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Review

The role of immune checkpoint inhibition in triple negative breast cancer

, , , &
Pages 1095-1106 | Received 21 Jul 2023, Accepted 26 Sep 2023, Published online: 06 Oct 2023

References

  • Bianchini G, De Angelis C, Licata L, et al. Treatment landscape of triple-negative breast cancer - expanded options, evolving needs. Nat Rev Clin Oncol. 2022 Feb;19(2):91–113. doi: 10.1038/S41571-021-00565-2
  • Kwapisz D. Pembrolizumab and atezolizumab in triple-negative breast cancer. Cancer Immunol Immunother. 2021 Mar;70(3):607–617. doi: 10.1007/s00262-020-02736-z
  • Keenan TE, Tolaney SM. Role of immunotherapy in triple-negative breast cancer. J Natl Compr Canc Netw. 2020 Apr;18(4):479–489. doi: 10.6004/JNCCN.2020.7554
  • Wang X, Collet L, Rediti M, et al. Predictive biomarkers for response to immunotherapy in triple negative breast cancer: promises and challenges. J Clin Med. 2023 Feb;12(3):953. doi: 10.3390/JCM12030953/S1
  • Derakhshan F, Reis-Filho JS. Pathogenesis of triple-negative breast cancer. Annu Rev Pathol. 2022;17:181–204. doi:10.1146/ANNUREV-PATHOL-042420-093238
  • Mittendorf EA, Philips AV, Meric-Bernstam F, et al. PD-L1 expression in triple-negative breast cancer. Cancer Immunol Res. 2014 Apr;2(4):361–370. doi: 10.1158/2326-6066.CIR-13-0127
  • Rugo HS, Loi S, Adams S, et al. PD-L1 Immunohistochemistry Assay Comparison in atezolizumab plus nab -paclitaxel–Treated advanced triple-negative breast cancer. J Natl Cancer Inst. 2021 Dec;113(12):1733–1743. doi: 10.1093/JNCI/DJAB108
  • Vennapusa B, Baker B, Kowanetz M, et al. Development of a PD-L1 complementary diagnostic immunohistochemistry assay (SP142) for Atezolizumab. Appl Immunohistochem Mol Morphol. 2019 Feb;27(2):92–100. doi: 10.1097/PAI.0000000000000594
  • Nanda R, Chow LQM, Dees EC, et al. Pembrolizumab in patients with advanced triple-negative breast cancer: phase Ib KEYNOTE-012 study. J Clin Oncol. 2016 Jul;34(21):2460. doi: 10.1200/JCO.2015.64.8931
  • Adams S, Loi S, Toppmeyer D, et al. Pembrolizumab monotherapy for previously untreated, PD-L1-positive, metastatic triple-negative breast cancer: cohort B of the phase II KEYNOTE-086 study. Ann Oncol. 2019 Mar;30(3):405–411. doi: 10.1093/ANNONC/MDY518
  • Adams S, Schmid P, Rugo HS, et al. Pembrolizumab monotherapy for previously treated metastatic triple-negative breast cancer: cohort a of the phase II KEYNOTE-086 study. Ann Oncol. 2019 Mar;30(3):397–404. doi: 10.1093/ANNONC/MDY517
  • Winer EP, Lipatov O, Im S-A, et al. Pembrolizumab versus investigator-choice chemotherapy for metastatic triple-negative breast cancer (KEYNOTE-119): a randomised, open-label, phase 3 trial. Lancet Oncol. 2021 Apr;22(4):499–511. doi: 10.1016/S1470-2045(20)30754-3
  • Dirix LY, Takacs I, Jerusalem G, et al. Avelumab, an anti-PD-L1 antibody, in patients with locally advanced or metastatic breast cancer: a phase 1b JAVELIN solid tumor study. Breast Cancer Res Treat. 2018 Oct;167(3):671–686. doi: 10.1007/S10549-017-4537-5
  • Emens LA, Cruz C, Eder JP, et al. Long-term clinical outcomes and biomarker analyses of atezolizumab therapy for patients with metastatic triple-negative breast cancer: a phase 1 study. JAMA Oncol. 2019 Jan;5(1):74–82. doi: 10.1001/JAMAONCOL.2018.4224
