Evidence map›Paper›PMID 42330688›Full record

Trial reportBreast (Edinburgh, Scotland)2026

Primary results from EL1SSAR, a prospective phase IIIb study of first-line atezolizumab plus nab-paclitaxel therapy for patients with PD-L1-positive advanced triple-negative breast cancer.

L Gianni, S Delaloge, E Ciruelos, O Trédan, C Castañeda, M H Abreu, I Paris, M Colleoni, G Scandurra, M Kwiatkowski and 14 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Breast (Edinburgh, Scotland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04148911 (An Open-Label, Phase IIIb, Single Arm, Multicenter Safety Study of Atezolizumab), which is not on this map. Not yet cited in PubMed.

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

NCT04148911 phase3completednot on this map

An Open-Label, Phase IIIb, Single Arm, Multicenter Safety Study of Atezolizumab (Tecentriq) Plus Nab-Paclitaxel in the Treatment of Unresectable Locally Advanced or Metastatic Triple-Negative Breast Cancer

TypeinterventionalSponsorHoffmann-La RocheRan2019 to 2024Enrolled184ConditionsTriple-Negative Breast CancerArmsAtezolizumab, Nab-Paclitaxel
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

L GianniFondazione Michelangelo, Milan, Italy. Electronic address: luca.gianni@fondazionemichelangelo.org.
S DelalogeDepartment of Cancer Medicine, Gustave Roussy, Villejuif, France.
E CiruelosHospital Universitario 12 de Octubre, Madrid, Spain.
O TrédanDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.
C CastañedaInstituto Nacional de Enfermedades Neoplásicas, Lima, Peru.
M H AbreuMedical Oncology Department, Portuguese Institute of Oncology, Porto, Portugal.
I ParisGynecologic Oncology Unit, Department of Women and Child Health, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
M ColleoniDivision of Medical Senology, Istituto Europeo di Oncologia (IEO) IRCCS, Milan, Italy.
G ScandurraMedical Oncology Ospedale Cannizzaro, Catania, Italy; University of Enna, Enna, Italy.
M KwiatkowskiSzpital Wojewódzki Im. Mikołaja Kopernika, Koszalin, Poland.
N AntoneThe "Prof. Dr. Ion Chiricuta" Institute of Oncology, Cluj-Napoca, Romania.
V GregorcClinical Research and Innovation, Candiolo Cancer Institute, FPO-IRCCS, Candiolo (TO), Italy.
P TagliaferriAzienda Ospedaliera Universitaria "Renato Dulbecco" and DMSC Magna Grecia University, Catanzaro, Italy.
S BorštnarInstitute of Oncology, Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
I BlancasHospital Universitario San Cecilio, Granada, Spain; Departamento de Medicina, Granada University, Granada, Spain; Instituto de Investigación Biosanitaria (IBS), Granada, Spain.
M RaimondoSanatorio de La Mujer, Rosario, Argentina.
M AlfieOrganizacion Medica de Investigacion, Buenos Aires, Argentina.
C Arce-SalinasInstituto Nacional de Cancerologia, Departamento de Tumores Mamarios/Oncología Médica, Ciudad de México, Mexico.
P S MadeiraServico de Oncologia Médica, Instituto Português de Oncologia de Coimbra Francisco Gentil, Coimbra, Portugal.
Y G LinProduct Development Oncology, Genentech, South San Francisco, CA, USA.
C YeBiostatistics, Genentech, South San Francisco, CA, USA.
K KoliProduct Development Safety, Genentech, South San Francisco, CA, USA.
J MoutaGlobal Product Development Medical Affairs Oncology, Roche Farmacêutica Química, Lda, Amadora, Portugal.
M MartinHospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIMpassion130 trial results led to approval of first-line atezolizumab plus nab-paclitaxel for PD-L1-positive advanced triple-negative breast cancer (aTNBC). The global single-arm EL1SSAR study (NCT04148911) enrolled a broader patient population to elucidate outcomes in routine practice.

methodsPatients with measurable PD-L1-positive aTNBC and no prior systemic therapy for advanced disease received atezolizumab (840 mg, days 1&15) plus nab-paclitaxel (100 mg/m

resultsAmong 182 treated patients, five had CNS metastases and three had ECOG PS ≥ 2. Patients received a median of six treatment cycles (range 1-63); 7% were treated for >3 years. Grade ≥2 immune-mediated AEs occurred in 12% of patients (95% CI 8%-18%) and grade ≥3 AEs in 47% (95% CI 39%-54%). There were no treatment-related deaths. Median PFS was 7.4 (95% CI 5.6-10.6) months (>2 years in 27 patients [15%]) and median overall survival was 27.0 (95% CI 22.0-33.8) months. Concordance between local and central PD-L1 testing was 67% (65/97). Median PFS was >11 months in patients with centrally confirmed PD-L1-positive status.

conclusionsSafety and efficacy were consistent with results from IMpassion130, which enrolled a more selected population.

Indexed as

AlbuminsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenPaclitaxelTriple Negative Breast NeoplasmsAdultAgedAged, 80 and overFemaleHumansMiddle AgedProgression-Free SurvivalProspective StudiesTreatment Outcome130-nm albumin-bound paclitaxelAlbuminsAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenCD274 protein, humanPaclitaxelECOGImmune checkpoint inhibitorPD-L1SP142Triple-negative breast cancer

Identifiers

PMID42330688
PMCPMC13315958

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