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Association details:
Evidence:
Evidence Level:
Sensitive: B - Late Trials
Source:
Title:

Detection of circulating tumor DNA following neoadjuvant chemotherapy and surgery to anticipate early relapse in ER positive and HER2 negative breast cancer: Analysis from the PENELOPE-B trial.

Published date:
05/25/2023
Excerpt:
The PENELOPE-B phase III trial investigated the addition of one year of palbociclib to endocrine therapy (ET), in patients with hormone receptor positive HER2 negative breast cancer with residual invasive disease after neoadjuvant chemotherapy....Seven patients had baseline ctDNA detected, with detection strongly associated with iDFS (HR 8.8, 95% CI 3.3-23.4, p < 0.0001). Detection of ctDNA at cycle 7 (4 patients) was also strongly associated with iDFS (HR 25.5, 95% CI 6.5-99.6, p < 0.0001).
Secondary therapy:
Hormone Therapy
DOI:
10.1200/JCO.2023.41.16_suppl.502
Trial ID:
Evidence Level:
Sensitive: B - Late Trials
Source:
Title:

228MO - PALOMA-4: Primary results from a phase III trial of palbociclib (PAL) + letrozole (LET) vs placebo (PBO) + LET in Asian postmenopausal women with estrogen receptor–positive/human epidermal growth factor receptor 2–negative (ER+/HER2–) advanced breast cancer (ABC)

Published date:
09/13/2021
Excerpt:
PALOMA-4, an international, double-blind, phase 3 trial, randomized postmenopausal Asian women who had not received prior systemic therapy for ER+/HER2– ABC 1:1 to receive PAL (125 mg/d orally; 3 weeks on, 1 week off) + LET (2.5 mg/d orally; continuously) or PBO + LET. The median duration of follow-up for overall survival was 52.8 mo. At the data cutoff (Aug 31, 2020), the median PFS based on investigator assessment was 21.5 mo for PAL + LET and 13.9 mo for PBO + LET (hazard ratio, 0.68 [95% CI, 0.53–0.87]; P=0.0012). The ORR based on investigator assessment was 37.3% vs 31.6%, respectively, among all pts (P=0.154) and 43.4% vs 38.0% in pts with measurable disease (P=0.206). PALOMA-4, the largest study to date of a cyclin-dependent kinase 4/6 inhibitor in Asian pts with ABC, confirmed the efficacy and safety of PAL + LET as first-line therapy in postmenopausal Asian women with ER+/HER2– ABC.
Secondary therapy:
letrozole
Trial ID:
Evidence Level:
Sensitive: B - Late Trials
Source:
Title:

Efficacy and safety of palbociclib in patients with estrogen receptor–positive/human epidermal growth factor receptor 2–negative advanced breast cancer with preexisting conditions: A post hoc analysis of PALOMA-2

Published date:
07/27/2021
Excerpt:
This post hoc analysis of PALOMA-2 evaluated the efficacy and safety of palbociclib plus letrozole...in patients with estrogen receptor–positive/human epidermal growth factor receptor 2–negative advanced breast cancer (ABC)....Regardless of baseline preexisting condition, palbociclib plus letrozole prolonged PFS compared with placebo plus letrozole....This post hoc analysis of PALOMA-2 demonstrated a favorable effect of palbociclib on PFS...
Secondary therapy:
letrozole
DOI:
10.1016/j.breast.2021.07.017
Trial ID:
Evidence Level:
Sensitive: B - Late Trials
Source:
Title:

Efficacy of AI and palbociclib in ER+ HER2- advanced breast cancer patients relapsing during adjuvant tamoxifen: An exploratory analysis of the PADA-1 trial.

