Evidence map›Paper›PMID 40467896›Full record

Trial reportNature medicine2025

Atezolizumab plus paclitaxel and bevacizumab as first-line treatment of advanced triple-negative breast cancer: the ATRACTIB phase 2 trial.

María Gion, Isabel Blancas, Patricia Cortez-Castedo, Alfonso Cortés-Salgado, Frederik Marmé, Salvador Blanch, Serafín Morales, Nieves Díaz, Isabel Calvo-Plaza, Sabela Recalde and 15 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature 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 NCT04408118 (Phase II Clinical Trial to Evaluate the Efficacy and Safety of First Line Atezolizumab in Combination With Paclitaxel and Bevacizumab), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

NCT04408118 phase2completednot on this map

Phase II Clinical Trial to Evaluate the Efficacy and Safety of First Line Atezolizumab in Combination With Paclitaxel and Bevacizumab (Avastin®) in Patients With Advanced or Metastatic Triple-negative Breast Cancer

TypeinterventionalSponsorMedSIRRan2020 to 2023Enrolled100ConditionsMetastatic Breast Cancer, Advanced Breast Cancer, Triple Negative Breast CancerArmsAtezolizumab, Paclitaxel, Bevacizumab
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Adaptive resistance in cancer immunotherapy.Cellular & molecular immunology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Interplay of Interleukin-1Oncology research · 2026
    Article
  14. Review
  15. Article
  16. Review
  17. The Canadian Breast Cancer Symposium 2025: Meeting Report.Current oncology (Toronto, Ont.) · 2025
    Article
  18. Article
  19. Review
  20. 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

25 authors.

María GionUniversity Hospital Ramón y Cajal, Madrid, Spain.
Isabel BlancasSan Cecilio Clinic University Hospital, Granada, Spain.ORCID http://orcid.org/0000-0002-5867-6615
Patricia Cortez-CastedoIOB Madrid, Institute of Oncology, Hospital Beata Maria Ana, Madrid, Spain.
Alfonso Cortés-SalgadoUniversity Hospital Ramón y Cajal, Madrid, Spain.ORCID http://orcid.org/0000-0003-3006-7583
Frederik MarméClinic University Hospital, Mannheim, Germany.ORCID http://orcid.org/0000-0002-6591-3367
Salvador BlanchQuiron Hospital, Valencia, Spain.
Serafín MoralesArnau de Vilanova de Lleida, Universitary Hospital, Lleida, Spain.ORCID http://orcid.org/0000-0001-7445-4193
Nieves DíazSan Juan de Alicante University Hospital, Alicante, Spain.
Isabel Calvo-PlazaMD Anderson Hospital, Madrid, Spain.
Sabela RecaldeICO Hospitalet-Moises Broggi Hospital, Barcelona, Spain.
Alejandro Martínez-BuenoInstituto Oncológico Rosell, Hospital Quiron Dexeus, Barcelona, Spain.
Manuel Ruiz-BorregoVirgen del Rocío University Hospital, Sevilla, Spain.
Elisenda LlabrésInsular de Gran Canaria University Hospital, Las Palmas, Spain.
María Teresa TabernerUniversity Hospital La Ribera, Alzira, Spain.
Michelino de LaurentiisNational Cancer Institute (IRCCS) Pascale Foundation, Naples, Italy.ORCID http://orcid.org/0000-0001-9009-1572
Silvia García-VicenteMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
José Antonio GuerreroMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Olga BoixMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Jose Rodríguez-MoratóMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Miguel Sampayo-CorderoMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Gabriele AntonarelliDivision of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, National Cancer Institute (IRCCS), Milan, Italy.
José Manuel Pérez-GarcíaMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Javier CortésIOB Madrid, Institute of Oncology, Hospital Beata Maria Ana, Madrid, Spain. javier.cortes@maj3.health.
Antonio Llombart-CussacMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain. antoniollombart@medsir.org.ORCID http://orcid.org/0000-0003-4515-8293
ATRACTIB Trial Investigators

Funding

Roche (F. Hoffmann-La Roche Ltd) NA
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer with poor prognosis. The current first-line treatment for advanced TNBC (aTNBC) is determined by the expression of programmed cell death-ligand 1 (PD-L1). In the ATRACTIB trial-a multicenter, single-arm, phase 2 study-we evaluated the combination of atezolizumab, paclitaxel and bevacizumab as first-line treatment for patients with aTNBC, independently of PD-L1 status. The primary endpoint was investigator-assessed progression-free survival. One hundred female patients were enrolled, with most evaluable tumors being PD-L1-negative (97.6%). The primary endpoint was met, with a median progression-free survival of 11.0 months (95% confidence interval (CI): 9.0-13.4; P < 0.001). The objective response rate was 63.0% (95% CI: 52.8-72.4) and median overall survival was 27.4 months (95% CI: 23.4-37.4). No treatment-related deaths or new safety signals were observed. This combination demonstrated significant antitumor activity as first-line therapy for aTNBC patients and merits further investigation. ClinicalTrials.gov Identifier: NCT04408118 .

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabPaclitaxelTriple Negative Breast NeoplasmsAdultAgedB7-H1 AntigenFemaleHumansMiddle AgedProgression-Free SurvivalAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenBevacizumabCD274 protein, humanPaclitaxel

Identifiers

PMID40467896
PMCPMC12353800

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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.