Academic Journal

Long-Term Pooled Safety Analysis of Palbociclib in Combination with Endocrine Therapy for Hormone Receptor-Positive/Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Updated Analysis with up to 5 Years of Follow-Up

التفاصيل البيبلوغرافية
العنوان: Long-Term Pooled Safety Analysis of Palbociclib in Combination with Endocrine Therapy for Hormone Receptor-Positive/Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Updated Analysis with up to 5 Years of Follow-Up
المؤلفون: Finn, RS, Rugo, HS, Gelmon, KA, Cristofanilli, M, Colleoni, M, Loi, S, Schnell, P, Lu, DR, Theall, KP, Mori, A, Gauthier, E, Bananis, E, Turner, NC, Dieras, V
بيانات النشر: WILEY
سنة النشر: 2021
المجموعة: The University of Melbourne: Digital Repository
الوصف: BACKGROUND: Previous studies demonstrated the tolerability of palbociclib plus endocrine therapy (ET). This analysis evaluated safety based on more recent cutoff dates and a longer palbociclib treatment exposure. PATIENTS AND METHODS: Data were pooled from three randomized studies of patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer (ABC), including postmenopausal women who had not received prior systemic treatment for advanced disease (PALOMA-1/-2) and pre- and postmenopausal women who had progressed on prior ET (PALOMA-3). RESULTS: Updated cutoff dates were December 21, 2017 (PALOMA-1), May 31, 2017 (PALOMA-2), and April 13, 2018 (PALOMA-3). Total person-years of treatment exposure were 1,421.6 with palbociclib plus ET (n = 872) and 528.4 with ET (n = 471). Any-grade neutropenia and infections were more frequent with palbociclib plus ET (82.1% and 59.2%, respectively) than with ET (5.1% and 39.5%). The hazard ratios were 1.6 (p = .0995) for grade 3/4 infections, 1.8 (p = .4358) for grade 3/4 viral infections, 1.4 (p = .0001) for infections, and 30.8 (p < .0001) for neutropenia. Febrile neutropenia was reported in 1.4% of patients receiving palbociclib plus ET. Cumulative incidence of all-grade hematologic adverse events in both arms peaked during the first year of treatment and plateaued over the 5 subsequent years. Interstitial lung disease was reported in 13 patients receiving palbociclib plus ET and 3 receiving ET. CONCLUSION: This 5-year, long-term analysis demonstrated that palbociclib plus ET has a consistent and stable safety profile and is a safe treatment for patients with HR+/HER2- ABC. IMPLICATIONS FOR PRACTICE: Several treatments for patients with breast cancer are associated with long-term or latent adverse events. This long-term, 5-year analysis demonstrated that palbociclib plus endocrine therapy has a consistent and stable safety profile without cumulative or delayed toxicities. These results further support ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1083-7159
1549-490X
Relation: Finn, R. S., Rugo, H. S., Gelmon, K. A., Cristofanilli, M., Colleoni, M., Loi, S., Schnell, P., Lu, D. R., Theall, K. P., Mori, A., Gauthier, E., Bananis, E., Turner, N. C. & Dieras, V. (2021). Long-Term Pooled Safety Analysis of Palbociclib in Combination with Endocrine Therapy for Hormone Receptor-Positive/Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Updated Analysis with up to 5 Years of Follow-Up. ONCOLOGIST, 26 (5), pp.E749-E755. https://doi.org/10.1002/onco.13684.; http://hdl.handle.net/11343/274179
الاتاحة: http://hdl.handle.net/11343/274179
Rights: CC BY-NC-ND ; https://creativecommons.org/licenses/by-nc-nd/4.0
رقم الانضمام: edsbas.647D085A
قاعدة البيانات: BASE
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