Evidence map›Paper›PMID 41648651›Full record

ArticleESMO real world data and digital oncology2024

Real-world safety and effectiveness of neoadjuvant chemotherapy combination with pembrolizumab in triple-negative breast cancer.

L Rached, F Peyre-Pradat, M Spotti, C Baldini, A Laparra, O Lambotte, M Sakkal, A Perret, A Viansone, S Michiels and 3 more

Abstract read
In one paragraph

Article in ESMO real world data and digital oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Tumor-Infiltrating Lymphocytes as a Predictor of Adjuvant Avelumab Efficacy in Patients with High-risk Triple-Negative Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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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

13 authors.

L RachedDepartment of Cancer Medicine, Gustave Roussy, Villejuif.
F Peyre-PradatBiostatistics Department, Oncostat INSERM (U1018), Gustave Roussy, Villejuif.
M SpottiDepartment of Cancer Medicine, Gustave Roussy, Villejuif.
C BaldiniDrug Development Department (DITEP), Gustave Roussy, Villejuif.
A LaparraInterdisciplinary Department for the Organization of Patient Pathways (DIOPP), Gustave Roussy, Villejuif.
O LambotteDepartment of Internal Medicine and Immunology Clinic, INSERM, CEA, U1184, Université Paris Saclay, AP-HP, Bicêtre Hospital, Le Kremlin-Bicêtre, France.
M SakkalInterdisciplinary Department for the Organization of Patient Pathways (DIOPP), Gustave Roussy, Villejuif.
A PerretInterdisciplinary Department for the Organization of Patient Pathways (DIOPP), Gustave Roussy, Villejuif.
A ViansoneDepartment of Cancer Medicine, Gustave Roussy, Villejuif.
S MichielsBiostatistics Department, Oncostat INSERM (U1018), Gustave Roussy, Villejuif.
S DelalogeDepartment of Cancer Medicine, Gustave Roussy, Villejuif.
B PistilliDepartment of Cancer Medicine, Gustave Roussy, Villejuif.
J M RibeiroDepartment of Cancer Medicine, Gustave Roussy, Villejuif.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neoadjuvant chemotherapy (NAC) with the addition of pembrolizumab has become the standard of care for early-stage II-III triple-negative breast cancer (TNBC). The real-world safety of this regimen is critical to assess in this subset of patients treated with curative intent, since many of the immune-related events observed can be long-lasting or irreversible. Patients and methods: We retrospectively analyzed the medical records for the initial 100 patients with early-stage TNBC treated with NAC and pembrolizumab at a single comprehensive cancer center between April 2022 and April 2023. We used descriptive analyses to assess treatment exposure, real-world safety and effectiveness of this combination. Treatment-related toxicities were reported according to the Common Terminology Criteria for Adverse Events v5.0. Follow-up extended until the end of the adjuvant phase. Results: The median age of the patients was 52 years, and 21% were identified as germline pathogenic Conclusion: In this real-life cohort, treatment discontinuation was frequent and linked to treatment toxicity of either chemotherapy or pembrolizumab. We report a higher rate of all grade and grade ≥3 irAEs as compared to the rates documented in the pivotal KEYNOTE 522 trial. The effectiveness of neoadjuvant chemo-immunotherapy for the treatment of stage II-III TNBC was similar to that reported in the literature.

Indexed as

immune-related adverse eventsimmunotherapyreal-world datatriple-negative breast cancer

Identifiers

PMID41648651
PMCPMC12836498

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Registered trials

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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.