Evidence map›Paper›PMID 41949336›Full record

ArticleThe breast journal2026

Treatment Regimens and Response Rates in Early TNBC: A Review of Real-World Practice in the Second Decade of the 21st Century.

Maria Eleni Hatzipanagiotou, Verena Tannert, Michael Gerken, Miriam Pigerl, Sophie Räpple, Jonas Roth, Monika Klinkhammer-Schalke, Olaf Ortmann, Stephan Seitz

Abstract read
In one paragraph

Article in The breast journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Maria Eleni HatzipanagiotouDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.ORCID 0000-0003-2831-4282
Verena TannertDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.
Michael GerkenBavarian Cancer Registry, Regional Center Regensburg, Bavarian Health and Food Safety Authority, Regensburg, Germany.
Miriam PigerlDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.
Sophie RäppleDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.
Jonas RothDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.
Monika Klinkhammer-SchalkeTumor Center Regensburg - Center for Quality Management and Health Services Research, University of Regensburg, Regensburg, Germany, uni-regensburg.de.
Olaf OrtmannDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.
Stephan SeitzDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center (CCC), Würzburg, Erlangen, Regensburg, Augsburg (WERA), National Center for Tumor Diseases (NCT), University Medical Center Regensburg, Regensburg, Germany, ukr.de.

Funding

Projekt DEAL
6 · The paper itself

Abstract

BACKGROUND AND

aimsReal-world evidence on the treatment of early triple-negative breast cancer (TNBC) remains limited. This study provides an overview of neoadjuvant chemotherapy (NACT) regimens used in the 2010s of the 21

methodsIn this retrospective, noninterventional, single-center study, we analyzed data from TNBC patients diagnosed between January 1, 2010, and December 31, 2018, registered in the Tumor Centre Regensburg. Data included demographics, pathology, treatment regimen, recurrence, and survival, with follow-up extending to December 2023. Outcomes included pathologic complete response (pCR), overall survival (OS), and recurrence-free survival (RFS).

resultsA total of 319 patients were included. Among them, 132 patients (41.4%) received NACT with epirubicin/cyclophosphamide (EC) and paclitaxel (EC-T), 74 patients (23.2%) received NACT with EC-T and platinum (EC-P/T), and 22 patients (6.9%) received NACT with EC-P/nab-paclitaxel (EC-P/nabP). Other NACT protocols were administered in 91 (28.5%) patients. A pCR occurred in 49.8% of NACT patients, with a 37.1% rate in the subgroup without platinum. Addition of platinum significantly increased the pCR rate to 54.1% compared to EC-T (odds ratio [OR] 3.476, 95% confidence interval [CI] 1.655-7.300, p = 0.001). EC-P/nabP led to a significant increase in pCR rate to 77.3% (OR 8.767, 95% CI 2.421-31.744, p < 0.001).

conclusionThe evidence from clinical trials was quickly incorporated into clinical practice, leading to higher pCR rates and benefits for patients. In the next step, the implementation of immune checkpoint inhibitors in real-world practice will be analyzed.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsNeoadjuvant TherapyTriple Negative Breast NeoplasmsAdultAgedCyclophosphamideEpirubicinFemaleHumansMiddle AgedPaclitaxelPathologic Complete ResponseRetrospective StudiesCyclophosphamideEpirubicinPaclitaxelclinical cancer registry dataneoadjuvant chemotherapyreal-world datatriple-negative breast cancer

Identifiers

PMID41949336
PMCPMC13059670

What OpenQuestion holds

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LicenceCC BY
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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.