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A Study to Describe the Breast Cancer Patient Population, Treatment, and Results in Indian Patients Receiving Combinations of the Medicines Called Palbociclib for Advanced Breast Cancer

Treatment Patterns and Clinical Outcomes Among Indian Patients Receiving Palbociclib Combinations for HR+/HER2- Advanced/Metastatic Breast Cancer in Real World Settings

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05584644
Enrollment
150
Registered
2022-10-18
Start date
2021-05-24
Completion date
2022-02-22
Last updated
2023-12-19

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

Conditions

Breast Cancer, Breast Carcinoma, Breast Neoplasms, Breast Tumors, Cancer of Breast

Keywords

Hormone receptor positive / human epidermal growth factor 2 negative (HR+/HER2-), Advanced Breast Cancer, Metastatic Breast Cancer, Palbociclib, aromatase inhibitor, fulvestrant

Brief summary

The purpose of this clinical study is to describe the patient population, breast cancer treatment, and breast cancer treatment results of adult female patients who have received palbociclib combination treatments for advanced or metastatic breast cancer in India. There are two groups of patients this study will describe. The first group of patients will have received palbociclib in combination with aromatase inhibitor (as prescribed by the Physician) for the treatment of postmenopausal women with HR+/HER2- advanced breast cancer as initial endocrine-based therapy for their metastatic disease. The second group of patients will have received palbociclib for the treatment of hormone receptor HR+/HER2- advanced or metastatic breast cancer in combination with fulvestrant in women with disease progression following endocrine therapy.

Interventions

DRUGPalbociclib plus hormonal treatment - first line treatment

Palbociclib plus hormonal treatment

DRUGPalbociclib plus hormonal treatment - second line treatment

Palbociclib plus hormonal treatment

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* HR+/HER2- breast cancer diagnosis with confirmed metastatic or advanced disease * Received palbociclib with aromatase inhibitor (as prescribed by the Physician) as initial endocrine therapy in postmenopausal metastatic breast cancer (MBC) patients or with fulvestrant in patients who have progressed on prior endocrine therapy * Patients on Leutinizing Hormone Releasing Hormone (LHRH) agonists for ovarian function suppression in pre- or perimenopausal stage only if prescribed palbociclib with fulvestrant * No prior or current enrolment in an interventional clinical trial for advanced/metastatic breast cancer * Minimum of 3 months of follow up data since palbociclib with fulvestrant initiation, or minimum of 6 months of follow up data since palbociclib with aromatase inhibitor initiation

