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For patients with triple negative breast cancer, currently undergoing neoadjuvant dd AC, would you consider adding pembrolizumab to weekly paclitaxel based on recent KEYNOTE-522 and continue as adjuvant?

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For patients with TNBC, currently undergoing neoadjuvant dd AC, are you adding pembrolizumab to weekly paclitaxel based on KEYNOTE-522 data?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Mayo Clinic
Answered on

I think the decision should be informed by the degree of response to AC and initial bulk of disease at presentation. In patients who complete the AC portion and still have clinical evidence of substantial residual disease, I would absolutely consider adding pembrolizumab and carboplatin to weekly pa...

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Mednet Member
Mednet Member
Medical Oncology · Banner MD Anderson Cancer Center
Answered on

There are large differences between GeparNuevo and KEYNOTE-522. GeparNuevo is a phase 2 study with only 174 patients, using nab-paclitaxel without carbo and with dose dense anthracycline regimen. KEYNOTE is a phase 3 study with 1,174 patients, using paclitaxel/carbo and q3week-anthracycline regimen....

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