC × 4 ITT 22 142 47 27
T × 4 → AC × 4
T + pembro × 4 + SD-101 → AC × 4 ITT 29 147 44 28
T × 4 → AC × 4
NCT03036488 T1cN1-2 or T + carbo + pembro → AC/EC +  ITT 784 390 63.0 55.6
pembro × 4 → surgery → pembro PD-L1 CPS ≥ 1 560c 158c 67.1 58.3
KEYNOTE-522 T2-4N0-2 PD-L1 CPS < 1 109c 56c 47.7 37.3
T + carbo + placebo → AC/EC +  Lymph Node +  349c 167c 62.8 49.7
placebo × 4 → surgery → placebo Lymph Node – 320c 166c 65.3 59.6
NCT02685059 Tumor ≥ 2 cm nab-T + durvalumab × 4 ITT 88 86 53.4 44.2
GeparNuevo  → EC + durvalumab × 4 PD-L1 IC/TC ≥ 1% 69 69 58.0 50.7
PD-L1 IC/TC < 1% 9 11 44.4 18.2
nab-T × 4 + placebo × 4 Window 59 58 61.0 41.4
 → EC × 4 + placebo × 4 Concurrent 29 28 37.9 50.0
NCT02620280 T1cN1 + or T3N0 +  nab-T + carboplatin + atezolizumab × 8 ITT 142 138 43.5 40.8
Unilateral IDC  → surgery → AC/EC/FEC × 4 PD-L1 IC ≥ 1% 77 79 51.9 48.0
nab-T + carboplatin × 8 PD-L1 IC < 1% 65 59 32.2 32.3
NeoTRIPaPD-L1
High Ki-67 or Grade  → surgery → AC/EC/FEC × 4
NCT03197935 Unilateral nab-T × 12 + atezolizumab × 6 ITT 165 168 58 41
 → EC × 4 + atezolizumab × 4 PD-L1 IC ≥ 1% 77 75 69 49
PD-L1 IC < 1% 88 93 48 34
nab-T × 12 + placebo × 6 Lymph Node +  56 72 57 31
IMpassion031 tumor > 2 cm  → EC × 4 + placebo × 4 Lymph Node – 109 96 58 49

Intervention arm regimen listed followed by control arm for each trial

pCR pathologic complete response, IN intervention, CT Control, T paclitaxel, A doxorubicin, C cyclophosphamide, E epirubicin, F 5-fluorouracil, ITT intention to treat, PD-L1 programmed death-ligand 1, IDC invasive ductal carcinoma

aData from the triple-negative subgroup of included patients is listed

bSample size listed for overall population as breakdown of population by HR + /HER2- status not published

cWhereas the ITT pCR rates are reported for all patients as from the third interim analysis, responses in subgroups were only available from the second interim analysis of 1002 patients