Published date:
05/19/2021
Excerpt:
...ER+ HER2- advanced breast patients (ABC pts) received Aromatase Inhibitor (AI) and Palbociclib (Pal)...The median PFS under AI+PAL was 20.4 months (95%CI16.1;27.8) in patients relapsing during adjuvant TAM. In contrast, median PFS in patients with de novo metastatic disease and metastatic relapses after the completion of adjuvant endocrine therapy were 30.6 months (95%CI26.7;Not reached) and 27.8 months (95%CI24.1;30.)], respectively.
Secondary therapy:
Aromatase inhibitor
DOI:
10.1200/JCO.2021.39.15_suppl.1070
Trial ID:
Evidence Level:
Sensitive: B - Late Trials
Source:
Title:

Efficacy and safety of palbociclib (PAL) in patients (pts) with estrogen receptor-positive (ER+)/human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer (ABC) with preexisting conditions: A post hoc analysis of PALOMA-2

Published date:
11/17/2020
Excerpt:
PAL + LET showed prolonged PFS and a consistent safety profile regardless of baseline preexisting condition in pts with ER+/HER2– ABC.
Secondary therapy:
letrozole
Trial ID:
Evidence Level:
Sensitive: B - Late Trials
Title:

Palbociclib Plus Letrozole as First-Line Therapy in Postmenopausal Asian Women With Metastatic Breast Cancer: Results From the Phase III, Randomized PALOMA-2 Study

Published date:
05/24/2019
Excerpt:
Of 666 enrolled postmenopausal women with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer...Consistent with the overall study population, the addition of palbociclib to letrozole significantly improved PFS in Asians.
Secondary therapy:
letrozole
DOI:
10.1200/JGO.18.00173
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Efficacy and safety of intensive adjuvant treatment with a CDK4/6 inhibitor in non-pCR patients with HR-positive HER2-negative breast cancer after neoadjuvant chemotherapy: a prospective, multicenter, randomized, open-label phase II clinical study

Excerpt:
...HR-positive HER2-negative type is defined as ER-positive rate of immunohistochemical staining of tumor cells > 10%; PR-positive is defined as the PR-positive rate of immunohistochemical staining of tumor cells is > 10%; HER2-negative is defined as HER2 immunohistochemical 0-1+ or HER2 2+, but is negative by FISH test (no amplification). ...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

A Phase II Randomized Study Evaluating the Biological and Clinical Effects of the Combination of Palbociclib With Letrozole as Neoadjuvant Therapy in Post-Menopausal Women With Estrogen-Receptor Positive Primary Breast Cancer

Excerpt:
...- Operable ER-positive/HER2- negative, invasive early breast cancer, suitable for neoadjuvant AI treatment....
Trial ID:
More C2 evidence
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

A Study of Palbociclib With Exemestane Plus GnRH Versus Capecitabine in Premenopausal Women With HR+ MBC

Excerpt:
...Patient has HER2-negative breast cancer with IHC and/or FISH (or SISH, CISH) Patient has ER positive and/or PgR positive breast cancer by local laboratory testing 5....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Radiation Therapy, Palbociclib, and Hormone Therapy in Treating Breast Cancer Patients With Bone Metastasis

Excerpt:
...- Metastatic estrogen receptor positive (ER+) or progesterone receptor positive (PR+), Her2/neu negative breast cancer patients with imaging confirming bone metastasis within 60 days of radiation simulation...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Neoadjuvant Hormonal Therapy Plus Palbociclib in Operable, Hormone Sensitive and HER2-Negative Primary Breast Cancer

Excerpt:
...Pre-operative Endocrine Prognostic Index (PEPI Score)`EndoPredict is a multigene test used to predict the risk of distant recurrence of early stage, ER positive ,HER-2 Negative invasive breast cancer. ...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

PAlbociclib and Circulating Tumor DNA for ESR1 Mutation Detection

Excerpt:
...Estrogen Receptor (ER)-positive and HER2-negative breast cancer. ...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

A Study of Palbociclib in Combination With Fulvestrant or Tamoxifen as Treatment for Metastatic Breast Cancer

