PMID- 38089401 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231213 IS - 2770-9183 (Electronic) IS - 2770-9191 (Print) IS - 2770-9183 (Linking) VI - 2 IP - 3 DP - 2023 Jun TI - A real-world study of immune checkpoint inhibitors in advanced triple-negative breast cancer. PG - 172-180 LID - 10.1002/cai2.70 [doi] AB - BACKGROUND: Triple-negative breast cancer (TNBC) is the most aggressive type of breast cancer. Immune checkpoint inhibitors (ICIs) have been widely used to treat various tumors and have changed the landscape of tumor management, but the data from real-world studies of ICIs for TNBC treatment remain limited. The aim of this study was to evaluate the efficacy of ICIs in the treatment of patients with advanced TNBC in a real-world setting and to explore possible correlates. METHODS: The clinical data of advanced TNBC patients who received ICI treatment in the Chinese People's Liberation Army (PLA) General Hospital were collected. Treatment responses, outcomes and adverse events (AEs) were assessed. RESULTS: Eighty-one patients were included in the study. The confirmed objective response rate (ORR) was 32.1%, and the disease control rate (DCR) was 64.2%. The median progression-free survival (PFS) was 4.2 months, and the median overall survival (OS) was 11.0 months. PFS and OS were longer in patients who achieved clinical benefit from ICIs and shorter in patients who received later-line ICIs and higher levels of inflammation; specifically, patients with higher TILs had longer PFS. Overall AEs were tolerable. CONCLUSIONS: ICIs are effective in the treatment of advanced TNBC, and the adverse reactions are tolerable. A panel of biomarkers including LDH, ALP, and bNLR were identified to predict the efficacies of ICIs in TNBC treatment. CI - (c) 2023 The Authors. Cancer Innovation published by John Wiley & Sons Ltd. on behalf of Tsinghua University Press. FAU - Zhang, Zheng AU - Zhang Z AUID- ORCID: 0000-0003-4335-8056 AD - Medical School of Chinese PLA Beijing China. FAU - Zhang, Yadi AU - Zhang Y AD - Nankai University School of Medicine Tianjin China. FAU - Liu, Chuanling AU - Liu C AD - Medical School of Chinese PLA Beijing China. FAU - Shao, Jiakang AU - Shao J AD - Medical School of Chinese PLA Beijing China. FAU - Chen, Yimeng AU - Chen Y AD - Department of Medical Oncology Xi'an Jiaotong University Xi'an Shaanxi China. FAU - Zhu, Yimin AU - Zhu Y AD - Department of Medical Oncology, Fifth Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. FAU - Zhang, Li AU - Zhang L AD - Department of Medical Oncology, First Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. FAU - Qin, Boyu AU - Qin B AD - Department of Medical Oncology, Fifth Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. FAU - Kong, Ziqing AU - Kong Z AD - Medical School of Chinese PLA Beijing China. FAU - Wang, Xixi AU - Wang X AD - Nankai University School of Medicine Tianjin China. FAU - Wang, Yutong AU - Wang Y AD - Medical School of Chinese PLA Beijing China. FAU - Huang, Deqin AU - Huang D AD - Medical School of Chinese PLA Beijing China. FAU - Liu, Liqun AU - Liu L AD - Medical School of Chinese PLA Beijing China. FAU - Zhou, Yuxin AU - Zhou Y AD - Medical School of Chinese PLA Beijing China. FAU - Tao, Ran AU - Tao R AD - Department of Medical Oncology, First Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. FAU - Yang, Zengjie AU - Yang Z AD - Cancer Biology Program Fox Chase Cancer Center Philadelphia Pennsylvania USA. FAU - Liu, Mei AU - Liu M AD - Department of Pathology, First Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. FAU - Zhao, Weihong AU - Zhao W AUID- ORCID: 0000-0003-0223-2182 AD - Department of Medical Oncology, First Medical Center General Hospital of the Chinese People's Liberation Army Beijing China. LA - eng PT - Journal Article DEP - 20230423 PL - England TA - Cancer Innov JT - Cancer innovation JID - 9918713888606676 PMC - PMC10686160 OTO - NOTNLM OT - ICIs OT - TNBC OT - biomarkers OT - efficacy evaluation OT - prognosis OT - safety COIS- The authors declare no conflict of interest. EDAT- 2023/12/13 18:42 MHDA- 2023/12/13 18:43 PMCR- 2023/04/23 CRDT- 2023/12/13 12:50 PHST- 2023/02/28 00:00 [received] PHST- 2023/03/08 00:00 [revised] PHST- 2023/03/16 00:00 [accepted] PHST- 2023/12/13 18:43 [medline] PHST- 2023/12/13 18:42 [pubmed] PHST- 2023/12/13 12:50 [entrez] PHST- 2023/04/23 00:00 [pmc-release] AID - CAI270 [pii] AID - 10.1002/cai2.70 [doi] PST - epublish SO - Cancer Innov. 2023 Apr 23;2(3):172-180. doi: 10.1002/cai2.70. eCollection 2023 Jun.