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NCT05361655

Real-World Effectiveness of Palbociclib in Combination With an Aromatase Inhibitor

Completed Results posted Last updated 7 June 2024
What this trial tests

trial testing Palbociclib + an aromatase inhibitor in Metastatic Breast Cancer in 2,888 participants. Completed in 1 September 2021.

Timeline
1 September 2021
Primary endpoint
1 September 2021
1 September 2021

Quick facts

Lead sponsorPfizer
StatusCompleted
Study typeOBSERVATIONAL
Enrollment2,888
Start date1 September 2021
Primary completion1 September 2021
Estimated completion1 September 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Metastatic 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.

Overall Survival (OS) in Postmenopausal Female or Male Participants With Metastatic Breast Cancer Primary · From index date to death due to any cause or censoring date of 30-Sep-2020 (approximately up to 68 months)

OS was defined as the time from the index date (start of palbociclib + AI or AI alone) to death. Participants who did not die, were censored at the end of study date (30-Sep-2020). Kaplan-Meier method adjusted by stabilized inverse probability of treatment weighting (sIPTW) was used.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor49.145.2 – 57.7
Aromatase Inhibitor43.237.6 – 48.0
Real-World Progression Free Survival (rwPFS) in Postmenopausal Female or in Male Participants With Metastatic Breast Cancer Secondary · From index date until disease progression or death due to any cause or censoring date (approximately up to 68 months)

Real-world PFS was defined as the number of months from start of palbociclib + AI or AI alone to death from any cause or disease progression (based on clinical assessment or by radiographic scan/tissue biopsy), whichever occurred first. Disease progression was defined as at least a 20 percentage (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that was the smallest on study). Participants who did not die and did not have disease progression were censored at the date of initiation of next line of therapy for

GroupValue95% CI
Palbociclib + Aromatase Inhibitor19.317.5 – 20.7
Aromatase Inhibitor13.912.5 – 15.2
Number of Participants According to Real-World Tumor Responses (rwTR): Postmenopausal Female or in Male Participants With Metastatic Breast Cancer Secondary · From 30 days after index treatment initiation until CR, PR, SD or PD (approximately 67 months)

Real-world best responses were assessed based on treating clinician's assessment of radiological evidence for change in burden of disease over course of treatment after 1 month of index treatment initiation. Responses were classified as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), indeterminate response (IR). CR=Complete resolution of all visible disease. PR=partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease. SD=no change in overall size of visible disease. PD: an increase in visibl

Complete response
GroupValue95% CI
Palbociclib + Aromatase Inhibitor163
Aromatase Inhibitor86
Partial response
GroupValue95% CI
Palbociclib + Aromatase Inhibitor569
Aromatase Inhibitor300
Stable disease
GroupValue95% CI
Palbociclib + Aromatase Inhibitor350
Aromatase Inhibitor273
Progressive disease
GroupValue95% CI
Palbociclib + Aromatase Inhibitor155
Aromatase Inhibitor260
Indeterminate response
GroupValue95% CI
Palbociclib + Aromatase Inhibitor26
Aromatase Inhibitor69
Real-World Response Rate (rwTR) in Postmenopausal Female or in Male Participants With Metastatic Breast Cancer Secondary · From 30 days after index treatment initiation until disease progression or death due to any cause or censoring date (approximately up to 67 months)

Real-world tumor response rate (rwTR) was defined as the percentage of participants with a real world complete response (rwCR) or real-world partial response (rwPR). CR: complete resolution of all visible disease. PR: partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease. Analysis was performed using sIPTW method to balance participant characteristics.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor57.98
Aromatase Inhibitor39.04
Number of Participants According to Initial Dose of Palbociclib: Palbociclib + Aromatase Inhibitor Arm Only Secondary · At index (anytime between 03-Feb-2015 to 31-Mar-2020, approximately up to 62 months)

Number of participants according to the initial dose of palbociclib (75 milligrams \[mg\]/day, 100mg/day, 125 mg/day or missing dose) are reported in this outcome measure.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor48
Palbociclib + Aromatase Inhibitor1110
Palbociclib + Aromatase Inhibitor144
Palbociclib + Aromatase Inhibitor22
Time to Dose Adjustment for Palbociclib- Palbociclib + Aromatase Inhibitor Arm Only Secondary · At index (anytime between 03-Feb-2015 to 30-Sep-2020, approximately up to 68 months)

Time to dose adjustment for participants who received palbociclib 125 mg/day, 100 mg/day, or 75 mg/day as initial dose was presented in this outcome measure.

