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Table 2 Randomized trial characteristics by biological subtype of trial population and treatment setting

From: Patterns in target-directed breast cancer research

Categories

HER2-positive [n (%)]

HR-positive [n (%)]

Triple-negative or BRCA-positive [n (%)]

Other or unselected [n (%)]

Total [n (%)]

Total, n (proportion by subtype, %)

79 (28.2)

104 (37.1)

20 (7.1)

77 (27.5)

280 (100.0)

Populations

     

 Target-matched

68 (86.1)

50 (48.1)

1 (5.0)

7 (9.1)

126 (45.0)

 Non target-matched

11 (13.9)

54 (51.9)

19 (95.0)

70 (90.9)

154 (55.0)

Investigational target-directed classes

     

 HER2-inhibitors

64 (81.0)

4 (3.8)

0 (0)

5 (6.5)

73 (26.1)

 Endocrine agents

0 (0)

47 (45.2)

1 (5.0)

4 (5.2)

52 (18.6)

 Anti-angiogenics

5 (6.3)

7 (6.7)

4 (20.0)

33 (42.8)

49 (17.5)

 mTOR/PI3K/Akt pathway-inhibitors

4 (5.1)

14 (13.5)

3 (15.0)

7 (9.1)

28 (10.0)

 Growth factor-inhibitors

2 (2.5)

12 (11.5)

2 (10.0)

4 (5.2)

20 (7.1)

 Intracellular, non-receptor PK-inhibitors

0 (0)

12 (11.5)

1 (5.0)

5 (6.5)

18 (6.4)

 Immunotherapy/vaccines

4 (5.1)

0 (0)

0 (0)

6 (7.8)

10 (3.6)

 PARP1/2-inhibitors

0 (0)

1 (1.0)

6 (30.0)

0 (0)

7 (2.5)

 Other

0 (0)

7 (6.7)

3 (15.0)

13 (16.9)

23 (8.2)

Types of target-directed therapy

     

 Established

59 (74.7)

56 (53.8)

2 (10.0)

16 (20.8)

133 (47.5)

 Emergent

20 (25.3)

48 (46.2)

18 (90.0)

61 (79.2)

147 (52.5)

Therapeutic strategies

     

 Chemotherapy-based regimens

64 (81.0)

13 (12.5)

18 (90.0)

69 (89.6)

164 (58.6)

 Non chemotherapy-based regimens

15 (19.0)

91 (87.5)

2 (10.0)

8 (10.4)

116 (41.4)

 ET-based regimens

6 (7.6)

95 (91.3)

1 (5.0)

11 (14.3)

113 (40.4)

 Non ET-based regimens

73 (92.4)

9 (8.6)

19 (95.0)

66 (85.7)

167 (59.6)

 Peptide-drug conjugates

6 (7.6)

0 (0)

1 (5.0)

1 (1.3)

8 (2.8)

 Mono-class regimens

60 (75.9)

51 (49.0)

19 (95.0)

65 (84.4)

195 (69.6)

 Multi-class regimens

19 (24.0)

53 (51.0)

1 (5.0)

12 (15.6)

85 (30.4)

Categories

Neoadjuvant [n (%)]

Adjuvant [n (%)]

Advanced [n (%)]

Total [n (%)]

Total [n (proportion by setting, %)]

68 (24.3)

66 (23.6)

146 (52.1)

280 (100.0)

Subtype

    

 HER2-positive

25 (36.8)

19 (28.8)

35 (23.9)

79 (28.2)

 HR-positive

17 (25.0)

29 (43.9)

58 (39.7)

104 (37.1)

 Triple-negative or BRCA-positive

7 (10.3)

3 (4.5)

10 (6.8)

20 (7.1)

 Other or unselected

19 (27.9)

15 (22.7)

43 (29.4)

77 (27.5)

Primary endpoint

    

 Overall survival

0 (0)

1 (1.5)

6 (4.1)

7 (2.5)

 Quality of life

0 (0)

2 (3.0)

1 (0.7)

3 (1.1)

 Pathological complete response

36 (52.9)

0 (0)

0 (0)

36 (12.8)

 DFS/RFS/PFS/EFS

3 (4.4)

51 (77.3)

106 (72.6)

160 (57.1)

 Clinical response

15 (22.0)

1 (1.5)

19 (13.0)

35 (12.5)

 Biomarker

10 (14.7)

6 (9.1)

2 (1.4)

18 (6.4)

 Safety and tolerability

4 (5.9)

3 (4.5)

8 (5.5)

15 (5.4)

 Other

0 (0)

2 (3.0)

4 (2.7)

6 (2.1)

Study Phase

    

 Phase II (%)

53 (77.9)

15 (22.7)

96 (65.8)

164 (58.6)

 Phase III (%)

15 (22.0)

51 (77.3)

50 (34.2)

116 (41.4)

  1. DFS disease-free survival, EFS event-free survival, ET endocrine therapy, HER2 human epidermal growth factor receptor 2, HR hormone receptor, mTOR mammalian target of rapamycin, PARP poly(ADP-ribose) polymerase, PI3K phosphoinositide 3-kinase, PFS progression-free survival, RFS relapse-free survival