  • Santa-Maria CA, Kato T, Park J-H, et al. A pilot study of durvalumab and tremelimumab and immunogenomic dynamics in metastatic breast cancer. Oncotarget. 2018 Apr;9(27):18985. doi: 10.18632/ONCOTARGET.24867
  • Adams S, Othus M, Patel SP, et al. A multicenter phase II trial of Ipilimumab and nivolumab in unresectable or metastatic Metaplastic breast cancer: cohort 36 of dual anti–CTLA-4 and anti–PD-1 blockade in rare tumors (DART, SWOG S1609). Clin Cancer Res. 2022 Jan;28(2):271–278. doi: 10.1158/1078-0432.CCR-21-2182
  • Emens LA, Adams S, Barrios CH, et al. First-line atezolizumab plus nab-paclitaxel for unresectable, locally advanced, or metastatic triple-negative breast cancer: IMpassion130 final overall survival analysis. Ann Oncol. 2021 Aug;32(8):983–993. doi: 10.1016/J.ANNONC.2021.05.355
  • Franzoi MA, De Azambuja E. Atezolizumab in metastatic triple-negative breast cancer: IMpassion130 and 131 trials - how to explain different results? ESMO Open. 2020 Nov;5(6):e001112. doi: 10.1136/ESMOOPEN-2020-001112
  • Miles D, Gligorov J, André F, et al. Primary results from IMpassion131, a double-blind, placebo-controlled, randomised phase III trial of first-line paclitaxel with or without atezolizumab for unresectable locally advanced/metastatic triple-negative breast cancer. Ann Oncol. 2021 Aug;32(8):994–1004. doi: 10.1016/J.ANNONC.2021.05.801
  • Schmid P, Adams S, Rugo HS, et al. Atezolizumab and nab-paclitaxel in advanced triple-negative breast cancer. N Engl J Med. 2018 Nov;379(22):2108–2121. doi: 10.1056/NEJMOA1809615
  • Cortes J, Cescon DW, Rugo HS, et al. Pembrolizumab plus chemotherapy versus placebo plus chemotherapy for previously untreated locally recurrent inoperable or metastatic triple-negative breast cancer (KEYNOTE-355): a randomised, placebo-controlled, double-blind, phase 3 clinical trial. Lancet. 2020 Dec;396(10265):1817–1828. doi: 10.1016/S0140-6736(20)32531-9
  • Cortes J, Rugo HS, Cescon DW, et al. Pembrolizumab plus chemotherapy in advanced triple-negative breast cancer. N Engl J Med. 2022 Jul;387(3):217–226. doi: 10.1056/NEJMOA2202809/SUPPL_FILE/NEJMOA2202809_DATA-SHARING.PDF
  • Barker AD, Sigman CC, Kelloff GJ, et al. I-SPY 2: an adaptive breast cancer trial design in the setting of neoadjuvant chemotherapy. Clin Pharmacol Ther. 2009 Jul;86(1):97–100. doi: 10.1038/CLPT.2009.68
  • Nanda R, Liu MC, Yau C, et al. Effect of pembrolizumab plus neoadjuvant chemotherapy on pathologic complete response in Women with early-stage breast cancer: an analysis of the ongoing phase 2 adaptively randomized I-SPY2 trial. JAMA Oncol. 2020 May;6(5):676–684. doi: 10.1001/JAMAONCOL.2019.6650
  • Wang H, Yee D. I-SPY 2: a neoadjuvant adaptive clinical trial designed to improve outcomes in high-risk breast cancer. Curr Breast Cancer Rep. 2019 Dec;11(4):303–310. doi: 10.1007/S12609-019-00334-2
  • Schmid P, Salgado R, Park YH, et al. Pembrolizumab plus chemotherapy as neoadjuvant treatment of high-risk, early-stage triple-negative breast cancer: results from the phase 1b open-label, multicohort KEYNOTE-173 study. Ann Oncol. 2020 May;31(5):569–581. doi: 10.1016/J.ANNONC.2020.01.072
  • Loibl S, Untch M, Burchardi N, et al. A randomised phase II study investigating durvalumab in addition to an anthracycline taxane-based neoadjuvant therapy in early triple-negative breast cancer: clinical results and biomarker analysis of GeparNuevo study. Ann Oncol. 2019 Aug;30(8):1279–1288. doi: 10.1093/ANNONC/MDZ158
