Evidence map›Paper›PMID 40817946›Full record

ArticleDiscover oncology2025

Efficacy and safety of platinum-based, anthracycline-free neoadjuvant chemotherapy for triple-negative breast cancer: a systematic review and meta-analysis.

Yichao Du, Lu Huang

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

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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

2 authors.

Yichao DuDepartment of General Surgery, West China Hospital, Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, People's Republic of China. 845554781@qq.com.
Lu HuangDepartment of General Surgery, West China Hospital, Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examines the effectiveness of platinum-based anthracycline-free neoadjuvant chemotherapy (NAC) combined with taxanes in treating triple-negative breast cancer (TNBC).

methodsStudies published up to January 2025 were systematically retrieved from PubMed, Web of Science, Embase, and the Cochrane Library. A pooled analysis was conducted to assess the pathological complete response (pCR) rate, adverse events (AEs), and survival outcomes. Subgroup analyses were performed to examine the influence of different chemotherapy regimens and patient characteristics on treatment efficacy.

resultsA total of 30 studies involving 3,637 TNBC patients were included in the analysis. The pooled overall survival (OS) rate was 69.92% (95% confidence interval (CI): 41.65%-88.33%), with 2-year, 3-year, and 5-year OS rates of 95.38% (95% CI: 86.64%-98.50%), 94.63% (95% CI: 87.91%-97.71%), and 86.97% (95% CI: 80.76%-91.39%), respectively. Among secondary outcomes, the pooled disease-free survival (DFS) rate was 77.53% (95% CI: 69.54%-83.91%), and the pCR rate was 46.45% (95% CI: 42.55%-50.39%). The most frequently reported hematologic AEs included anemia, neutropenia, and leukopenia, while the most common non-hematologic AEs were nausea and vomiting, along with elevations in alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Subgroup analyses demonstrated that the combination of docetaxel and carboplatin achieved a higher pCR rate (52.00%) compared to paclitaxel plus carboplatin (42.00%). Concerning geographic origin, the highest pCR rate was observed in patients from the United States (50.00%), followed by Germany (46.00%) and China (40.00%). In terms of OS, the highest survival rate was reported with paclitaxel plus lobaplatin (94.00%), followed by carboplatin (80.00%) and cisplatin (45.00%).

conclusionPlatinum-based anthracycline-free NAC regimens combined with taxanes appear to be both effective and well-tolerated in patients with TNBC. Nevertheless, in the absence of randomized controlled trials (RCTs) directly comparing this approach to anthracycline-based regimens, further investigation is warranted to substantiate these findings.

Indexed as

Neoadjuvant chemotherapyPlatinum-based regimenTaxanesTreatment outcomesTriple-negative breast cancer

Identifiers

PMID40817946
PMCPMC12357822

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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.