Last reviewed · How we verify

NCT02600923

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

Completed Phase 3 Results posted Last updated 20 January 2022
What this trial tests

Phase 3 trial testing Palbociclib in Advanced Breast Cancer Female in 131 participants. Completed in 28 May 2019.

Timeline
15 April 2016
Primary endpoint
28 May 2019
28 May 2019

Quick facts

Lead sponsorPfizer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Maskingnone
Primary purposetreatment
Enrollment131
Start date15 April 2016
Primary completion28 May 2019
Estimated completion28 May 2019
Sites24 locations across Argentina, Colombia, Brazil, Mexico

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, female only, with Advanced Breast Cancer Female. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With All-causality Treatment-emergent Adverse Events (TEAEs) Primary · 3 years

An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as TEAE. AE severity was graded according to Common Terminology Criteria for AEs (CTCAE) version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Each AE was counted once for the participant in the mos

Grade 1
GroupValue95% CI
Palbociclib+Letrozole0
Grade 2
GroupValue95% CI
Palbociclib+Letrozole17
Grade 3
GroupValue95% CI
Palbociclib+Letrozole82
Grade 4
GroupValue95% CI
Palbociclib+Letrozole23
Grade 5
GroupValue95% CI
Palbociclib+Letrozole7
Number of Participants With Palbociclib-related TEAEs Primary · 3 years

An AE was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as TEAE. AE severity was graded according to CTCAE version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Palbociclib-related TEAEs were determined by the investigator.

Grade 1
GroupValue95% CI
Palbociclib+Letrozole2
Grade 2
GroupValue95% CI
Palbociclib+Letrozole25
Grade 3
GroupValue95% CI
Palbociclib+Letrozole81
Grade 4
GroupValue95% CI
Palbociclib+Letrozole20
Grade 5
GroupValue95% CI
Palbociclib+Letrozole0
Number of Participants With Serious Adverse Events (SAEs) Primary · 3 years

An SAE was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. AEs included both SAEs and AEs. Palbociclib-related SAEs were determined by the investigator.

All-causality
GroupValue95% CI
Palbociclib+Letrozole32
Palbociclib-related
GroupValue95% CI
Palbociclib+Letrozole6
Number of Participants With Death Secondary · 3 years

Death from any cause while on treatment and within 28 days of palbociclib discontinuation was only counted below.

GroupValue95% CI
Palbociclib+Letrozole5
The Objective Response Rate (ORR) Secondary · 3 years

The tumor response was based on the response reported by investigator per local practice. No response confirmation was applied. ORR was defined as the percentage of participants with complete response or partial response relative to all as-treated population.

GroupValue95% CI
Palbociclib+Letrozole24.817.6 – 33.2

Adverse events — posted to ClinicalTrials.gov

Time frame: 3 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Palbociclib+Letrozole
Serious: 32/130 (25%)
Deaths: 10/130

Serious adverse events (36 terms)

ReactionSystemPalbociclib+Letrozole
PneumoniaInfections and infestations
Disease progressionGeneral disorders
TuberculosisInfections and infestations
Femur fractureInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
Deep vein thrombosisVascular disorders
AnaemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Arteriosclerosis coronary arteryCardiac disorders
AscitesGastrointestinal disorders
Chest painGeneral disorders
General physical health deteriorationGeneral disorders
CellulitisInfections and infestations
Device related infectionInfections and infestations
Herpes virus infectionInfections and infestations
Urinary tract infectionInfections and infestations
Fractured ischiumInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
HypoglycaemiaMetabolism and nutrition disorders
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour flareNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (41 terms — click to expand)

ReactionSystemPalbociclib+Letrozole
NeutropeniaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
HeadacheNervous system disorders
White blood cell count decreasedInvestigations
AstheniaGeneral disorders
ConstipationGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Platelet count decreasedInvestigations
AlopeciaSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Lymphocyte count decreasedInvestigations
Upper respiratory tract infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
DizzinessNervous system disorders
LymphopeniaBlood and lymphatic system disorders
Mucosal inflammationGeneral disorders
InfluenzaInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
Dry skinSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
Oedema peripheralGeneral disorders
InsomniaPsychiatric disorders
Abdominal pain upperGastrointestinal disorders
StomatitisGastrointestinal disorders
PyrexiaGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations

Most-reported serious reactions: Pneumonia, Disease progression, Tuberculosis, Femur fracture, Back pain, Deep vein thrombosis, Anaemia, Febrile neutropenia.

Data from ClinicalTrials.gov NCT02600923 adverse events section.

Sponsor's own description

The purpose of this study is to provide access to palbociclib in Mexico and in selected Latin American countries before it becomes commercially available to patients with HR positive/HER2-negative ABC who are appropriate candidates for letrozole therapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cyclin D1, cancer progression, and opportunities in cancer treatment.
    Qie S, Diehl JA. · · 2016 · cited 527× · PMID 27695879 · DOI 10.1007/s00109-016-1475-3
  2. The Strange Case of CDK4/6 Inhibitors: Mechanisms, Resistance, and Combination Strategies.
    Knudsen ES, Witkiewicz AK. · · 2017 · cited 218× · PMID 28303264 · DOI 10.1016/j.trecan.2016.11.006
  3. Investigational chemotherapy and novel pharmacokinetic mechanisms for the treatment of breast cancer brain metastases.
    Shah N, Mohammad AS, Saralkar P, Sprowls SA, et al · · 2018 · cited 102× · PMID 29604436 · DOI 10.1016/j.phrs.2018.03.021
  4. Latest Overview of the Cyclin-Dependent Kinases 4/6 Inhibitors in Breast Cancer: The Past, the Present and the Future.
    Chen X, Xu D, Li X, Zhang J, et al · · 2019 · cited 37× · PMID 31777590 · DOI 10.7150/jca.33079
  5. Progress with palbociclib in breast cancer: latest evidence and clinical considerations.
    Rocca A, Schirone A, Maltoni R, Bravaccini S, et al · · 2017 · cited 37× · PMID 28203301 · DOI 10.1177/1758834016677961
  6. Aromatase and CDK4/6 Inhibitor-Induced Musculoskeletal Symptoms: A Systematic Review.
    Andrikopoulou A, Fiste O, Liontos M, Dimopoulos MA, et al · · 2021 · cited 10× · PMID 33530456 · DOI 10.3390/cancers13030465
  7. Expanded Access Study of Palbociclib Plus Letrozole for Postmenopausal Women with HR+/HER2- Advanced Breast Cancer in Latin America for Whom Letrozole Therapy is Deemed Appropriate.
    Fein L, Lazaretti N, Chuken YL, Benfield JRGR, et al · · 2023 · cited 3× · PMID 37594640 · DOI 10.1007/s40261-023-01294-3
  8. Palbociclib as an Antitumor Drug: A License to Kill.
    Łupicka-Słowik A, Cossu F, Sieńczyk M. · · 2024 · cited 2× · PMID 39598723 · DOI 10.3390/molecules29225334

Verify or expand the search:

Other trials of Palbociclib

Trials testing the same drug.

Other Pfizer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02600923.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing