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Patient Characteristics, Treatment Patterns, and Clinical Outcomes in Patients Diagnosed With HR+/HER2 Advanced/Metastatic Breast Cancer on Palbociclib + Aromatase Inhibitor (AI) Combination Therapy

Patient Characteristics, Treatment Patterns, and Clinical Outcomes in Patients Diagnosed With HR+/HER2- Advanced/Metastatic Breast Cancer Receiving Palbociclib + Aromatase Inhibitor (AI) Combination Therapy as First-Line Treatment

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04394247
Enrollment
242
Registered
2020-05-19
Start date
2020-06-30
Completion date
2020-12-31
Last updated
2023-03-21

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

Conditions

Breast Cancer

Brief summary

The study is designed to describe patient characteristics, treatment patterns, and clinical effectiveness outcomes in patients diagnosed with HR+/HER2- A/MBC who received palbociclib combination therapy with AI as first-line treatment in the US community oncology setting.

Interventions

None listed

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

* Female or male sex. * Diagnosis (confirmed by clinical review) of A/MBC, defined as breast cancer at stage IIIB, stage IIIC, stage IV or identified as having distant metastasis. * Age ≥18 years at A/MBC diagnosis. * Initiated palbociclib in combination with an AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019. Note that the date of the start of the inclusion period reflects the month of palbociclib US FDA approval. * Evidence of ER or PR positive disease, or absence of any indication of ER and PR negative disease closest to A/MBC diagnosis (ie, patients are eligible without affirmative indication of ER/PR+ status as long as ER/PR- indication is not present). * Evidence of HER2 negative disease, or absence of any indication of HER2 positive disease closest to A/MBC diagnosis (ie, patients are eligible without affirmative indication of HER2- status as long as HER2+ indication is not present).

Exclusion criteria

* Enrollment in an interventional clinical trial for A/MBC during the study observation period. * Evidence of prior treatment with any CDK4/6 inhibitor in the adjuvant setting. * Evidence of another primary cancer within 3 years prior to the initial line containing palbociclib.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Treatment Regimen DistributionFrom start of treatment to end of follow-up, up to a maximum of approximately 5 yearsRegimen medications were defined as systemic therapies included in line regimen based on synapse line of therapy algorithm. Treatment regimen distribution included: first-line regimen; palbociclib along with aromatase inhibitor and second-line regimen; CDK4/6 inhibitor plus endocrine and chemotherapy. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.
Percentage of Participants With Sequence of Treatment LinesFrom start of treatment to end of follow-up, up to a maximum of approximately 5 yearsLine of therapy was defined as line number (1; 2; 3; etc.) in the A/MBC setting assigned based on synapse line of therapy algorithm. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.
Percentage of Participants With Their Starting Dose and End DoseFrom start of treatment to end of follow-up, up to a maximum of approximately 5 yearsPercentage of participants with starting and end dose at 125 mg, 100 mg, 75 mg and unknown were reported.
Percentage of Participants With Type of Dose AdjustmentFrom start of treatment to end of follow-up, up to a maximum of approximately 5 yearsIn this outcome measure type of dose adjustments were recorded and reported. It included dose increase, decrease, no adjustment and unknown categories.
Percentage of Participants With Their Reason For Treatment DiscontinuationFrom start of treatment to end of follow-up, up to a maximum of approximately 5 yearsPercentage of participants with discontinuation reason as progression, intolerance/toxicity, participant choice, treatment for other diseases, left health system, end of planned therapy, changes in insurance, death, hospice referral, physician choice, actionable mutation found, other/unknown were recorded and reported in this outcome measure.
Time to Dose AdjustmentFrom start of treatment till treatment dose adjustment, up to a maximum of approximately 5 yearsTime to dose adjustment (TTDA) was defined as the time from the start of palbociclib and AI treatment until the date of treatment dose adjustment.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 33 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as disease progression \[PD\] or death due to any cause) at 3 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 3 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 66 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 6 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 6 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 1212 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 12 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 12 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 1818 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 18 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 18 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 2424 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 24 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 24 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 3030 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 30 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 30 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Progression-Free Survival (rwPFS) at Month 3636 months after treatment initiation any time during 5 years of study periodProbability of being event free (event defined as PD or death due to any cause) at 36 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 36 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 33 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 3 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 66 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 6 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 1212 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 12 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 1818 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 18 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 2424 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 24 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 3030 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 30 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Real-World Overall Survival (rwOS) at Month 3636 months after treatment initiation any time during 5 years of study periodrwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 36 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 33 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 3 were reported in this outcome measure. Real-world time to treatment discontinuation (rwTTD) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 66 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 6 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 1212 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 12 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 1818 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 18 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 2424 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 24 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 3030 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 30 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without First Line Treatment Discontinuation or Death at Month 3636 months after treatment initiation any time during 5 years of study periodProbability of participants without first-line treatment discontinuation or death at month 36 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 33 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 3 were reported in this outcome measure. Real-world time to next treatment (rwTTNT) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 66 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 6 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 1212 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 12 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 1818 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 18 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 2424 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 24 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 3030 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 30 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 3636 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent line of therapy initiation or death at month 36 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 33 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 3 were reported in this outcome measure. Real-world time to chemotherapy (rwTTC) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 66 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 6 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 1212 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 12 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 1818 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 18 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 2424 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 24 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 3030 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 30 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without Subsequent Chemotherapy or Death at Month 3636 months after treatment initiation any time during 5 years of study periodProbability of participants without subsequent chemotherapy or death at month 36 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 33 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 3 were reported in this outcome measure. Real-world time to dose adjustment (rwTTDA) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 66 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 6 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 1212 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 12 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 1818 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 18 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 2424 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 24 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 3030 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 30 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.
Probability of Participants Without a First Line Therapy Dose Adjustment at Month 3636 months after treatment initiation any time during 5 years of study periodProbability of participants without a first-line therapy dose adjustment at month 36 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Countries