Exclusion criteria

* Cancers other than breast cancer * Male breast cancer * Visceral crisis

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants According to the Starting Dose of PalbociclibFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants according to their starting dose (125 milligrams per day \[mg/day\], 100 mg/day) of palbociclib were reported in this outcome measure. For participants whose dose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Duration of TreatmentFrom index date to end of treatment, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Duration of treatment was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants Who Had Any Palbociclib Dose ReductionFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants according to dose reductions during palbociclib treatment were reported in this outcome measure. Dose was reduced to 100mg and 75 mg. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants Who Had Any Interruption in Palbociclib TreatmentFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants with any interruptions during palbociclib treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants Who Had Any Delays in Palbociclib TreatmentFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants who had any delay in palbociclib treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Reasons for Treatment DiscontinuationFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to reasons for treatment discontinuations which included increased transaminases, cardiomyopathy was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Reasons for Change in TreatmentFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to reasons for change in treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Progression Free SurvivalFrom index date to death or disease progression start of new therapy or last available follow-up whichever occurred first,maximum up to approximately 4.5years;available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Progression free survival was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Objective Response Rate (ORR)From index date to CR/PR, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)The objective response rate was defined as the percentage of participants with complete response (CR) and partial response (PR). As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter (mm). Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\<10 mm short axis); PR = at least 30% decrease in sum of diameters of target lesions taking as reference baseline sum diameters. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants Who DiedFrom index date to death, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants who died were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Overall Survival (OS)From index date to death due to any cause, (from Dec 2016 to May 2021 [approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)OS was defined as the time from index date to the date of death due to any cause. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Biomarker StatusFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to the biomarker status were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants With Family History of Breast CancerFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants with family history of breast cancer were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Duration From Breast Cancer Diagnosis to Palbociclib TreatmentFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Duration from breast cancer diagnosis to palbociclib treatment was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Stages of Breast CancerFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to stages (Stage I, II, IIIa, IV) of breast cancer were included in this outcome measure. Stage I indicated the cancer was small and had not spread anywhere else, Stage II indicated the cancer had grown, but had not spread, Stage IIIa indicated the cancer had grown larger and might have spread to the surrounding tissues and/or the lymph nodes. Stage IV indicated the cancer had spread from where it started to at least 1 other body organ, also known as secondary or metastatic cancer. For participants whose breast cancer stage were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Node StatusFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to node status were included in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Menopausal StatusFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to menopausal status which included natural and induced were included in this outcome measure. For participants whose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)ECOG PS was used to assess physical health of participants. ECOG PS grade:0= fully active, able to carry on all pre-disease performance without restriction,1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature 2= ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours, 3= capable of only limited self-care, 4= completely disabled, cannot carry on any selfcare totally confined to bed or chair confined to bed or chair more than 50% of waking hours and 5= dead. Participants whose ECOG scores were not available reported as 'data not available'. Only those categories with non-zero values were reported. Index date= 60 days after physician first prescribed palbociclib + hormonal following availability of specific indication in market.
Number of Participants According to Metastatic SitesFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Number of participants classified according to metastatic sites were reported in this outcome measure. Metastatic sites included bone, lung, liver, lymph nodes, others. For participants whose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market. Participant could have more than 1 location of metastases.
Number of Participants According to de Novo and Recurrent DiseaseFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Participants classified according to status of disease as de novo versus and recurrent disease were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Therapies Received for Early Breast CancerFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Participants classified according to therapies received for early breast cancer which included adjuvant chemotherapy, adjuvant endocrine therapy, neoadjuvant treatment, radiotherapy, surgery were reported in this outcome measure. For participants whose details were not available was reported under 'data not available'. Participant could have received more than 1 therapy. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Time Since End of Adjuvant TreatmentFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Participants were classified according to supportive therapies received for HR+/HER2- diagnosis and were reported in this outcome measure. Supportive therapies included nutritional treatment, bisphosphonates, anti-anxiety, anti-depressant, anti-emetics, non-steroidal anti-inflammatory drugs. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Duration of Supportive Treatments for ABC/MBCFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.
Number of Participants According to Reasons for Regimen ChangeFrom index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)Participants were classified according to reasons for regimen change and were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Countries

India

Participant flow

Recruitment details

Data of participants diagnosed with hormone receptor positive (HR+) /human epidermal growth factor receptor 2 negative (HER2-) advanced/metastatic breast cancer (ABC/MBC), who received palbociclib combined with aromatase inhibitor in menopausal state as initial endocrine therapy in MBC or with fulvestrant after progression on prior endocrine therapy were observed.

Pre-assignment details

This retrospective observational study used medical records of participants from 6 oncology hospitals within a period of Dec 2016 to May 2021 (approximately 4.5 years). Available data was evaluated in 9 months of this retrospective observational study.

Participants by arm

ArmCount
Palbociclib: 1st Line Therapy
Participants who received palbociclib in combination with hormonal therapy as first line therapy under standard real world practice for HR+/HER2- MBC were included in this retrospective observational study. Available data were evaluated in 9 months of this study.
105
Palbociclib: 2nd Line Therapy
Participants who received palbociclib in combination with hormonal therapy as second line therapy under standard real world practice for HR+/HER2- MBC were included in this retrospective observational study. Available data were evaluated in 9 months of this study.
45
Total150