Excerpt:
...- Documentation of ER-positive and/or PR-positive tumor (≥1% positive stained cells) based on most recent tumor biopsy (unless bone-only disease,discuss with study PI if results are discordant) utilizing an assay consistent with local standards....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Go to data
Title:

Efficacy of Letrozole + Palbociclib Combination as Neoadjuvant Treatment of Stage II-IIIA PAM 50 ROR-defined Low or Intermediate Risk Luminal Breast Cancer, in Postmenopausal Women

Excerpt:
...ER-positive by IHC (Allred Score≥4) 7....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib Plus Letrozole For Postmenopausal Women With HR(+) HER2(-) Advanced Breast Cancer For Whom Letrozole Is Deemed Appropriate

Excerpt:
...- ER-positive and/or Progesterone receptor (PgR)-positive tumor based on local laboratory results (test as per local practice)....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib and Letrozole or Fulvestrant in Treating Patients With Estrogen Receptor Positive, HER2 Negative Metastatic Breast Cancer

Excerpt:
...estrogen receptor positive and/or progesterone receptor (PR) positive, HER2 negative metastatic breast cancer; histologic confirmation is required...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib / Letrozole or Fulvestrant in African American Women With HR+ HER2- Breast Cancer

Excerpt:
...ER-positive and/or PgR-positive tumor based on local laboratory results 3....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

PalbocIclib in PreMenopausal Women With ER Positive/HER-2 Negative MetAstatic Breast Cancer

Excerpt:
...ER positive tumour:...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Tumor Response Time of Palbociclib in Combination With AI in Real-world Chinese Patients

Excerpt:
...Documentation of histologically or cytologically confirmed diagnosis of estrogen-receptor positive (ER+, > 10%) breast cancer based on local laboratory results....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Phase II Trial of the Cyclin-Dependent Kinase Inhibitor PD 0332991 in Patients With Cancer

Excerpt:
...ER positive metastatic breast tumors (data now shows all to be Rb positive.) B....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Neoadjuvant Letrozole and Palbociclib in Patients With Stage II-IIIB Breast Cancer, HR+, HER2 -

Excerpt:
...HR-positive (estrogen receptor [ER]-positive and/or progesterone receptor [PgR]-positive) EBCs (breast cancers that have at least 10% of cells staging positive for ER and/or PgR)....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Go to data
Title:

A Study Of Oral Palbociclib (PD-0332991), A CDK4/6 Inhibitor, As Single Agent In Japanese Patients With Advanced Solid Tumors Or In Combination With Letrozole For The First-Line Treatment Of Postmenopausal Japanese Patients With ER (+) HER2 (-) Advanced Breast Cancer

Excerpt:
...- In Part 2 and Phase 2, post menopausal women with proven diagnosis of ER-positive, HER2-negative adenocarcinoma of the breast with evidence of locoregionally recurrent or metastatic disease (including bone only disease)...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib in Combination With Fulvestrant Versus Fulvestrant in Advanced Breast Cancer: A Real-world Study in China

Excerpt:
...ER-positive and/or PR-positive is defined as: positively stained tumor cells account for ≥1% of all tumor cells (confirmed by the investigator at the test center); 2....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

High Risk ER+HER2- T1-2N0-1 Early Breast Cancer With Palbociclib Plus Endocrine Therapy(HIPEx)

Excerpt:
...Patient with histologically and cytologically confirmed ER positive breast cancer by local laboratory testing 8....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Study Of Letrozole With Or Without Palbociclib (PD-0332991) For The First-Line Treatment Of Hormone-Receptor Positive Advanced Breast Cancer

Excerpt:
...- Inoperable estrogen receptor positive and HER2 negative breast cancer....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Expanded Access Study Of Palbociclib (PD-0332991) In Combination With Letrozole As Treatment Of Post-Menopausal Women With HR-Positive, Her2-Negative Advanced Breast Cancer For Whom Letrozole Therapy Is Deemed Appropriate

Excerpt:
...- ER-positive and/or PR-positive tumor based on local laboratory results...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

