Triple-negative breast carcinoma
diseaseOn this page
Also known as triple-negative breast cancertriple-receptor negative breast cancer
Summary
Triple-negative breast carcinoma (MONDO:0005494) is a cancer with 11 cohort genes (45 GWAS associations across 13 studies; 10 CIViC-evidence somatic drivers; 1 ClinVar predisposition record) and 742 clinical trials. The dominant Reactome pathway is Defective homologous recombination repair (HRR) due to PALB2 loss of function (3 cohort genes). Molecularly, BRCA1 Loss-of-function confers sensitivity to Olaparib in Triple-receptor Negative Breast Cancer (CIViC Level A); 18 further subtype–drug associations are mapped below. Top therapeutic interventions include carboplatin, eribulin, and sacituzumab govitecan.
At a glance
- Classification: Cancer
- Cohort genes: 11
- GWAS associations: 45
- ClinVar variants: 1
- Clinical trials: 742
- Precision-medicine evidence (CIViC): 19 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | triple-negative breast carcinoma |
| Mondo ID | MONDO:0005494 |
| EFO | EFO:0005537 |
| MeSH | D064726 |
| DOID | DOID:0060081 |
| NCIT | C71732 |
| SNOMED CT | 706970001 |
| UMLS | C4722518 |
| MedGen | 1649548 |
| Is cancer (heuristic) | yes |
Also known as: triple-negative breast cancer · triple-negative breast carcinoma · triple-receptor negative breast cancer
Data availability: 1 ClinVar variant · 45 GWAS associations (13 studies) · 1 cell line.
Disease family
An umbrella term covering 1 Mondo subtype.
Classification path: human disease › disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › cancer › carcinoma › breast carcinoma › breast carcinoma by gene expression profile › progesterone-receptor negative breast cancer › triple-negative breast carcinoma
Subtypes (1): basal-like breast carcinoma
Genetics & variants
GWAS landscape
45 GWAS associations across 13 studies. Top hits map to 22 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs10069690 | 1e-23 | TERT | T | 1.38 |
| rs12974508 | 1e-23 | ANKLE1 - ABHD8 | C | 1.38 |
| rs10828247 | 2e-13 | MLLT10 | A | 0.03 |
| rs17215231 | 9e-13 | RPS18 | C | 1.18 |
| rs7580240 | 6e-11 | TRMT61B - WDR43 | C | 0.03 |
| rs76664032 | 4e-10 | LINC01956 | A | 1.3 |
| rs77825513 | 1e-09 | NR2F6 | A | 0.02 |
| rs4387713 | 1e-09 | GTPBP3 - PLVAP | T | 0.02 |
| rs10890841 | 2e-09 | C11orf65 | T | 0.02 |
| rs13258434 | 2e-09 | NACA4P - LINC02845 | G | 0.03 |
| rs3745191 | 4e-09 | ANO8 | C | 0.02 |
| rs2270418 | 5e-09 | TNFSF10 | T | 0.02 |
| rs6982226 | 6e-09 | LINC00536 | G | 0.02 |
| rs12094388 | 8e-09 | LRRN2 | A | 0.02 |
| rs78378222 | 1e-08 | TP53 | T | 1.45 |
| rs4866900 | 1e-08 | FGF10-AS1 - MRPS30-DT | G | 0.02 |
| rs2363956 | 2e-08 | ANKLE1 | C | 1.22 |
| rs10771399 | 2e-08 | PTHLH - CCDC91 | G | 1.39 |
| rs6547894 | 2e-08 | WDR43 | G | 0.02 |
| rs3130014 | 2e-08 | MYL12BP3 - LYPLA2P1 | A | 0.02 |
| rs1243184 | 2e-08 | MLLT10 | T | 0.03 |
| rs111999709 | 2e-08 | IL20RB - RNA5SP142 | C | 1.2 |
| rs189230042 | 2e-08 | RNA5SP224 - RNA5SP225 | A | 1.36 |
| rs2464195 | 3e-08 | HNF1A | G | 1.08 |
| rs534829894 | 3e-08 | IL20RB - RNA5SP142 | A | 1.2 |
| rs113378419 | 3e-08 | IL20RB - RNA5SP142 | T | 1.2 |
| rs11598380 | 3e-08 | HACD1 - STAM-DT | T | 1.45 |
| rs74829122 | 4e-08 | SLC6A18 | G | 0.02 |
| rs111295639 | 4e-08 | IL20RB - RNA5SP142 | C | 1.19 |
| rs112262998 | 4e-08 | IL20RB - RNA5SP142 | A | 1.19 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST010100 | Zhang H | 2020 | 18,016 | 100,971 | Genome-wide association study identifies 32 novel breast cancer susceptibility loci from overall and subtype-specific analyses. |
| GCST90446470 | Sun X | 2024 | 16,499 | 0 | Case-Case Genome-Wide Analyses Identify Subtype-Informative Variants that Confer Risk for Breast Cancer. |
| GCST90446471 | Sun X | 2024 | 16,499 | 0 | Case-Case Genome-Wide Analyses Identify Subtype-Informative Variants that Confer Risk for Breast Cancer. |
| GCST90446472 | Sun X | 2024 | 16,499 | 0 | Case-Case Genome-Wide Analyses Identify Subtype-Informative Variants that Confer Risk for Breast Cancer. |
| GCST90446474 | Sun X | 2024 | 16,499 | 0 | Case-Case Genome-Wide Analyses Identify Subtype-Informative Variants that Confer Risk for Breast Cancer. |
| GCST90454344 | Zhang H | 2020 | 14,900 | 91,477 | Genome-wide association study identifies 32 novel breast cancer susceptibility loci from overall and subtype-specific analyses. |
| GCST90652497 | Jia G | 2025 | 7,178 | 94,407 | Refining breast cancer genetic risk and biology through multi-ancestry fine-mapping analyses of 192 risk regions. |
| GCST90296722 | Jia G | 2024 | 2,860 | 16,262 | Genome-wide association analyses of breast cancer in women of African ancestry identify new susceptibility loci and improve risk prediction. |
| GCST002305 | Purrington KS | 2013 | 1,529 | 3,399 | Genome-wide association study identifies 25 known breast cancer susceptibility loci as risk factors for triple-negative breast cancer. |
| GCST90551896 | Hayat M | 2025 | 262 | 1,101 | Genome-wide association study identifies common variants associated with breast cancer in South African Black women. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 2 |
