Evidence map›Paper›PMID 34667023›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Neoadjuvant Chemotherapy and Immunotherapy in Luminal B-like Breast Cancer: Results of the Phase II GIADA Trial.

Maria Vittoria Dieci, Valentina Guarneri, Anna Tosi, Giancarlo Bisagni, Antonino Musolino, Simon Spazzapan, Gabriella Moretti, Grazia Maria Vernaci, Gaia Griguolo, Tommaso Giarratano and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04659551 (Engaging the Immune System to Improve the Efficacy of Neoadjuvant Chemo-endocrine Therapy for Premenopausal Luminal B Breast Cancer Patients), which is not on this map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04659551 phase2completednot on this map

Engaging the Immune System to Improve the Efficacy of Neoadjuvant Chemo-endocrine Therapy for Premenopausal Luminal B Breast Cancer Patients

TypeinterventionalSponsorIstituto Oncologico Veneto IRCCSRan2017 to 2020Enrolled43ConditionsBreast CancerArmsEpirubicin, Cyclophosphamide, Triptorelin, Exemestane, Nivolumab
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. NK Cell Activation by Platinum Boosts Immunotherapy in HRAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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20 more citing papers are in PubMed but not listed here.

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

18 authors.

Maria Vittoria Dieci *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy. mariavittoria.dieci@unipd.it.ORCID 0000-0002-3967-9861
Valentina Guarneri *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Anna TosiDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Giancarlo BisagniDepartment of Oncology and Advanced Technologies, Oncology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.
Antonino MusolinoMedical Oncology and Breast Unit, University Hospital of Parma, Parma, Italy.ORCID 0000-0002-7979-6261
Simon SpazzapanDepartment of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Gabriella MorettiDepartment of Oncology and Advanced Technologies, Oncology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.
Grazia Maria VernaciDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0003-4401-7579
Gaia GriguoloDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-8782-4509
Tommaso GiarratanoMedical Oncology 2, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.ORCID 0000-0002-6746-8877
Loredana UrsoDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Francesca SchiaviUOSD Hereditary Tumors, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.ORCID 0000-0001-8529-4455
Claudia PinatoUOSD Hereditary Tumors, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
Giovanna MagniClinical Research Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
Marcello Lo MeleDepartment of Pathology, Azienda Ospedale Università Padova, Padova, Italy.
Gian Luca De SalvoClinical Research Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.ORCID 0000-0001-7451-8476
Antonio Rosato *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-5263-8386
Pierfranco Conte *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-5210-5344

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of immunotherapy in hormone receptor (HR)-positive, HER2-negative breast cancer is underexplored. PATIENTS AND

methodsThe neoadjuvant phase II GIADA trial (NCT04659551, EUDRACT 2016-004665-10) enrolled stage II-IIIA premenopausal patients with Luminal B (LumB)-like breast cancer (HR-positive/HER2-negative, Ki67 ≥ 20%, and/or histologic grade 3). Patients received: three 21-day cycles of epirubicin/cyclophosphamide followed by eight 14-day cycles of nivolumab, triptorelin started concomitantly to chemotherapy, and exemestane started concomitantly to nivolumab. Primary endpoint was pathologic complete response (pCR; ypT0/is, ypN0).

resultsA pCR was achieved by 7/43 patients [16.3%; 95% confidence interval (CI), 7.4-34.9]; the rate of residual cancer burden class 0-I was 25.6%. pCR rate was significantly higher for patients with PAM50 Basal breast cancer (4/8, 50%) as compared with other subtypes (LumA 9.1%; LumB 8.3%;

conclusionsLuminal B-like breast cancers with a Basal molecular subtype and/or a state of immune activation may respond to sequential anthracyclines and anti-PD-1. Our data generate hypotheses that, if validated, could guide immunotherapy development in this context.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunotherapyTumor MicroenvironmentErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID34667023
PMCPMC9401542

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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.