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Ibrance Real World Insights

TREATMENT PATTERNS AND CLINICAL OUTCOMES AMONG PATIENTS RECEIVING PALBOCICLIB COMBINATIONS FOR HR+/HER2- ADVANCED/METASTATIC BREAST CANCER IN REAL WORLD SETTINGS

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03159195
Acronym
IRIS
Enrollment
652
Registered
2017-05-18
Start date
2017-06-12
Completion date
2021-06-24
Last updated
2025-07-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malignant Neoplasm of Breast

Keywords

metastatic breast cancer, advanced breast cancer, HR+/ HER2-

Brief summary

To describe patient demographics, clinical characteristics, treatment patterns and clinical outcomes of adult female patients who have received palbociclib combination treatments in line with regional licensed indications in real world settings across multiple countries.

Interventions

None listed

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Physician inclusion criteria * Oncologist or gynecologist * Responsible for treating a minimum of ≥2-6 (depending on country) ABC/MBC patients who meet the eligibility criteria. * Agrees to participate in the study and complete the eCRFs within the data collection period. Patient inclusion criteria * Female * ≥18 years old. * HR+/HER2- breast cancer diagnosis with confirmed metastatic or advanced disease. * Received palbociclib plus letrozole/aromatase inhibitor or palbociclib plus fulvestrant in line with the licenced indication(s). * No prior or current enrolment in an interventional clinical trial for ABC/MBC. * Minimum of three months of follow up data since palbociclib with fulvestrant initiation, or minimum of six months of follow up data since palbociclib with letrozole/aromatase inhibitor initiation (core medical record review). * Minimum of three months of follow up data since palbociclib initiation (German interim medical record review only). * Inoperable or recurrent breast cancer (Japan only)

Exclusion criteria

Physician

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Progression Free Survival at Month 24Day 1 of palbociclib combination treatment up to Month 24 (data recorded during 4 years of retrospective observation period)PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up. PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4. Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease. Percentage of participants with PFS events at 24 months based on the Kaplan-Meier estimate were reported.
Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation1 Year (Month 12) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure. Percentage of participants who alive after 1 year post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.
Percentage of Participants Alive After 2 Years Post Palbociclib Treatment Initiation2 years (Month 24) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure. Percentage of participants who alive after 2 years post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.
Percentage of Participants With Progression Free Survival (PFS) at Month 12Day 1 of palbociclib combination treatment up to Month 12 (data recorded during 4 years of retrospective observation period)PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up. PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4. Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease. Percentage of participants with PFS events at 12 months based on the Kaplan-Meier estimate were reported.
Percentage of Participants With Objective Response Rate (ORR)From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) on palbociclib combination therapy according to the RECIST version 1.1 recorded from first dose of study treatment until disease progression due to any cause. Complete response: complete resolution of all visible disease. Partial response: partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.

Other

MeasureTime frameDescription
Percentage of Participants With Best Overall ResponseFrom initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)Best overall response was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment), partial response (where 'partial response' was recorded at any time on treatment) and stable disease at greater than equal to (\>=) 24 weeks on palbociclib combination therapy. Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater.
Percentage of Participants With Clinical Benefit Rate (CBR)From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)CBR was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment) or partial response (where 'partial response' was recorded at any time on treatment), or stable disease at greater than equal to (\>=) 24 weeks on palbociclib combination therapy. Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater. Complete response - Complete resolution of all visible disease. Partial response - Partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.

Countries

United States

Participant flow

Pre-assignment details

Participants who received palbociclib plus aromatase inhibitor (P + AI) or palbociclib plus fulvestrant (P + FV) as treatment of hormone receptor positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) advanced or metastatic breast cancer (ABC/MBC) in April 2017 or later, were observed retrospectively for treatment patterns and clinical outcomes.

Participants by arm

ArmCount
Palbociclib + Aromatase Inhibitor (P+AI)
Participants who received palbociclib along with AI for the treatment of ABC/MBC as part of their routine treatment were observed retrospectively for a period of 4 years, approximately.
360
Palbociclib + Fulvestrant (P+FV)
Participants who received palbociclib along with FV for the treatment of ABC/MBC as part of their routine treatment were observed retrospectively for a period of 4 years, approximately.
292
Total652

Baseline characteristics

CharacteristicPalbociclib + Aromatase Inhibitor (P+AI)Palbociclib + Fulvestrant (P+FV)Total
Age, Continuous64.8 Years
STANDARD_DEVIATION 10.4
63.0 Years
STANDARD_DEVIATION 11.4
64.0 Years
STANDARD_DEVIATION 10.9
Race/Ethnicity, Customized
Race and Ethnicity
African American
70 Participants49 Participants119 Participants
Race/Ethnicity, Customized
Race and Ethnicity
Asian
9 Participants15 Participants24 Participants
Race/Ethnicity, Customized
Race and Ethnicity
Hispanic/Latino
40 Participants31 Participants71 Participants
Race/Ethnicity, Customized
Race and Ethnicity
Other
20 Participants27 Participants47 Participants
Race/Ethnicity, Customized
Race and Ethnicity
White/Caucasian
221 Participants170 Participants391 Participants
Sex: Female, Male
Female
360 Participants292 Participants652 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 00 / 0
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation

Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure. Percentage of participants who alive after 1 year post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.

