Triple-negative breast cancer: an update on neoadjuvant clinical trials

Keith D Amos1, Barbara Adamo, Carey K Anders

  • 1Division of Surgical Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Insights

Triple-negative breast cancer (TNBC) is aggressive, necessitating new treatments. This review examines neoadjuvant clinical trials for TNBC, focusing on improving patient survival through pathologic complete response.

Area of Science:

  • Oncology
  • Translational Research

Background:

  • Triple-negative breast cancer (TNBC) presents an aggressive clinical challenge with limited therapeutic options.
  • Despite initial chemotherapy response, TNBC often has a poor prognosis, underscoring the urgent need for innovative treatment strategies.
  • The neoadjuvant setting offers a unique platform for evaluating novel therapies for TNBC.

Purpose of the Study:

  • To review current data from completed and ongoing neoadjuvant clinical trials for triple-negative breast cancer.
  • To assess the efficacy of emerging treatment strategies in the neoadjuvant setting for TNBC.
  • To highlight the role of pathologic complete response as a surrogate endpoint for survival in TNBC neoadjuvant trials.

Main Methods:

  • Systematic review of completed and ongoing neoadjuvant clinical trials for TNBC.
  • Analysis of data focusing on treatment response and pathologic complete response rates.
  • Evaluation of the neoadjuvant setting as a model for rapid therapeutic assessment.

Main Results:

  • Neoadjuvant therapies are being actively investigated in numerous clinical trials for TNBC.
  • Pathologic complete response serves as a validated surrogate endpoint in the neoadjuvant setting.
  • Ongoing trials aim to identify more effective treatment strategies to improve survival outcomes for TNBC patients.

Conclusions:

  • The neoadjuvant setting is crucial for accelerating the development of novel therapies for TNBC.
  • Improving pathologic complete response rates in neoadjuvant trials is key to reducing TNBC mortality.
  • Continued research and clinical trial participation are essential for advancing TNBC treatment.

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