Baseline characteristics

CharacteristicPalbociclib: 1st Line TherapyPalbociclib: 2nd Line TherapyTotal
Age, Customized
Greater than (>) 65 years
39 Participants13 Participants52 Participants
Age, Customized
Less than or equal to (<=) 65 years
66 Participants32 Participants98 Participants
Race and Ethnicity Not Collectedโ€”โ€”0 Participants
Sex: Female, Male
Female
105 Participants45 Participants150 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
8 / 1053 / 45
other
Total, other adverse events
2 / 1050 / 45
serious
Total, serious adverse events
4 / 1050 / 45

Outcome results

Primary

Duration From Breast Cancer Diagnosis to Palbociclib Treatment

Duration from breast cancer diagnosis to palbociclib treatment was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (MEAN)Dispersion
Palbociclib: 1st Line TherapyDuration From Breast Cancer Diagnosis to Palbociclib Treatment8.69 MonthsStandard Deviation 26.12
Palbociclib: 2nd Line TherapyDuration From Breast Cancer Diagnosis to Palbociclib Treatment45.50 MonthsStandard Deviation 43.53
Primary

Duration of Supportive Treatments for ABC/MBC

Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (MEDIAN)
Palbociclib: 1st Line TherapyDuration of Supportive Treatments for ABC/MBCNA Months
Palbociclib: 2nd Line TherapyDuration of Supportive Treatments for ABC/MBCNA Months
Primary

Duration of Treatment

Duration of treatment was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date to end of treatment, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (MEDIAN)
Palbociclib: 1st Line TherapyDuration of Treatment15.08 Months
Palbociclib: 2nd Line TherapyDuration of Treatment11.63 Months
Primary

Number of Participants According to Biomarker Status

Number of participants classified according to the biomarker status were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Biomarker StatusNA Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Biomarker StatusNA Participants
Primary

Number of Participants According to de Novo and Recurrent Disease

Participants classified according to status of disease as de novo versus and recurrent disease were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to de Novo and Recurrent DiseaseNA Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to de Novo and Recurrent DiseaseNA Participants
Primary

Number of Participants According to Menopausal Status

Number of participants classified according to menopausal status which included natural and induced were included in this outcome measure. For participants whose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Menopausal StatusInduced16 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Menopausal StatusNatural88 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Menopausal StatusData not available1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Menopausal StatusInduced16 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Menopausal StatusNatural29 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Menopausal StatusData not available0 Participants
Primary

Number of Participants According to Metastatic Sites

Number of participants classified according to metastatic sites were reported in this outcome measure. Metastatic sites included bone, lung, liver, lymph nodes, others. For participants whose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market. Participant could have more than 1 location of metastases.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesBone62 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesLung28 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesLiver14 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesLymph nodes16 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesOthers7 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Metastatic SitesData not available12 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesOthers4 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesBone28 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesLymph nodes6 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesLung16 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesData not available3 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Metastatic SitesLiver7 Participants
Primary

Number of Participants According to Node Status

Number of participants classified according to node status were included in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Node StatusDistal6 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Node StatusRegional nodes5 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Node StatusRegional nodes5 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Node StatusDistal1 Participants
Primary

Number of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)

ECOG PS was used to assess physical health of participants. ECOG PS grade:0= fully active, able to carry on all pre-disease performance without restriction,1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature 2= ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours, 3= capable of only limited self-care, 4= completely disabled, cannot carry on any selfcare totally confined to bed or chair confined to bed or chair more than 50% of waking hours and 5= dead. Participants whose ECOG scores were not available reported as 'data not available'. Only those categories with non-zero values were reported. Index date= 60 days after physician first prescribed palbociclib + hormonal following availability of specific indication in market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)165 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)30 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)26 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)Data not available34 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)25 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)133 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)Data not available6 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Performance Status Based on Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)31 Participants
Primary

Number of Participants According to Reasons for Change in Treatment

Number of participants classified according to reasons for change in treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Reduced12 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Interrupted (temporarily stopped during a dose cycle)9 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentOther reasons5 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentCycle delay (the next cycle is pushed back)7 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Resumed following interruption or cycle delay9 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentCombination partner therapy continued17 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Change in TreatmentSide effects/toxicity10 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentCombination partner therapy continued3 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentSide effects/toxicity3 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentOther reasons0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Reduced4 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Resumed following interruption or cycle delay3 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentDose Interrupted (temporarily stopped during a dose cycle)1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Change in TreatmentCycle delay (the next cycle is pushed back)1 Participants
Primary

