This large, pooled analysis is the first to demonstrate that CDK4/6 inhibitors confer OS and PFS benefits in elderly patients (those aged ≥65 years) with advanced ER + BC...For PFS analysis, data of PALOMA-2, MONALEESA-2, MONARCH-2 and 3, outcome informations were available for patients aged ≥75 years (pooled HR = 0.53; 95% CI 0.48–0.58) and favored CDK 4/6 + ET arms.