Evidence map›Paper›PMID 40414961›Full record

Trial reportSignal transduction and targeted therapy2025

Efficacy, safety and exploratory analysis of neoadjuvant tislelizumab (a PD-1 inhibitor) plus nab-paclitaxel followed by epirubicin/cyclophosphamide for triple-negative breast cancer: a phase 2 TREND trial.

Qiang Zhang, Mozhi Wang, Yumeng Li, Hengjun Zhang, Yusong Wang, Xiuyun Chen, Litong Yao, Mingke Cui, Haoran Dong, Xiang Li and 3 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Signal transduction and targeted therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. 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

13 authors.

Qiang Zhang *Department of Breast Surgery, Liaoning Cancer Hospital and Institute, Shenyang, Liaoning, 110801, P. R. China.
Mozhi Wang *Department of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Yumeng LiDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Hengjun ZhangDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Yusong WangDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Xiuyun ChenDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Litong YaoDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Mingke CuiDepartment of Breast Surgery, Liaoning Cancer Hospital and Institute, Shenyang, Liaoning, 110801, P. R. China.
Haoran DongDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Xiang LiDepartment of Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China.
Jian LiuCentre for Bioinformatics and Intelligent Medicine, Nankai University, Tianjin, 300071, P. R. China.
Bo ZhuInstitute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, P. R. China. bo.zhu@tmmu.edu.cn.ORCID 0000-0003-0224-8512
Yingying XuDepartment of Breast Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, 110001, P. R. China. xuyingying@cmu.edu.cn.ORCID 0000-0002-9420-1123

Funding

Natural Science Foundation of Liaoning Province (Liaoning Provincial Natural Science Foundation) 2022-YGJC-68Natural Science Foundation of Liaoning Province (Liaoning Provincial Natural Science Foundation) 2023-BS-105
6 · The paper itself

Abstract

The optimal chemotherapy backbone and specific population of triple-negative breast cancer (TNBC) patients that benefit from neoadjuvant immunotherapy are not well established. This prospective, single-arm, phase II TREND trial assessed the efficacy and safety of tislelizumab plus nab-paclitaxel and epirubicin/cyclophosphamide-based chemotherapy as a neoadjuvant treatment for TNBC (ChiCTR2000035262). The primary endpoint was pathological complete response (pCR), with the secondary endpoints including safety assessment and objective response rate (ORR). ScRNA-seq, bulk RNA-seq, TCR-seq, cyTOF and WES were performed on pre-treatment and post-treatment samples. Among 53 total enrolled patients, 44 completed the combined neoadjuvant therapy, and 30 of 44 patients (68.18%) achieved pCR. Additionally, 14 out of 44 patients had a complete response (31.82%), with an ORR of 93.18%. The most commonly observed treatment-related adverse events (TRAEs) were alopecia, nausea and liver injury with 6 cases classified as grade 3 or higher adverse events. Immune response-related pathways, including TNF signaling pathway, T cell receptor signaling pathway, were enriched in pCR group. Pre-treatment model was identified and construct to predict response to immunotherapy. CDKN1A+ CD8 T lymphocytes were enriched in pCR group after neoadjuvant immunotherapy. Dynamic change of immune-related pathways at an early stage during the neoadjuvant immunotherapy may be associated with the treatment efficacy. In conclusion, neoadjuvant treatment of tislelizumab with nab-paclitaxel and anthracycline-based chemotherapy showed promising clinical activity and was well-tolerated among TNBC patients, without high incidence of TRAEs. These findings provide evidence supporting neoadjuvant tislelizumab with chemotherapy as an effective rational approach for treating TNBC.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsTriple Negative Breast NeoplasmsAdultAgedAlbuminsCyclophosphamideEpirubicinFemaleHumansMiddle AgedNeoadjuvant TherapyPaclitaxelProgrammed Cell Death 1 Receptor130-nm albumin-bound paclitaxelAlbuminsAntibodies, Monoclonal, HumanizedCyclophosphamideEpirubicinPaclitaxelPDCD1 protein, humanProgrammed Cell Death 1 Receptortislelizumab

Identifiers

PMID40414961
PMCPMC12104340

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.