Review Article

Neoadjuvant Therapy in Operable Breast Cancer: Application to Triple Negative Breast Cancer

Table 2

Summary of completed and ongoing studies of neoadjuvant chemotherapy and targeted therapy in TNBC.

Study Treatment Primary endpoint

Platinum agents
Alba et al. [21]94ECa followed by Db versus EC followed by D plus CbcpCRh
Silver et al. [22]28Cisplatin pCR
Sirohi et al. [23]62CisplatinClinical response rates, OSi
Kern et al. [24]27Carboplatin plus docetaxelpCR
Tiley et al. [25] 12ACd followed by Pe with CbpCR
GeparSixto [26]Ongoing Carboplatin plus standard chemotherapypCR

Targeting angiogenesis
Ryan et al. [18]51Cisplatin plus bevacizumabClinical response
CALGB 40603 [26]Ongoing Carboplatin and/or bevacizumabpCR
NCT00887575 [26]Ongoing Sunitinib plus pactlitaxel plus carboplatinMTDj, pCR
NCT01194869 [26]Ongoing Sorafenib plus pactlitaxel plus cisplatinpCR

Targeting DNA damage repair
Llombart et al. [27]141Iniparib plus paclitaxelpCR
NCT00813956 [26]OngoingGemcitabine plus Cb plus iniparibpCR
I-SPY 2 [26]Ongoing Veliparib plus paclitaxelpCR

Targeting EGFR
ICE [26]Ongoing Ixabepilone plus cetuximabpCR
NCT00491816 [26]OngoingErlotinib plus chemotherapypCR

Targets HER3
NCT01421472OngoingPaclitaxel plus MM-121 (targets HER3)pCR

Targets inhibitors of apoptosis (IAP)
NCT01617668OngoingPaclitaxel plus LCL161pCR

Targets gamma-secretase/notch signaling pathway
NCT01238133OngoingPaclitaxel plus Cb plus RO4929097MTD

Targets PI3K/mTOR
Gonzalez-Angulo et al. [28]62T-FECf versus TR-FECgClinical response rate at 12 weeks
NCT00930930OngoingCisplatin plus paclitaxel ± everolimuspCR

Targets multiple tyrosine kinases
NCT00817531CompletedDasatinibClinical response by RECIST

aEpirubicin cyclophosphamide, bdocetaxel, ccarboplatin, ddoxorubicin cyclophosphamide, epaclitaxel, fpaclitaxel 5-flourouracil epirubicin cyclophosphamide, gpaclitaxel everolimus 5-flourouracil epirubicin cyclophosphamide, hpathologic complete response, ioverall survival, jmaximum tolerated dose.