New Protocol: Neoadj Pembrolizumab + TP for her2+ Breast Cancer


  • Study

    Single-arm, phase 2 trial (WSG-KEYRICHED-1, NCT03988036)
    Patients with HER2-positive early-stage (cT1c-T3/N0-1/M0) breast cancer
    Pembrolizumab + trastuzumab + pertuzumab for 12 wks



  • Efficacy

    pCR: 47% (null hypothesis not rejected)



  • Safety

    Grade ≥3 AEs: Hypersensitivity reaction, ALT increase, nephritis, panic attack



  • Lancet Oncol 2025;26: 629–40

    Kuemmel S,Graeser M,Schmid P Chemotherapy-free neoadjuvant pembrolizumab combined with trastuzumab and pertuzumab in HER2-enriched early breast cancer (WSG-KEYRICHED-1): a single-arm, phase 2 trial

    http://doi.org/10.1016/S1470-2045(25)00097-X

    Reviewed by Ulas D. Bayraktar, MD on May 5, 2025

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