Evidence map›Paper›PMID 31448513›Full record

Trial reportThe breast journal2020

Efficacy and safety of palbociclib plus endocrine therapy in North American women with hormone receptor-positive/human epidermal growth factor receptor 2-negative metastatic breast cancer.

Karen A Gelmon, Massimo Cristofanilli, Hope S Rugo, Angela M DeMichele, Anil A Joy, Aurelio Castrellon, Bethany Sleckman, Ave Mori, Kathy Puyana Theall, Dongrui R Lu and 4 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The breast journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. CDK4/6 inhibitor palbociclib reduces inflammation in lupus-prone mice.American journal of clinical and experimental urology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 3 countries.

Karen A GelmonBC Cancer, Vancouver, BC, Canada.
Massimo CristofanilliFeinberg School of Medicine, Robert H. Lurie Cancer Center of Northwestern University, Chicago, IL, USA.
Hope S RugoDiller Family Comprehensive Cancer Center, University of California San Francisco Helen, San Francisco, CA, USA.
Angela M DeMicheleAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Anil A JoyCross Cancer Institute, University of Alberta, Edmonton, AB, Canada.
Aurelio CastrellonBreast Cancer Center, Memorial Healthcare System, Hollywood, FL, USA.
Bethany SleckmanMercy Hospital St. Louis, St. Louis, MO, USA.
Ave MoriPfizer Oncology, Milan, Italy.
Kathy Puyana TheallPfizer Oncology, Cambridge, MA, USA.
Dongrui R LuPfizer Inc, La Jolla, CA, USA.
Xin HuangPfizer Oncology, New York, NY, USA.
Eustratios BananisPfizer Oncology, New York, NY, USA.
Richard S FinnDavid Geffen School of Medicine, University of California Los Angeles, Santa Monica, CA, USA.
Dennis J SlamonDavid Geffen School of Medicine, University of California Los Angeles, Santa Monica, CA, USA.
Pfizer (United States) · USUniversity of California System · USMemorial Healthcare System · USMercy Hospital · USPfizer (Italy) · ITRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Alberta · CAUniversity of Pennsylvania · US

Funding

Pfizer
6 · The paper itself

Abstract

Palbociclib is a cyclin-dependent kinase 4/6 inhibitor indicated for treatment of hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer in combination with endocrine therapy. We investigated the efficacy and safety of palbociclib in patients enrolled in North America during two-phase 3 trials: PALOMA-2 (n = 267, data cutoff: May 31, 2017) and PALOMA-3 (n = 240, data cutoffs: April 13, 2018, for overall survival, October 23, 2015, for all other outcomes). In PALOMA-2, treatment-naïve postmenopausal patients with advanced breast cancer were randomized 2:1 to palbociclib (125 mg/d; 3 weeks on/1 week off [3/1]) plus letrozole (2.5 mg/d, continuous) or placebo plus letrozole. In PALOMA-3, patients who progressed on prior endocrine therapy were randomized 2:1 to palbociclib (125 mg/d; 3/1) plus fulvestrant (500 mg, per standard of care) or placebo plus fulvestrant; pre/perimenopausal patients received ovarian suppression with goserelin. Palbociclib plus endocrine therapy prolonged median progression-free survival vs placebo plus endocrine therapy in North American patients (PALOMA-2: 25.4 vs 13.7 months, hazard ratio, 0.54 [95% CI, 0.40-0.74], P < .0001; PALOMA-3: 9.9 vs 3.5 months, hazard ratio, 0.52 [95% CI, 0.38-0.72], P < .0001). Objective response and clinical benefit response rates were greater with palbociclib vs placebo in North American patients in both trials. While overall survival data are not yet mature for PALOMA-2, median overall survival was increased in PALOMA-3 (32.0 vs 24.7 months, hazard ratio, 0.75 [95% CI, 0.53-1.04]), though this did not reach statistical significance (P = .0869). Safety profiles in North American patients were similar to those of the overall populations; neutropenia was the most common treatment-emergent adverse event. No new safety signals were observed. In summary, palbociclib plus endocrine therapy is an effective treatment option for North American women with hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleFulvestrantHumansNorth AmericaPiperazinesPyridinesUnited StatesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFulvestrantpalbociclibPiperazinesPyridinesCDK4/6 inhibitormetastatic breast cancerNorth Americapalbociclib

Identifiers

PMID31448513
PMCPMC7155112
OpenAlexW2971188595

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.