United States

Participant flow

Recruitment details

Participants who received palbociclib with aromatase inhibitor(AI) as first-line therapy on or after 03 February 2015 through 31 July 2019 were observed retrospectively; data cutoff was 01 February 2020, resulting in a minimum potential 6-month follow-up period. The data was abstracted from charts during a 6 month period of time from 30 June 2020 to 31 December 2020.

Participants by arm

ArmCount
Palbociclib With Aromatase Inhibitor
Participants with advanced/metastatic breast cancer (A/MBC), hormone receptor (HR) positive and human epidermal growth factor receptor 2 (HER2) negative disease, received palbociclib capsule orally once daily with AI as first-line therapy were observed retrospectively during the study. The data of these participants were studied in this observational study.
242
Total242

Baseline characteristics

CharacteristicPalbociclib With Aromatase Inhibitor
Age at A/MBC Diagnosis64.68 Years
STANDARD_DEVIATION 12.22
Age at Death
Between 50-64 years
9.9 Percentage of participants
Age at Death
Between 65-74 years
5.4 Percentage of participants
Age at Death
Greater than or equal to (>=) 75 years
8.7 Percentage of participants
Age at Death
Less than (<) 50 years
1.7 Percentage of participants
Age at Death
Missing
74.0 Percentage of participants
Age, Continuous60.39 Years
STANDARD_DEVIATION 13.72
Disease Free Interval64.00 Months
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
225 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
Insurance Carrier at A/MBC Diagnosis
Commercial
28.5 Percentage of Participants
Insurance Carrier at A/MBC Diagnosis
Medicare/Medicaid
61.6 Percentage of Participants
Insurance Carrier at A/MBC Diagnosis
None
1.2 Percentage of Participants
Insurance Carrier at A/MBC Diagnosis
Not Stated in Participant Record
8.7 Percentage of Participants
Menopausal Status at A/MBC Diagnosis
Not Applicable
1.7 Percentage of participants
Menopausal Status at A/MBC Diagnosis
Not Stated in Participant Record
2.1 Percentage of participants
Menopausal Status at A/MBC Diagnosis
Peri-menopausal
0.8 Percentage of participants
Menopausal Status at A/MBC Diagnosis
Post-menopausal
85.5 Percentage of participants
Menopausal Status at A/MBC Diagnosis
Pre-menopausal
9.9 Percentage of participants
Percentage of Participants With Any Prior Surgery
No
47.5 Percentage of participants
Percentage of Participants With Any Prior Surgery
Yes
52.5 Percentage of participants
Percentage of Participants With Breast Cancer Susceptibility Gene (BRCA) 1 or 2 Testing Status
No
81.0 Percentage of participants
Percentage of Participants With Breast Cancer Susceptibility Gene (BRCA) 1 or 2 Testing Status
Yes
19.0 Percentage of participants
Percentage of Participants With Charlson Comorbidity Index Score
0
65.3 Percentage of participants
Percentage of Participants With Charlson Comorbidity Index Score
1
19.4 Percentage of participants
Percentage of Participants With Charlson Comorbidity Index Score
2
9.1 Percentage of participants
Percentage of Participants With Charlson Comorbidity Index Score
3
3.7 Percentage of participants
Percentage of Participants With Charlson Comorbidity Index Score
4+
2.5 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Anemia
4.5 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Cardiac Arrhythmias
2.9 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Cerebrovascular Disease
0.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Chronic Pulmonary Disease
5.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Congestive Heart Failure
4.1 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Dementia
0.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Diabetes
21.9 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Hypertension
48.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Liver Disease
0.4 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Myocardial Infarction
0.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
None of the Above
36.8 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Not Stated in Participant Record
1.2 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Peripheral Vascular Disease
1.2 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Renal Disease
9.1 Percentage of participants
Percentage of Participants With Comorbid Disease Burden
Rheumatic Disease
1.2 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Bone
Multiple Sites
64.5 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Bone
No Metastases at Site
16.9 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Bone
Single Site
16.9 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Bone
Unknown Number of Sites
1.7 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Liver
Multiple Lesions
5.8 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Liver
No Metastases at Site
90.1 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Liver
Single Lesion
3.3 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Liver
Unknown Number of Lesions
0.8 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Lung
Bilateral Lungs
13.2 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Lung
No Metastases at Site
78.5 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Lung
Single Lung
5.4 Percentage of participants
Percentage of Participants With Disease Burden at Metastatic Sites in Lung
Unknown Single vs Bilateral Status
2.9 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- 0
23.6 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- 1
24.0 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- 1-2
0.4 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- 2
8.3 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- 3
3.3 Percentage of participants
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG- Not Stated in Participant Record
40 Percentage of participants
Percentage of Participants With Endocrine Sensitivity and Endocrine Resistance
Endocrine Sensitivity
84.9 Percentage of participants
Percentage of Participants With Endocrine Sensitivity and Endocrine Resistance
Primary Endocrine Resistance
28.5 Percentage of participants
Percentage of Participants With Endocrine Sensitivity and Endocrine Resistance
Secondary Endocrine Resistance
