Study study type PathologyT1T0Patientssample sizesROB Results

mBC-Triple negative (TNBC) - 2nd Line (L2) breast cancer - triple negative mBC-Triple negative (TNBC) - 2nd Line (L2)

versus Standard of Care (SoC)
sacituzumab govitecan
ASCENT (all population), 2021
  NCT02574455
RCTmBC-Triple negative (TNBC) - 2nd Line (L2)Sacituzumab govitecansingle agent chemotheraopy of the physician's choice (eribulin, vinorelbine, capecitabine or gemcitabine)Patients with metastatic triple-negative breast cancer that was relapsed or refractory to two or more previous standard chemotherapy regimens for unresectable, locally andvanced or metastatic disease (previous thearapy had to include taxanes).267 / 262NA
suggested
  • suggested 49 % decrease in deaths (OS) (PE)
  • suggested 57 % decrease in progression or deaths (PFS) (PE)
ASCENT (patients without brain metastases), 2021
  NCT02574455
RCTmBC-Triple negative (TNBC) - 2nd Line (L2)Sacituzumab govitecansingle agent chemotheraopy² of the physician's choice (eribulin, vinorelbine, capecitabine or gemcitabine)Patients with metastatic triple-negative breast cancer that was relapsed or refractory to two or more previous standard chemotherapy regimens for unresectable, locally andvanced or metastatic disease (previous thearapy had to include taxanes).235 / 233NA
suggested
  • suggested 52 % decrease in deaths (OS) (PE)
  • suggested 59 % decrease in progression or deaths (PFS) (PE)
talazoparib
EMBRACA, 2018
  NCT01945775
RCTmBC-Triple negative (TNBC) - 2nd Line (L2)talazoparibchemotherapyPatients with HER2-negative locally advanced or metastatic breast cancer and a deleterious or suspected deleterious gBRCA1/2 mutation. Patients had received 3 or less previous cytotoxic regimens for advanced disease and previous treatment with a taxane, an anthracycline, or both (unless contraindicated).287 / 144NA
conclusif
  • inconclusive 15 % decrease in deaths (OS) (PE)
  • demonstrated 46 % decrease in progression or deaths (PFS) (PE)
  • demonstrated 4.0-fold increase in objective responses (ORR) (PE)

mBC - TNBC - L2 - all population breast cancer - triple negative mBC-Triple negative (TNBC) - 2nd Line (L2) mBC - TNBC - L2 - all population

versus Standard of Care (SoC)
olaparib
OlympiAD, 2017
  NCT02000622
RCTmBC - TNBC - L2 - all populationolaparibstandard chemotherapyPatients with HER-2 negative metastatic breast cancer that was HR positive or triple negative. Patients had a confirmed deleterious or suspected deleterious germline BRCA mutation and had receive no more than 2 previous chemotherapy regimens for metastatic disease.205 / 97NA
conclusif
  • inconclusive 10 % decrease in deaths (OS) (PE)
  • demonstrated 42 % decrease in progression or deaths (PFS) (PE)
pembrolizumab alone
KEYNOTE-119 (all population), 2019
  NCT02555657
RCTmBC - TNBC - L2 - all populationPembrolizumabchemotherapy (single agent)patients with previously treated metastatic triple negative breast cancer (mTNBC)312 / 310some concern
inconclusive
  • inconclusive 3 % decrease in deaths (OS),deaths (OS) (PE)
  • statistically significant 60 % increase in progression or deaths (PFS),progression or deaths (PFS)
  • statistically significant 40 % decrease in DCR,DCR

mBC - TNBC - L2 - PDL1 positive breast cancer - triple negative mBC-Triple negative (TNBC) - 2nd Line (L2) mBC - TNBC - L2 - PDL1 positive

versus Standard of Care (SoC)
pembrolizumab alone
KEYNOTE-119 (PDL1 CPS>1), 2019
  NCT02555657
RCTmBC - TNBC - L2 - PDL1 positivePembrolizumabchemotherapy (single agent)patients with previously treated metastatic triple negative breast cancer (mTNBC) patients with PDL1 CPS> 1 only203 / 202some concern
inconclusive
  • inconclusive 14 % decrease in deaths (OS),deaths (OS) (PE)
  • statistically significant 35 % increase in progression or deaths (PFS),progression or deaths (PFS)
KEYNOTE-119 (PDL1 CPS>10), 2019
  NCT02555657
RCTmBC - TNBC - L2 - PDL1 positivePembrolizumabchemotherapy (single agent)patients with previously treated metastatic triple negative breast cancer (mTNBC) patients with PDL1 CPS> 10 only96 / 98some concern
inconclusive
  • inconclusive 22 % decrease in deaths (OS),deaths (OS) (PE)