Current Landscape of Immunotherapy in Breast Cancer: A Review
Open accessAbstract
IMPORTANCE: There is tremendous interest in using immunotherapy to treat breast cancer, as evidenced by the more than 290 clinical trials ongoing at the time of this narrative review. The objective of this review is to describe the current status of immunotherapy in breast cancer, highlighting its potential in both early-stage and metastatic disease. OBSERVATIONS: After searching ClinicalTrials.gov on April 24, 2018, and PubMed up to June 30, 2018, to identify breast cancer immunotherapy trials, we found that immune checkpoint blockade (ICB) is the most investigated form of immunotherapy in breast cancer. Use of ICB as monotherapy has achieved objective responses in patients with breast cancer, with higher rates seen when administered in earlier lines of therapy. For responding patients, those responses are durable. More recent data suggest clinical efficacy when ICB is given in combination with chemotherapy. Ongoing studies are evaluating combination strategies pairing ICB with additional chemotherapeutic agents, targeted therapy, vaccines, and local ablative therapies to enhance response. To date, robust predictive biomarkers for response to ICB have not been established. CONCLUSIONS AND RELEVANCE: It is anticipated that combination therapy strategies will be the way forward for immunotherapy in breast cancer, with an improved understanding of tumor, microenvironment, and host factors informing treatment combination decisions. Thoughtful study design incorporating appropriate end points and correlative studies will be critical in identifying optimal strategies for enhancing the immune response against breast tumors.
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ICB has shown only modest efficacy in breast cancer.
“ICB has revolutionized the treatment of multiple malignancies. However, its efficacy in BC has been modest (27,70).”
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- Authors
- Adams, S., Gatti-Mays, M. E., Kalinsky, K., Korde, L. A., Sharon, E., Amiri-Kordestani, L., Bear, H., McArthur, H. L., Frank, E., Perlmutter, J., Page, D. B., Vincent, B., Hayes, J. F., Gulley, J. L., Litton, J. K., Hortobagyi, G. N., Chia, S., Krop, I., White, J., Sparano, J., Disis, M. L., & Mittendorf, E. A.
- Affiliations
- NYU Langone’s Laura and Isaac Perlmutter Cancer Center (US)
- National Cancer Institute (US)
- Columbia University Irving Medical Center (US)
- US Food and Drug Administration, Silver Spring, Maryland
- VCU Massey Comprehensive Cancer Center (US)
- Cedars-Sinai Medical Center (US)
- Dana-Farber Cancer Institute (US)
- Gemini Group, Ann Arbor, Michigan
- Providence Portland Medical Center (US)
- University of North Carolina at Chapel Hill (US)
- National Institutes of Health (US)
- The University of Texas MD Anderson Cancer Center (US)
- MD Anderson Cancer Center, Houston, Texas
- BC Cancer Agency (CA)
- The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (US)
- Albert Einstein College of Medicine (US)
- Fred Hutch Cancer Center (US)
- Brigham and Women's Hospital (US)
- ORCID
- Adams, Sylvia
- Gatti-Mays, Margaret E.
- Kalinsky, Kevin
- Korde, Larissa A.
- Sharon, Elad
- Bear, Harry
- McArthur, Heather L.
- Frank, Elizabeth
- Perlmutter, Jane
- Page, David B.
- Vincent, Benjamin
- Hayes, Jennifer F.
- Gulley, James L.
- Litton, Jennifer K.
- Chia, Stephen
- Krop, Ian
- White, Julia
- Sparano, Joseph
- Disis, Mary L.
- Mittendorf, Elizabeth A.
- Venue
- JAMA Oncology
- Publisher
- American Medical Association (AMA)
- Published
- 2019-08-01
- Volume
- 5
- Issue
- 8
- Pages
- 1205
- ISSN
- 2374-2437 (ISSN-L)
- PMC
- PMC8452050
- OpenAlex
- W2937981811
- Cited by
- 384
- References
- 76
- Citations by year
- 2026: 23 · 2025: 40 · 2024: 70 · 2023: 48 · 2022: 65 · 2021: 69 · 2020: 55 · 2019: 14
- FWCI
- 21.49
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- JAMA Oncology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (ZIABC010666)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Advanced Breast Cancer Therapies
- Keywords
- breast cancer, cancer immunotherapy, immune checkpoint blockade, early breast cancer, metastatic breast cancer, combination therapy, predictive biomarkers, tumor microenvironment, combination chemotherapy, clinical trials
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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