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