Initial dose of 125mg/day
GroupValue95% CI
Palbociclib + Aromatase Inhibitor8552 – 195
Initial dose of 100mg/day
GroupValue95% CI
Palbociclib + Aromatase Inhibitor9539 – 236
Initial dose of 75mg/day
GroupValue95% CI
Palbociclib + Aromatase Inhibitor11239 – 171
Duration of Treatment Secondary · From start of study treatment to end of treatment, start of subsequent line of therapy, or death from any cause, whichever occurred first (up to 68 months)

Duration of treatment was defined as days from index prescription order date to end of treatment, start of subsequent line of therapy, or death from any cause, whichever occurred first. Kaplan-Meier method adjusted by stabilized IPTW was used.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor12.310.5 – 14.1
Aromatase Inhibitor5.54.7 – 6.7
Time to Next Line of Treatment Secondary · From start of study treatment to start of next line of therapy (up to 68 months)

Time to next line of treatment represents the interval from commencement of one treatment to initiation of the next line of therapy. Analysis was performed using sIPTW method to balance participant characteristics among reporting groups.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor18.416.3 – 20.3
Aromatase Inhibitor8.37.2 – 10.2
Time to Subsequent Chemotherapy Secondary · From start of study treatment to administration of different chemotherapeutic agent (up to 68 months)

Time to subsequent chemotherapy represents the time interval to administration of a different chemotherapeutic agent after the first course of therapy was administered. Analysis was performed using sIPTW method to balance participant characteristics among reporting groups.

GroupValue95% CI
Palbociclib + Aromatase Inhibitor37.433.7 – 40.7
Aromatase Inhibitor29.226.8 – 33.5
Real-World Progression Free Survival 2 (rwPFS2) in Postmenopausal Female or in Male Participants With Metastatic Breast Cancer Secondary · From start of study treatment until disease progression, or death from any cause following second line of therapy, whichever occurred first (approximately up to 68 months)

rwPFS2 was defined as the time from the index date to the date of the first documentation of a rwPD or death due to any cause after starting second line of therapy, whichever occurs first. Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Analysis was performed using sIPTW method to balance participant characteristics

GroupValue95% CI
Palbociclib + Aromatase Inhibitor32.629.4 – 35.2
Aromatase Inhibitor20.718.9 – 22.6

Sponsor's own description

A retrospective study of de-identified (to preserve patient privacy) patient information from the Flatiron Health Analytic Database to compare effectiveness (i.e., overall survival) of first line palbociclib + aromatase inhibitor (AI) versus AI alone treatment in postmenopausal women or men with hormone receptor positive/human epidermal growth factor receptor 2 negative (HR+/HER2-) metastatic breast cancer (MBC) in the United States clinical practices.

Publications & conference data

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

  1. Real-world study of overall survival with palbociclib plus aromatase inhibitor in HR+/HER2- metastatic breast cancer.
    Rugo HS, Brufsky A, Liu X, Li B, et al · · 2022 · cited 93× · PMID 36220852 · DOI 10.1038/s41523-022-00479-x
  2. Real-world treatment patterns and effectiveness of palbociclib plus an aromatase inhibitor in patients with metastatic breast cancer aged 75 years or older.
    Brufsky A, Liu X, Li B, McRoy L, et al · · 2023 · cited 18× · PMID 37841423 · DOI 10.3389/fonc.2023.1237751
  3. Real-World Effectiveness of Palbociclib Plus Aromatase Inhibitors in African American Patients With Metastatic Breast Cancer.
    Rugo HS, Liu X, Li B, McRoy L, et al · · 2023 · cited 10× · PMID 37487056 · DOI 10.1093/oncolo/oyad209
  4. Palbociclib plus aromatase inhibitors in patients with metastatic breast cancer and cardiovascular diseases: real-world effectiveness.
    Brufsky A, Liu X, Li B, McRoy L, et al · · 2024 · cited 5× · PMID 39418346 · DOI 10.1093/oncolo/oyae273
  5. First-line cyclin-dependent kinase 4 and 6 inhibitors in combination with an aromatase inhibitor for HR+/HER2- metastatic breast cancer: A real-world cost-effectiveness assessment in a US Medicare-eligible population.
    Sun L, Veenstra DL, Brufsky A, Pluard T, et al · · 2025 · cited 3× · PMID 40735999 · DOI 10.18553/jmcp.2025.25063
  6. Prolonging the lives of African-Americans with metastatic breast cancer by adding palbociclib to an aromatase inhibitor in routine clinical practice: a plain language summary of a real-world database study.
    Rugo HS, Liu X, Li B, McRoy L, et al · · 2024 · cited 2× · PMID 38517416 · DOI 10.2217/fon-2023-1079
  7. Real-world palbociclib dose modifications and clinical outcomes in patients with HR+/HER2- metastatic breast cancer: A Flatiron Health database analysis.
    Layman RM, Liu X, Li B, McRoy L, et al · · 2025 · cited 1× · PMID 40138984 · DOI 10.1016/j.breast.2025.104448
  8. A Decade After Approval of the First CDK4/6 Inhibitor: A Look Back at Palbociclib's Journey from Discovery to Approval and What's Next in CDK Inhibition in Breast Cancer.
    Finn RS, Rugo HS, Cortes J, Loibl S, et al · · 2025 · PMID 41087648 · DOI 10.1007/s11523-025-01175-z

Verify or expand the search:

Other trials of Palbociclib + an aromatase inhibitor

Trials testing the same drug.

Other recruiting trials for Metastatic Breast Cancer

Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

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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/NCT05361655.

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