Evidence map›Paper›PMID 42649154›Full record

Trial reportNature communications2026

Single-fraction or multi-fraction stereotactic ablative body radiotherapy followed by atezolizumab in advanced triple-negative breast cancer: a randomized phase II trial.

Steven David, Peter Savas, Shankar Siva, Mathias Bressel, Michelle White, Bronte Nikolic, Michael W Neeson, Shane White, Gavin Marx, Robyn Cheuk and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03464942 (A Randomised Phase II Trial Comparing the Efficacy of Single-fraction or Multi-fraction SABR), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03464942 phase2completednot on this map

A Randomised Phase II Trial Comparing the Efficacy of Single-fraction or Multi-fraction SABR (Stereotactic Ablative Body Radiotherapy) With AteZolizumab in Patients With Advanced Triple nEgative Breast Cancer

TypeinterventionalSponsorPeter MacCallum Cancer Centre, AustraliaRan2018 to 2023Enrolled54ConditionsBreast CancerArmsSABR, Atezolizumab
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Steven David *Department of Radiation Oncology, Peter MacCallum Cancer Centre, Victoria, Australia. steven.david@petermac.org.ORCID 0000-0001-6370-5233
Peter Savas *Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia.ORCID 0000-0001-5999-428X
Shankar SivaDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victoria, Australia.ORCID 0000-0003-2840-0658
Mathias BresselSir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia.ORCID 0000-0002-9718-9596
Michelle WhiteMonash Cancer Centre, East Bentleigh, Victoria, Australia.
Bronte NikolicDivision of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Michael W NeesonDivision of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Shane WhiteOlivia Newton-John Cancer & Wellness Centre, Austin Health, Victoria, Australia.
Gavin MarxSydney Adventist Hospital, Sydney, Australia.ORCID 0000-0002-1016-6544
Robyn CheukCancer Care Services, Royal Brisbane & Women's Hospital, Queensland, Australia.
Michelle GroganDepartment of Medical Oncology, Prince of Wales Hospital, New South Wales, Australia.
Maria FarrellCentre for Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Jessica FoudoulisCentre for Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Paul J NeesonDivision of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.ORCID 0000-0002-2729-5887
Sherene LoiSir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. sherene.loi@petermac.org.ORCID 0000-0001-6137-9171

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-clinical evidence suggests that stereotactic ablative body radiotherapy (SABR) can enhance systemic anti-tumor responses when combined with immune checkpoint inhibition, although optimal fractionation remains uncertain. Here we conducted a phase II multi-center randomized trial (AZTEC trial; ClinicalTrials.gov identifier NCT03464942) to investigate the efficacy and safety of single-fraction (SF: 20 Gy; n = 27) or multi-fraction (MF: 24 Gy in three fractions; n = 27) SABR followed by anti-PD-L1 atezolizumab in 54 women with advanced triple-negative breast cancer (TNBC) as first or second-line treatment. The primary endpoint was progression free survival (PFS). Secondary endpoints included best overall response rate, clinical benefit rate, overall survival and safety. We observed that both treatment arms had similar efficacy: median PFS was 2.5 months (90% CI: 1.7-4.5) for SF and 3.1 months (90% CI: 1.8-3.9) for MF. The null hypothesis (PFS of 2 months) was not rejected in either arm. Clinical benefit (RECIST complete response/partial response or stable disease for ≥24 weeks) was achieved in 5 (20%) SF and 6 (25%) MF patients, all with oligometastatic disease, independent of PD-L1 expression. Adverse events were similar between arms. Prespecified exploratory analysis of peripheral blood found higher CD8 T

Indexed as

Antibodies, Monoclonal, HumanizedRadiosurgeryTriple Negative Breast NeoplasmsAdultAgedAged, 80 and overCombined Modality TherapyDose Fractionation, RadiationFemaleHumansMiddle AgedProgression-Free SurvivalTreatment OutcomeAntibodies, Monoclonal, Humanizedatezolizumab

Identifiers

PMID42649154
PMCPMC13518837

What OpenQuestion holds

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Registered trials

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.