Evidence map›Paper›PMID 35377948›Full record

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

Predictive Markers of Response to Neoadjuvant Durvalumab with Nab-Paclitaxel and Dose-Dense Doxorubicin/Cyclophosphamide in Basal-Like Triple-Negative Breast Cancer.

Kim R M Blenman, Michal Marczyk, Thomas Karn, Tao Qing, Xiaotong Li, Vignesh Gunasekharan, Vesal Yaghoobi, Yalai Bai, Eiman Y Ibrahim, Tristen Park and 10 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.6field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. B cells in cancer: functions, mechanisms and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  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

20 authors at 8 institutions in 3 countries.

Kim R M Blenman *Section of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-6070-0728
Michal Marczyk *Breast Medical Oncology, Yale Cancer Center, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0003-2508-5736
Thomas KarnGoethe University, Frankfurt, Germany.ORCID 0000-0002-3264-6573
Tao QingSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Xiaotong LiDepartment of Computational Biology & Bioinformatics, Biological & Biomedical Sciences, Yale University, New Haven, Connecticut.
Vignesh GunasekharanSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Vesal YaghoobiDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-6534-1293
Yalai BaiDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Eiman Y IbrahimDepartment of Pharmacology, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7445-6540
Tristen ParkDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut.
Andrea SilberSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-3339-6959
Denise M WolfDepartment of Laboratory Medicine, University of California, San Francisco, San Francisco, California.
Emily ReisenbichlerDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Carsten DenkertUniversity Hospital of Giessen and Marburg, Marburg, Germany.ORCID 0000-0002-2249-0982
Bruno V SinnCharite University, Berlin, Germany.ORCID 0000-0002-1257-9799
Mariya RozenblitSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Julia FoldiSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7504-867X
David L RimmSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-5820-4397
Sibylle LoiblGerman Breast Group, Neu-Isenburg, Germany.ORCID 0000-0001-6488-4958
Lajos PusztaiSection of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-9632-6686
Yale University · USYale Cancer Center · USGerman Breast group · DEGoethe University Frankfurt · DEPharis Biotec (Germany) · DESilesian University of Technology · PLUniversitätsklinikum Gießen und Marburg · DEUniversity of California, San Francisco · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Immune biological differences between Triple Negative Breast Cancer in African American and non-African American women and potential immunotherapy opportunities to improve treatment outcomeR01CA219647 · NCI · YALE UNIVERSITY · PI PUSZTAI, LAJOS · 2017 to 2020
$2.0M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA219647
6 · The paper itself

Abstract

purposeWe examined gene expression, germline variant, and somatic mutation features associated with pathologic response to neoadjuvant durvalumab plus chemotherapy in basal-like triple-negative breast cancer (bTNBC). EXPERIMENTAL

designGermline and somatic whole-exome DNA and RNA sequencing, programmed death ligand 1 (PD-L1) IHC, and stromal tumor-infiltrating lymphocyte scoring were performed on 57 patients. We validated our results using 162 patients from the GeparNuevo randomized trial.

resultsGene set enrichment analysis showed that pathways involved in immunity (adaptive, humoral, innate), JAK-STAT signaling, cancer drivers, cell cycle, apoptosis, and DNA repair were enriched in cases with pathologic complete response (pCR), whereas epithelial-mesenchymal transition, extracellular matrix, and TGFβ pathways were enriched in cases with residual disease (RD). Immune-rich bTNBC with RD was enriched in CCL-3, -4, -5, -8, -23, CXCL-1, -3, -6, -10, and IL1, -23, -27, -34, and had higher expression of macrophage markers compared with immune-rich cancers with pCR that were enriched in IFNγ, IL2, -12, -21, chemokines CXCL-9, -13, CXCR5, and activated T- and B-cell markers (GZMB, CD79A). In the validation cohort, an immune-rich five-gene signature showed higher expression in pCR cases in the durvalumab arm (P = 0.040) but not in the placebo arm (P = 0.923) or in immune-poor cancers. Independent of immune markers, tumor mutation burden was higher, and PI3K, DNA damage repair, MAPK, and WNT/β-catenin signaling pathways were enriched in germline and somatic mutations in cases with pCR.

conclusionsThe TGFβ pathway is associated with immune-poor phenotype and RD in bTNBC. Among immune-rich bTNBC RD, macrophage/neutrophil chemoattractants dominate the cytokine milieu, and IFNγ and activated B cells and T cells dominate immune-rich cancers with pCR.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAlbuminsAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCyclophosphamideDoxorubicinFemaleHumansNeoadjuvant TherapyPaclitaxelTransforming Growth Factor beta130-nm albumin-bound paclitaxelAlbuminsAntibodies, MonoclonalBiomarkers, TumorCyclophosphamideDoxorubicindurvalumabPaclitaxelTransforming Growth Factor beta

Identifiers

PMID35377948
PMCPMC9464605
OpenAlexW4225898639

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.