| Tier 2: splice/UTR | 3 |
| Tier 3: regulatory | 2 |
| Tier 4: intronic/intergenic | 37 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 37 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 6 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 22 |
| intergenic_variant | 14 |
| 3_prime_UTR_variant | 2 |
| missense_variant | 2 |
| TF_binding_site_variant | 1 |
| 5_prime_UTR_variant | 1 |
| regulatory_region_variant | 1 |
| synonymous_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs10069690 | 5 | 1279675 | C>T | 0.41 | intron_variant | TERT | 1e-23 | Tier 4: intronic/intergenic |
| rs12974508 | 19 | 17290712 | C>A,T | 0.41 | intergenic_variant | ANKLE1 - ABHD8 | 1e-23 | Tier 4: intronic/intergenic |
| rs10828247 | 10 | 21533927 | A>C,G | 0.05 | TF_binding_site_variant | MLLT10 | 2e-13 | Tier 3: regulatory |
| rs17215231 | 6 | 33272092 | C>A,T | 0.08 | 5_prime_UTR_variant | RPS18 | 9e-13 | Tier 2: splice/UTR |
| rs7580240 | 2 | 28891506 | C>T | 0.05 | intergenic_variant | TRMT61B - WDR43 | 6e-11 | Tier 4: intronic/intergenic |
| rs76664032 | 2 | 118823485 | A>C,G,T | 0.19 | intron_variant | LINC01956 | 4e-10 | Tier 4: intronic/intergenic |
| rs77825513 | 19 | 17236900 | C>A | 0.05 | intron_variant | NR2F6 | 1e-09 | Tier 4: intronic/intergenic |
| rs4387713 | 19 | 17349088 | T>A,C,G | 0.05 | regulatory_region_variant | GTPBP3 - PLVAP | 1e-09 | Tier 3: regulatory |
| rs10890841 | 11 | 108447224 | C>T | 0.05 | intron_variant | C11orf65 | 2e-09 | Tier 4: intronic/intergenic |
| rs13258434 | 8 | 101379857 | G>A,T | 0.05 | intergenic_variant | NACA4P - LINC02845 | 2e-09 | Tier 4: intronic/intergenic |
| rs3745191 | 19 | 17328225 | C>T | 0.05 | synonymous_variant | ANO8 | 4e-09 | Tier 4: intronic/intergenic |
| rs2270418 | 3 | 172523209 | T>C,G | 0.05 | intron_variant | TNFSF10 | 5e-09 | Tier 4: intronic/intergenic |
| rs6982226 | 8 | 116002917 | G>C,T | 0.05 | intron_variant | LINC00536 | 6e-09 | Tier 4: intronic/intergenic |
| rs12094388 | 1 | 204623046 | A>C,G,T | 0.05 | intron_variant | LRRN2 | 8e-09 | Tier 4: intronic/intergenic |
| rs78378222 | 17 | 7668434 | T>A,G | 0.01 | 3_prime_UTR_variant | TP53 | 1e-08 | Tier 2: splice/UTR |
| rs4866900 | 5 | 44444998 | G>A,C | 0.05 | intergenic_variant | FGF10-AS1 - MRPS30-DT | 1e-08 | Tier 4: intronic/intergenic |
| rs2363956 | 19 | 17283315 | T>G | 0.05 | missense_variant | ANKLE1 | 2e-08 | Tier 1: coding |
| rs10771399 | 12 | 28002147 | A>G | 0.05 | intergenic_variant | PTHLH - CCDC91 | 2e-08 | Tier 4: intronic/intergenic |
| rs6547894 | 2 | 28920924 | A>G | 0.05 | intron_variant | WDR43 | 2e-08 | Tier 4: intronic/intergenic |
| rs3130014 | 6 | 33344531 | A>C,G,T | 0.05 | intergenic_variant | MYL12BP3 - LYPLA2P1 | 2e-08 | Tier 4: intronic/intergenic |
| rs1243184 | 10 | 21643008 | T>C | 0.05 | intron_variant | MLLT10 | 2e-08 | Tier 4: intronic/intergenic |
| rs111999709 | 3 | 137423188 | T>C | intergenic_variant | IL20RB - RNA5SP142 | 2e-08 | Tier 4: intronic/intergenic | |
| rs189230042 | 6 | 153380909 | T>A | intron_variant | RNA5SP224 - RNA5SP225 | 2e-08 | Tier 4: intronic/intergenic | |
| rs2464195 | 12 | 120997672 | G>A,C | 0.37 | missense_variant | HNF1A | 3e-08 | Tier 1: coding |
| rs534829894 | 3 | 137407328 | G>A,T | intergenic_variant | IL20RB - RNA5SP142 | 3e-08 | Tier 4: intronic/intergenic | |
| rs113378419 | 3 | 137423356 | C>T | intergenic_variant | IL20RB - RNA5SP142 | 3e-08 | Tier 4: intronic/intergenic | |
| rs11598380 | 10 | 17627071 | C>A,T | 0.05 | intergenic_variant | HACD1 - STAM-DT | 3e-08 | Tier 4: intronic/intergenic |
| rs74829122 | 5 | 1241450 | A>G | 0.05 | intron_variant | SLC6A18 | 4e-08 | Tier 4: intronic/intergenic |
| rs111295639 | 3 | 137405804 | G>C | intergenic_variant | IL20RB - RNA5SP142 | 4e-08 | Tier 4: intronic/intergenic | |
| rs112262998 | 3 | 137407888 | G>A | intergenic_variant | IL20RB - RNA5SP142 | 4e-08 | Tier 4: intronic/intergenic |
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 benign/likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 132706 | NM_000051.4(ATM):c.5497-8T>C | ATM | Benign/Likely benign | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 63 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| BRCA1 | LoF | BLCA,BRCA,MEL,OVT | CIViC #6 |
| BRCA2 | LoF | BLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVA | CIViC #7 |
| ERBB2 | Act | BLCA,BRCA,CESC,CHOL,COADREAD,EGC,ESCA,ESCC,LMS,LUAD,NSCLC,OVT,PRCC,READ,STAD,UCEC | CIViC #20 |
| FGFR2 | Act | BRCA,CHOL,LUSC,SACA,UCEC | CIViC #22 |
| AKT3 | Act | PROSTATE,SKCM | CIViC #7936 |
| RB1 | LoF | ACC,BLADDER,BLCA,BRCA,CESC,ESCA,GB,GBM,GIST,HCC,HNSC,LGGNOS,LIPO,LMS,LUAD,LUSC,MEL,MT,NSCLC,OS,OVT,PANCREAS,PCM,PRAD,PROSTATE,RBL,SCLC,SKCM,SOFT_TISSUE,STAD,STOMACH,UCEC,UCS | CIViC #4795 |
| TERT | Act | PRCC | CIViC #79 |
| ESR1 | Act | BRCA,LUSC,MEL,UCEC | CIViC #21 |
| MDM4 | CIViC #3466 | ||
| ATM | LoF | BLCA,BRCA,CCRCC,CHOL,CLLSLL,COAD,COADREAD,ESCA,HCC,LUAD,LUSC,MEL,NSCLC,PAAD,PANCREAS,PANET,PCM,PLMESO,PRAD,PROSTATE,STAD,UCEC,UTUC,WDTC | CIViC #69 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| BRCA1 | Orphanet:1331 | Familial prostate cancer |