A Biomarker Study of Palbociclib + Fulvestrant for Second, and Third Line of Postmenopausal Women With hr+/her2- Advanced Breast Cancer

Excerpt:
......
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

To Reverse ENDocrine Resistance Trial - PD 0332991 Monotherapy vs PD 0332991 in Combination With the Endocrine Therapy

Excerpt:
...- ER positive tumor ≥ 10%...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

NEO21-RS: A prospective study of the outcomes following 21-gene recurrence score directed neoadjuvant therapy in ER-positive, HER2-negative breast cancer patients

Excerpt:
...• 18 years of age or older• Histologically confirmed invasive breast cancer• ER positive (Allred ≥3) • HER2 negative per the 2013 ASCO/CAP guidelines• Axillary node negative or positive• Tumour measuring ≥15mm in longest diameter as measured clinically or radiologically* or any size tumour with axillary node involvement • Candidate for neoadjuvant endocrine therapy or chemotherapy • Pre- or postmenopausal womenPostmenopausal status will be defined by the presence of any one of the following criteria:≥55 years of age with an intact uterus and amenorrhoea ≥12 months at the time of diagnosis <55 years with no menses for at least 12 months prior to study entry and documented or current FSH and oestradiol levels within the postmenopausal range (as per local institutional/laboratory standard>18 years with prior hysterectomy with intact ovaries and with a documented or current FSH and oestradiol level within the postmenopausal range (as per local institutional/laboratory standard)>18 years with prior bilateral oophorectomy• Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2• Adequate bone marrow function defined by Hb≥10 g/dl, ANC >1.5 x109, PLT≥100 x109/L. ...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Early identification of patients who benefit from palbociclib in addition to letrozole

Excerpt:
...Patients with ER positive (i.e. >1% staining), HER2 negative metastatic breast cancer (preferably assessment on fresh metastasis biopsy, alternatively archival metastasis biopsy)2. ...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Impact of eHealth-support on Quality of Life in metastatic breast cancer patients treated with Palbociclib and endocrine therapy

Excerpt:
...The tumor has to be hormone-receptor positive (ER-positive and/or PR-positive tumor (≥ 1% positive stained cells).7. ...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Trial of Anastrozole and Palbociclib in Metastatic HER2-Negative Breast Cancer

Excerpt:
...- Documentation of ER-positive and, or PR-positive tumor based on most recent tumor biopsy (unless bone-only disease)....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Hydroxychloroquine, Palbociclib, and Letrozole Before Surgery in Treating Patients With Estrogen Receptor Positive, HER2 Negative Breast Cancer

Excerpt:
...- Diagnosis of estrogen positive breast cancer, estrogen receptor-positive and HER2-negative by American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) criteria...
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Prediction of Treatment Efficacy of the Combination of Palbociclib/(Letrozole or Anastrozole) in First Line Metastatic Women With Luminal, HER2 Negative Advanced Breast Cancer, Using Infrared Laser Spectroscopy Analysis on Liquid Biopsies.

Excerpt:
...Estrogen Receptor positive (ER > 1%)....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

HR+/HER2- Advanced Breast Cancer and Endocrine Resistance

Excerpt:
...Known estrogen-receptor positive and/or progesterone receptor positive breast cancer reported by local laboratory....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib in Molecularly Characterized ER-positive/HER2-negative Metastatic Breast Cancer

Excerpt:
...- ER positive tumor and HER2-negative tumor, as assessed locally...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib With Fulvestrant for Metastatic Breast Cancer After Treatment With Palbociclib and an Aromatase Inhibitor

Excerpt:
...- ER-positive and/or PR-positive, HER2-negative tumor -...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Two Different Schedules of Palbociclib + Second Line Endocrine Therapy in Estrogen Receptor Positive, HER2 Neg Advanced/Metastatic Breast Cancer

