Evidence map›Paper›PMID 39730000›Full record

Trial reportCell reports. Medicine2025

Hormone therapy enhances anti-PD1 efficacy in premenopausal estrogen receptor-positive and HER2-negative advanced breast cancer.

I-Chun Chen, Ching-Hung Lin, Dwan-Ying Chang, Tom Wei-Wu Chen, Ming-Yang Wang, Wei-Li Ma, Yi-Ting Lin, Shu-Min Huang, Chia-Lang Hsu, Yen-Shen Lu

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02990845 (A Pilot Study of Pembrolizumab and Exemestane/ Leuprolide in Premenopausal Hormone Receptor Positive/ HER2 Negative Locally Advanced or Metastatic Breast Cancer), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT02990845 phase1 / phase2terminatednot on this map

A Pilot Study of Pembrolizumab and Exemestane/ Leuprolide in Premenopausal Hormone Receptor Positive/ HER2 Negative Locally Advanced or Metastatic Breast Cancer

TypeinterventionalSponsorNational Taiwan University HospitalRan2017 to 2022Enrolled16ConditionsPremenopausal Breast CancerArmsPembrolizumab/ Exemestane/ Leuprolide
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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  5. Review
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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

10 authors.

I-Chun ChenDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei City 106, Taiwan; Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei City 100, Taiwan; Department of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Ching-Hung LinDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei City 106, Taiwan; Department of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei City 100, Taiwan.
Dwan-Ying ChangDepartment of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Tom Wei-Wu ChenDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei City 106, Taiwan; Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei City 100, Taiwan; Department of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Ming-Yang WangDepartment of Surgical Oncology, National Taiwan University Cancer Center, Taipei City 106, Taiwan; Department of Surgery, National Taiwan University Hospital, Taipei City 100, Taiwan.
Wei-Li MaDepartment of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Yi-Ting LinDepartment of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Shu-Min HuangDepartment of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan.
Chia-Lang HsuGraduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei City 100, Taiwan; Department of Medical Research, National Taiwan University Hospital, Taipei City 100, Taiwan.
Yen-Shen LuDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei City 106, Taiwan; Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei City 100, Taiwan; Department of Oncology, National Taiwan University Hospital, Taipei City 100, Taiwan. Electronic address: yslu@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of immunotherapy for estrogen receptor-positive/HER2-negative (ER+/HER2-) metastatic breast cancer (MBC) has not been proven. We conduct a phase 1b/2 trial to assess the efficacy of combining pembrolizumab (anti-PD1 antibody), exemestane (nonsteroidal aromatase inhibitor), and leuprolide (gonadotropin-releasing hormone agonist) for 15 patients with premenopausal ER+/HER2- MBC who had failed one to two lines of hormone therapy (HT) without chemotherapy. The primary endpoint of progression-free survival rate at 8 months (i.e., 64.3%) is achieved. Moreover, 5 of the 14 evaluable subjects exhibited partial responses (overall response rate = 35.7%). The combination of anti-PD1 antibody and anti-hormone therapy is associated with an enhanced immunoreactive microenvironment influencing treatment efficacy, as observed in pre- and post-treatment tumor samples through NanoString analysis. Post-treatment tumors are associated with increased immune response and immune cells. The findings indicate that combining HT with anti-PD1 antibody is a promising treatment strategy for patients with premenopausal ER+/HER2- MBC. This study was registered at ClinicalTrials.gov (NCT02990845).

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesProgrammed Cell Death 1 ReceptorReceptors, EstrogenAdultAndrostadienesAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMiddle AgedPremenopauseTreatment OutcomeAndrostadienesAntibodies, Monoclonal, HumanizedERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesexemestanePDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 ReceptorReceptors, Estrogencancerestrogenestrogen suppressiongonadotropin-releasing hormone agonitshormone therapyimmune cell infiltrationimmunotherapyluminal subtypemetastatic breast cancerreceptor positive/HER2 negativetumor microenvironment

Identifiers

PMID39730000
PMCPMC11866513

What OpenQuestion holds

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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.