| BRCA1 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA1 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA1 | Orphanet:168829 | Primary peritoneal carcinoma |
| BRCA1 | Orphanet:227535 | Hereditary breast cancer |
| BRCA1 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA1 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA1 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA1 | Orphanet:84 | Fanconi anemia |
| BRCA2 | Orphanet:1331 | Familial prostate cancer |
| BRCA2 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA2 | Orphanet:178 | Chordoma |
| BRCA2 | Orphanet:227535 | Hereditary breast cancer |
| BRCA2 | Orphanet:319462 | Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations |
| BRCA2 | Orphanet:440437 | Familial colorectal cancer Type X |
| BRCA2 | Orphanet:654 | Nephroblastoma |
| BRCA2 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA2 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA2 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA2 | Orphanet:84 | Fanconi anemia |
| ERBB2 | Orphanet:213726 | Serous carcinoma of the corpus uteri |
| ERBB2 | Orphanet:2800 | Extramammary Paget disease |
| ERBB2 | Orphanet:388 | Hirschsprung disease |
| ERBB2 | Orphanet:99976 | Adenocarcinoma of the oesophagus and oesophagogastric junction |
| FGFR2 | Orphanet:1540 | Jackson-Weiss syndrome |
| FGFR2 | Orphanet:1555 | Cutis gyrata-acanthosis nigricans-craniosynostosis syndrome |
| FGFR2 | Orphanet:168624 | Familial scaphocephaly syndrome, McGillivray type |
| FGFR2 | Orphanet:207 | Crouzon syndrome |
| FGFR2 | Orphanet:2363 | Lacrimoauriculodentodigital syndrome |
| FGFR2 | Orphanet:313855 | FGFR2-related bent bone dysplasia |
| FGFR2 | Orphanet:596008 | Antley-Bixler syndrome without genital anomaly or disorder of steroidogenesis |
| FGFR2 | Orphanet:794 | Saethre-Chotzen syndrome |
| FGFR2 | Orphanet:87 | Apert syndrome |
| FGFR2 | Orphanet:93258 | Pfeiffer syndrome type 1 |
| FGFR2 | Orphanet:93259 | Pfeiffer syndrome type 2 |
| FGFR2 | Orphanet:93260 | Pfeiffer syndrome type 3 |
| AKT3 | Orphanet:83473 | Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| AKT3 | Orphanet:99802 | Hemimegalencephaly |
| RB1 | Orphanet:1587 | Monosomy 13q14 syndrome |
| RB1 | Orphanet:357027 | Hereditary retinoblastoma |
| RB1 | Orphanet:357034 | Non-hereditary retinoblastoma |
| RB1 | Orphanet:668 | Osteosarcoma |
| RB1 | Orphanet:70573 | Small cell lung cancer |
| TERT | Orphanet:146 | Differentiated thyroid carcinoma |
| TERT | Orphanet:1501 | Adrenocortical carcinoma |
| TERT | Orphanet:1775 | Dyskeratosis congenita |
| TERT | Orphanet:2032 | Idiopathic pulmonary fibrosis |
| TERT | Orphanet:2495 | Meningioma |
| TERT | Orphanet:3322 | Hoyeraal-Hreidarsson syndrome |
Cohort genes → proteins
11 cohort genes, 11 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 4 |
| civic_only | 6 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| BRCA1 | HGNC:1100 | ENSG00000012048 | P38398 | Breast cancer type 1 susceptibility protein | civic_evidence |
| BRCA2 | HGNC:1101 | ENSG00000139618 | P51587 | Breast cancer type 2 susceptibility protein | civic_evidence |
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
| FGFR2 | HGNC:3689 | ENSG00000066468 | P21802 | Fibroblast growth factor receptor 2 | civic_evidence |
| AKT3 | HGNC:393 | ENSG00000117020 | Q9Y243 | RAC-gamma serine/threonine-protein kinase | civic_evidence |
| RB1 | HGNC:9884 | ENSG00000139687 | P06400 | Retinoblastoma-associated protein | civic_evidence |
| TERT | HGNC:11730 | ENSG00000164362 | O14746 | Telomerase reverse transcriptase | gwas |
| ESR1 | HGNC:3467 | ENSG00000091831 | P03372 | Estrogen receptor | gwas |
| MDM4 | HGNC:6974 | ENSG00000198625 | O15151 | Protein Mdm4 | gwas |
| ATM | HGNC:795 | ENSG00000149311 | Q13315 | Serine-protein kinase ATM | clinvar |
| PTHLH | HGNC:9607 | ENSG00000087494 | P12272 | Parathyroid hormone-related protein | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| BRCA1 | Breast cancer type 1 susceptibility protein | E3 ubiquitin-protein ligase that specifically mediates the formation of ‘Lys-6’-linked polyubiquitin chains and plays a central role in DNA repair by facilitating cellular responses to DNA damage. |
| BRCA2 | Breast cancer type 2 susceptibility protein | Involved in double-strand break repair and/or homologous recombination. |
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
| FGFR2 | Fibroblast growth factor receptor 2 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation, migration and apoptosis, and in the regulation of embryonic de… |
| AKT3 | RAC-gamma serine/threonine-protein kinase | AKT3 is one of 3 closely related serine/threonine-protein kinases (AKT1, AKT2 and AKT3) called the AKT kinase, and which regulate many processes including metabolism, proliferation, cell survival, growth and angiogenesis. |
| RB1 | Retinoblastoma-associated protein | Tumor suppressor that is a key regulator of the G1/S transition of the cell cycle. |
| TERT | Telomerase reverse transcriptase | Telomerase is a ribonucleoprotein enzyme essential for the replication of chromosome termini in most eukaryotes. |