Excerpt:
...- Histologically confirmed adenocarcinoma of the breast, with ER positive and HER2 negative status based on local testing on most recent pathological tumour specimen....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Genetic Analysis in Blood and Tumor Samples From Patients With Advanced or Metastatic Estrogen Receptor Positive and HER2 Negative Breast Cancer Receiving Palbociclib and Endocrine Therapy

Excerpt:
...- Histologic confirmation from the pre-registration biopsy of either locally advanced or metastatic breast cancer that is ER-positive and HER2 -negative -...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Locoregional Treatment and Palbociclib in de Novo, Treatment Naive, Stage IV ER+, HER2- Breast Cancer Patients

Excerpt:
...Estrogen Receptor (ER)-positive and HER2-negative breast cancer....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib in Combination With Tamoxifen as First Line Therapy for Metastatic Hormone Receptor Positive Breast Cancer

Excerpt:
...- Histologically and/or cytologically confirmed diagnosis of ER positive and/or PR positive (ER >1%, PR >1%), HER2 negative breast cancer....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Go to data
Title:

PAlbociclib and Circulating Tumor DNA for ESR1 Mutation Detection

Excerpt:
...Estrogen Receptor (ER)-positive and HER2-negative breast cancer....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

PALbociclib Rechallenge in horMone Receptor-posItive/HER2- Negative Advanced Breast Cancer (PALMIRA)

Excerpt:
...Documented recurrent ER-positive and/or progesterone receptor (PgR)-positive (with ≥1% positive stained cells (according to NCCN National Comprehensive Cancer Network and ASCO American Society of Clinical Oncology guidelines) and HER2-negative (0-1+ by immunohistochemistry (IHC) or 2+ and negative by in situ hybridization (ISH) test) breast cancer in the advanced setting....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Neoadjuvant Biomarker ResearcH Study of Palbociclib Combined With Endocrine Therapy in Estrogen Receptor Positive/HER2 Negative Breast CAncer (NeoRHEA)

Excerpt:
...Histological diagnosis of breast adenocarcinoma that is estrogen receptor-positive, and HER2- negative as per the updated American Society of Clinical Oncology (ASCO)...
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Study in Women With Advanced Breast Cancer Receiving Palbociclib With AI or Fulvestrant

Excerpt:
...Hormone-receptor-positive (HR+) disease, defined as estrogen-receptor-positive (ER+) and/or progesterone-receptor-positive (PgR+) 4....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib Plus Letrozole in Hormone Receptor Positive Residual Disease After Neoadjuvant Chemotherapy

Excerpt:
...- ER-positive and/or PgR-positive and HER2-negative tumor by the most recent ASCO/CAP guidelines, before neoadjuvant treatment locally assessed....
Trial ID:
Evidence Level:
Sensitive: C2 – Inclusion Criteria
New
Title:

Palbociclib and FES PET

Excerpt:
...Patients with ER positive (i.e. >1% staining), HER2 negative metastatic breast cancer (preferably assessment on fresh metastasis biopsy, alternatively archival metastasis biopsy) 2....
Trial ID:
Less C2 evidence
Evidence Level:
Sensitive: C3 – Early Trials
Title:

Phase Ia/b Study of Giredestrant ±Palbociclib and ±Luteinizing Hormone-releasing Hormone Agonists in Estrogen Receptor-positive, HER2-negative, Locally Advanced/Metastatic Breast Cancer

Published date:
11/03/2023
Excerpt:
Clinical benefit was observed in all cohorts (48.6% of patients in the single-agent cohort and 81.3% in the giredestrant +palbociclib ±LHRH agonist cohort)...Giredestrant was well tolerated and clinically active in patients who progressed on prior ET.
Secondary therapy:
GDC-9545
DOI:
10.1158/1078-0432.CCR-23-1796
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Title:

Overall survival in Japanese patients with ER+/HER2- advanced breast cancer treated with first-line palbociclib plus letrozole

Published date:
10/26/2023
Excerpt:
In this population of Japanese women with ER+/HER2- ABC, median OS was over 7 years with 1L PAL + LET, supporting the use of 1L PAL + endocrine therapy.
Secondary therapy:
letrozole
DOI:
10.1007/s12282-023-01511-z
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Title:

