Evidence map›Paper›PMID 42230640›Full record

ArticleNPJ breast cancer2026

Neoadjuvant pembrolizumab plus chemotherapy in germline BRCA-mutated early triple-negative breast cancer: a multicenter real-world cohort.

Monique Celeste Tavares, Flávia C Balint, Romualdo Barroso-Sousa, Laura Testa, Pablo Mandó, Natália C Nunes, Sergio Alejandro Mazzotta, Micaela Rigesti, Isadora M Sousa, Matheus O Andrade and 27 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 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

37 authors.

Monique Celeste TavaresA.C.Camargo Cancer Center, São Paulo, Brazil. mctavares2808@gmail.com.ORCID http://orcid.org/0000-0004-0437-1183
Flávia C BalintA.C.Camargo Cancer Center, São Paulo, Brazil.
Romualdo Barroso-SousaGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Laura TestaGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Pablo MandóSUMA (Grupo Cooperativa Argentino para el estudio y la investigación del Cáncer de Mama), Buenos Aires, Argentina.
Natália C NunesGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Sergio Alejandro MazzottaSUMA (Grupo Cooperativa Argentino para el estudio y la investigación del Cáncer de Mama), Buenos Aires, Argentina.
Micaela RigestiSUMA (Grupo Cooperativa Argentino para el estudio y la investigación del Cáncer de Mama), Buenos Aires, Argentina.
Isadora M SousaA.C.Camargo Cancer Center, São Paulo, Brazil.
Matheus O AndradeHospital Brasília - Américas Oncologia, Brasília, Brazil.
Mariana GouveiaHospital 9 de Julho (Américas Oncologia), São Paulo, Brazil.
Fernanda MadasiInstituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, Brazil.
José BinesGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Rafael D P FerreiraHospital Moinhos de Vento, Porto Alegre, Brazil.
Daniela D RosaGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Candice L SantosInstituto D'Or de Pesquisa e Ensino (IDOR), Recife, Brazil.
Mariana R MonteiroHospital Samaritano (Américas Oncologia), São Paulo, Brazil.
Zenaide S SouzaHospital Sírio-Libanês, Brasília, Brazil.
Daniele Assad-SuzukiGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Carlos H Dos AnjosGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Débora M GagliatoGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.
Ana Maria U GomesHospital Beneficência Portuguesa, São Paulo, Brazil.
Bruna M ZucchettiHospital 9 de Julho (Américas Oncologia), São Paulo, Brazil.
Anezka FerrariHospital Santa Paula (Américas Oncologia), São Paulo, Brazil.
Mayana L BritoClínica AMO, Salvador, Brazil.
Maria Marcela F MonteiroInstituto do Câncer do Ceará, Fortaleza, Brazil.
Gilmara ResendeCentro Integrado de Pesquisa da Amazônia (CINPAM), Manaus, Brazil.
Noele J B GomesHospital São Domingos, São Luís, Brazil.
Maria Victoria CostanzoSUMA (Grupo Cooperativa Argentino para el estudio y la investigación del Cáncer de Mama), Buenos Aires, Argentina.
Solange Moraes SanchesA.C.Camargo Cancer Center, São Paulo, Brazil.
Vladmir C LimaA.C.Camargo Cancer Center, São Paulo, Brazil.
Jose Claudio Casali RochaA.C.Camargo Cancer Center, São Paulo, Brazil.
Elizabeth Santana Dos SantosA.C.Camargo Cancer Center, São Paulo, Brazil.
Fabiana B MakdissiA.C.Camargo Cancer Center, São Paulo, Brazil.
Paulo M HoffInstituto D'Or de Pesquisa e Ensino (IDOR), São Paulo, Brazil.
Maria Del Pilar Estevez-DizInstituto D'Or de Pesquisa e Ensino (IDOR), São Paulo, Brazil.
Renata Colombo BonadioGrupo Brasileiro de Estudos em Câncer de Mama (GBECAM), São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant pembrolizumab plus chemotherapy improves outcomes in early triple-negative breast cancer, but real-world evidence in patients with pathogenic BRCA1/2 variants remains limited. We analyzed 726 consecutively treated patients from the multicenter Neo-Real/GBECAM-0123 cohort who received at least one cycle of neoadjuvant pembrolizumab plus chemotherapy and underwent surgery. Patients with pathogenic BRCA1/2 variants (mBRCA) were identified in 105 of 600 tested patients (17.5%), corresponding to 14.5% of the overall cohort. Among mBRCA carriers, 82 (78.1%) had BRCA1 variants, 22 (21.0%) had BRCA2 variants, and in 1 patient (0.1%) the BRCA subtype was not specified. The comparator group comprised 621 patients with wild-type or unknown BRCA status (wt/unknown BRCA). Pathologic complete response was higher in the mBRCA group than in the wt/unknown BRCA group (74.0% vs 61.7%). With a median follow-up of 22 months, event-free and overall survival were favorable in both groups, with a non-significant trend toward improved event-free survival in the mBRCA group, particularly among patients with residual disease.

Identifiers

PMID42230640
PMCPMC13558625

What OpenQuestion holds

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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.