Entinostat, nivolumab and ipilimumab for women with advanced HER2-negative breast cancer: a phase Ib trial

  • Evanthia T. Roussos Torres
  • , Won J. Ho
  • , Ludmila Danilova
  • , Joseph A. Tandurella
  • , James Leatherman
  • , Christine Rafie
  • , Chenguang Wang
  • , Adam Brufsky
  • , Patricia LoRusso
  • , Vincent Chung
  • , Yuan Yuan
  • , Melinda Downs
  • , Ashley O’Connor
  • , Sarah M. Shin
  • , Alexei Hernandez
  • , Elizabeth L. Engle
  • , Richard Piekarz
  • , Howard Streicher
  • , Zahra Talebi
  • , Michelle A. Rudek
  • Qingfeng Zhu, Robert A. Anders, Ashley Cimino-Mathews, Elana J. Fertig, Elizabeth M. Jaffee, Vered Stearns, Roisin M. Connolly

Research output: Contribution to journalArticlepeer-review

Abstract

We report the results of 24 women, 50% (N = 12) with hormone receptor-positive breast cancer and 50% (N = 12) with advanced triple-negative breast cancer, treated with entinostat + nivolumab + ipilimumab from the dose escalation (N = 6) and expansion cohort (N = 18) of ETCTN-9844 (NCT02453620). The primary endpoint was safety. Secondary endpoints were overall response rate, clinical benefit rate, progression-free survival and change in tumor CD8:FoxP3 ratio. There were no dose-limiting toxicities. Among evaluable participants (N = 20), the overall response rate was 25% (N = 5), with 40% (N = 4) in triple-negative breast cancer and 10% (N = 1) in hormone receptor-positive breast cancer. The clinical benefit rate was 40% (N = 8), and progression-free survival at 6 months was 50%. Exploratory analyses revealed that changes in myeloid cells may contribute to responses; however, no correlation was noted between changes in CD8:FoxP3 ratio, PD-L1 status and tumor mutational burden and response. These findings support further investigation of this treatment in a phase II trial.

Original languageEnglish
Pages (from-to)866-879
Number of pages14
JournalNature Cancer
Volume5
Issue number6
DOIs
Publication statusPublished - Jun 2024

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