Neoadjuvant palbociclib plus either giredestrant or anastrozole in oestrogen receptor-positive, HER2-negative, early breast cancer (coopERA Breast Cancer): an open-label, randomised, controlled, phase 2 study

Published date:
09/01/2023
Excerpt:
112 patients were evaluable for objective response rate in the giredestrant plus palbociclib group, and 108 were evaluable in the anastrozole plus palbociclib group. Objective response rates were similar between the two groups (56 [50·0%] of 112 [95% CI 40·4–59·6] with giredestrant plus palbociclib vs 53 [49·1%] of 108 [39·3–58·9] with anastrozole plus palbociclib...Giredestrant offers encouraging anti-proliferative and anti-tumour activity and was well tolerated, both as a single agent and in combination with palbociclib.
Secondary therapy:
GDC-9545
DOI:
https://doi.org/10.1016/S1470-2045(23)00268-1
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Neoadjuvant giredestrant + palbociclib (P) vs. anastrozole (A) + P in postmenopausal women with estrogen receptor-positive, HER2-negative, untreated early breast cancer (ER+, HER2– eBC): Patient (pt)-reported outcomes (PROs) in the randomized, open-label, international phase II coopERA BC study.

Published date:
05/25/2023
Excerpt:
Pts with cT1c-cT4a-c (≥ 1.5 cm within cT1c) ER+, HER2– untreated eBC and baseline Ki67 score ≥ 5% were randomized 1:1 to 30 mg PO daily (QD) giredestrant or 1 mg PO...FACT-G GP5 showed greater proportions of “improved/no change” responses in the giredestrant + P than the A + P arm at Cycles 2–4 (Cycle 2 75%; Cycle 3 71%; Cycle 4 68% vs. 62%; 66%; 53%)....Furthermore, there were numeric trends towards greater stability and improvement and less worsening of treatment burden in the giredestrant + P arm.
Secondary therapy:
GDC-9545
DOI:
10.1200/JCO.2023.41.16_suppl.591
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

A retrospective, non-interventional study of breast cancer patients diagnosed with ER+/HER2 negative, locally advanced or metastatic breast cancer treated with palbociclib in Denmark

Published date:
04/03/2023
Excerpt:
This retrospective, population-based study included all Danish, advanced breast cancer patients with ER+/HER2 negative disease who initiated first- or second-line treatment with palbociclib...Median OS was 51.7 months (95% CI, 44.9-54.6) for all patients in the first-line setting (n = 728) and median PFS was 24.3 months (95% CI, 21.7-27.8).
DOI:
10.1080/0284186X.2023.2194030
Evidence Level:
Sensitive: C3 – Early Trials
Title:

Palbociclib plus letrozole versus placebo plus letrozole in Asian postmenopausal women with oestrogen receptor–positive/human epidermal growth factor receptor 2–negative advanced breast cancer: Primary results from PALOMA-4

Published date:
09/22/2022
Excerpt:
Median (95% CI) PFS was 21.5 (16.6–24.9) months with palbociclib plus letrozole and 13.9 (13.7–16.6) months with placebo plus letrozole (hazard ratio, 0.68 [95% CI, 0.53–0.87]; P = 0.0012)….Findings from PALOMA-4 support the efficacy and safety of first-line palbociclib plus letrozole in postmenopausal Asian women with ER+/HER2– ABC.
Secondary therapy:
letrozole
DOI:
10.1016/j.ejca.2022.08.012
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Neoadjuvant giredestrant (GDC-9545) plus palbociclib (P) versus anastrozole (A) plus P in postmenopausal women with estrogen receptor–positive, HER2-negative, untreated early breast cancer (ER+/HER2– eBC): Final analysis of the randomized, open-label, international phase 2 coopERA BC study