Time frame: 1 Year (Month 12) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)

Population: FAS:participants aged \>=18 years, diagnosed with HR+/HER- breast cancer with confirmed ABC/MBC, received P + letrozole/AI or P + FV in line with licensed indication, had no prior or current enrolment in an interventional clinical trial for ABC/MBC, had minimum of 3 months of follow up data since P with FV initiation, or minimum of 6 months of follow up data since P with letrozole/AI initiation. Overall Number of Participants Analyzed=participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation95.1 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation87.9 Percentage of participants
Primary

Percentage of Participants Alive After 2 Years Post Palbociclib Treatment Initiation

Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure. Percentage of participants who alive after 2 years post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.

Time frame: 2 years (Month 24) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)

Population: FAS population was analyzed for this outcome measure. Data for this outcome measure for reporting group ''P+FV'' was not collected due to limited time on treatment for participants in this group, data was not available beyond Month 12. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants Alive After 2 Years Post Palbociclib Treatment Initiation90.1 Percentage of participants
Primary

Percentage of Participants With Objective Response Rate (ORR)

ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) on palbociclib combination therapy according to the RECIST version 1.1 recorded from first dose of study treatment until disease progression due to any cause. Complete response: complete resolution of all visible disease. Partial response: partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.

Time frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)

Population: FAS population included participants aged \>=18 years, diagnosed with HR+/HER- breast cancer with confirmed ABC/MBC, received palbociclib + letrozole/AI or palbociclib + fulvestrant in line with the licensed indication, had no prior or current enrolment in an interventional clinical trial for ABC/MBC, had minimum of 3 months of follow up data since palbociclib with fulvestrant initiation, or minimum of 6 months of follow up data since palbociclib with letrozole/AI initiation.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Objective Response Rate (ORR)79.5 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Objective Response Rate (ORR)74.0 Percentage of participants
Primary

Percentage of Participants With Progression Free Survival at Month 24

PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up. PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4. Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease. Percentage of participants with PFS events at 24 months based on the Kaplan-Meier estimate were reported.

Time frame: Day 1 of palbociclib combination treatment up to Month 24 (data recorded during 4 years of retrospective observation period)

Population: FAS population was analyzed for this outcome measure. Data for this outcome measure for reporting group ''P+FV'' was not collected due to limited time on treatment for participants in this group, data was not available beyond Month 12.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Progression Free Survival at Month 2464.3 Percentage of participants
Primary

Percentage of Participants With Progression Free Survival (PFS) at Month 12

PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up. PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4. Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease. Percentage of participants with PFS events at 12 months based on the Kaplan-Meier estimate were reported.

Time frame: Day 1 of palbociclib combination treatment up to Month 12 (data recorded during 4 years of retrospective observation period)

Population: FAS population included participants aged \>=18 years, diagnosed with HR+/HER- breast cancer with confirmed ABC/MBC, received palbociclib + letrozole/AI or palbociclib + fulvestrant in line with the licensed indication, had no prior or current enrolment in an interventional clinical trial for ABC/MBC, had minimum of 3 months of follow up data since palbociclib with fulvestrant initiation, or minimum of 6 months of follow up data since palbociclib with letrozole/AI initiation.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Progression Free Survival (PFS) at Month 1284.1 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Progression Free Survival (PFS) at Month 1279.8 Percentage of participants
Other Pre-specified

Percentage of Participants With Best Overall Response

Best overall response was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment), partial response (where 'partial response' was recorded at any time on treatment) and stable disease at greater than equal to (\>=) 24 weeks on palbociclib combination therapy. Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater.

Time frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)

Population: FAS population was analyzed. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Best Overall ResponsePartial Response68.5 Percentage of participants
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Best Overall ResponseStable Disease >=24 Weeks14.3 Percentage of participants
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Best Overall ResponseStable Disease <24 Weeks1.4 Percentage of participants
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Best Overall ResponseComplete Response11.0 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Best Overall ResponseStable Disease <24 Weeks3.2 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Best Overall ResponseComplete Response8.5 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Best Overall ResponsePartial Response65.5 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Best Overall ResponseStable Disease >=24 Weeks11.0 Percentage of participants
Other Pre-specified

Percentage of Participants With Clinical Benefit Rate (CBR)

CBR was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment) or partial response (where 'partial response' was recorded at any time on treatment), or stable disease at greater than equal to (\>=) 24 weeks on palbociclib combination therapy. Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater. Complete response - Complete resolution of all visible disease. Partial response - Partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.

Time frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)

Population: FAS population included participants aged \>=18 years, diagnosed with HR+/HER- breast cancer with confirmed ABC/MBC, received palbociclib + letrozole/AI or palbociclib + fulvestrant in line with the licensed indication, had no prior or current enrolment in an interventional clinical trial for ABC/MBC, had minimum of 3 months of follow up data since palbociclib with fulvestrant initiation, or minimum of 6 months of follow up data since palbociclib with letrozole/AI initiation.

ArmMeasureValue (NUMBER)
Palbociclib + Aromatase Inhibitor (P+AI)Percentage of Participants With Clinical Benefit Rate (CBR)93.8 Percentage of participants
Palbociclib + Fulvestrant (P+FV)Percentage of Participants With Clinical Benefit Rate (CBR)93.2 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026