45.5 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
HER2 Status: equivocal
2.1 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
HER2 Status: HER2 negative
97.9 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
Hormone Receptor Status: ER+ / Not Applicable (NA)
0.8 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
Hormone Receptor Status: ER- / PR-
0.4 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
Hormone Receptor Status: ER- / PR+
0.4 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
Hormone Receptor Status: ER+ / PR-
18.6 Percentage of participants
Percentage of Participants With HER2 and Estrogen Receptor (ER) or Progesterone Receptor (PR) Status
Hormone Receptor Status: ER+ / PR+
79.8 Percentage of participants
Percentage of Participants With Histology Type
DCIS
0.8 Percentage of participants
Percentage of Participants With Histology Type
Invasive Ductal Carcinoma
56.6 Percentage of participants
Percentage of Participants With Histology Type
Invasive Lobular Carcinoma
22.3 Percentage of participants
Percentage of Participants With Histology Type
Invasive Mixed (ductal and lobular)
4.5 Percentage of participants
Percentage of Participants With Histology Type
Other
15.7 Percentage of participants
Percentage of Participants With Modalities of Treatment Received Prior to A/MBC
Chemotherapy
12.1 Percentage of participants
Percentage of Participants With Modalities of Treatment Received Prior to A/MBC
Endocrine Therapy
7.1 Percentage of participants
Percentage of Participants With Modalities of Treatment Received Prior to A/MBC
Targeted Therapy
1.0 Percentage of participants
Percentage of Participants With Number of Metastatic Sites
1
60.7 Percentage of participants
Percentage of Participants With Number of Metastatic Sites
2
18.6 Percentage of participants
Percentage of Participants With Number of Metastatic Sites
>=3
20.2 Percentage of participants
Percentage of Participants With Number of Metastatic Sites
Participant is Not Metastatic
0.4 Percentage of participants
Percentage of Participants With Radiation Therapy
No
67.4 Percentage of participants
Percentage of Participants With Radiation Therapy
Yes
32.6 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Chest Wall
5.0 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Chest Wall, Regional Lymph Nodes
7.4 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Partial Breast
0.8 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Unknown (site not known)
7.4 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Whole Breast
7.4 Percentage of participants
Percentage of Participants With Radiation Therapy Sites
Whole Breast, Regional Lymph Nodes
5.0 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Adrenal
1.7 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Bone (Bone only or in addition to other sites)
83.1 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Bone Marrow
1.7 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Bone Only
50.8 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Chest Wall
0.0 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
CNS
2.5 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Colon
0.8 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Contralateral Breast
0.8 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Distant Lymph Node (s)
18.6 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Liver
9.9 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Lung
21.5 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Malignant Pleural Effusion
10.3 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Omentum
0.4 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Other: Specify
7.4 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Ovary
0.4 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Peritoneum
2.1 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Pleural Nodules
5 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Skin
3.7 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Soft Tissue
2.5 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Stomach
1.2 Percentage of participants
Percentage of Participants With Sites of Distant Metastasis
Visceral Sites
32.2 Percentage of participants
Percentage of Participants With Time to Metastasis
<= 12 Months
5.7 Percentage of participants
Percentage of Participants With Time to Metastasis
13-24 Months
3.8 Percentage of participants
Percentage of Participants With Time to Metastasis
25-36 Months
8.6 Percentage of participants
Percentage of Participants With Time to Metastasis
> 36 Months
81.9 Percentage of participants
Percentage of Participants With Types of Surgery
Breast Conserving Surgery
20.2 Percentage of participants
Percentage of Participants With Types of Surgery
Mastectomy
32.2 Percentage of participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
10 Participants
Race (NIH/OMB)
Black or African American
29 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
Race (NIH/OMB)
White
196 Participants
Region of Residence at A/MBC Diagnosis
North Central
95.0 Percentage of participants
Region of Residence at A/MBC Diagnosis
Northeast
0.4 Percentage of participants
Region of Residence at A/MBC Diagnosis
South
4.1 Percentage of participants
Region of Residence at A/MBC Diagnosis
West
0.4 Percentage of participants
Sex: Female, Male
Female
238 Participants
Sex: Female, Male
Male
4 Participants
Stage at Initial Breast Cancer Diagnosis
0
0.8 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
I
2.9 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IA
1.2 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
II
6.6 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IIA
8.3 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IIB
9.5 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
III
2.5 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IIIA
5.0 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IIIB
0.4 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IIIC
0.8 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
IV
55.4 Percentage of participants
Stage at Initial Breast Cancer Diagnosis
Not Stated in Participant Record
7 Percentage of participants
Year of A/MBC Diagnoses2017 Year
Year of Initial Diagnoses2016 Years