Published date:
05/26/2022
Excerpt:
Consistent with the primary analysis, greater suppression of Ki67 was observed at surgery with giredestrant + P (–81% [95% confidence interval (CI): –86%, –75%]) vs A + P (–74% [95% CI: –80%, –67%]). Similarly, greater CCCA was achieved at surgery with giredestrant + P (20%) vs A + P (14%). ORR was similar between the two arms (giredestrant + P: 50% [95% CI: 40%, 60%]; A + P: 49% [95% CI: 39%, 59%]). coopERA BC is the first randomized study to show superior antiproliferative activity of an oral SERD (giredestrant) over an aromatase inhibitor (A) in ER+/HER2– eBC...
Secondary therapy:
GDC-9545
DOI:
10.1200/JCO.2022.40.16_suppl.589
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Title:

Survival outcomes after neoadjuvant letrozole and palbociclib versus third generation chemotherapy for patients with high-risk oestrogen receptor-positive HER2-negative breast cancer

Published date:
03/22/2022
Excerpt:
Pathological complete response rates were 3.8% and 5.9%....The 40 months PFS rate was 86.7% [95%CI 78.0–96.4] and 89.9% [95%CI 81.8–98.7] in letrozole-palbociclib and control arms, respectively....NEOPAL suggests that a neoadjuvant letrozole-palbociclib strategy may allow sparing chemotherapy in some patients with luminal breast cancer while allowing good long-term outcomes.
DOI:
10.1016/j.ejca.2022.01.014
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Palbociclib in combination with aromatase inhibitors in patients ≥ 75 years with oestrogen receptor-positive, human epidermal growth factor receptor 2 negative advanced breast cancer: A real-world multicentre UK study

Published date:
10/28/2021
Excerpt:
The clinical benefit rate was 87%. 50.7% of patients had dose reductions and 59.3% had dose delays. The 12- and 24- month PFS rates were 75.9% and 64.9%, respectively. The 12- and 24- month OS rates were 85.1% and 74.0%, respectively….Palbociclib is an effective therapy in the real-world older population and is well-tolerated with low levels of clinically significant toxicities.
DOI:
10.1016/j.breast.2021.10.010
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

LBA14 - Neoadjuvant giredestrant (GDC-9545) + palbociclib (palbo) vs anastrozole (A) + palbo in post-menopausal women with oestrogen receptor-positive, HER2-negative, untreated early breast cancer (ER+/HER2– eBC): Interim analysis of the randomised, open-label, phase II coopERA BC study

Published date:
09/13/2021
Excerpt:
coopERA BC (NCT04436744) investigates giredestrant vs A (both + palbo) in post-menopausal women with ER+/HER2– eBC....At Week 2, 25% of tumours exhibited CCCA with giredestrant vs 5% with A (Δ 20%; 95% CI = –37%, –3%)....Interim analysis data demonstrated superior anti-proliferative activity of giredestrant compared with A.
Secondary therapy:
GDC-9545
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

245P - Palbociclib combined with aromatase inhibitors (AIs) in women ≥75 years with oestrogen receptor positive (ER+ve), human epidermal growth factor receptor 2 negative (HER2-ve) advanced breast cancer: A real-world multicentre UK study

Published date:
09/13/2021
Excerpt:
Patients aged ≥75 years who received at least one cycle of palbociclib combined with an AI for first-line treatment of advanced ER+ve/HER2-ve breast cancer were eligible….The PFS rates at 12 and 24 months were 75.9% and 64.9%, respectively. The best radiological response was complete response (2%), partial response (32.9%) and stable disease (54.9%) with a clinical benefit rate at 24 weeks of 87%.
Secondary therapy:
Aromatase inhibitor
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

AMEERA-1: Phase 1/2 study of amcenestrant (SAR439859), an oral selective estrogen receptor (ER) degrader (SERD), with palbociclib (palbo) in postmenopausal women with ER+/ human epidermal growth factor receptor 2-negative (HER2-) metastatic breast cancer (mBC).