| ESR1 | Estrogen receptor | Nuclear hormone receptor. |
| MDM4 | Protein Mdm4 | Contributes to p53/TP53 regulation. |
| ATM | Serine-protein kinase ATM | Serine/threonine protein kinase which activates checkpoint signaling upon double strand breaks (DSBs), apoptosis and genotoxic stresses such as ionizing ultraviolet A light (UVA), thereby acting as a DNA damage sensor. |
| PTHLH | Parathyroid hormone-related protein | Neuroendocrine peptide which is a critical regulator of cellular and organ growth, development, migration, differentiation and survival and of epithelial calcium ion transport. |
Protein-family classification
Druggable: 5 · Difficult: 2 · Unknown: 4 · Druggable fraction: 0.45
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 4 | 10.1× | 0.002 |
| Nuclear receptor | 1 | 35.1× | 0.056 |
| Transcription factor | 2 | 1.5× | 0.523 |
| Other/Unknown | 4 | 0.7× | 0.946 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| BRCA1 | Transcription factor | no | 2.3.2.27 | BRCT_dom, Znf_RING, BRCA1 |
| BRCA2 | Other/Unknown | no | BRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1 | |
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| FGFR2 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
| AKT3 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
| RB1 | Other/Unknown | no | RB_B, RB_A, Cyclin-like_dom | |
| TERT | Other/Unknown | no | RT_dom, Telomerase_RT, Telomerase_RBD | |
| ESR1 | Nuclear receptor | yes | Nucl_hrmn_rcpt_lig-bd, Estr_rcpt, Znf_hrmn_rcpt | |
| MDM4 | Transcription factor | no | Znf_RING, Znf_RanBP2, SWIB_MDM2_domain | |
| ATM | Kinase | yes | 2.7.11.1 | PI3/4_kinase_cat_dom, PIK-rel_kinase_FAT, FATC_dom |
| PTHLH | Other/Unknown | no | PTH/PTH-rel, PTH-rel |
Expression context
Cohort genes with no expression data: 0.
10 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 11 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| male germ line stem cell (sensu Vertebrata) in testis | 2 |
| primordial germ cell in gonad | 2 |
| ventricular zone | 2 |
| corpus callosum | 2 |
| calcaneal tendon | 2 |
| stromal cell of endometrium | 2 |
| colonic epithelium | 2 |
| secondary oocyte | 1 |
| lower esophagus mucosa | 1 |
| right uterine tube | 1 |
| sural nerve | 1 |
| C1 segment of cervical spinal cord | 1 |
| spinal cord | 1 |
| cortical plate | 1 |
| embryo | 1 |
| choroid plexus epithelium | 1 |
| epithelium of nasopharynx | 1 |
| visceral pleura | 1 |
| olfactory bulb | 1 |
| type B pancreatic cell | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| BRCA1 | 208 | ubiquitous | marker | ventricular zone, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| BRCA2 | 184 | ubiquitous | marker | male germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone |
| ERBB2 | 276 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, sural nerve |
| FGFR2 | 272 | broad | marker | C1 segment of cervical spinal cord, spinal cord, corpus callosum |
| AKT3 | 231 | ubiquitous | marker | cortical plate, calcaneal tendon, embryo |
| RB1 | 287 | ubiquitous | marker | epithelium of nasopharynx, choroid plexus epithelium, visceral pleura |
| TERT | 105 | broad | yes | stromal cell of endometrium, type B pancreatic cell, olfactory bulb |
| ESR1 | 216 | broad | marker | oviduct epithelium, cervix epithelium, mammalian vulva |
| MDM4 | 270 | ubiquitous | marker | nipple, oocyte, colonic epithelium |
| ATM | 286 | ubiquitous | marker | calcaneal tendon, colonic epithelium, corpus callosum |
| PTHLH | 202 | broad | marker | periodontal ligament, primordial germ cell in gonad, stromal cell of endometrium |
Protein interactions among cohort
Intra-cohort edges: 6.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| ESR1 | 12,382 |
| ERBB2 | 9,659 |
| BRCA1 | 9,064 |
| ATM | 7,383 |
| TERT | 5,717 |
| BRCA2 | 4,839 |
| RB1 | 4,374 |
| MDM4 | 3,431 |
| AKT3 | 3,392 |
| PTHLH | 1,599 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ATM | BRCA1 | string_interaction |
| ATM | BRCA2 | string_interaction |
| ATM | MDM4 | string_interaction |
| BRCA1 | BRCA2 | string_interaction |
| BRCA1 | ESR1 | intact, string_interaction |
| BRCA1 | MDM4 | string_interaction |
Structural data
PDB: 11 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| ESR1 | P03372 | 478 |
| ERBB2 | P04626 | 63 |
| FGFR2 | P21802 | 63 |
| MDM4 | O15151 | 39 |
| BRCA1 | P38398 | 33 |
| TERT | O14746 | 23 |
| RB1 | P06400 | 19 |
| BRCA2 | P51587 | 14 |
| ATM | Q13315 | 14 |
| PTHLH | P12272 | 11 |
| AKT3 | Q9Y243 | 2 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 230. Enrichment computed across 11 evidence-associated genes (11 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 11 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Defective homologous recombination repair (HRR) due to PALB2 loss of function | 3 | 259.6× | 1e-05 | BRCA1, BRCA2, ATM |
| Diseases of DNA Double-Strand Break Repair | 3 | 222.5× | 1e-05 | BRCA1, BRCA2, ATM |
| Defective homologous recombination repair (HRR) due to BRCA2 loss of function | 3 | 222.5× | 1e-05 | BRCA1, BRCA2, ATM |
| Cell Cycle | 6 | 19.6× | 1e-05 | BRCA1, BRCA2, TERT, AKT3, MDM4, ATM |
| Resolution of D-Loop Structures | 3 | 173.0× | 2e-05 | BRCA1, BRCA2, ATM |