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
62 / 242
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
0 / 0

Outcome results

Primary

Percentage of Participants With Sequence of Treatment Lines

Line of therapy was defined as line number (1; 2; 3; etc.) in the A/MBC setting assigned based on synapse line of therapy algorithm. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.

Time frame: From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureGroupValue (NUMBER)
Palbociclib With Aromatase InhibitorPercentage of Participants With Sequence of Treatment Lines1 Line100 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Sequence of Treatment Lines2 Lines21.49 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Sequence of Treatment Lines3 Lines12.81 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Sequence of Treatment Lines4 Lines2.07 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Sequence of Treatment Lines5 Lines or more3.31 Percentage of participants
Primary

Percentage of Participants With Their Reason For Treatment Discontinuation

Percentage of participants with discontinuation reason as progression, intolerance/toxicity, participant choice, treatment for other diseases, left health system, end of planned therapy, changes in insurance, death, hospice referral, physician choice, actionable mutation found, other/unknown were recorded and reported in this outcome measure.

Time frame: From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Population: Analysis population (AP) included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureGroupValue (NUMBER)
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationProgression26.4 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationIntolerance/toxicity14.9 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationParticipant Choice2.5 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationTreatment for Other Diseases2.5 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationLeft Health System0 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationEnd of Planned Therapy2.1 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationChanges in Insurance1.2 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationDeath1.2 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationHospice Referral1.2 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationPhysician Choice0.8 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationActionable Mutation Found0.4 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Reason For Treatment DiscontinuationOther/Unknown2.9 Percentage of participants
Primary

Percentage of Participants With Their Starting Dose and End Dose

Percentage of participants with starting and end dose at 125 mg, 100 mg, 75 mg and unknown were reported.

Time frame: From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureGroupValue (NUMBER)
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseStarting Dose: 125 mg89.7 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseStarting Dose: 100 mg7.4 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseStarting Dose: 75 mg1.2 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseStarting Dose: Unknown1.7 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseEnd Dose: 125 mg60.7 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseEnd Dose: 100 mg27.7 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseEnd Dose: 75 mg9.9 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Their Starting Dose and End DoseEnd Dose: Unknown1.7 Percentage of participants
Primary

Percentage of Participants With Treatment Regimen Distribution

Regimen medications were defined as systemic therapies included in line regimen based on synapse line of therapy algorithm. Treatment regimen distribution included: first-line regimen; palbociclib along with aromatase inhibitor and second-line regimen; CDK4/6 inhibitor plus endocrine and chemotherapy. Systemic anticancer treatment here refers to one or more sequential monotherapy or combination therapy regimens occurring within discrete lines of treatment, each ending with a disease progression.

