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Opinion|Videos|January 26, 2026

Ongoing Clinical Trials Shaping the Future of ADCs in Early Triple-Negative Breast Cancer

Explore the latest advancements in clinical trials for early-stage triple-negative breast cancer, focusing on promising antibody-drug conjugates (ADCs).

Several ongoing clinical trials are expected to further define the role of antibody–drug conjugates (ADCs) in the management of early-stage triple-negative breast cancer (TNBC). Studies such as ASCENT-05 and ASPRIA are evaluating sacituzumab govitecan in combination with immune checkpoint inhibitors, aiming to clarify the added value of immunotherapy when paired with ADCs in earlier disease settings. Neoadjuvant-focused trials, including WSG-ADAPT-TN-III, are directly comparing ADC monotherapy with combination strategies to better understand optimal sequencing and synergy. Additional investigations, such as TroFuse-032 and TroFuse-011, are exploring next-generation TROP-2–targeted ADCs, alone or in combination with pembrolizumab, versus physician’s choice. Collectively, these trials will provide critical data on efficacy, safety, and patient selection, helping to refine how ADCs are integrated into early TNBC treatment paradigms.

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