| Diseases of DNA repair | 3 | 155.7× | 3e-05 | BRCA1, BRCA2, ATM |
| Regulation of TP53 Expression and Degradation | 3 | 141.6× | 3e-05 | AKT3, MDM4, ATM |
| Regulation of TP53 Activity | 4 | 48.3× | 3e-05 | BRCA1, AKT3, MDM4, ATM |
| Impaired BRCA2 binding to PALB2 | 3 | 124.6× | 4e-05 | BRCA1, BRCA2, ATM |
| Defective homologous recombination repair (HRR) due to BRCA1 loss of function | 3 | 115.3× | 4e-05 | BRCA1, BRCA2, ATM |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function | 3 | 115.3× | 4e-05 | BRCA1, BRCA2, ATM |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function | 3 | 115.3× | 4e-05 | BRCA1, BRCA2, ATM |
| Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA) | 3 | 107.4× | 4e-05 | BRCA1, BRCA2, ATM |
| Homologous DNA Pairing and Strand Exchange | 3 | 103.8× | 4e-05 | BRCA1, BRCA2, ATM |
| Homology Directed Repair | 3 | 84.2× | 7e-05 | BRCA1, BRCA2, ATM |
| HDR through Homologous Recombination (HRR) or Single Strand Annealing (SSA) | 3 | 84.2× | 7e-05 | BRCA1, BRCA2, ATM |
| Impaired BRCA2 binding to RAD51 | 3 | 84.2× | 7e-05 | BRCA1, BRCA2, ATM |
| Resolution of D-loop Structures through Holliday Junction Intermediates | 3 | 82.0× | 7e-05 | BRCA1, BRCA2, ATM |
| Regulation of TP53 Degradation | 3 | 79.9× | 7e-05 | AKT3, MDM4, ATM |
| Meiosis | 3 | 77.9× | 7e-05 | BRCA1, BRCA2, ATM |
| Presynaptic phase of homologous DNA pairing and strand exchange | 3 | 74.2× | 8e-05 | BRCA1, BRCA2, ATM |
| DNA Double-Strand Break Repair | 3 | 67.7× | 1e-04 | BRCA1, BRCA2, ATM |
| PIP3 activates AKT signaling | 4 | 24.3× | 1e-04 | ERBB2, ESR1, FGFR2, AKT3 |
| Regulation of MITF-M-dependent genes involved in DNA replication, damage repair and senescence | 2 | 296.6× | 2e-04 | BRCA1, TERT |
| Transcriptional Regulation by TP53 | 4 | 22.6× | 2e-04 | BRCA1, AKT3, MDM4, ATM |
| Reproduction | 3 | 51.9× | 2e-04 | BRCA1, BRCA2, ATM |
| HDR through Homologous Recombination (HRR) | 3 | 51.9× | 2e-04 | BRCA1, BRCA2, ATM |
| Meiotic recombination | 3 | 35.4× | 6e-04 | BRCA1, BRCA2, ATM |
| Downregulation of ERBB2:ERBB3 signaling | 2 | 148.3× | 6e-04 | ERBB2, AKT3 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 3 | 34.6× | 6e-04 | ERBB2, ESR1, FGFR2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 11 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| prostate epithelial cord elongation | 2 | 1021.3× | 4e-04 | ESR1, FGFR2 |
| DNA damage response, signal transduction by p53 class mediator | 3 | 97.8× | 6e-04 | BRCA2, MDM4, ATM |
| prostate epithelial cord arborization involved in prostate glandular acinus morphogenesis | 2 | 437.7× | 8e-04 | ESR1, FGFR2 |
| establishment of protein localization to telomere | 2 | 383.0× | 8e-04 | BRCA2, TERT |
| regulation of cell cycle | 4 | 27.1× | 8e-04 | BRCA1, MDM4, ATM, RB1 |
| telomere maintenance via recombination | 2 | 278.6× | 0.001 | BRCA2, TERT |
| double-strand break repair | 3 | 55.4× | 0.001 | BRCA1, BRCA2, ATM |
| regulation of DNA damage checkpoint | 2 | 204.3× | 0.002 | BRCA1, BRCA2 |
| double-strand break repair via homologous recombination | 3 | 42.6× | 0.002 | BRCA1, BRCA2, ATM |
| replicative senescence | 2 | 180.2× | 0.002 | TERT, ATM |
| cellular response to hypoxia | 3 | 33.1× | 0.003 | TERT, FGFR2, MDM4 |
| positive regulation of angiogenesis | 3 | 31.5× | 0.003 | BRCA1, TERT, AKT3 |
| negative regulation of cellular senescence | 2 | 117.8× | 0.004 | TERT, AKT3 |
| regulation of ERK1 and ERK2 cascade | 2 | 105.7× | 0.004 | ERBB2, FGFR2 |
| digestive tract development | 2 | 95.8× | 0.005 | FGFR2, RB1 |
| mitotic G2 DNA damage checkpoint signaling | 2 | 80.6× | 0.006 | BRCA1, ATM |
| positive regulation of vascular associated smooth muscle cell proliferation | 2 | 78.6× | 0.006 | TERT, FGFR2 |
| peptidyl-tyrosine phosphorylation | 2 | 76.6× | 0.006 | ERBB2, FGFR2 |
| response to ionizing radiation | 2 | 74.7× | 0.006 | BRCA1, ATM |
| cellular response to ionizing radiation | 2 | 74.7× | 0.006 | BRCA1, BRCA2 |
| heart development | 3 | 21.5× | 0.006 | TERT, ERBB2, ATM |
| positive regulation of Wnt signaling pathway | 2 | 69.6× | 0.006 | TERT, FGFR2 |
| chromatin remodeling | 3 | 19.9× | 0.006 | BRCA1, ESR1, RB1 |
| RNA-templated transcription | 1 | 1532.0× | 0.007 | TERT |
| DNA strand elongation | 1 | 1532.0× | 0.007 | TERT |
| fibroblast growth factor receptor signaling pathway involved in negative regulation of apoptotic process in bone marrow cell | 1 | 1532.0× | 0.007 | FGFR2 |
| fibroblast growth factor receptor signaling pathway involved in hemopoiesis | 1 | 1532.0× | 0.007 | FGFR2 |
| fibroblast growth factor receptor signaling pathway involved in positive regulation of cell proliferation in bone marrow | 1 | 1532.0× | 0.007 | FGFR2 |
| lateral sprouting from an epithelium | 1 | 1532.0× | 0.007 | FGFR2 |
| siRNA transcription | 1 | 1532.0× | 0.007 | TERT |
Therapeutics
Drugs indicated for this disease
2 approved, 17 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Atezolizumab | Approved (phase 4) |
| Sacituzumab Govitecan | Approved (phase 4) |
| Camrelizumab | Phase 3 (in late-stage trials) |
| Capecitabine | Phase 3 (in late-stage trials) |