  • Rizzo A, Cusmai A, Acquafredda S, et al. KEYNOTE-522, IMpassion031 and GeparNUEVO: changing the paradigm of neoadjuvant immune checkpoint inhibitors in early triple-negative breast cancer. Future Oncol. 2022 Jun;18(18):2301–2309. doi: 10.2217/FON-2021-1647
  • Schmid P, Cortes J, Pusztai L, et al. Pembrolizumab for early triple-negative breast cancer. N Engl J Med. 2020 Feb;382(9):810–821. doi: 10.1056/NEJMOA1910549/SUPPL_FILE/NEJMOA1910549_DATA-SHARING.PDF
  • Schmid P, Cortes J, Dent R, et al. Event-free survival with pembrolizumab in early triple-negative breast cancer. N Engl J Med. 2022 Feb;386(6):556–567. doi: 10.1056/NEJMOA2112651/SUPPL_FILE/NEJMOA2112651_DATA-SHARING.PDF
  • Mittendorf EA, Zhang H, Barrios CH, et al. Neoadjuvant atezolizumab in combination with sequential nab-paclitaxel and anthracycline-based chemotherapy versus placebo and chemotherapy in patients with early-stage triple-negative breast cancer (IMpassion031): a randomised, double-blind, phase 3 trial. Lancet. 2020 Oct;396(10257):1090–1100. doi: 10.1016/S0140-6736(20)31953-X
  • Gianni L, Huang CS, Egle D, et al. Pathologic complete response (pCR) to neoadjuvant treatment with or without atezolizumab in triple-negative, early high-risk and locally advanced breast cancer: NeoTRIP Michelangelo randomized study. Ann Oncol. 2022 May;33(5):534–543. doi: 10.1016/J.ANNONC.2022.02.004
  • Lee EK, Konstantinopoulos PA. Combined PARP and immune checkpoint inhibition in ovarian cancer. Trends Cancer. 2019 Sep;5(9):524–528. doi: 10.1016/J.TRECAN.2019.06.004
  • Zitvogel L, Galluzzi L, Kepp O, et al. Type I interferons in anticancer immunity. Nat Rev Immunol. 2015 Jun;15(7):405–414. doi: 10.1038/nri3845
  • Vikas P, Borcherding N, Chennamadhavuni A, et al. Therapeutic potential of combining PARP inhibitor and immunotherapy in solid tumors. Front Oncol. 2020 Apr;10. doi: 10.3389/FONC.2020.00570
  • Domchek SM, Postel-Vinay S, Im S-A, et al. Olaparib and durvalumab in patients with germline BRCA-mutated metastatic breast cancer (MEDIOLA): an open-label, multicentre, phase 1/2, basket study. Lancet Oncol. 2020 Sep;21(9):1155–1164. doi: 10.1016/S1470-2045(20)30324-7
  • Vinayak S, Tolaney SM, Schwartzberg L, et al. Open-label clinical trial of niraparib combined with pembrolizumab for treatment of advanced or metastatic triple-negative breast cancer. JAMA Oncol. 2019 Aug;5(8):1132–1140. doi: 10.1001/JAMAONCOL.2019.1029
  • Pusztai L, Yau C, Wolf DM, et al. Durvalumab with olaparib and paclitaxel for high-risk HER2-negative stage II/III breast cancer: results from the adaptively randomized I-SPY2 trial. Cancer Cell. 2021 Jul;39(7):989–998.e5. doi: 10.1016/J.CCELL.2021.05.009
  • Li B, Jin J, Guo D, et al. Immune checkpoint inhibitors combined with targeted therapy: the recent advances and future potentials. Cancers (Basel). 2023 May;15(10):2858. doi: 10.3390/CANCERS15102858/S1
  • Alzahrani AS. PI3K/Akt/mTOR inhibitors in cancer: at the bench and bedside. Semin Cancer Biol. 2019 Dec;59:125–132. doi: 10.1016/J.SEMCANCER.2019.07.009
  • Katso R, Okkenhaug K, Ahmadi K, et al. Cellular function of phosphoinositide 3-kinases: implications for development, homeostasis, and cancer. Annu Rev Cell Dev Biol. 2001;17:615–675. doi: 10.1146/ANNUREV.CELLBIO.17.1.615
