Evidence map›Paper›PMID 32798689›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2020

TBCRC 030: a phase II study of preoperative cisplatin versus paclitaxel in triple-negative breast cancer: evaluating the homologous recombination deficiency (HRD) biomarker.

E L Mayer, V Abramson, R Jankowitz, C Falkson, P K Marcom, T Traina, L Carey, M Rimawi, J Specht, K Miller and 11 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01982448 (A Randomized Phase II Study of Preoperative Cisplatin Versus Paclitaxel in Patients With Triple Negative Breast Cancer), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01982448 phase2completednot on this map

A Randomized Phase II Study of Preoperative Cisplatin Versus Paclitaxel in Patients With Triple Negative Breast Cancer: Evaluating the Homologous Recombination Deficiency (HRD) Biomarker

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2014 to 2020Enrolled147ConditionsTriple Negative Breast CancerArmsCisplatin, Paclitaxel
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Platinum-based chemotherapy for early triple-negative breast cancer.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  9. Article
  10. Review
  11. Multi-omics profile of exceptional long-term survivors of AJCC stage III triple-negative breast cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 14 institutions in 1 country.

E L MayerDana-Farber Cancer Institute, Boston, USA. Electronic address: Erica_Mayer@dfci.harvard.edu.
V AbramsonVanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, USA.
R JankowitzUniversity of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, USA.
C FalksonUniversity of Rochester Medical Center, Rochester, USA.
P K MarcomDuke University Cancer Institute, Durham, USA.
T TrainaMemorial Sloan Kettering Cancer Center, New York, USA.
L CareyUniversity of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center, Chapel Hill, USA.
M RimawiBaylor College of Medicine, Houston, USA.
J SpechtSeattle Cancer Care Alliance, Seattle, USA.
K MillerIndiana University Simon Cancer Center, Indianapolis, USA.
V StearnsJohns Hopkins University Sidney Kimmel Cancer Center, Baltimore, USA.
N TungBeth Israel Deaconess Medical Center, Boston, USA.
C PerouUniversity of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center, Chapel Hill, USA.
A L RichardsonJohns Hopkins University Sidney Kimmel Cancer Center, Baltimore, USA.
K ComponeschiDana-Farber Cancer Institute, Boston, USA.
L TrippaDana-Farber Cancer Institute, Boston, USA.
Z Tan-WasielewskiDana-Farber Cancer Institute, Boston, USA.
K TimmsMyriad Genetics Inc., Salt Lake City, USA.
I KropDana-Farber Cancer Institute, Boston, USA.
A C WolffJohns Hopkins University Sidney Kimmel Cancer Center, Baltimore, USA.
E P WinerDana-Farber Cancer Institute, Boston, USA.
Dana-Farber Cancer Institute · USSidney Kimmel Cancer Center · USUniversity of North Carolina at Chapel Hill · USBaylor College of Medicine · USBeth Israel Deaconess Medical Center · USDuke University · USIndiana University Health · USJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · USMyriad Genetics · USSeattle Cancer Care Alliance · USUniversity of Pittsburgh Medical Center · USUniversity of Rochester Medical Center · USVanderbilt University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Tissue and Pathology CoreP50CA168504 · NCI · DANA-FARBER CANCER INST · PI MYLES A BROWN · 2013 to 2026
$30.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA098131NCI NIH HHS P50 CA168504
6 · The paper itself

Abstract

backgroundCisplatin and paclitaxel are active in triple-negative breast cancer (TNBC). Despite different mechanisms of action, effective predictive biomarkers to preferentially inform drug selection have not been identified. The homologous recombination deficiency (HRD) assay (Myriad Genetics, Inc.) detects impaired double-strand DNA break repair and may identify patients with BRCA1/2-proficient tumors that are sensitive to DNA-targeting therapy. The primary objective of TBCRC 030 was to detect an association of HRD with pathologic response [residual cancer burden (RCB)-0/1] to single-agent cisplatin or paclitaxel. PATIENTS AND

methodsThis prospective phase II study enrolled patients with germline BRCA1/2 wild-type/unknown stage I-III TNBC in a 12-week randomized study of preoperative cisplatin or paclitaxel. The HRD assay was carried out on baseline tissue; positive HRD was defined as a score ≥33. Crossover to an alternative chemotherapy was offered if there was inadequate response.

resultsOne hundred and thirty-nine patients were evaluable for response, including 88 (63.3%) who had surgery at 12 weeks and 51 (36.7%) who crossed over to an alternative provider-selected preoperative chemotherapy regimen due to inadequate clinical response. HRD results were available for 104 tumors (74.8%) and 74 (71.1%) were HRD positive. The RCB-0/1 rate was 26.4% with cisplatin and 22.3% with paclitaxel. No significant association was observed between HRD score and RCB response to either cisplatin [odds ratio (OR) for RCB-0/1 if HRD positive 2.22 (95% CI: 0.39-23.68)] or paclitaxel [OR for RCB-0/1 if HRD positive 0.90 (95% CI: 0.19-4.95)]. There was no evidence of an interaction between HRD and pathologic response to chemotherapy.

conclusionsIn this prospective preoperative trial in TNBC, HRD was not predictive of pathologic response. Tumors were similarly responsive to preoperative paclitaxel or cisplatin chemotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsTriple Negative Breast NeoplasmsBiomarkersCisplatinHomologous RecombinationHumansMutationNeoadjuvant TherapyPaclitaxelProspective StudiesBiomarkersCisplatinPaclitaxelcisplatinHRDneoadjuvantpaclitaxelpreoperativeTriple-negative breast cancer (TNBC)

Identifiers

PMID32798689
PMCPMC8437015
OpenAlexW3048387531

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.