ALEXANDRA | Journal of the American Medical Association (JAMA)

overview

The addition of the immunotherapy drug atezolizumab to postoperative chemotherapy is not effective in patients with triple-negative breast cancer who are at high risk of developing metastases. 

study details

ALEXANDRA is a clinical trial partnership between Roche, the Breast International Group (BIG), Alliance Foundation Trials (AFT), Institut Jules Bordet (IJB) and Frontier Science.

This is a phase 3, multicentre, randomised, open-label study comparing atezolizumab (anti-PD-L1 antibody) in combination with adjuvant anthracycline/taxane-based chemotherapy versus chemotherapy alone in patients with operable triple negative breast cancer (TNBC).

Journal of the American Medical Association logo
Alexandra clinical trial logo

Title of publication

Adjuvant Atezolizumab for Early Triple-Negative Breast Cancer
The ALEXANDRA/IMpassion030 Randomized Clinical Trial

AUTHORS

Michail Ignatiadis, MD; Andrew Bailey, MSc; Heather McArthur, MD; Sarra El-abed, MD;
Evandro de Azambuja, MD; Otto Metzger, MD; Stephen Y. Chui, MD; Max Dieterich, MD; Thomas Perretti, MSc; Esther Shearer-Kang, PhD; Luciana Molinero, PhD; Günther G. Steger, MD; Jacek Jassem, MD; Soo Chin Lee, MD; Michaela Higgins, MD; Jose Zarba, MD; Marcus Schmidt, MD; Henry Gomez, MD; Angel Guerrero Zotano, MD; Luca Moscetti, MD; Joanne Chiu, MD; Elisabetta Munzone, MD; Noa Efrat Ben-Baruch, MD; Emilio Bajetta, MD; Shinji Ohno, MD; Seock-Ah Im, MD; GustavoWerutsky, MD; Einav Nili Gal-Yam, MD; Xavier Gonzalez Farre, MD; Ling-Ming Tseng, MD; William Jacot, MD; Oleg Gluz, MD; Zhimin Shao, MD; Yaroslav Shparyk, MD; Anastasia Zimina, MD; Eric Winer, MD; David A. Cameron, MD; Giuseppe Viale, MD; Shigehira Saji, MD; Richard Gelber, PhD; Martine Piccart, MD

PUBLICATION REFERENCE

Journal of the American Medical Association: doi:10.1001/jama.2024.26886

MORE PUBLICATIONS FROM FRONTIER SCIENCE SCOTLAND

ALTTO | ESMO Open

ALTTO | ESMO Open

Final 10-year analysis of the ALTTO trial exploring dual anti-HER2 blockade with lapatinib + trastuzumab compared to trastuzumab alone.

read more
APHINITY | Journal of Clinical Oncology

APHINITY | Journal of Clinical Oncology

Adjuvant Pertuzumab and Trastuzumab in Early Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer in the APHINITY Trial: Third Interim Overall Survival Analysis With Efficacy Update

read more
OlympiA results in the subset of patients from Japan

OlympiA results in the subset of patients from Japan

The consistency of results between the subset of patients from Japan and the global OlympiA population supports the clinical benefit of adjuvant olaparib for patients with gBRCA1/2pv and HER2-negative, high-risk eBC in Japan after completion of local treatment and neoadjuvant or adjuvant CT.

read more
APHINITY | European Journal of Cancer (EJC)

APHINITY | European Journal of Cancer (EJC)

Six-year absolute invasive disease-free survival benefit of adding adjuvant pertuzumab to trastuzumab and chemotherapy for patients with early HER2-positive breast cancer: A Subpopulation Treatment Effect Pattern Plot (STEPP) analysis of the APHINITY (BIG 4-11) trial

read more