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Table 1 Published clinical trials of metastatic HER2 + breast cancer patients treated with immunotherapy

From: Immunotherapy in HER2-positive breast cancer: state of the art and future perspectives

Name

Drug

Phase

Setting

Number of HER2-positive patients

Type of intervention

Mechanism of action

Outcomes

Diéras et al. [7]

TDM-1

III

Metastatic

991

HER2+ block enhancer

Antibody conjugate

-PFS

(p < 0.001)

-OS

(p < 0.001)

Bang et al. [67]

Margetuximab

I

Metastatic

27

HER2+ block enhancer

ADCC stimulation against HER2 receptor

-Dose finding

-Clinical benefit rate

Alsina et al. [68]

MCLA-128

I/II

Metastatic

8

HER2+ block enhancer

ADCC stimulation against HER2/HER3 receptors

-Dose finding

-Clinical benefit rate

Borghaei et al. [69]

2B1

I/II

Metastatic

20

HER2+ block enhancer

NK stimulation against HER2 receptor

-Objective response rate

-OS

-TTP

Dirix et al. [70]

Avelumab

Ib

Metastatic

26

Immune check point inhibitor

Anti PD-L1

-Objective response rate

-PFS

-OS

Manguso et al. [71]

Pembrolizumab

Ib/II

Metastatic

58

Immune check point inhibitor

Anti PD-1

-Disease control (PD-L1 neg)

-PFS

-OS

Disis et al. [72]

NA

I/II

Metastatic

22

Vaccine

Peptide-based vaccine

Immunological response

Curigliano et al. [73]

NA

I/II

Metastatic

40

Vaccine

Recombinant HER2 protein + immunostimulant

-PFS

-Objective response rate

Hamilton et al. [74]

NA

I

Metastatic

12

Vaccine

Recombinant HER2 protein + immunostimulant + Lapatinib

Immunological response

Miles et al [75]

NA

III

Metastatic

157 (15% of total patients)

Vaccine

Mucine-epithope (STn-KLH)

Overall TTP

Overall OS (p = 0.916)

Heery et al. [76]

PANVAC

II

Metastatic

6 (12% of total patients)

Vaccine

DNA-based vaccine

Overall PFS (p = 0.09)

Norell et al. [77]

NA

I

Metastatic

8

Vaccine

Plasmid vector-based vaccine

Immunological response

Tiriveedhi et al. [78]

NA

I

Metastatic

3 (21% of total patients)

Vaccine

DNA-based vaccine

-Immunological response

-Overall PFS (p = 0.011)

Morse et al. [79]

NA

I

Adjuvant/

Metastatic

7

Vaccine

Dendritic cell vaccine

-Immunological response

- DFS

Emens et al. [80]

NA

I

Metastatic

1 (0.03%of total patients)

Vaccine

Anti-HER2 allogenic breast cancer cell line

Immunological response

Dols et al. [81]

NA

I

Metastatic

12 (43% of total patients)

Vaccine

Allogenic breast cancer cell lines

-Immunological response

-TTP

-OS

Chen et al. [82]

NA

 

Metastatic

22

Vaccine

Granulocyte macrophage colony-stimulating factor (GM-CSF)–secreting tumor vaccine

-Immunological response

-Objective response rate

-PFS

-OS

Park et al. [83]

Lapuleucel-T

I

Metastatic

19

Vaccine

Dendritic cell based vaccine

-Immunological response

-Objective response rate

Disis et al. [84]

NA

I

Metastatic

7

Vaccine

Autologous T-cell vaccine

-Immunological response

-Objective response rate

  1. Abbreviations: ADCC antibody-dependent cytotoxic cell, NK natural killer, NA not available, OS overall survival, PFS progression-free survival, TTP time to progression