| Carboplatin | Phase 3 (in late-stage trials) |
| Cisplatin | Phase 3 (in late-stage trials) |
| Doxorubicin | Phase 3 (in late-stage trials) |
| Epirubicin | Phase 3 (in late-stage trials) |
| Eribulin | Phase 3 (in late-stage trials) |
| Famitinib | Phase 3 (in late-stage trials) |
| Filgrastim | Phase 3 (in late-stage trials) |
| Gemcitabine | Phase 3 (in late-stage trials) |
| Ipatasertib | Phase 3 (in late-stage trials) |
| Paclitaxel | Phase 3 (in late-stage trials) |
| Pegfilgrastim | Phase 3 (in late-stage trials) |
| Pembrolizumab | Phase 3 (in late-stage trials) |
| Toripalimab | Phase 3 (in late-stage trials) |
| Trilaciclib | Phase 3 (in late-stage trials) |
| Vinorelbine | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Alpelisib, Anastrozole, Avelumab, Bavituximab, Bevacizumab, Binimetinib, Capivasertib, Catequentinib, Ceralasertib, Cirmtuzumab, Dasatinib Anhydrous, Datopotamab Deruxtecan, Durvalumab, Efavirenz, Enobosarm, Entinostat, Enzalutamide, Estradiol, Everolimus, Exemestane, Fluzoparib, Ibcasertib, Inosine, Ivonescimab, Ivuxolimab, Letrozole, Magrolimab, Metformin, Mirvetuximab Soravtansine, Olaparib, Panitumumab, Pelareorep, Platinum, Propranolol, Pyrotinib, Quercetin, Retifanlimab, Rivoceranib, Sargramostim, Selumetinib, Spartalizumab, Talazoparib, Tislelizumab, Tivantinib, Trametinib, Trastuzumab, Trastuzumab Deruxtecan, Tucidinostat, Utomilumab, Veliparib.
Drug target analysis
Approved (phase 4): 8 · Phase ≥3: 8 · Phased (≥1): 9 · Undrugged: 2
Druggability breadth: 10 of 11 evidence-associated genes (91%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| BRCA1 | RIBOFLAVIN |
| ERBB2 | CLOTRIMAZOLE |
| FGFR2 | PONATINIB |
| AKT3 | CAPIVASERTIB |
| TERT | BERBERINE |
| ESR1 | CANDESARTAN CILEXETIL |
| MDM4 | DIOSMIN |
| ATM | AMIODARONE HYDROCHLORIDE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| ESR1 | 162 | 4 |
| ERBB2 | 83 | 4 |
| FGFR2 | 59 | 4 |
| ATM | 35 | 4 |
| AKT3 | 18 | 4 |
| BRCA1 | 12 | 4 |
| TERT | 10 | 4 |
| MDM4 | 7 | 4 |
| RB1 | 1 | 2 |
| BRCA2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| RIBOFLAVIN | 4 | BRCA1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| TOPOTECAN HYDROCHLORIDE | 4 | BRCA1 |
| DAUNORUBICIN | 4 | BRCA1, ESR1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| MESALAMINE | 4 | BRCA1 |
| DIPYRIDAMOLE | 4 | ATM, BRCA1 |
| CLOTRIMAZOLE | 4 | ERBB2 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2, FGFR2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2, FGFR2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2, FGFR2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2, FGFR2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2, ESR1 |
| ASTEMIZOLE | 4 | ERBB2 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2, FGFR2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 5.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| ESR1 | 2,435 | Binding:2037, Functional:363, ADMET:35 |
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
| FGFR2 | 966 | Binding:940, Functional:22, ADMET:4 |
| AKT3 | 660 | Binding:644, Functional:16 |
| TERT | 391 | Binding:389, Functional:2 |
| ATM | 240 | Binding:233, Functional:5, ADMET:2 |
| MDM4 | 149 | Binding:148, Functional:1 |
| RB1 | 59 | Binding:59 |
| BRCA1 | 13 | Binding:9, Functional:4 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| BRCA1 | 2.3.2.27 | RING-type E3 ubiquitin transferase |
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| FGFR2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| AKT3 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| ATM | 2.7.11.1 | non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| ERBB2 | 1,221 |
| FGFR2 | 966 |
| AKT3 | 660 |
| TERT | 391 |
| ESR1 | 2,435 |
| MDM4 | 149 |
| ATM | 240 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 11; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
29 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| RIBOFLAVIN | 4 | BRCA1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| TOPOTECAN HYDROCHLORIDE | 4 | BRCA1 |
| DAUNORUBICIN | 4 | BRCA1, ESR1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| MESALAMINE | 4 | BRCA1 |
| DIPYRIDAMOLE | 4 | ATM, BRCA1 |
| CLOTRIMAZOLE | 4 | ERBB2 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2, FGFR2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2, FGFR2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2, FGFR2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2, FGFR2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2, ESR1 |
| ASTEMIZOLE | 4 | ERBB2 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2, FGFR2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 8 | BRCA1, ERBB2, FGFR2, AKT3, TERT, ESR1, MDM4, ATM |
| B | Phased (≥1) drug, not yet approved | 1 | RB1 |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 2 | BRCA2, PTHLH |
Undrugged target profiles
2 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| BRCA2 | 0 | BRCA1 |
| PTHLH | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 742.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 256 |
| PHASE1 | 181 |
| Not specified | 116 |
| PHASE1/PHASE2 | 106 |
| PHASE3 | 59 |
