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Updated: Oct 12, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Immune-based combinations for metastatic triple negative breast cancer in clinical trials: current knowledge and
Alessandro Rizzo1,2, Angela Dalia Ricci1,2, Laura Lanotte2
1Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italia.
Introduction:
Immune checkpoint inhibitor (ICI) monotherapy appears to be effective in a small cohort of patients with metastatic triple negative breast cancer (mTNBC). This supports the exploration of strategies for increasing the efficacy of immunotherapy. To enhance overall response and clinical outcomes, several immune-based combinations are being investigated.
Areas Covered:
The authors present a synopsis of current, state-of-art immune-based combinations in this setting and reflect on future possibilities. They shed light on recently presented and published clinical trials and ongoing studies. A literature search was conducted in October 2021; in addition, abstracts of international cancer meetings were reviewed.
Expert Opinion:
Clinical trials suggest that ICI monotherapy could be beneficial in a minority of mTNBC patients; conversely, several immune-based combinations have reported notable results in recently presented or published studies. Some of these combination strategies have been approved for mTNBC - as in the case of chemoimmunotherapy in PD-L1 positive patients. Numerous trials are investigating novel ICI-based combinations and their results are eagerly awaited.
Insights
Immune checkpoint inhibitor (ICI) monotherapy shows limited efficacy in metastatic triple-negative breast cancer (mTNBC). Combination strategies are being explored to improve immunotherapy response in mTNBC patients.
Area of Science:
- Oncology
- Immunotherapy
- Breast Cancer Research
Background:
- Immune checkpoint inhibitor (ICI) monotherapy is effective in a subset of metastatic triple-negative breast cancer (mTNBC) patients.
- Enhancing immunotherapy efficacy is crucial for improving clinical outcomes in mTNBC.
Purpose of the Study:
- To review current immune-based combination strategies for mTNBC.
- To discuss future directions and ongoing clinical trials in mTNBC immunotherapy.
Main Methods:
- Literature search conducted in October 2021.
- Review of published clinical trials and abstracts from international cancer meetings.
Main Results:
- ICI monotherapy benefits a minority of mTNBC patients.
- Several immune-based combinations show promising results in recent studies.
- Chemoimmunotherapy is approved for PD-L1 positive mTNBC.
Conclusions:
- Combination therapies represent a key strategy to improve mTNBC treatment.
- Novel ICI-based combinations are under investigation with anticipated results.
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