Evidence map›Paper›PMID 33199511›Full record

ArticleJournal for immunotherapy of cancer2020

Differential effect on different immune subsets of neoadjuvant chemotherapy in patients with TNBC.

Chiara Massa, Thomas Karn, Carsten Denkert, Andreas Schneeweiss, Claus Hanusch, Jens-Uwe Blohmer, Dirk-Michael Zahm, Christian Jackisch, Marion van Mackelenbergh, Jörg Thomalla and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02685059 (A Randomized Phase II Study to Investigate the Addition of PD-L1 Antibody MEDI4736 to a Taxane-anthracycline Containing Chemotherapy in Triple Negative Breast Cancer), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.4field-weighted citation impact, top 15% 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.

NCT02685059 phase2completednot on this map

A Randomized Phase II Study to Investigate the Addition of PD-L1 Antibody MEDI4736 to a Taxane-anthracycline Containing Chemotherapy in Triple Negative Breast Cancer (GeparNuevo)

TypeinterventionalSponsorGBG Forschungs GmbHRan2016 to 2018Enrolled174ConditionsBreast CancerArmsMEDI4736 (Anti PD-L1), Placebo, nab-Paclitaxel, Epirubicin, Cyclophosphamide
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Overcoming Drug Resistance by Paclitaxel Resistance in Triple-Negative Breast Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Heterogeneity of monocytes in cancer.American journal of cancer research · 2025
    Review
  11. Article
  12. Baseline CD4Clinical and translational medicine · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
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

22 authors at 18 institutions in 5 countries.

Chiara MassaInsitute of Medical Immunology, Martin Luther University Halle Wittenberg, Halle, Sachsen-Anhalt, Germany.
Thomas KarnDepartment of Obstetrics and Gynecology, Goethe University Frankfurt, Frankfurt am Main, Hessen, Germany.ORCID 0000-0002-3264-6573
Carsten DenkertInstitute of Pathology, Philipps-Universitat Marburg, Marburg, Hessen, Germany.
Andreas SchneeweissNationales Centrum für Tumorerkrankungen, Deutsches Krebsforschungszentrum, Heidelberg, Baden-Württemberg, Germany.
Claus HanuschRotkreuzklinikum Munchen, Munchen, Bayern, Germany.
Jens-Uwe BlohmerBrustzentrum, Charite Universitatsmedizin Berlin, Berlin, Germany.
Dirk-Michael ZahmSRH Wald-Klinikum Gera, Gera, Thüringen, Germany.
Christian JackischDepartment of Obstetrics and Gynecology, Sana Klinikum Offenbach GmbH, Offenbach, Hessen, Germany.
Marion van MackelenberghDepartment of Obstetrics and Gynecology, Universitätsklinikum Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany.
Jörg ThomallaPraxis für Hämatologie und Onkologie Koblenz, Koblenz, Germany.
Frederik MarmeUniversitätsfrauenklinik, Universität Heidelberg, Heidelberg, Baden-Württemberg, Germany.
Jens HuoberUniversitätsklinikum Ulm, Ulm, Baden-Württemberg, Germany.
Volkmar MüllerDepartment of Obstetrics and Gynecology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Hamburg, Germany.
Christian SchemMammazentrum, Krankenhaus Jerusalem, Hamburg, Germany.
Anja MuellerInsitute of Medical Immunology, Martin Luther University Halle Wittenberg, Halle, Sachsen-Anhalt, Germany.
Elmar StickelerDepartment of Obstetrics and Gynecology, Uniklinik RWTH Aachen, Aachen, Nordrhein-Westfalen, Germany.
Katharina BiehlInsitute of Medical Immunology, Martin Luther University Halle Wittenberg, Halle, Sachsen-Anhalt, Germany.
Peter A FaschingDepartment of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Erlangen, Bayern, Germany.
Michael UntchDepartment of Obstetrics and Gynecology, HELIOS Klinikum Berlin-Buch, Berlin, Germany.
Sibylle LoiblDepartment of Medicine and Research, German Breast Group, Neu-Isenburg, Hessen, Germany.
Karsten WeberDepartment of Medicine and Research, German Breast Group, Neu-Isenburg, Hessen, Germany.
Barbara SeligerInsitute of Medical Immunology, Martin Luther University Halle Wittenberg, Halle, Sachsen-Anhalt, Germany Barbara.Seliger@uk-halle.de.ORCID 0000-0002-5544-4958
Luther University · KRGerman Breast group · DEBrustzentrum Klinik St. Anna · CHGerman Cancer Research Center · DEGoethe University Frankfurt · DEHeidelberg University · DEHelios Hospital Berlin-Buch · DEMammazentrum Hamburg · DEPhilipps University of Marburg · DEPraxis für Hämatologie und Onkologie · DERotkreuzklinikum München · DESana Klinikum Offenbach · DESRH Wald-Klinikum Gera · DEUniversität Hamburg · DEUniversitätsklinikum Aachen · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Schleswig-Holstein · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) is the most aggressive form of breast cancer (BC). Due to the absence of targets such as HER2 or hormone receptors, early TNBC is treated with surgery and chemotherapy. Since TNBC is also considered the most immunogenic type of BC with tumor infiltrating lymphocytes that are predictive for chemotherapy response and prognostic for patients' survival, many different immunotherapeutic strategies are currently explored in clinical trials for the treatment of this disease. In order to efficiently combine chemotherapy with immunotherapy, it is important to evaluate the effect of chemotherapy on immune cells in vivo.

methodsPeripheral blood was taken from 56 patients with TNBC undergoing neoadjuvant chemotherapy with nanoparticle albumin-bound paclitaxel (Nab-Pac) followed by epirubicin and cyclophosphamide (EC) at three different time points. Multicolor flow cytometry was used to characterize the immune cell composition and functional properties along neoadjuvant chemotherapy.

resultsWhereas the first phase of the neoadjuvant chemotherapy did not significantly alter the patients' immune cell composition, after the second phase of chemotherapeutic administration most B cells (>90%) were lost and the frequency of natural killer (NK) cells and CD4

conclusionsDespite late consequences of Nab-Pac cannot be ruled out, these data suggest that different chemotherapeutics might have distinct effects on the immune cell repertoire and that different immune cell populations exhibit a specific susceptibility to these chemotherapies with B and NK cells being more affected than T cells. This might also have an impact on the combination of chemotherapies with immunotherapies. TRIAL REGISTRATION NUMBER: NCT02685059.

Indexed as

AdultAgedFemaleHumansMiddle AgedNeoadjuvant TherapyTriple Negative Breast Neoplasmsbreast neoplasmsimmunocompetence

Identifiers

PMID33199511
PMCPMC7670944
OpenAlexW3098349851

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.