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NCT04394247

Patient Characteristics, Treatment Patterns, and Clinical Outcomes in Patients Diagnosed With HR+/HER2 Advanced/Metastatic Breast Cancer on Palbociclib + Aromatase Inhibitor (AI) Combination Therapy

Completed Results posted Last updated 21 March 2023
What this trial tests

trial in Breast Cancer in 242 participants. Completed in 31 December 2020.

Timeline
30 June 2020
Primary endpoint
31 December 2020
31 December 2020

Quick facts

Lead sponsorPfizer
StatusCompleted
Study typeOBSERVATIONAL
Enrollment242
Start date30 June 2020
Primary completion31 December 2020
Estimated completion31 December 2020
Sites1 location across United States

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Breast Cancer. 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.

Percentage of Participants With Treatment Regimen Distribution Primary · From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Regimen medications were defined as systemic therapies included in line regimen based on synapse line of therapy algorithm. Treatment regimen distribution included: first-line regimen; palbociclib along with aromatase inhibitor and second-line regimen; CDK4/6 inhibitor plus endocrine and chemotherapy. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.

First-line regimen
GroupValue95% CI
Palbociclib With Aromatase Inhibitor100
Second-line regimen
GroupValue95% CI
Palbociclib With Aromatase Inhibitor39.67
Percentage of Participants With Sequence of Treatment Lines Primary · From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Line of therapy was defined as line number (1; 2; 3; etc.) in the A/MBC setting assigned based on synapse line of therapy algorithm. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.

1 Line
GroupValue95% CI
Palbociclib With Aromatase Inhibitor100
2 Lines
GroupValue95% CI
Palbociclib With Aromatase Inhibitor21.49
3 Lines
GroupValue95% CI
Palbociclib With Aromatase Inhibitor12.81
4 Lines
GroupValue95% CI
Palbociclib With Aromatase Inhibitor2.07
5 Lines or more
GroupValue95% CI
Palbociclib With Aromatase Inhibitor3.31
Percentage of Participants With Their Starting Dose and End Dose Primary · From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Percentage of participants with starting and end dose at 125 mg, 100 mg, 75 mg and unknown were reported.

Starting Dose: 125 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor89.7
Starting Dose: 100 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor7.4
Starting Dose: 75 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.2
Starting Dose: Unknown
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.7
End Dose: 125 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor60.7
End Dose: 100 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor27.7
End Dose: 75 mg
GroupValue95% CI
Palbociclib With Aromatase Inhibitor9.9
End Dose: Unknown
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.7
Percentage of Participants With Type of Dose Adjustment Primary · From start of treatment to end of follow-up, up to a maximum of approximately 5 years

In this outcome measure type of dose adjustments were recorded and reported. It included dose increase, decrease, no adjustment and unknown categories.

Increase
GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.4
Decrease
GroupValue95% CI
Palbociclib With Aromatase Inhibitor31.0
No adjustment
GroupValue95% CI
Palbociclib With Aromatase Inhibitor66.9
Unknown
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.7
Percentage of Participants With Their Reason For Treatment Discontinuation Primary · From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Percentage of participants with discontinuation reason as progression, intolerance/toxicity, participant choice, treatment for other diseases, left health system, end of planned therapy, changes in insurance, death, hospice referral, physician choice, actionable mutation found, other/unknown were recorded and reported in this outcome measure.

Progression
GroupValue95% CI
Palbociclib With Aromatase Inhibitor26.4
Intolerance/toxicity
GroupValue95% CI
Palbociclib With Aromatase Inhibitor14.9
Participant Choice
GroupValue95% CI
Palbociclib With Aromatase Inhibitor2.5
Treatment for Other Diseases
GroupValue95% CI
Palbociclib With Aromatase Inhibitor2.5
Left Health System
GroupValue95% CI
Palbociclib With Aromatase Inhibitor0
End of Planned Therapy
GroupValue95% CI
Palbociclib With Aromatase Inhibitor2.1
Changes in Insurance
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.2
Death
GroupValue95% CI
Palbociclib With Aromatase Inhibitor1.2
Time to Dose Adjustment Primary · From start of treatment till treatment dose adjustment, up to a maximum of approximately 5 years

Time to dose adjustment (TTDA) was defined as the time from the start of palbociclib and AI treatment until the date of treatment dose adjustment.

GroupValue95% CI
Palbociclib With Aromatase Inhibitor55.01.000 – 1435
Probability of Real-World Progression-Free Survival (rwPFS) at Month 3 Primary · 3 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as disease progression \[PD\] or death due to any cause) at 3 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 3 months were reported in this

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.950.92 – 0.97
Probability of Real-World Progression-Free Survival (rwPFS) at Month 6 Primary · 6 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as PD or death due to any cause) at 6 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 6 months were reported in this outcome measure. Analysi

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.840.8 – 0.89
Probability of Real-World Progression-Free Survival (rwPFS) at Month 12 Primary · 12 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as PD or death due to any cause) at 12 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 12 months were reported in this outcome measure. Analy

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.750.7 – 0.81
Probability of Real-World Progression-Free Survival (rwPFS) at Month 18 Primary · 18 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as PD or death due to any cause) at 18 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 18 months were reported in this outcome measure. Analy

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.660.59 – 0.72
Probability of Real-World Progression-Free Survival (rwPFS) at Month 24 Primary · 24 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as PD or death due to any cause) at 24 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 24 months were reported in this outcome measure. Analy

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.590.53 – 0.67
Probability of Real-World Progression-Free Survival (rwPFS) at Month 30 Primary · 30 months after treatment initiation any time during 5 years of study period

Probability of being event free (event defined as PD or death due to any cause) at 30 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 30 months were reported in this outcome measure. Analy

GroupValue95% CI
Palbociclib With Aromatase Inhibitor0.530.46 – 0.61

Sponsor's own description

The study is designed to describe patient characteristics, treatment patterns, and clinical effectiveness outcomes in patients diagnosed with HR+/HER2- A/MBC who received palbociclib combination therapy with AI as first-line treatment in the US community oncology setting.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Real-World Treatment Patterns and Clinical Effectiveness of Palbociclib Plus an Aromatase Inhibitor as First-Line Therapy in Advanced/Metastatic Breast Cancer: Analysis from the US Syapse Learning Health Network.
    Law JW, Mitra D, Kaplan HG, Alfred T, et al · · 2022 · cited 14× · PMID 35200588 · DOI 10.3390/curroncol29020089

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