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. 2024 Aug 21;10(1):75.
doi: 10.1038/s41523-024-00683-x.

Association between tumor-infiltrating lymphocytes and survival in patients with metastatic breast cancer receiving first-line chemotherapy: analysis of CALGB 40502

Affiliations

Association between tumor-infiltrating lymphocytes and survival in patients with metastatic breast cancer receiving first-line chemotherapy: analysis of CALGB 40502

Daniel G Stover et al. NPJ Breast Cancer. .

Abstract

Association of stromal tumor-infiltrating lymphocytes (sTILs) with survival outcomes among patients with metastatic breast cancer (MBC) remains unclear. The primary objective was to evaluate the association of sTILs with progression-free survival in randomized phase III trial CALGB 40502. sTILs were associated with progression-free and overall survival in chemotherapy-treated MBC when controlling for treatment arm; however, this effect did not remain significant after additional adjustment for hormone receptor status. CALGB is now part of the Alliance for Clinical Trials in Oncology. Trial Registration: ClinicalTrials.gov: NCT00785291.

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Conflict of interest statement

Authors have no conflicts of interest related to the current analyses. S.L. serves as a member of the Editorial Board of npj Breast Cancer.

Figures

Fig. 1
Fig. 1. Study design and descriptive analyses of stromal TILs in CALGB 40502.
A CONSORT diagram. B Distribution of stromal TILs across all evaluable slides (n = 582). C Stromal TILs in combined primary samples (primary breast or lymph node) versus combined recurrent/metastatic (locoregional recurrence or distant metastatic sites). D Stromal TILs in primary breast versus primary lymph node versus locoregional recurrence versus distant metastatic sites. E Stromal TILs in distant metastatic sites. For CE, box indicates 25th–75th percentile with median as center line and whiskers indicates 95th percentile above/below median. Mean value indicated below each variable. F Stromal TILs in paired primary breast cancer:metastasis or locoregional recurrence (LRR) within individual patients.

References

    1. Salgado, R., Loi, S., Denkert, C. International Immuno-Oncology Biomarker Working Group on Breast Cancer. (2023). www.tilsinbreastcancer.org.
    1. Ali, H. R. et al. Association between CD8+ T-cell infiltration and breast cancer survival in 12,439 patients. Ann. Oncol.25, 1536–1543 (2014). - PubMed
    1. Savas, P. et al. Clinical relevance of host immunity in breast cancer: from TILs to the clinic. Nat. Rev. Clin. Oncol.13, 228–241 (2016). - PubMed
    1. Mao, Y. et al. The value of tumor infiltrating lymphocytes (TILs) for predicting response to neoadjuvant chemotherapy in breast cancer: a systematic review and meta-analysis. PLoS One9, e115103 (2014). - PMC - PubMed
    1. Salgado, R. et al. Tumor-infiltrating lymphocytes and associations with pathological complete response and event-free survival in HER2-positive early-stage breast cancer treated with lapatinib and trastuzumab: a secondary analysis of the NeoALTTO Trial. JAMA Oncol.1, 448–454 (2015). - PMC - PubMed

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