Trial Outcomes & Findings for Survival Endpoints in Women Treated for Metastatic Breast Cancer: Contribution of Real-life Databases (NCT NCT03676257)

NCT ID: NCT03676257

Last Updated: 2025-12-10

Results Overview

OS was defined as the time from diagnosis of mBC to the date of death from any cause.

Recruitment status

COMPLETED

Target enrollment

20033 participants

Primary outcome timeframe

10 years

Results posted on

2025-12-10

Participant Flow

Participant milestones

Participant milestones
Measure
Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)
Women with a diagnosis of HR+ /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)
Women with a diagnosis of HR- /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)
Women with a diagnosis of HR+ /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)
Women with a diagnosis of HR- /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Overall Study
STARTED
13283
2845
2502
1403
Overall Study
COMPLETED
13283
2845
2502
1403
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)
n=13283 Participants
Women with a diagnosis of HR+ /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)
n=2845 Participants
Women with a diagnosis of HR- /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)
n=2502 Participants
Women with a diagnosis of HR+ /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)
n=1403 Participants
Women with a diagnosis of HR- /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Total
n=20033 Participants
Total of all reporting groups
Age, Continuous
62 years
n=13283 Participants
56 years
n=2845 Participants
57 years
n=2502 Participants
56 years
n=1403 Participants
60 years
n=20033 Participants
Sex: Female, Male
Female
13283 Participants
n=13283 Participants
2845 Participants
n=2845 Participants
2502 Participants
n=2502 Participants
1403 Participants
n=1403 Participants
20033 Participants
n=20033 Participants
Sex: Female, Male
Male
0 Participants
n=13283 Participants
0 Participants
n=2845 Participants
0 Participants
n=2502 Participants
0 Participants
n=1403 Participants
0 Participants
n=20033 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
France
13283 Participants
n=13283 Participants
2845 Participants
n=2845 Participants
2502 Participants
n=2502 Participants
1403 Participants
n=1403 Participants
20033 Participants
n=20033 Participants
Grade
Grade 1
1532 Participants
n=13283 Participants
46 Participants
n=2845 Participants
132 Participants
n=2502 Participants
16 Participants
n=1403 Participants
1726 Participants
n=20033 Participants
Grade
Grade 2
6883 Participants
n=13283 Participants
758 Participants
n=2845 Participants
1125 Participants
n=2502 Participants
459 Participants
n=1403 Participants
9225 Participants
n=20033 Participants
Grade
Grade 3
2775 Participants
n=13283 Participants
1662 Participants
n=2845 Participants
866 Participants
n=2502 Participants
724 Participants
n=1403 Participants
6027 Participants
n=20033 Participants
Grade
Grade not documented
2093 Participants
n=13283 Participants
379 Participants
n=2845 Participants
379 Participants
n=2502 Participants
204 Participants
n=1403 Participants
3055 Participants
n=20033 Participants

PRIMARY outcome

Timeframe: 10 years

Population: OS is reported for major combinations of treatments. For the combination of treatments "OTHER", OS is not reported given the populations are highly heterogeneous, and therefore reporting OS is not clinically relevant. When the number of participants in a row is "0", this means that the combinbation of treatments (defined by the row) was provided to 0 woman of the population (defined by the column).

OS was defined as the time from diagnosis of mBC to the date of death from any cause.

Outcome measures

Outcome measures
Measure
Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)
n=2306 Participants
Women with a diagnosis of HR+ /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)
n=1239 Participants
Women with a diagnosis of HR- /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)
n=13268 Participants
Women with a diagnosis of HR+ /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)
n=2725 Participants
Women with a diagnosis of HR- /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and chemotherapy
29.5 months
Interval 24.8 to 46.3
48.5 months
Interval 46.1 to 50.3
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and targeted treatment
56.3 months
Interval 46.2 to 79.4
58.8 months
Interval 49.5 to 69.3
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Combination of chemotherapy, endocrine therapy and targeted treatment
86.1 months
Interval 74.5 to 97.7
42.6 months
Interval 40.8 to 46.0
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Endocrine therapy (exclusive)
40.3 months
Interval 36.9 to 49.4
48.8 months
Interval 47.3 to 50.2
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Chemotherapy and targeted treatment
47.6 months
Interval 41.3 to 55.0
43.8 months
Interval 40.2 to 49.1
27.8 months
Interval 25.0 to 29.9
15.8 months
Interval 14.9 to 17.7
Overall Survival (OS) for Commonly Prescribed First-line Treatment Strategies
Chemotherapy (exclusive)
30.9 months
Interval 23.3 to 38.7
17.4 months
Interval 11.0 to 20.6
23.7 months
Interval 22.2 to 25.9
13.5 months
Interval 12.6 to 14.3

SECONDARY outcome

Timeframe: 10 years

Population: rwPFS is reported for major combinations of treatments. For the combination of treatments "OTHER", rwPFS is not reported given the populations are highly heterogeneous, and therefore reporting rwPFS is not clinically relevant. When the number of participants in a row is "0", this means that the combinbation of treatments (defined by the row) was provided to 0 woman of the population (defined by the column).

rwPFS was defined as the delay between time from initial diagnosis of mBC to the date of disease progression (regional recurrence, progression, appearance/occurrence of metastases and distant recurrence) or death (any cause), whichever came first. Disease progression was assessed by the treating physician based on observed clinical events, as per routine practice (regional recurrence, progression, appearance/occurrence of metastases and distant recurrence). These events were recorded in the patient medical record. As this study relates to real-world data, no specific procedure was imposed to assess these events.

