Malignant Neoplasm of Breast
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Progression Free Survival at Month 24 | Day 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 Initiation | 1 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 Initiation | 2 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 12 | Day 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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Best Overall Response | From 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
| Arm | Count |
|---|---|
| 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 |
| Total | 652 |
Baseline characteristics
| Characteristic | Palbociclib + Aromatase Inhibitor (P+AI) | Palbociclib + Fulvestrant (P+FV) | Total |
|---|---|---|---|
| Age, Continuous | 64.8 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 Participants | 49 Participants | 119 Participants |
| Race/Ethnicity, Customized Race and Ethnicity Asian | 9 Participants | 15 Participants | 24 Participants |
| Race/Ethnicity, Customized Race and Ethnicity Hispanic/Latino | 40 Participants | 31 Participants | 71 Participants |
| Race/Ethnicity, Customized Race and Ethnicity Other | 20 Participants | 27 Participants | 47 Participants |
| Race/Ethnicity, Customized Race and Ethnicity White/Caucasian | 221 Participants | 170 Participants | 391 Participants |
| Sex: Female, Male Female | 360 Participants | 292 Participants | 652 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation | 95.1 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation | 87.9 Percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants Alive After 2 Years Post Palbociclib Treatment Initiation | 90.1 Percentage of participants |
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.
| Arm | Measure | Value (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 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Progression Free Survival at Month 24 | 64.3 Percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Progression Free Survival (PFS) at Month 12 | 84.1 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants With Progression Free Survival (PFS) at Month 12 | 79.8 Percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Best Overall Response | Partial Response | 68.5 Percentage of participants |
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Best Overall Response | Stable Disease >=24 Weeks | 14.3 Percentage of participants |
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Best Overall Response | Stable Disease <24 Weeks | 1.4 Percentage of participants |
| Palbociclib + Aromatase Inhibitor (P+AI) | Percentage of Participants With Best Overall Response | Complete Response | 11.0 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants With Best Overall Response | Stable Disease <24 Weeks | 3.2 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants With Best Overall Response | Complete Response | 8.5 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants With Best Overall Response | Partial Response | 65.5 Percentage of participants |
| Palbociclib + Fulvestrant (P+FV) | Percentage of Participants With Best Overall Response | Stable Disease >=24 Weeks | 11.0 Percentage of participants |
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.
| Arm | Measure | Value (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 |