Time frame: From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureGroupValue (NUMBER)
Palbociclib With Aromatase InhibitorPercentage of Participants With Treatment Regimen DistributionFirst-line regimen100 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Treatment Regimen DistributionSecond-line regimen39.67 Percentage of participants
Primary

Percentage of Participants With Type of Dose Adjustment

In this outcome measure type of dose adjustments were recorded and reported. It included dose increase, decrease, no adjustment and unknown categories.

Time frame: From start of treatment to end of follow-up, up to a maximum of approximately 5 years

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureGroupValue (NUMBER)
Palbociclib With Aromatase InhibitorPercentage of Participants With Type of Dose AdjustmentIncrease0.4 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Type of Dose AdjustmentDecrease31.0 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Type of Dose AdjustmentNo adjustment66.9 Percentage of participants
Palbociclib With Aromatase InhibitorPercentage of Participants With Type of Dose AdjustmentUnknown1.7 Percentage of participants
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 12

Probability of participants without a first-line therapy dose adjustment at month 12 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 120.73 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 18

Probability of participants without a first-line therapy dose adjustment at month 18 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 180.69 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 24

Probability of participants without a first-line therapy dose adjustment at month 24 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 240.68 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 3

Probability of participants without a first-line therapy dose adjustment at month 3 were reported in this outcome measure. Real-world time to dose adjustment (rwTTDA) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 30.82 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 30

Probability of participants without a first-line therapy dose adjustment at month 30 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 300.67 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 36

Probability of participants without a first-line therapy dose adjustment at month 36 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 360.65 Probability
Primary

Probability of Participants Without a First Line Therapy Dose Adjustment at Month 6

Probability of participants without a first-line therapy dose adjustment at month 6 were reported in this outcome measure. rwTTDA was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date of first-line treatment dose adjustment or discontinuation, date of death, date of last contact or the end of study period. Participant alive and without a first-line therapy dose adjustment were censored at the earliest of the following events: first-line discontinuation, death, date of last contact, or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without a First Line Therapy Dose Adjustment at Month 60.76 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 12

Probability of participants without first-line treatment discontinuation or death at month 12 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 120.67 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 18

Probability of participants without first-line treatment discontinuation or death at month 18 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 180.56 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 24

Probability of participants without first-line treatment discontinuation or death at month 24 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 240.49 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 3

Probability of participants without first-line treatment discontinuation or death at month 3 were reported in this outcome measure. Real-world time to treatment discontinuation (rwTTD) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 30.93 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 30

Probability of participants without first-line treatment discontinuation or death at month 30 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 300.41 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 36

Probability of participants without first-line treatment discontinuation or death at month 36 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 360.36 Probability
Primary

Probability of Participants Without First Line Treatment Discontinuation or Death at Month 6

Probability of participants without first-line treatment discontinuation or death at month 6 were reported in this outcome measure. rwTTD was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: date the participant discontinued first-line therapy or date of death. Participant alive and without first-line therapy discontinuation were censored at the earliest of last known use of first-line therapy or end of study period. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without First Line Treatment Discontinuation or Death at Month 60.84 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 12

Probability of participants without subsequent chemotherapy or death at month 12 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 120.83 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 18

Probability of participants without subsequent chemotherapy or death at month 18 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 180.74 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 24

Probability of participants without subsequent chemotherapy or death at month 24 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 240.69 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 3

Probability of participants without subsequent chemotherapy or death at month 3 were reported in this outcome measure. Real-world time to chemotherapy (rwTTC) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 30.98 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 30

Probability of participants without subsequent chemotherapy or death at month 30 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 300.63 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 36

Probability of participants without subsequent chemotherapy or death at month 36 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 360.58 Probability
Primary

Probability of Participants Without Subsequent Chemotherapy or Death at Month 6

Probability of participants without subsequent chemotherapy or death at month 6 were reported in this outcome measure. rwTTC was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent chemotherapy or date of death. Participant alive and without subsequent chemotherapy were censored at the earliest of the following events: date of last contact or end of the study period, whichever came later. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Chemotherapy or Death at Month 60.93 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 12

