Study study type PathologyT1T0Patientssample sizesROB Results

es-BC - Triple negatif (TNBC) - (neo)adjuvant (NA) breast cancer - triple negative es-BC - Triple negatif (TNBC) - (neo)adjuvant (NA)

versus non active control
avelumab alone
A-Brave, 2024
  NCT02926196
RCTes-BC - Triple negatif (TNBC) - (neo)adjuvant (NA)avelumabcontrolPatiennts at High-risk Triple Negative Breast Cancer after completion of standard treatment with curative intent including surgery and neoadjuvant/adjuvant chemotherapy.-/-NA
suggested
  • suggested 34 % decrease in deaths (OS)
  • inconclusive 18 % decrease in RFS/DFS (PE)
One year adjuvant avelumab versus control does not significantly improve DFS in high-risk TNBC patients. Nevertheless, the secondary enpoind OS was significanlty improved with avelumab vs control.
A-Brave Stratum A, 2024
  NCT02926196
RCTes-BC - Triple negatif (TNBC) - (neo)adjuvant (NA)avelumabcontrolPatiennts at High-risk Triple Negative Breast Cancer after completion of standard treatment with curative intent including surgery and neoadjuvant/adjuvant chemotherapy.-/-NA
inconclusive
  • inconclusive 19 % decrease in RFS/DFS (PE)
versus placebo plus SoC
camrelizumab plus SOC
SHR1210-III-322, 2024
  NCT04613674
RCTbreast cancer - triple negative, es-BC - Triple negatif (TNBC) - (neo)adjuvant (NA)camrelizumab combined with chemotherapy every 2 weeks.placebo combined with chemotherapy every 2 weeks.females aged 18 to 75 years with stage II or III (T2N0-1M0/T3N0M0 or T2N2-3M0/T3N1-3M0 histologically confirmed invasive TNBC. patients were required to have no prior systemic treatment for breast cancer222 / 219low
conclusif
  • demonstrated 62 % increase in pCR (PE)
camrelizumab plus chemotherapy, compared with placebo plus chemotherapy, significantly improved the rate of pathological complete response (56.8% vs 44.7%).
versus Standard of Care (SoC)
cyclophosphamide, docetaxel, gemcitabine plus platin
BCTOP-T-A01 arm A/B, 2024
  NCT02641847
RCTes-BC - Triple negatif (TNBC) - (neo)adjuvant (NA)docetaxel, epirubicin, and cyclophosphamide followed by four cycles of gemcitabine and cisplatinepiribucine and cyclophosphamide followed by docetaxelFemale patients aged 18-70 years with early triple negative breast cancer after definitive surgery.166 / 170NA
trade-off
  • demonstrated 49 % decrease in RFS/DFS,RFS/DFS,RFS/DFS,RFS/DFS (PE)

es-BC - TNBC - NA - all population breast cancer - triple negative es-BC - Triple negatif (TNBC) - (neo)adjuvant (NA) es-BC - TNBC - NA - all population

