Related Experiment Video
Updated: Aug 23, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Combination immunotherapy strategies for triple-negative breast cancer: current progress and barriers within the
Jacopo Uliano1,2, Eleonora Nicolò1,2, Carla Corvaja1,3
1Division of New Drugs and Early Drug Development, European Institute of Oncology IRCCS, Milan, Italy.
Introduction:
Triple-negative breast cancer (TNBC) is a breast cancer subtype characterized by poorer prognosis. Despite that TNBC can display immunogenic features, anti-PD(L)1 monotherapy strategies have resulted in disappointing results, underscoring the need to optimize their use in TNBC. Among many, combining immunotherapy with other agents to exploit the synergistic effect of different drugs has been explored. Such a combination approach led to the approval of immune checkpoint inhibitors (ICIs) plus chemotherapy in both metastatic and early setting. Nevertheless, primary or secondary resistance to ICIs remains a major hurdle to overcome, with a major need to explore novel combination strategies.
Areas Covered:
This review summarizes the biological rationale, current evidence, and ongoing clinical trials of immunotherapy combined with novel immunotherapeutics, chemotherapy, targeted compounds, and antibody-drug conjugates.
Expert Opinion:
The treatment landscape of TNBC is in continuous changes. ICIs are now part of the clinical practice; however, several unmet needs still remain, including the need to overcome resistance and prolong benefit of ICIs. Exploiting synergism between different agent has emerged as an attractive strategy to extend the benefit obtained with ICIs. The goal of future research will be to unveil the mechanisms underlying resistance to ICIs and to identify better biomarkers for patient selection.
Insights
Triple-negative breast cancer (TNBC) treatment is evolving. Combining immune checkpoint inhibitors (ICIs) with other therapies shows promise, but overcoming resistance remains crucial for improving patient outcomes.
Area of Science:
- Oncology
- Immunotherapy
- Breast Cancer Research
Background:
- Triple-negative breast cancer (TNBC) presents a significant clinical challenge due to its aggressive nature and limited treatment options.
- While anti-PD(L)1 immunotherapy shows potential in TNBC, monotherapy efficacy is often suboptimal, necessitating combination strategies.
- Resistance to immune checkpoint inhibitors (ICIs) is a major obstacle, limiting their long-term benefit in TNBC patients.
Approach:
- This review synthesizes the biological basis, current clinical data, and ongoing trials for combining immunotherapy with various agents in TNBC.
- Investigates combinations of immunotherapy with novel immunotherapeutics, chemotherapy, targeted agents, and antibody-drug conjugates.
- Focuses on strategies to overcome primary and secondary resistance to ICIs in the context of TNBC treatment.
Key Points:
- Combination therapies, including ICIs plus chemotherapy, are increasingly integrated into TNBC treatment paradigms.
- Exploiting synergistic effects between different therapeutic modalities is a key strategy to enhance ICI efficacy.
- Identifying mechanisms of ICI resistance and developing predictive biomarkers are critical for patient selection and treatment optimization.
Conclusions:
- The TNBC treatment landscape is dynamic, with ICIs now established, but significant unmet needs persist.
- Novel combination strategies are essential to overcome resistance and extend the benefits of immunotherapy.
- Future research should prioritize understanding ICI resistance and discovering robust biomarkers for personalized TNBC therapy.
More Related Videos
13:19Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
15:04Potentiation of Anticancer Antibody Efficacy by Antineoplastic Drugs: Detection of Antibody-drug Synergism Using the Combination Index Equation
Published on: January 19, 2019
Related Concept Videos
Tumor Immunotherapy
Targeted Cancer Therapies
There are several types of targeted therapies against...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...