Review Article

Triple-Negative Breast Cancer Treatment Advancements: A Review of Evolving Strategies

Table 1

Preoperative/adjuvant therapy regimens [10].

Preferred regimensFirst stepCycle

Dose-dense AC followed by paclitaxelDoxorubicin 60 mg/m2 IV day 1
Cyclophosphamide 600 mg/m2 IV day 1Cycled every 14 days for 4 cycles
Paclitaxel 175 mg/m2 by 3 h IV infusion day 1Cycled every 14 days for 4 cycles

Dose-dense AC followed by weekly paclitaxelDoxorubicin 60 mg/m2 IV day 1
Cyclophosphamide 600 mg/m2 IV day 1Cycled every 14 days for 4 cycles
Paclitaxel 80 mg/m2 by 1 h IV infusion weekly12 weeks

TCDocetaxel 75 mg/m2 IV day 1
Cyclophosphamide 600 mg/m2 IV day 1Cycled every 21 days for 4 cycles

Preoperative pembrolizumab + chemotherapy followed by adjuvant pembrolizumabPembrolizumab 200 mg IV day 1
Paclitaxel 80 mg/m2 IV days 1, 8, 15
Carboplatin AUC 5 IV day 1Cycled every 21 days for 4 cycles (cycles 1–4)
Pembrolizumab 200 mg IV day 1
Doxorubicin 60 mg/m2 IV day 1 or epirubicin 90 mg/m2 IV day 1
Cyclophosphamide 600 mg/m2 IV day 1Cycled every 21 days for 4 cycles (cycles 5–8)
Adjuvant pembrolizumab 200 mg IV day 1Cycled every 21 days for 9 cycles

Capecitabine1,000–1,250 mg/m2 PO twice daily on days 1–14Cycled every 21 days for 6–8 cycles

Olaparib300 mg PO twice dailyCycled every 28 days for 1 y