versus carboplatin plus nab-paclitaxel
atezolizumab plus carboplatin plus nab-paclitaxel
NeoTrip Michel Angelo, 2022
  NCT02620280
RCTes-BC - TNBC - NA - all populationatezolizumab plus SOCSOCpatients with previously untreated histologically confirmed unilateral triple negative breast cancer, early high risk or locally advanced. Pts with metastatic disease (stage IV) were excluded.138 / 142some concern
inconclusive
    no statistically significant result
The addition of atezolizumab to nab-paclitaxel and carboplatin did not significantly increase the rate of pCR in women with TNBC. In multivariate analysis, the presence of PD-L1 expression was the most significant factor influencing the rate of pCR (OR 2.08).
versus nab-paclitaxel, pegylated liposomal doxorubicin and cyclophosphamide
atezolizumab plus nab-paclitaxel, pegylated liposomal doxorubicin and cyclophosphamide
IMpassion-031 (all population), 2020
  NCT03197935
RCTes-BC - TNBC - NA - all populationAtezolizumab plus nab-paclitaxel followed by doxorubicin and cyclophosphamide with filgrastim or pegfilgrastim supportplacebo plus nab-paclitaxel followed by doxorubicin and cyclophosphamide with filgrastim or pegfilgrastim supportneoadjuvant setting in participants with early stage (stage II-III) triple negative breast cancer165 / 168low
conclusif
  • demonstrated 95 % increase in pCR ,pCR (PE)
versus nab-paclitaxel
durvalumab alone, nab-paclitaxel
GeparNuevo, 2019
  NCT02685059
RCTes-BC - TNBC - NA - all populationdurvalumab followed by nab-paclitaxelplacebo followed by nab-paclitaxelPatients with previously untreated uni- or bilateral primary, non-metastatic invasive TNBC with a tumour of at least 2 cm (cT2-cT4a-d) treated as neoadjuvant88 / 86some concern
suggested
  • suggested 76 % decrease in deaths (OS) (extension),deaths (OS) (extension)
  • inconclusive 45 % increase in pCR ,pCR (PE)
versus carboplatin, paclitaxel
atezolizumab plus carboplatin plus paclitaxel
NCI 10013, 2022
  NCT02883062
RCTes-BC - TNBC - NA - all populationatezolizumab carboplatine plus paclitaxelcarboplatine plus paclitaxelpatients with clinical stages II and III TNBC.PDL1 status unknown for 59% control and 22% traitement arm patients45 / 22high
suggested
  • suggested 4.4-fold increase in pCR (PE)
versus paclitaxel followed by doxorubicin plus cyclophosphamide
atezolizumab plus paclitaxel, pegylated liposomal doxorubicin and cyclophosphamide
ALEXANDRA/IMpassion-030, 2024
  NCT03498716
RCTes-BC - TNBC - NA - all populationatezolizumab plus chemotherapychemotherapyPatients with newly diagnosed Stage II-III (es) primary invasive Breast cancer (BC) that is of triple negative phenotype and who were to be treated with adjuvant systemic chemotherapy following definitive surgery,1101 / 1098NA
inconclusive
  • inconclusive 11 % increase in iDFS,iDFS (PE)
At the final analysis, the addition of atezo to adjuvant anthracycline- and taxane-based chemo did not improve iDFS in the ITT population of stage II-III TNBC or in any of the subgroups interrogated. Safety data remain consistent with the known profile of atezo in early TNBC.
versus placebo
olaparib
OlympiA (BIG 6-13, NSABP B-55) unpublished
  NCT02032823
RCTes-BC - TNBC - NA - all populationolaparibplacebopatients with human epidermal growth factor receptor 2 (HER2)–negative early breast cancer with BRCA1 or BRCA2 germline pathogenic or likely pathogenic variants and high-risk clinicopathological factors921 / 915NA
conclusif
  • demonstrated 32 % decrease in deaths (OS) (PE)
  • demonstrated 42 % decrease in iDFS (PE)
versus Standard of Care (SoC)
pembrolizumab plus SoC
KEYNOTE-522, 2020
  NCT03036488
RCTes-BC - TNBC - NA - all populationpembrolizumab plus SOCplacebo plus SOCpreviously untreated, nonmetastatic disease, stage II or stage III, triple-negative breast cancer centrally confirmed784 / 390some concern
conclusif
  • demonstrated 34 % decrease in deaths (OS) (PE)
  • demonstrated 37 % decrease in events or deaths (EFS) (PE)
  • demonstrated 75 % increase in pCR (PE)
  • suggested 37 % decrease in events or deaths (EFS) (extended) (PE)

es-BC - TNBC - NA - PDL1 positive breast cancer - triple negative es-BC - Triple negatif (TNBC) - (neo)adjuvant (NA) es-BC - TNBC - NA - PDL1 positive

versus placebo plus SoC
atezolizumab plus nab-paclitxel followed by doxorubicin plus cyclophosphamide
IMpassion-031 (PDL1>1%), 2020
  NCT03197935
RCTes-BC - TNBC - NA - PDL1 positiveAtezolizumab plus nab-paclitaxel followed by doxorubicin and cyclophosphamide with filgrastim or pegfilgrastim supportplacebo plus nab-paclitaxel followed by doxorubicin and cyclophosphamide with filgrastim or pegfilgrastim supportneoadjuvant setting in participants with early stage (stage II III) triple negative breast cancer with PDL1 >1%78 / 76low
suggested
  • suggested 1.2-fold increase in pCR (PE)