Observational Analysis of Palbociclib Treatment in Patients With First Line Therapy for Locally Advanced and/or Metastatic Breast Cancer

NCT ID: NCT04874025

Last Updated: 2022-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

815 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-07-31

Study Completion Date

2022-06-08

Brief Summary

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Hormone therapy is the primary treatment option for patients with HR+ HER2- breast cancer. Despite its activity, hormone therapy is associated with initial, or more frequently acquired, resistance after exposure to one or more treatment lines.

The combination of palbociclib with hormone therapy significantly increases progression free survival (PFS) compared with hormone therapy in first and second treatment line of HR+ HER2- advanced breast cancer.

These results lead to palbociclib approval by the Food and Drug Administration (FDA) in February 2015, and European Medicines Agency (EMA) approval in November 2016 for first-line treatment of patients with metastatic HR+/HER2-breast cancer in combination with an aromatase inhibitor, and for patients who had previously received hormone therapy in combination with fulvestrant.

In Spain, palbociclib was launched last November 1st, 2017. During this period, approximately 3500 patients have received treatment with Palbociclib, and approximately a half of them in first-line treatment in combination with hormone therapy. The collection of efficacy and toxicity data in the first-line usage in the clinical practice setting is of clinical interest.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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Ibrance

Observational study of Ibrance 75 mg, 100 mg and 125 mg.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1\. Documented histologically confirmed breast cancer with ER and/or PgR positive and HER2 negative status.
* 2\. Locally advanced or metastatic breast cancer not deemed amenable to curative surgery or curative radiation therapy
* 3\. HR+/HER2-

1. HR+: ER+ or PR+ test before or up to 60 days after MBC diagnosis
2. HER2-: any HER2 negative test and the absence of a positive test (IHC positive 3+, FISH positive/amplified, Positive NOS) before or up to 60 days after MBC diagnosis
* 4\. Female or male patients \> 18 years
* 5\. Have received at least one dose of palbociclib
* 6\. At least 2 document clinical visits
* 7\. Treatment with palbociclib should have started from November 2017 to November 2019
* 8\. Data from the clinical records should be available.
* 9\. Patients must be able to understand and sign informed consent if alive.

Exclusion Criteria

* 1\. Previous treatment with hormonal therapy, targeted therapy or chemotherapy for metastatic disease. Previous anticancer treatment for early breast cancer are allowed.
* 2\. Treatment with palbociclib in clinical trial or compassionate use programs
* 3\. HER2 + (IHC 3+ or FISH +) tumors in the most recent or previous biopsies
* 4\. HR negative tumors in the most recent biopsy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital San Carlos, Madrid

OTHER

Sponsor Role lead

Responsible Party

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Fernando Moreno Antón

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Universitario Reina Sofía

Córdoba, Andalusia, Spain

Site Status

Hospital Universitario Virgen de las Nieves

Granada, Andalusia, Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, Andalusia, Spain

Site Status

Hospital Univesitario Virgen del Rocío

Seville, Andalusia, Spain

Site Status

Hospital Clínico Universitario Lozano Blesa

Zaragoza, Aragon, Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, Aragon, Spain

Site Status

Hospital Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status

Hospital Universitario de Basurto

Bilbao, Basque Country, Spain

Site Status

Hospital Universitario Donostia

Donostia / San Sebastian, Basque Country, Spain

Site Status

Hospital Universitario Marqués de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitario de Guadalajara

Guadalajara, Castilla Y La Mancha, Spain

Site Status

Hospital Virgen de la Salud

Toledo, Castilla Y La Mancha, Spain

Site Status

Hospital Universitario de Burgos

Burgos, Castille and León, Spain

Site Status

Hospital Universitario de León

León, Castille and León, Spain

Site Status

Hospital del Mar

Barcelona, Catalonia, Spain

Site Status

Hospital Universitario Vall d´Hebrón

Barcelona, Catalonia, Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, Catalonia, Spain

Site Status

ICO Hospitalet

L'Hospitalet de Llobregat, Catalonia, Spain

Site Status

Arnau Vilanova Lleida

Lleida, Catalonia, Spain

Site Status

Hospital Universitario de Cáceres

Cáceres, Extremadura, Spain

Site Status

Hospital Universitario de La Coruña

A Coruña, Galicia, Spain

Site Status

Hospital Universitario de Ferrol

Ferrol, Galicia, Spain

Site Status

Hospital Cínico Universitario de Santiago de Compostela

Santiago de Compostela, Galicia, Spain

Site Status

Clínica Universitaria de Navarra

Pamplona, Navarre, Spain

Site Status

Complejo Hospitalario de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitario de Cabueñes

Gijón, Principality of Asturias, Spain

Site Status

Hospital Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status

Hospital General Universitario de Elche

Elche, Valencia, Spain

Site Status

Hospital Universitario de la Princesa

Madrid, , Spain

Site Status

Hospital Universitario Gregorio Marañón

Madrid, , Spain

Site Status

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital General Universitario Morales Meseguer

Murcia, , Spain

Site Status

Arnau Vilanova Valencia

Valencia, , Spain

Site Status

Countries

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Spain

References

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Martinez-Janez N, Ezquerra MB, Manso Sanchez LM, Carrasco FH, Torres AA, Morales S, Ortega PT, Gil VLO, Sampedro T, Conejero RA, Calvo-Martinez L, Galve-Calvo E, Lopez R, de la Pena FA, Lopez-Tarruella S, de Araguiz BAHF, Ruiz LB, Cardenas TM, Chacon JI, Anton FM. First-line therapy with palbociclib in patients with advanced HR+/HER2- breast cancer: The real-life study PALBOSPAIN. Breast Cancer Res Treat. 2024 Jul;206(2):317-328. doi: 10.1007/s10549-024-07287-w. Epub 2024 Apr 1.

Reference Type DERIVED
PMID: 38561577 (View on PubMed)

Other Identifiers

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PALBOSPAIN

Identifier Type: -

Identifier Source: org_study_id

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