Evidence map›Paper›PMID 39766060›Full record

ArticleCancers2024

Real-World Efficacy and Adherence to Palbociclib in HR-Positive, HER2-Negative Advanced Breast Cancer: Insights from a Romanian Cohort.

Cristian Virgil Lungulescu, Georgiana-Cristiana Camen, Mihaela-Simona Naidin, Tradian-Ciprian Berisha, Andrei Bita, Venera-Cristina Dinescu, Sandra Alice Buteica, Marina-Daniela Dimulescu, Simona Ruxandra Volovat, Adina Turcu-Stiolica

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Association of germlineFrontiers in pharmacology · 2026
    Pooled it
  2. 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

10 authors.

Cristian Virgil LungulescuOncology Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-3578-3562
Georgiana-Cristiana CamenRadiotherapy Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Mihaela-Simona NaidinPharmaceutical Management and Marketing Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Tradian-Ciprian BerishaDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Andrei BitaPharmacognosy Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-4715-1423
Venera-Cristina DinescuDepartment 6-Health Promotion and Occupational Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Sandra Alice ButeicaPharmaceutical Chemistry Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0002-6987-5492
Marina-Daniela DimulescuDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Simona Ruxandra VolovatDepartment of Medical Oncology, University of Medicine and Pharmacy Grigore T. Popa Iasi, 700115 Iasi, Romania.ORCID 0000-0001-7084-6333
Adina Turcu-StiolicaPharmaceutical Management and Marketing Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-1374-276X

Funding

University of Medicine and Pharmacy of Craiova, Romania The Article Processing Charges were funded by the University of Medicine and Pharmacy of Craiova, Romania.
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe first reimbursed prescription for palbociclib (Palbo) in breast cancer patients in Romania was issued in July 2018. The objective of this study is to assess the efficacy, safety, and adherence to Palbo in combination with aromatase inhibitor (AI) or fulvestrant in a real-world cohort of HR+/HER2- breast cancer patients from Romania.

methodsA retrospective analysis of reimbursed Palbo prescriptions was conducted using data extracted from the electronic database of the Romanian Health Insurance House, Dolj County, for disease code 124 (breast cancer), covering the period from 2018 to 2023. The primary outcome assessed was time to treatment discontinuation (TTD), with secondary outcomes including overall survival (OS) and Palbo adherence (which was measured by medication possession ratio).

resultsA total of 125 patients were identified, with a median age of 62 years (IQR, 53-70), and 98% were female. Two treatment combinations were observed: Palbo + Aromatase Inhibitor (AI) in 104 patients (83.2%) and Palbo + fulvestrant in 21 patients (16.8%). The median TTD for the entire cohort was 19 months (95%CI, 19.3-24.9 months). In patients treated with Palbo + AI, the median TTD was not available/reached [NA] (95%CI, 36.0-NA months). For those receiving Palbo+fulvestrant, the median TTD was 25.0 months (95%CI, 13.0-NR months). No significant differences in TTD were observed among the two treatment combinations (χ

conclusionsWhile both AI and fulvestrant remain viable options, the lack of significant differences in survival between these combinations suggests that treatment choice can be tailored to individual patient needs.

Indexed as

adherenceoverall survivalpalbociclibtime to treatment discontinuation

Identifiers

PMID39766060
PMCPMC11674954

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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.