| EARLY_PHASE1 | 13 |
| PHASE2/PHASE3 | 6 |
| PHASE4 | 5 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04790305 | PHASE4 | RECRUITING | Effect of Huaier Granule on Adjuvant Treatment for High-risk Early-stage Triple-negative Breast Cancer |
| NCT05843292 | PHASE4 | NOT_YET_RECRUITING | Short-term Sintilimab in Combination With Taxane and Carboplatin for Neoadjuvant Therapy in Triple-negative Breast Cancer |
| NCT06920810 | PHASE4 | RECRUITING | Viscum Album for TNBC on Adjuvant Pembrolizumab |
| NCT02615457 | PHASE4 | UNKNOWN | Huaier Granule in Treating Women With Triple Negative Breast Cancer |
| NCT03799679 | PHASE4 | UNKNOWN | Albumin-Bound Paclitaxel Followed by Epirubicin in Combination With Cyclophosphamide in Triple Negative Breast Cancer |
| NCT02445391 | PHASE3 | ACTIVE_NOT_RECRUITING | Platinum in Treating Patients With Residual Triple-Negative Breast Cancer Following Neoadjuvant Chemotherapy |
| NCT02488967 | PHASE3 | ACTIVE_NOT_RECRUITING | Doxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel With or Without Carboplatin in Treating Patients With Triple-Negative Breast Cancer |
| NCT02641847 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | TA(E)C-GP Versus A(E)C-T for the High Risk TNBC Patients and Validation of the mRNA-lncRNA Signature |
| NCT02954874 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing MK-3475 (Pembrolizumab) as Adjuvant Therapy for Triple Receptor-Negative Breast Cancer |
| NCT03168880 | PHASE3 | ACTIVE_NOT_RECRUITING | A Randomized Controlled Trial of Neoadjuvant Weekly Paclitaxel Versus Weekly Paclitaxel Plus Weekly Carboplatin In Women With Large Operable or Locally Advanced, Triple Negative Breast Cancer |
| NCT03281954 | PHASE3 | ACTIVE_NOT_RECRUITING | Clinical Trial of Neoadjuvant Chemotherapy With Atezolizumab or Placebo in Patients With Triple-Negative Breast Cancer Followed After Surgery by Atezolizumab or Placebo |
| NCT03562637 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Adagloxad Simolenin (OBI-822)/OBI-821 in the Adjuvant Treatment of Patients With Globo H Positive TNBC |
| NCT03671044 | PHASE3 | RECRUITING | A Study to Evaluate the Efficacy and Safety of Nanosomal Docetaxel Lipid Suspension in Triple Negative Breast Cancer Patients |
| NCT04296175 | PHASE3 | ACTIVE_NOT_RECRUITING | Carboplatin Intensified Chemotherapy for TRIple NEgative Breast Cancer(CITRINE) |
| NCT04301739 | PHASE3 | NOT_YET_RECRUITING | to Evaluate Efficacy and Safety of HLX10 in Combination With Chemotherapy Versus Placebo in Combination With Chemotherapy as Neoadjuvant Therapy and HLX10 Versus Placebo as Adjuvant Therapy in Patients With Triple Negative Breast Cancer (TNBC) |
| NCT04595565 | PHASE3 | ACTIVE_NOT_RECRUITING | Sacituzumab Govitecan in Primary HER2-negative Breast Cancer |
| NCT04722978 | PHASE3 | RECRUITING | Standard Chemotherapy Plus Moxifloxacin as First-line Treatment for Metastatic Triple-negative Breast Cancer |
| NCT05078047 | PHASE3 | RECRUITING | Study Comparing the Standard Administration of IO Versus the Same IO Administered Each 3 Months in Patients in Response After 6 Months of Standard IO |
| NCT05347134 | PHASE3 | ACTIVE_NOT_RECRUITING | SKB264 Injection vs Investigator Selected Regimens to Treat Locally Advanced, Recurrent or Metastatic Triple-negative Breast Cancer |
| NCT05382286 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Sacituzumab Govitecan-hziy and Pembrolizumab Versus Treatment of Physician’s Choice and Pembrolizumab in Patients With Previously Untreated, Locally Advanced Inoperable or Metastatic Triple-Negative Breast Cancer |
| NCT05382299 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician’s Choice in Patients With Previously Untreated Locally Advanced Inoperable or Metastatic Triple-Negative Breast Cancer |
| NCT05552001 | PHASE3 | RECRUITING | Safety and Efficacy Analysis of an Antibody Associated With a Chemotherapy for Patients With a Triple Negative Metastatic Breast Cancer |
| NCT05633654 | PHASE3 | RECRUITING | Study of Sacituzumab Govitecan-hziy and Pembrolizumab Versus Treatment of Physician’s Choice in Patients With Triple Negative Breast Cancer Who Have Residual Invasive Disease After Surgery and Neoadjuvant Therapy (ASCENT-05/AFT-65 OptimICE-RD/GBG 119/NSABP B-63) |
| NCT05760378 | PHASE3 | RECRUITING | Famitinib in Combination With Camrelizumab and TPC in The First-line Treatment of Immunomodulatory Locally Advanced or Metastatic TNBC. |
| NCT05806060 | PHASE3 | RECRUITING | Precise Treatment for BLIS Subtype of TNBC in the First-line Treatment of Locally Advanced or Metastatic Breast Cancer |
| NCT05909332 | PHASE3 | RECRUITING | Study of Antivascular Therapy Combined With Chemotherapy Versus Chemotherapy in Adjuvant Therapy of TNBC-BLIS Patients (BCTOP-T-A03) |
| NCT05954442 | PHASE3 | RECRUITING | Everolimus With Investigator’s Choice of Chemotherapy in Advanced Triple-Negative Breast Cancer (TNBC) With Luminal Androgen Receptor (LAR) Subtype |
| NCT06081244 | PHASE3 | RECRUITING | NeoAdj. Therapy Comparing Sacituzumab Govitecan (SG) vs. SG+Pembrolizumab in Low-risk, Triple-neg. EBC (ADAPT-TN-III) |
