Evidence map›Paper›PMID 39566464›Full record

Trial reportCell reports. Medicine2024

Molecular adaptation to neoadjuvant immunotherapy in triple-negative breast cancer.

Carsten Denkert, Andreas Schneeweiss, Julia Rey, Thomas Karn, Akira Hattesohl, Karsten E Weber, Sivaramakrishna Rachakonda, Michael Braun, Jens Huober, Paul Jank and 28 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2024. 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

38 authors.

Carsten DenkertInstitute of Pathology, Philipps University Marburg, Marburg University Hospital (UKGM), and University Cancer Center Frankfurt-Marburg (UCT), Marburg, Germany. Electronic address: carsten.denkert@uni-marburg.de.
Andreas SchneeweissNationales Centrum für Tumorerkrankungen, Universitätsklinikum und Deutsches Krebsforschungszentrum, Heidelberg, Germany.
Julia ReyGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Thomas KarnUniversity Hospital, Goethe University, and University Cancer Center Frankfurt-Marburg (UCT), Frankfurt am Main, Germany.
Akira HattesohlInstitute of Pathology, Philipps University Marburg, Marburg University Hospital (UKGM), and University Cancer Center Frankfurt-Marburg (UCT), Marburg, Germany.
Karsten E WeberGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Sivaramakrishna RachakondaGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Michael BraunRotkreuzklinikum München, Munich, Germany.
Jens HuoberKantonsspital St. Gallen, Brustzentrum, St. Gallen, Switzerland.
Paul JankInstitute of Pathology, Philipps University Marburg, Marburg University Hospital (UKGM), and University Cancer Center Frankfurt-Marburg (UCT), Marburg, Germany.
Hans-Peter SinnInstitut für Pathologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
Dirk-Michael ZahmSRH Waldklinikum Gera GmbH, Gera, Germany.
Bärbel FelderGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Claus HanuschRotkreuzklinikum München, Munich, Germany.
Julia Teply-SzymanskiInstitute of Pathology, Philipps University Marburg, Marburg University Hospital (UKGM), and University Cancer Center Frankfurt-Marburg (UCT), Marburg, Germany.
Frederik MarméMedizinische Fakultät Mannheim, Universität Heidelberg, Universitätsfrauenklinik Mannheim, Mannheim, Germany.
Tanja FehmFrauenklinik, Universitätsklinikum Düsseldorf, Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), Düsseldorf, Germany.
Jörg ThomallaPraxis für Hämatologie und Onkologie Koblenz, Germany.
Bruno V SinnInstitut für Pathologie, Charité Universitätsmedizin Berlin, Berlin, Germany.
Thorsten StieweInstitute of Molecular Oncology and Genomics Core Facility, Member of the German Center for Lung Research (DZL), Philipps University Marburg, Marburg, Germany; Institute of Lung Health (ILH), Justus Liebig University, Giessen, Germany.
Michal MarczykDepartment of Data Science and Engineering, Silesian University of Technology, Gliwice, Poland; Yale School of Medicine, New Haven, CT, USA.
Jens-Uwe BlohmerKlinik für Gynäkologie mit Brustzentrum, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Marion van MackelenberghKlinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.
Christian SchemMammazentrum Hamburg, Brustzentrum am Krankenhaus Jerusalem, Hamburg, Germany.
Peter StaibKlinik für Hämatologie und Onkologie, St.-Antonius Hospital, Eschweiler, Germany.
Theresa LinkKlinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
Volkmar MüllerKlinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg Eppendorf, Hamburg, Germany.
Elmar StickelerDepartment of Obstetrics and Gynecology, Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), University Hospital of RWTH Aachen, Aachen, Germany.
Daniel G StoverDepartment of Internal Medicine, Ohio State University, Columbus, OH, USA.
Christine SolbachBrustzentrum am Universitätsklinikum Frankfurt, Frankfurt, Germany.
Otto Metzger-FilhoDana-Farber Cancer Institute, Boston, MA, USA.
Christian JackischKlinik für Gynäkologie und Geburtshilfe, Sana Klinikum Offenbach, Offenbach, Germany.
Charles E GeyerDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Peter A FaschingDepartment of Gynecology and Obstetrics, University Hospital Erlangen, Comprehensive Cancer Center Erlangen-Nuremberg, National Center for Tumour Diseases, Erlangen, Germany.
Lajos PusztaiYale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Valentina NekljudovaGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Michael UntchDepartment of Gynecology and Obstetrics, Breast Cancer Center, Helios Klinikum Berlin Buch, Berlin, Germany.
Sibylle LoiblGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany. Electronic address: sibylle.loibl@gbg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapy-induced molecular adaptation of triple-negative breast cancer is crucial for immunotherapy response and resistance. We analyze tumor biopsies from three different time points in the randomized neoadjuvant GeparNuevo trial (NCT02685059), evaluating the combination of durvalumab with chemotherapy, for longitudinal alterations of gene expression. Durvalumab induces an activation of immune and stromal gene expression as well as a reduction of proliferation-related gene expression. Immune genes are positive prognostic factors irrespective of treatment, while proliferation genes are positive prognostic factors only in the durvalumab arm. We identify stromal-related gene expression as a contributor to immunotherapy resistance and poor therapy response. The results provide evidence from clinical trial cohorts suggesting a role for stromal reorganization in therapy resistance to immunotherapy and in the generation of an immune-suppressive microenvironment, which might be relevant for future therapy approaches targeting the tumor stroma parallel to immunotherapy, such as combinations of immunotherapy with anti-angiogenic therapy.

Indexed as

ImmunotherapyNeoadjuvant TherapyTriple Negative Breast NeoplasmsTumor MicroenvironmentAntibodies, MonoclonalFemaleGene Expression Regulation, NeoplasticHumansPrognosisAntibodies, Monoclonaldurvalumabgene expressionimmunotherapyneoadjuvantpathway analysisPD-L1triple-negative breast cancer

Identifiers

PMID39566464
PMCPMC11604547

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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.