Probability of participants without subsequent line of therapy initiation or death at month 12 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 120.73 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 18

Probability of participants without subsequent line of therapy initiation or death at month 18 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 180.62 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 24

Probability of participants without subsequent line of therapy initiation or death at month 24 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 240.55 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 3

Probability of participants without subsequent line of therapy initiation or death at month 3 were reported in this outcome measure. Real-world time to next treatment (rwTTNT) was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 30.97 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 30

Probability of participants without subsequent line of therapy initiation or death at month 30 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 300.47 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 36

Probability of participants without subsequent line of therapy initiation or death at month 36 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 360.41 Probability
Primary

Probability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 6

Probability of participants without subsequent line of therapy initiation or death at month 6 were reported in this outcome measure. rwTTNT was defined as length of time from the start of first-line therapy with palbociclib plus an aromatase inhibitor to the earliest of one the following: start of subsequent line of treatment, date of death, date of last contact or the end of study period. Participant alive and without subsequent line of therapy initiation were censored at the earliest of the following events: date of last contact or end of the study period. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Participants Without Subsequent Line of Therapy Initiation or Death at Month 60.89 Probability
Primary

Probability of Real-World Overall Survival (rwOS) at Month 12

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 12 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 120.9 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 18

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 18 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 180.84 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 24

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 24 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 240.78 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 3

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 3 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 30.99 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 30

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 30 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 300.73 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 36

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 36 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 360.69 Probability of being alive
Primary

Probability of Real-World Overall Survival (rwOS) at Month 6

rwOS was defined as the time from the start of palbociclib and AI treatment until the date of death, date of last contact or the end of study period. Participants who were not indicated to be deceased at the time of analysis were censored for rwOS analysis at the date of last contact or the end of study period whichever occurred first. Probability of participants with rwOS at 6 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Overall Survival (rwOS) at Month 60.97 Probability of being alive
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 12

Probability of being event free (event defined as PD or death due to any cause) at 12 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 12 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 12 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 120.75 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 18

Probability of being event free (event defined as PD or death due to any cause) at 18 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 18 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 18 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 180.66 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 24

Probability of being event free (event defined as PD or death due to any cause) at 24 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 24 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 24 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 240.59 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 3

Probability of being event free (event defined as disease progression \[PD\] or death due to any cause) at 3 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 3 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 3 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 30.95 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 30

Probability of being event free (event defined as PD or death due to any cause) at 30 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 30 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 30 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 300.53 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 36

Probability of being event free (event defined as PD or death due to any cause) at 36 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 36 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 36 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 360.48 Probability of being event free
Primary

Probability of Real-World Progression-Free Survival (rwPFS) at Month 6

Probability of being event free (event defined as PD or death due to any cause) at 6 months. rwPFS was defined as the extent of time from the start of palbociclib and AI treatment until disease progression, date of death prior to initiation of the 2nd line treatment. Participants who were not indicated to be deceased at the time of analysis were censored for rwPFS analysis at the date of initiation of the 2nd line treatment, date of last contact or the end of study period whichever occurred first. Probability of participants with rwPFS at 6 months were reported in this outcome measure. Analysis was performed using Kaplan-Meier method.

Time frame: 6 months after treatment initiation any time during 5 years of study period

Population: Analysis population included all participants who met following criteria: 1) Diagnosis of A/MBC; 2) Aged \>=18 years at A/MBC diagnosis; 3) Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on or after 03 February 2015 through 31 July 2019; 4) Evidence of ER or PR positive disease and HER2 negative disease or absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis.

ArmMeasureValue (NUMBER)
Palbociclib With Aromatase InhibitorProbability of Real-World Progression-Free Survival (rwPFS) at Month 60.84 Probability of being event free
Primary

Time to Dose Adjustment

Time to dose adjustment (TTDA) was defined as the time from the start of palbociclib and AI treatment until the date of treatment dose adjustment.

Time frame: From start of treatment till treatment dose adjustment, up to a maximum of approximately 5 years

Population: AP: all participants who met following criteria: 1)Diagnosis of A/MBC;2)Aged \>=18years at A/MBC diagnosis;3)Initiated palbociclib in combination with AI as first-line therapy after A/MBC diagnosis on/after 03 February 2015-31 July 2019;4)Evidence of ER/PR positive disease and HER2 negative disease/absence of any indication of ER and PR negative disease and HER2 positive disease closest to A/MBC diagnosis. Overall number of participants analyzed=participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Palbociclib With Aromatase InhibitorTime to Dose Adjustment55.0 Days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026