Number of Participants According to Reasons for Regimen Change

Participants were classified according to reasons for regimen change and were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Regimen ChangeNA Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Regimen ChangeNA Participants
Primary

Number of Participants According to Reasons for Treatment Discontinuation

Number of participants classified according to reasons for treatment discontinuations which included increased transaminases, cardiomyopathy was reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Treatment DiscontinuationIncreased transaminases1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Reasons for Treatment DiscontinuationCardiomyopathy1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Treatment DiscontinuationIncreased transaminases0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Reasons for Treatment DiscontinuationCardiomyopathy0 Participants
Primary

Number of Participants According to Stages of Breast Cancer

Number of participants classified according to stages (Stage I, II, IIIa, IV) of breast cancer were included in this outcome measure. Stage I indicated the cancer was small and had not spread anywhere else, Stage II indicated the cancer had grown, but had not spread, Stage IIIa indicated the cancer had grown larger and might have spread to the surrounding tissues and/or the lymph nodes. Stage IV indicated the cancer had spread from where it started to at least 1 other body organ, also known as secondary or metastatic cancer. For participants whose breast cancer stage were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Stages of Breast CancerStage II5 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Stages of Breast CancerStage IV70 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Stages of Breast CancerStage IIIa1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Stages of Breast CancerData not available24 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Stages of Breast CancerStage I5 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Stages of Breast CancerData not available1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Stages of Breast CancerStage I0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Stages of Breast CancerStage II12 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Stages of Breast CancerStage IIIa1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Stages of Breast CancerStage IV31 Participants
Primary

Number of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) Diagnosis

Participants were classified according to supportive therapies received for HR+/HER2- diagnosis and were reported in this outcome measure. Supportive therapies included nutritional treatment, bisphosphonates, anti-anxiety, anti-depressant, anti-emetics, non-steroidal anti-inflammatory drugs. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-anxiety3 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOpioid extended release1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAntibiotics5 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOpioid immediate release1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-depressants1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNon-steroidal anti-inflammatory drugs1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisBisphosphonates8 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOther supportive care36 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-emetics1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNA50 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNutritional support37 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNA36 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNutritional support7 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisBisphosphonates2 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAntibiotics1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-anxiety0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-depressants0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisAnti-emetics1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOpioid extended release0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOpioid immediate release0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisNon-steroidal anti-inflammatory drugs0 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Supportive Therapies Received for Hormone Receptor Positive / Human Epidermal Growth Factor 2 Negative (HR+/HER2-) DiagnosisOther supportive care3 Participants
Primary

Number of Participants According to Therapies Received for Early Breast Cancer

Participants classified according to therapies received for early breast cancer which included adjuvant chemotherapy, adjuvant endocrine therapy, neoadjuvant treatment, radiotherapy, surgery were reported in this outcome measure. For participants whose details were not available was reported under 'data not available'. Participant could have received more than 1 therapy. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerAdjuvant chemotherapy4 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerAdjuvant endocrine therapy14 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerNeoadjuvant treatment6 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerRadiotherapy20 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerSurgery13 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerData not available69 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerSurgery26 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerAdjuvant chemotherapy8 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerRadiotherapy26 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerAdjuvant endocrine therapy5 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerData not available9 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to Therapies Received for Early Breast CancerNeoadjuvant treatment11 Participants
Primary

Number of Participants According to the Starting Dose of Palbociclib

Number of participants according to their starting dose (125 milligrams per day \[mg/day\], 100 mg/day) of palbociclib were reported in this outcome measure. For participants whose dose details were not available was reported under 'data not available'. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants According to the Starting Dose of Palbociclib125mg/day99 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to the Starting Dose of Palbociclib100mg/day1 Participants
Palbociclib: 1st Line TherapyNumber of Participants According to the Starting Dose of PalbociclibData not available5 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to the Starting Dose of Palbociclib125mg/day43 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to the Starting Dose of Palbociclib100mg/day2 Participants
Palbociclib: 2nd Line TherapyNumber of Participants According to the Starting Dose of PalbociclibData not available0 Participants
Primary