| NCT06279364 | PHASE3 | RECRUITING | A Study of SKB264 Versus Investigator’s Choice Chemotherapy in Patients With Unresectable Recurrent or Metastatic Triple-Negative Breast Cancer |
| NCT06382142 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Comparing BL-B01D1 With Chemotherapy of Physician’s Choice in Patients With Unresectable Locally Advanced or Metastatic Triple-Negative Breast Cancer(PANKU-Breast02) |
| NCT06393374 | PHASE3 | RECRUITING | Sacituzumab Tirumotecan (MK-2870) Plus Pembrolizumab Versus TPC in TNBC Who Did Not Achieve pCR (MK-2870-012) |
| NCT06419621 | PHASE3 | RECRUITING | PM8002 or Placebo Plus Nab-Paclitaxel as First-line Treatment in Inoperable Locally Advanced/Metastatic TNBC |
| NCT06519370 | PHASE3 | ACTIVE_NOT_RECRUITING | FDA018-ADC vs Investigator’s Choice Chemotherapy to Treat Locally Advanced, Recurrent or Metastatic Triple-negative Breast Cancer |
| NCT06533384 | PHASE3 | RECRUITING | PARPi or Capecitabine Combined With PD-1 Inhibitors as Adjuvant Therapy in High-risk TNBC |
| NCT06606730 | PHASE3 | RECRUITING | Personalizing the Use of Pembrolizumab for Patients Who Have a Strong Response in Early Triple Negative Breast Cancer |
| NCT06732323 | PHASE3 | RECRUITING | A Phase III Study of ESG401 for Unresectable Recurrent or Metastatic Triple-Negative Breast Cancer |
| NCT06767527 | PHASE3 | RECRUITING | AK112 or Placebo Plus Nab-Paclitaxel as First-line Treatment in Inoperable Locally Advanced/ Metastatic Triple-negative Breast Cancer |
| NCT06795503 | PHASE3 | NOT_YET_RECRUITING | Non-Inferiority Study on MRNA-lncRNA Model in Low-Risk Triple-Negative Breast Cancer Patients |
| NCT06889688 | PHASE3 | RECRUITING | Phase III Trial of Camrelizumab+Apatinib+Eribulin vs. Physician’s Choice Chemotherapy in Advanced Triple-Negative Breast Cancer |
| NCT06910072 | PHASE2/PHASE3 | NOT_YET_RECRUITING | Paclitaxel Polymeric Micelles and Carboplatin in Combination With Iparomilimab and Tuvonralimab Neoadjuvant Therapy for Triple-negative Breast Cancer |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CARBOPLATIN | 4 | 84 |
| ERIBULIN | 4 | 20 |
| SACITUZUMAB GOVITECAN | 4 | 16 |
| ATEZOLIZUMAB | 4 | 7 |
| EPIRUBICIN | 4 | 7 |
| OLAPARIB | 4 | 6 |
| TRILACICLIB | 4 | 4 |
| VINORELBINE | 4 | 4 |
| TALAZOPARIB | 4 | 3 |
| GEMCITABINE HYDROCHLORIDE | 4 | 2 |
| NIRAPARIB | 4 | 2 |
| PEMBROLIZUMAB | 4 | 2 |
| SELUMETINIB | 4 | 2 |
| TORIPALIMAB | 4 | 2 |
| AFATINIB | 4 | 1 |
| FLUDEOXYGLUCOSE F 18 | 4 | 1 |
| PEGFILGRASTIM | 4 | 1 |
| ROMIDEPSIN | 4 | 1 |
| TIVOZANIB HYDROCHLORIDE | 4 | 1 |
| TRAMETINIB | 4 | 1 |
| TREMELIMUMAB | 4 | 1 |
| VELIPARIB | 3 | 21 |
| SPARTALIZUMAB | 3 | 9 |
| SACITUZUMAB TIRUMOTECAN | 3 | 5 |
| CAMRELIZUMAB | 3 | 4 |
| FAMITINIB | 3 | 4 |
| RIVOCERANIB | 3 | 4 |
| ENTINOSTAT | 3 | 3 |
| IPATASERTIB | 3 | 3 |
| IVONESCIMAB | 3 | 3 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 19 predictive associations from 19 curated evidence items.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| BRCA1 Loss-of-function | Olaparib | Sensitivity/Response | CIViC A | EID11216 |
| BRCA2 Loss-of-function | Olaparib | Sensitivity/Response | CIViC A | EID11217 |
| BRCA1 Mutation | Cisplatin + Carboplatin | Sensitivity/Response | CIViC B | EID1684 |
| BRCA2 Mutation | Carboplatin + Cisplatin | Sensitivity/Response | CIViC B | EID1685 |
| BRCA2 Mutation | Olaparib | Sensitivity/Response | CIViC B | EID1776 |
| CD274 Amplification | Durvalumab | Sensitivity/Response | CIViC B | EID12054 |
| CDK2 CYTOPLASMIC EXPRESSION | Eribulin + Carboplatin | Sensitivity/Response | CIViC B | EID2969 |
| BRCA1 Mutation | Olaparib | Resistance | CIViC B | EID1775 |
| TACSTD2 T256R | Sacituzumab Govitecan | Resistance | CIViC B | EID12265 |
| ERBB2 L755S | Capecitabine + Neratinib | Sensitivity/Response | CIViC C | EID8055 |
| FGFR2 Amplification | Futibatinib | Sensitivity/Response | CIViC C | EID11648 |
| TOP1 E418K AND TOP1 -122fs | Sacituzumab Govitecan | Resistance | CIViC C | EID12266 |
| PTPN12 Loss-of-function | Sunitinib + Crizotinib | Sensitivity/Response | CIViC D | EID6931 |
| RB1 Loss-of-function | Gemcitabine | Sensitivity/Response | CIViC D | EID12329 |
| RB1 Loss-of-function | Checkpoint Kinase Inhibitor AZD7762 | Sensitivity/Response | CIViC D | EID12330 |
| RB1 Loss-of-function | Volasertib | Sensitivity/Response | CIViC D | EID12331 |
| XRCC3 Mutation OR ORC1 Mutation | Cisplatin | Sensitivity/Response | CIViC D | EID11716 |
| AKT3 Overexpression | Pan-AKT Kinase Inhibitor GSK690693 | Sensitivity/Response | CIViC E | EID1923 |
| TMB High | Immune Checkpoint Inhibitor | CIViC E | EID12950 |
Related Atlas pages
- Cohort genes: BRCA1, BRCA2, ERBB2, FGFR2, AKT3, RB1, TERT, ESR1, MDM4, ATM, PTHLH
- Drugs: Carboplatin, Eribulin, Sacituzumab Govitecan, Atezolizumab, Epirubicin, Olaparib, Trilaciclib, Vinorelbine, Talazoparib, Gemcitabine, Niraparib, Pembrolizumab, Selumetinib, Toripalimab, Afatinib, FLUDEOXYGLUCOSE F 18, Pegfilgrastim, Romidepsin, Tivozanib, Trametinib, Tremelimumab, Veliparib, Spartalizumab, Sacituzumab Tirumotecan, Camrelizumab, Famitinib, Rivoceranib, Entinostat, Ipatasertib, Ivonescimab, Durvalumab, Futibatinib, Volasertib, Cisplatin