  • Cerma K, Piacentini F, Moscetti L, et al. Targeting PI3K/AKT/mTOR Pathway in breast cancer: from biology to clinical challenges. Biomedicines. 2023 Jan;11(1):109. doi: 10.3390/BIOMEDICINES11010109
  • Zhu S, Wu Y, Song B, et al. Recent advances in targeted strategies for triple-negative breast cancer. J Hematol Oncol. 2023 Dec;16(1):100. doi: 10.1186/S13045-023-01497-3
  • Loi S, Dushyanthen S, Beavis PA, et al. RAS/MAPK activation is associated with reduced tumor-infiltrating lymphocytes in triple-negative breast cancer: therapeutic cooperation between MEK and PD-1/PD-L1 immune checkpoint inhibitors. Clin Cancer Res. 2016 Mar;22(6):1499–1509. doi: 10.1158/1078-0432.CCR-15-1125
  • Hosseini M, Seyedpour S, Khodaei B, et al. Cancer vaccines for triple-negative breast cancer: a systematic review. Vaccines (Basel). 2023 Jan;11(1):146. doi: 10.3390/VACCINES11010146/S1
  • Abdou Y, Goudarzi A, Yu JX, et al. Immunotherapy in triple negative breast cancer: beyond checkpoint inhibitors. NPJ Breast Cancer. 2022 Nov;8(1):1–10. doi: 10.1038/s41523-022-00486-y
  • Isakoff SJ, Adams S, Soliman HH, et al. Abstract P3-09-15: a phase 1b study of PVX-410 (PVX) vaccine plus durvalumab (DUR) as adjuvant therapy in HLA-A2+ early stage triple negative breast cancer (eTNBC) to assess safety and immune response. Cancer Res. 2020 Feb;80(4_Supplement):P3-09–15. doi: 10.1158/1538-7445.SABCS19-P3-09-15
  • Kachikwu EL, Iwamoto KS, Liao Y-P, et al. Radiation enhances regulatory T cell representation. Int J Radiat Oncol Biol Phys. 2011 Nov;81(4):1128–1135. doi: 10.1016/J.IJROBP.2010.09.034
  • Ho AY, Tabrizi S, Dunn SA, et al. Current advances in immune checkpoint inhibitor combinations with radiation therapy or cryotherapy for breast cancer. Breast Cancer Res Treat. 2022 Jan;191(2):229–241. doi: 10.1007/S10549-021-06408-Z
  • Ho AY, Barker CA, Arnold BB, et al. A phase 2 clinical trial assessing the efficacy and safety of pembrolizumab and radiotherapy in patients with metastatic triple-negative breast cancer. Cancer. 2020 Feb;126(4):850–860. doi: 10.1002/CNCR.32599
  • David S, Savas P, Siva S, et al. Abstract 10-02: a randomised phase II trial of single fraction or multi-fraction SABR (stereotactic ablative body radiotherapy) with atezolizumab in patients with advanced triple negative breast cancer (AZTEC trial). Cancer Res. 2022 Feb;82(4_Supplement):PD10–02. doi: 10.1158/1538-7445.SABCS21-PD10-02
  • Emens LA, Molinero L, Loi S, et al. Atezolizumab and nab-paclitaxel in advanced triple-negative breast cancer: biomarker evaluation of the IMpassion130 study. J Natl Cancer Inst. 2021 Aug;113(8):1005–1016. doi: 10.1093/JNCI/DJAB004
  • Schmid P, Rugo HS, Adams S, et al. Atezolizumab plus nab-paclitaxel as first-line treatment for unresectable, locally advanced or metastatic triple-negative breast cancer (IMpassion130): updated efficacy results from a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2020 Jan;21(1):44–59. doi: 10.1016/S1470-2045(19)30689-8
  • Cortés J, Lipatov O, Im S-A, et al. KEYNOTE-119: phase III study of pembrolizumab (pembro) versus single-agent chemotherapy (chemo) for metastatic triple negative breast cancer (mTNBC). Ann Oncol. 2019 Oct;30:v859–v860.
