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Table 2 Completed studies with immune checkpoint inhibitors in triple-negative breast cancer

From: Recent advances in triple negative breast cancer: the immunotherapy era

Trial

Setting

Drug

Patients

Results

Ref.

Single agent immunotherapy

 KEYNOTE-012 NCT01848834

Advanced PD-L1+ TNBC

Pembrolizumab 10 mg/kg Q2W

27

ORR, 18.5%

Median PFS, 1.9 months

Median OS, 11.2 months

[60]

 KEYNOTE-086

NCT02447003

Advanced, untreated, any PD-L1 TNBC (cohort A)

Advanced, untreated PD-L1+ TNBC (cohort B)

Pembrolizumab 200 mg Q3W

Cohort A: 170

Cohort B: 84

ORR Cohort A, 4.7%

ORR Cohort B, 22.6%

Median PFS Cohort A, 2 months

Median PFS Cohort B, 2.1 months

Median OS Cohort A, 8.9 months

Median OS Cohort B, 19.2 months

[20, 61]

 JAVELIN

NCT01772004

TNBC unselected for PD-L1 (68.8% had PD-L1+ tumors)

Avelumab

10 mg/kg every 2 weeks

58

ORR, 5.2% (22.2% in PD-L1+)

Median PFS, 1.5 months

Median OS, 9.2 months

[62]

 NCT01375842

Advanced TNBC unselected for PD-L1 (65.7% had PD-L1+ tumors)

Atezolizumab 15 or 20 mg/kg, or at a 1200-mg flat dose, Q3W

116

ORR, 10% (12.7% in PD-L1+)

Median PFS, 1.4 months by RECIST

Median PFS, 1.9 months by irRECIST

Median OS, 8.9 months

[63]

Combination of immunotherapy and chemotherapy

 

 KEYNOTE-150

NCT02513472

Advanced TNBC unselected for PD-L1

Eribulin ± pembrolizumab 200 mg Q3W

107

ORR, 26.4% (30.6% in PD-L1+)

Median PFS, 4.2 months

Median OS, 17.7 months

[59]

 IMpassion130

NCT02425891

Untreated metastatic TNBC unselected for PD-L1

Nab-paclitaxel ± atezolizumab 840 mg Q2W

902 (451 treated with atezolizumab)

ORR, 56% (58.9% in PD-L1+)

Median PFS, 7.2 months

Median PFS, 7.5 months (PD-L1+)

Median OS, 21.3 months

Median OS, 25 months (PD-L1+)

[11, 64]

  1. PD-L1+ expression in stroma or ≥ 1% of tumor cells by immunohistochemistry
  2. irRECIST immune-related Response Evaluation Criteria In Solid Tumors, ORR objective response rate, OS overall survival, PD-L1 programmed death-ligand 1, PFS progression-free survival, Q2W every 2 weeks, Q3W every 3 weeks, RECIST Response Evaluation Criteria In Solid Tumors, TNBC triple-negative breast cancer