Published date:
05/19/2021
Excerpt:
Patients (pts) were postmenopausal women with ER+/HER2– Mbc...In pts with ER+/HER2– mBC, safety at the RP2D of amcenestrant + palbo was favorable...Preliminary antitumor activity after at least 6 cycles of therapy (unless early treatment discontinuation) is reported in the table below....Preliminary antitumor activity was observed (ORR: 31.4% and CBR: 74.3%)….
Secondary therapy:
SAR439859
DOI:
10.1200/JCO.2021.39.15_suppl.1058
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Rintodestrant (G1T48), an oral selective estrogen receptor degrader, in combination with palbociclib for ER+/HER2– advanced breast cancer: Phase 1 results.

Published date:
05/19/2021
Excerpt:
Rintodestrant, as monotherapy or combined with palbociclib, continues to demonstrate an excellent safety/tolerability profile with promising antitumor activity in pts with ER+/HER2– ABC, including those with ESR1 variants.
Secondary therapy:
G1T48
DOI:
10.1200/JCO.2021.39.15_suppl.1063
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Title:

63O - Letrozole and palbociclib versus 3rd generation chemotherapy as neoadjuvant treatment in luminal breast cancer: survival results of the UNICANCER-NeoPAL study

Published date:
05/03/2021
Excerpt:
Postmenopausal women with ER-positive, HER2-negative...were randomly assigned to either letrozole (2.5 mg daily) and palbociclib (125 mg daily, 3 weeks/4) during 19 weeks (LETPAL)...40 months PFS rate is 86.7% (78.0-96.4) and 87.2% (78.1-97.4) in LETPAL and CT arms respectively....LETPAL strategy, together with selected postoperative administration of chemotherapy, may spare chemotherapy in some pts with LBC...
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Palbociclib-letrozole as first-line treatment for advanced breast cancer: Updated results from a Japanese phase 2 study

Published date:
05/18/2020
Excerpt:
Palbociclib plus letrozole remained effective and tolerable in Japanese postmenopausal patients with estrogen receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer in this updated analysis.
Secondary therapy:
letrozole
DOI:
10.1002/cam4.3091
Trial ID:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

A phase Ib study to evaluate the oral selective estrogen receptor degrader GDC-9545 alone or combined with palbociclib in metastatic ER-positive HER2-negative breast cancer.

Published date:
05/13/2020
Excerpt:
GDC-9545 was well-tolerated as a single agent and in combination with palbociclib with encouraging PK, PD, and anti-tumor activity in ER+ MBC to support Phase III development.
Secondary therapy:
GDC-9545
DOI:
10.1200/JCO.2020.38.15_suppl.1023
Trial ID:
Evidence Level:
Sensitive: C4 – Case Studies
Title:

Successful Treatment of Estrogen Receptor Positive, HER2 Negative Breast Cancer with Life-Threatening Multiple Bone Metastases Using the Combination of Fulvestrant and Palbociclib-A Case Report

Published date:
10/02/2021
Excerpt:
Palbociclib, a CDK4/6 inhibitor, is found to be an effective therapeutic drug in the treatment of estrogen receptor positive (ER+)metastatic breast cancer. In this report, we describe a case of rapid progression of life-threatening multiple bone metastases of breast cancer treated with a combination of fulvestrant and palbociclib....The patient responded well to the treatment, and her general condition improved to PS 1.
Secondary therapy:
fulvestrant
Evidence Level:
Sensitive: C4 – Case Studies
Title:

Abstract 1501: Exceptional response to anti HER-2 targeted therapy in patient with HER2/neu negative breast cancer with HER2/neu positive CTCs

Published date:
05/15/2020
Excerpt:
R axillary node biopsy revealed breast cancer cells ER+, PR-, HER2-....started palbociclib plus letrozole which continued for 15 months with no evidence of disease on serial repeat imaging.
Secondary therapy:
letrozole
DOI:
10.1158/1538-7445.AM2020-1501