  • Loibl S, Schneeweiss A, Huober J, et al. Neoadjuvant durvalumab improves survival in early triple-negative breast cancer independent of pathological complete response. Ann Oncol. 2022 Nov;33(11):1149–1158. doi: 10.1016/J.ANNONC.2022.07.1940
  • Goodman AM, Kato S, Bazhenova L, et al. Tumor mutational burden as an independent predictor of response to immunotherapy in diverse cancers. Mol Cancer Ther. 2017 Nov;16(11):2598–2608. doi: 10.1158/1535-7163.MCT-17-0386
  • Marcus L, Fashoyin-Aje LA, Donoghue M, et al. FDA approval summary: pembrolizumab for the treatment of tumor mutational burden–high solid tumors. Clin Cancer Res. 2021 Sep;27(17):4685–4689. doi: 10.1158/1078-0432.CCR-21-0327
  • Barroso-Sousa R, Keenan TE, Pernas S, et al. Tumor mutational burden and PTEN Alterations as Molecular Correlates of response to PD-1/L1 blockade in metastatic triple-negative breast cancer. Clin Cancer Res. 2020 Jun;26(11):2565–2572. doi: 10.1158/1078-0432.CCR-19-3507
  • Karn T, Denkert C, Weber KE, et al. Tumor mutational burden and immune infiltration as independent predictors of response to neoadjuvant immune checkpoint inhibition in early TNBC in GeparNuevo. Ann Oncol. 2020 Sep;31(9):1216–1222. doi: 10.1016/J.ANNONC.2020.05.015
  • Loi S, Adams S, Schmid P, et al. Relationship between tumor infiltrating lymphocyte (TIL) levels and response to pembrolizumab (pembro) in metastatic triple-negative breast cancer (mTNBC): results from KEYNOTE-086. Ann Oncol. 2017 Sep;28:v608.
  • Wen YH, Brogi E, Zeng Z, et al. DNA mismatch repair deficiency in breast carcinoma: a pilot study of triple-negative and non-triple-negative tumors. Am J Surg Pathol. 2012 Nov;36(11):1700–1708. doi: 10.1097/PAS.0B013E3182627787
  • Maio M, Ascierto PA, Manzyuk L, et al. Pembrolizumab in microsatellite instability high or mismatch repair deficient cancers: updated analysis from the phase II KEYNOTE-158 study. Ann Oncol. 2022 Sep;33(9):929–938. doi: 10.1016/J.ANNONC.2022.05.519
  • Marabelle A, Le DT, Ascierto PA, et al. Efficacy of pembrolizumab in patients with noncolorectal high microsatellite instability/mismatch repair–deficient cancer: results from the phase II KEYNOTE-158 study. J Clin Oncol. 2020;38(1):1–10. doi: 10.1200/JCO.19.02105
  • Emens LA, Adams S, Cimino-Mathews A, et al. Society for immunotherapy of cancer (SITC) clinical practice guideline on immunotherapy for the treatment of breast cancer. J Immunother Cancer. 2021 Aug;9(8):2597. doi: 10.1136/JITC-2021-002597
  • Sullivan RJ, Weber JS. Immune-related toxicities of checkpoint inhibitors: mechanisms and mitigation strategies. Nat Rev Drug Discov. 2021 Jul;21(7):495–508. doi: 10.1038/s41573-021-00259-5
  • Johnson DB, Jakubovic BD, Sibaud V, et al. Balancing cancer immunotherapy efficacy and toxicity. J Allergy Clin Immunol Pract. 2020 Oct;8(9):2898. doi: 10.1016/J.JAIP.2020.06.028
  • Zhang Y, Wang J, Hu T, et al. Adverse events of PD-1 or PD-L1 inhibitors in triple-negative breast cancer: a systematic review and meta-analysis. Life. 2022 Dec;12(12):1990. doi: 10.3390/LIFE12121990/S1
  • Havel JJ, Chowell D, Chan TA. The evolving landscape of biomarkers for checkpoint inhibitor immunotherapy. Nat Rev Cancer. 2019 Feb;19(3):133–150. doi: 10.1038/s41568-019-0116-x
  • Puzanov I, Diab A, Abdallah K, et al. Managing toxicities associated with immune checkpoint inhibitors: consensus recommendations from the Society for immunotherapy of cancer (SITC) toxicity management working group. J Immunother Cancer. 2017 Nov;5(1). doi: 10.1186/S40425-017-0300-Z

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