Number of Participants Who Died

Number of participants who died were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date to death, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants Who Died8 Participants
Palbociclib: 2nd Line TherapyNumber of Participants Who Died3 Participants
Primary

Number of Participants Who Had Any Delays in Palbociclib Treatment

Number of participants who had any delay in palbociclib treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants Who Had Any Delays in Palbociclib Treatment7 Participants
Palbociclib: 2nd Line TherapyNumber of Participants Who Had Any Delays in Palbociclib Treatment1 Participants
Primary

Number of Participants Who Had Any Interruption in Palbociclib Treatment

Number of participants with any interruptions during palbociclib treatment were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants Who Had Any Interruption in Palbociclib Treatment9 Participants
Palbociclib: 2nd Line TherapyNumber of Participants Who Had Any Interruption in Palbociclib Treatment1 Participants
Primary

Number of Participants Who Had Any Palbociclib Dose Reduction

Number of participants according to dose reductions during palbociclib treatment were reported in this outcome measure. Dose was reduced to 100mg and 75 mg. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants Who Had Any Palbociclib Dose ReductionDose reduced to 100 mg13 Participants
Palbociclib: 1st Line TherapyNumber of Participants Who Had Any Palbociclib Dose ReductionDose reduced to 75 mg1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants Who Had Any Palbociclib Dose ReductionDose reduced to 100 mg1 Participants
Palbociclib: 2nd Line TherapyNumber of Participants Who Had Any Palbociclib Dose ReductionDose reduced to 75 mg0 Participants
Primary

Number of Participants With Family History of Breast Cancer

Number of participants with family history of breast cancer were reported in this outcome measure. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Palbociclib: 1st Line TherapyNumber of Participants With Family History of Breast Cancer4 Participants
Palbociclib: 2nd Line TherapyNumber of Participants With Family History of Breast Cancer0 Participants
Primary

Objective Response Rate (ORR)

The objective response rate was defined as the percentage of participants with complete response (CR) and partial response (PR). As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter (mm). Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\<10 mm short axis); PR = at least 30% decrease in sum of diameters of target lesions taking as reference baseline sum diameters. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date to CR/PR, from Dec 2016 to May 2021 (approximately 4.5 years); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (NUMBER)
Palbociclib: 1st Line TherapyObjective Response Rate (ORR)63.81 Percentage of participants
Palbociclib: 2nd Line TherapyObjective Response Rate (ORR)77.78 Percentage of participants
Primary

Overall Survival (OS)

OS was defined as the time from index date to the date of death due to any cause. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date to death due to any cause, (from Dec 2016 to May 2021 [approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (MEDIAN)
Palbociclib: 1st Line TherapyOverall Survival (OS)NA Months
Palbociclib: 2nd Line TherapyOverall Survival (OS)NA Months
Primary

Progression Free Survival

Progression free survival was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first. Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date to death or disease progression start of new therapy or last available follow-up whichever occurred first,maximum up to approximately 4.5years;available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Palbociclib: 1st Line TherapyProgression Free Survival31.97 Months
Palbociclib: 2nd Line TherapyProgression Free Survival22.33 Months
Primary

Time Since End of Adjuvant Treatment

Index date was defined as 60 days after the physician first prescribed palbociclib + hormonal therapy (letrozole, fulvestrant or anastrozole for first line and letrozole, fulvestrant or exemestane for second line therapy) following the availability of specific indication in the market.

Time frame: From index date until end of follow-up (anytime from Dec 2016 to May 2021[approximately 4.5 years]); available data studied from 24-May-2021 to 22-Feb-2022 (approximately 9 months of this study)

Population: Analysis population included all eligible participants whose data were retrieved and observed in this study.

ArmMeasureValue (MEDIAN)
Palbociclib: 1st Line TherapyTime Since End of Adjuvant TreatmentNA Months
Palbociclib: 2nd Line TherapyTime Since End of Adjuvant TreatmentNA Months

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