Evidence map›Paper›PMID 41646211›Full record

ArticleESMO real world data and digital oncology2025

Treatment toxicities and pathological response through the evolution of neoadjuvant regimens in early triple-negative breast cancer.

E Arnaud, P Vaflard, L Escalup, T Ramtohul, D Meziani, L Thibault, R-P Desmaris, J-G Feron, J-Y Pierga, L Cabel and 3 more

Abstract read
In one paragraph

Article in ESMO real world data and digital oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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.

E ArnaudDepartment of Medical Oncology, Institut Curie, Paris, France.
P VaflardDepartment of Medical Oncology, Institut Curie, Paris, France.
L EscalupDepartment of Pharmacy, Institut Curie, Paris, France.
T RamtohulDepartment of Radiology, Institut Curie, Paris, France.
D MezianiDepartment of Medical Oncology, Institut Curie, Paris, France.
L ThibaultDepartment of Pathology and Theranostic Medicine, Institut Curie, Paris, France.
R-P DesmarisDepartment of Pharmacy, Institut Curie, Paris, France.
J-G FeronDepartment of Surgery, Institut Curie, Paris, France.
J-Y PiergaDepartment of Medical Oncology, Institut Curie, Paris, France.
L CabelDepartment of Medical Oncology, Institut Curie, Paris, France.
F LereboursDepartment of Medical Oncology, Institut Curie, Paris, France.
D LoiratDepartment of Medical Oncology, Institut Curie, Paris, France.
P CottuDepartment of Medical Oncology, Institut Curie, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pembrolizumab-based neoadjuvant chemoimmunotherapy (CIT) is the new standard of care for high-risk early triple-negative breast cancer (eTNBC). The addition of multiple cytotoxic drugs can lead to cumulative toxicities. We report the evolution of chemotherapy (CT) practice and its impact on completion and effectiveness of subsequent regimens in a real-world setting. Patients and methods: We conducted an ambispective, observational study of patients with eTNBC at a comprehensive cancer centre between February 2019 and February 2024. All data were extracted from electronic health records and manually curated. Results: Of the 366 patients enrolled, 247 received neoadjuvant CT and 119 received CIT. Grade 3/4 toxicities were more common in the CIT group (78.2% versus 58.6%, Conclusions: Escalation of neoadjuvant CIT in TNBC increases toxicity and leads to significant dose reductions without affecting the improvement in pCR rate.

Indexed as

adverse eventsearly-stage TNBCneoadjuvant chemoimmunotherapypathological responsereal-world data

Identifiers

PMID41646211
PMCPMC12836798

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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.