Evidence map›Paper›PMID 40069763›Full record

ArticleBreast cancer research : BCR2025

Molecular determinants of response to neoadjuvant pembrolizumab plus chemotherapy in patients with high-risk, early-stage, triple-negative breast cancer: exploratory analysis of the open-label, multicohort phase 1b KEYNOTE-173 study.

Rebecca Dent, Javier Cortés, Yeon Hee Park, Eva Muñoz-Couselo, Sung-Bae Kim, Joohyuk Sohn, Seock-Ah Im, Esther Holgado, Theodoros Foukakis, Sherko Kümmel and 8 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Breast cancer research : BCR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02622074 (A Phase 1b Study to Evaluate Safety and Clinical Activity of Pembrolizumab), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02622074 phase1completednot on this map

A Phase 1b Study to Evaluate Safety and Clinical Activity of Pembrolizumab (MK-3475) in Combination With Chemotherapy as Neoadjuvant Treatment for Triple Negative Breast Cancer (TNBC) - (KEYNOTE 173)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2016 to 2019Enrolled60ConditionsTriple Negative Breast NeoplasmsArmsPembrolizumab, Nab-paclitaxel, Anthracycline (doxorubicin), Cyclophosphamide, Carboplatin
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  2. Review
  3. Review
  4. Immunotherapy for triple-negative breast cancer: current trends and future prospects.Journal of the Egyptian National Cancer Institute · 2025
    Review
  5. 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

18 authors.

Rebecca DentDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Blvd, Singapore, 168583, Singapore. Rebecca.dent@duke-nus.edu.sg.
Javier CortésVall d´Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Yeon Hee ParkDepartment of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Eva Muñoz-CouseloVall d´Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Sung-Bae KimDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Joohyuk SohnDepartment of Internal Medicine, Division of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
Seock-Ah ImDepartment of Internal Medicine, Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Esther HolgadoMedical Oncology Service, Ramón y Cajal University Hospital, Madrid, Spain.
Theodoros FoukakisDepartment of Oncology-Pathology, Karolinska Comprehensive Cancer Center, Karolinska Institute and Breast Cancer Centre, Cancer Theme, Karolinska University Hospital, Solna, Sweden.
Sherko KümmelInterdisciplinary Breast Unit, Essen-Mitte Clinics, Essen, and Charité-Universitätsmedizin Berlin, Berlin, Germany.
Jennifer YearleyMerck & Co., Inc., Rahway, NJ, USA.
Anran WangMerck & Co., Inc., Rahway, NJ, USA.
Michael NebozhynMerck & Co., Inc., Rahway, NJ, USA.
Lingkang HuangMerck & Co., Inc., Rahway, NJ, USA.
Razvan CristescuMerck & Co., Inc., Rahway, NJ, USA.
Petar JelinicMerck & Co., Inc., Rahway, NJ, USA.
Vassiliki KarantzaMerck & Co., Inc., Rahway, NJ, USA.
Peter SchmidCentre for Experimental Cancer Medicine, Barts Cancer Institute, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe multicohort, open-label, phase 1b KEYNOTE-173 study was conducted to investigate pembrolizumab plus chemotherapy as neoadjuvant therapy for triple-negative breast cancer (TNBC). This exploratory analysis evaluated features of the tumor microenvironment that might be predictive of response.

methodsCell fractions from 20 paired samples collected at baseline and after one cycle of neoadjuvant pembrolizumab prior to chemotherapy initiation were analyzed by spatial localization (tumor compartment, stromal compartment, or sum of tumor and stromal compartments [total tumor]) using three six-plex immunohistochemistry panels with T-cell, myeloid cell, and natural killer cell components. Area under the receiver operating characteristic curve (AUROC) was used to assess associations between immune subsets and gene expression signatures (T-cell-inflamed gene expression profile [Tcell

resultsAt baseline, six immune subsets quantitated within the tumor compartment showed AUROC with 95% CIs not crossing 0.5, including CD11c

conclusionsMyeloid cell populations within the tumor compartment at baseline and Tcell

trial registrationClinicalTrials.gov, NCT02622074; registration date, December 2, 2015.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorTriple Negative Breast NeoplasmsAdultAgedFemaleHumansLymphocytes, Tumor-InfiltratingMiddle AgedNeoadjuvant TherapyNeoplasm StagingTreatment OutcomeTumor MicroenvironmentAntibodies, Monoclonal, HumanizedBiomarkers, TumorpembrolizumabImmunohistochemistryTriple-negative breast cancerTumor microenvironment

Identifiers

PMID40069763
PMCPMC11895130

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.