Outcome measures

Outcome measures
Measure
Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)
n=2306 Participants
Women with a diagnosis of HR+ /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)
n=1239 Participants
Women with a diagnosis of HR- /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)
n=13268 Participants
Women with a diagnosis of HR+ /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)
n=2725 Participants
Women with a diagnosis of HR- /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Chemotherapy (exclusive)
4.4 months
Interval 3.5 to 5.4
4.4 months
Interval 3.5 to 6.0
5.0 months
Interval 4.8 to 5.2
5.4 months
Interval 5.1 to 5.8
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Endocrine therapy (exclusive)
5.9 months
Interval 5.2 to 7.1
12.5 months
Interval 12.0 to 13.0
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and chemotherapy
9.3 months
Interval 7.5 to 11.5
16.2 months
Interval 15.4 to 16.7
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Chemotherapy and targeted treatment
9.9 months
Interval 8.4 to 10.9
12.3 months
Interval 11.3 to 13.0
7.2 months
Interval 6.7 to 7.8
6.5 months
Interval 6.1 to 6.8
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Combination of chemotherapy, endocrine therapy and targeted treatment
24.6 months
Interval 22.8 to 27.0
14.5 months
Interval 13.8 to 15.1
Real-world Progression-free Survival (rwPFS) for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and targeted treatment
12.2 months
Interval 9.9 to 15.8
19.4 months
Interval 15.7 to 23.1

SECONDARY outcome

Timeframe: 10 years

Population: Individual-level association between rwPFS and OS is reported for major combinations of treatments. For the combination "OTHER", this individual-level association is not reported given the populations are highly heterogeneous, and therefore reporting ondividual-level association is not clinically relevant. When the number of participants in a row is "0", this means that the combinbation of treatments (defined by the row) was provided to 0 woman of the population (defined by the column).

Individual-level association between rwPFS and OS estimated using a Spearman rank correlation coefficient.

Outcome measures

Outcome measures
Measure
Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)
n=2306 Participants
Women with a diagnosis of HR+ /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)
n=1239 Participants
Women with a diagnosis of HR- /HER2+ metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)
n=13268 Participants
Women with a diagnosis of HR+ /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)
n=2725 Participants
Women with a diagnosis of HR- /HER2- metastatic breast cancer (mBC) and satisfying eligibility criteria
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Combination of chemotherapy, endocrine therapy and targeted treatment
0.78 Correlation coefficient
Interval 0.74 to 0.82
0.7 Correlation coefficient
Interval 0.67 to 0.73
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Chemotherapy (exclusive)
0.33 Correlation coefficient
Interval 0.12 to 0.52
0.67 Correlation coefficient
Interval 0.51 to 0.78
0.58 Correlation coefficient
Interval 0.54 to 0.61
0.81 Correlation coefficient
Interval 0.79 to 0.82
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Endocrine therapy (exclusive)
0.43 Correlation coefficient
Interval 0.32 to 0.53
0.66 Correlation coefficient
Interval 0.64 to 0.68
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and chemotherapy
0.72 Correlation coefficient
Interval 0.58 to 0.82
0.78 Correlation coefficient
Interval 0.76 to 0.79
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Chemotherapy and targeted treatment
0.67 Correlation coefficient
Interval 0.61 to 0.72
0.81 Correlation coefficient
Interval 0.78 to 0.84
0.45 Correlation coefficient
Interval 0.39 to 0.51
0.73 Correlation coefficient
Interval 0.69 to 0.76
Association Between Overall Survival and Real-world Progression-free Survival for Commonly Prescribed First-line Treatment Strategies
Combination of endocrine therapy and targeted treatment
0.71 Correlation coefficient
Interval 0.61 to 0.78
0.61 Correlation coefficient
Interval 0.51 to 0.7

Adverse Events

Women With a Diagnosis of HR+ /HER2- Metastatic Breast Cancer (mBC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Women With a Diagnosis of HR- /HER2- Metastatic Breast Cancer (mBC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Women With a Diagnosis of HR+ /HER2+ Metastatic Breast Cancer (mBC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Women With a Diagnosis of HR- /HER2+ Metastatic Breast Cancer (mBC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Carine Bellera

Institut Bergonié

Phone: +33556330495

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place