Evidence map›Paper›PMID 39551040›Full record

Trial reportOncology research and treatment2025

Palbociclib in Combination with either Aromatase Inhibitors or Fulvestrant for Patients with Advanced HR+/HER2- Breast Cancer in Germany: Final Results of the Phase 2 Multicohort INGE-B Trial.

Manfred Welslau, Karin Potthoff, Matthias Zaiss, Lothar Müller, Cosima Brucker, Christoph Salat, Michael Untch, Johannes Meiler, Diana Lüftner, Anja Welt and 10 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Oncology research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02894398 (Open-label, Multi-center, sINGlE Arm Clinical Study to Evaluate Efficacy/QoL in Women With HR+, HER2-, Regionally Recurrent or Metastatic Breast Cancer Receiving Palbociclib With an AI or Fulvestrant After Prior Endocrine Therapy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02894398 phase2completednot on this map

Open-label, Multi-center, sINGlE Arm Clinical Study to Evaluate Efficacy/QoL in Women With HR+, HER2-, Regionally Recurrent or Metastatic Breast Cancer Receiving Palbociclib With an AI or Fulvestrant After Prior Endocrine Therapy

TypeinterventionalSponsoriOMEDICO AGRan2016 to 2023Enrolled388ConditionsBreast Cancer, Hormone Receptor Positive Tumor, Human Epidermal Growth Factor 2 Negative Carcinoma of BreastArmsPalbociclib, Letrozole, Anastrozole, Exemestane, Fulvestrant
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

20 authors.

Manfred WelslauKlinikum Aschaffenburg-Alzenau, Medizinische Klinik IV, Hämatologie/Onkologie, Aschaffenburg, Germany.
Karin PotthoffMedical Department, iOMEDICO, Freiburg, Germany.
Matthias ZaissPraxis für interdisziplinäre Onkologie and Hämatologie, Freiburg, Germany.
Lothar MüllerOnkologie UnterEms, Leer-Emden-Papenburg, Leer, Germany.
Cosima BruckerKlinik für Frauenheilkunde und Geburtshilfe, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Klinikum Nürnberg, Nuremberg, Germany.
Christoph SalatMedizinisches Zentrum für Hämatologie und Onkologie München MVZ GmbH, Ärztehaus Nymphenburg, Munich, Germany.
Michael UntchHelios Klinikum Berlin-Buch, Gynäkologie, Berlin, Germany.
Johannes MeilerKlinik Dr. Hancken, Hämatologie und Onkologie, Stade, Germany.
Diana LüftnerImmanuel Klinik Märkische Schweiz and Immanuel Klinik Rüdersdorf, Medizinische Hochschule Brandenburg, Rüdersdorf bei Berlin, Germany.
Anja WeltUniversitätsklinikum Essen, Innere Klinik, Tumorforschung, Essen, Germany.
Steffen DörfelOnkozentrum Dresden/Freiberg, Dresden, Germany.
Volker HagenSt.-Johannes-Hospital, Innere Medizin II, Dortmund, Germany.
Alexander SteinHämatologisch-Onkologische Praxis, Eppendorf (HOPE), Hamburg, Germany.
Rüdiger LierschGEHO-Dres, Lerchenmüller, Kratz-Albers, Timmer, Bieker and Liersch, Münster, Germany.
Thomas KuhnGynäkologisch-onkologische Gemeinschaftspraxis Dres, Kuhn und Beldermann, Stuttgart, Germany.
Hans Ulrich SiebenbachBiostatistics, iOMEDICO, Freiburg, Germany.
Gerlinde BingClinical Operations, iOMEDICO, Freiburg, Germany.
Corinne VannierMedical Department, iOMEDICO, Freiburg, Germany.
Norbert MarschnerMedical Department, iOMEDICO, Freiburg, Germany.
Katja GratzkeMedical Department, iOMEDICO, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe INGE-B trial (NCT02894398) aimed to confirm the efficacy and safety data from the PALOMA trials for patients treated first line (1L) with palbociclib (PAL) and letrozole or 1L and later line with PAL and fulvestrant. In addition, so far lacking evidence for efficacy and safety on the combination of PAL with anastrozole, exemestane (1L), or letrozole (later line) was investigated.

methodsThe prospective, multicenter, multicohort phase 2 trial INGE-B enrolled adult patients with locally advanced, inoperable, or metastatic HR+/HER2- breast cancer in Germany. The primary endpoint was the clinical benefit rate (CBR) in patients with measurable disease according to RECIST v1.1. Secondary endpoints were overall response rate, progression-free survival (PFS), overall survival (OS), safety, and quality of life. Data were analyzed with descriptive statistics.

resultsBetween 2016 and 2018, 388 patients were enrolled at 64 German sites. Among patients with measurable disease treated with PAL in 1L (n = 157), the CBR was 63.7% (100/157). Among all patients treated with PAL 1L (n = 219), PFS was 20.1 months (95% CI 14.6-24.0), and OS was 40.9 months (95% CI 35.1-49.2). The most common grade 3/4 adverse event was neutropenia (33.4% n = 77). There were no treatment-related deaths.

conclusionThe INGE-B trial demonstrated good efficacy and tolerability of PAL with letrozole (1L) or fulvestrant (first and later line) in accordance with the PALOMA trials. In addition, the so far lacking proof of efficacy and safety of PAL in combination with anastrozole or exemestane in 1L and with letrozole in later line was provided by INGE-B.

introductionThe INGE-B trial (NCT02894398) aimed to confirm the efficacy and safety data from the PALOMA trials for patients treated first line (1L) with palbociclib (PAL) and letrozole or 1L and later line with PAL and fulvestrant. In addition, so far lacking evidence for efficacy and safety on the combination of PAL with anastrozole, exemestane (1L), or letrozole (later line) was investigated.

methodsThe prospective, multicenter, multicohort phase 2 trial INGE-B enrolled adult patients with locally advanced, inoperable, or metastatic HR+/HER2- breast cancer in Germany. The primary endpoint was the clinical benefit rate (CBR) in patients with measurable disease according to RECIST v1.1. Secondary endpoints were overall response rate, progression-free survival (PFS), overall survival (OS), safety, and quality of life. Data were analyzed with descriptive statistics.

resultsBetween 2016 and 2018, 388 patients were enrolled at 64 German sites. Among patients with measurable disease treated with PAL in 1L (n = 157), the CBR was 63.7% (100/157). Among all patients treated with PAL 1L (n = 219), PFS was 20.1 months (95% CI 14.6-24.0), and OS was 40.9 months (95% CI 35.1-49.2). The most common grade 3/4 adverse event was neutropenia (33.4% n = 77). There were no treatment-related deaths.

conclusionThe INGE-B trial demonstrated good efficacy and tolerability of PAL with letrozole (1L) or fulvestrant (first and later line) in accordance with the PALOMA trials. In addition, the so far lacking proof of efficacy and safety of PAL in combination with anastrozole or exemestane in 1L and with letrozole in later line was provided by INGE-B.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsAdultAgedAged, 80 and overAndrostadienesAromatase InhibitorsErb-b2 Receptor Tyrosine KinasesFemaleFulvestrantGermanyHumansLetrozoleMiddle AgedPiperazinesProspective StudiesAndrostadienesAromatase InhibitorsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesexemestaneFulvestrantLetrozolepalbociclibPiperazinesPyridinesReceptors, EstrogenReceptors, ProgesteroneAnastrozoleEndocrine therapyExemestaneFulvestrantLetrozolePalbociclib

Identifiers

PMID39551040
PMCPMC11809519

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Registered trials

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.