362P - Assessment of treatment response with fulvestrant (F) 500 mg in standard clinical practice through a retrospective study: NCT01509625

Date 27 September 2014
Event ESMO 2014
Session Poster Display session
Topics Cytotoxic agents
Breast Cancer
Therapy
Biological therapy
Presenter Isabel Blancas
Citation Annals of Oncology (2014) 25 (suppl_4): iv116-iv136. 10.1093/annonc/mdu329
Authors I. Blancas1, M. Fontanillas2, V. Conde Herrero3, J. Lao4, E. Martinez de Dueñas5, M. Sotelo Lezama6, A. JaÉn-Morago7, J.L. Bayo8, F. Carabantes9, J.J. Illaramendi10, M. Gordón11, M. Ruiz-Borrego12, J. Cruz13, A. García-Palomo14, C. Mendiola15, E. Perez-Ruiz16, J.M. Baena Cañada17, N. Martínez18, G. Esquerdo19, J. Salvador Bofill20
  • 1Oncology Department, Hospital Universitario Clínico San Cecilio, 18012 - Granada/ES
  • 2Oncology, Hospital Clinic, Barcelona/ES
  • 3Oncology, Hospital Universitario Virgen de las Nieves, 18014 - Granada/ES
  • 4Servicio De Oncología Médica, Hospital Miguel Servet, 50009 - Zaragoza/ES
  • 5Medical Oncology, HOSPITAL PROVINCIAL DE CASTELLÓN, 12002 - CASTELLON/ES
  • 6Medical Oncology, Hospital Clinico Universitario San Carlos, 28040 - Madrid/ES
  • 7Oncology, COMPLEJO HOSPITALARIO DE JAÉN, 23007 - JAEN/ES
  • 8Oncology, Hospital Juan Ramón Jiménez, Huelva/ES
  • 9Oncology, Hospital Universitario Carlos Haya, Málaga/ES
  • 10Oncology, Complejo Universitario Hospital de Navarra, Pamplona/ES
  • 11Oncology, Hospital de Jerez, Cádiz/ES
  • 12Oncology, Hosital Universitario Virgen del Rocío, Sevilla/ES
  • 13Medical Oncology, Hospital Universitario de Canarias, Santa Cruz de Tenerife/ES
  • 14Oncology, Complejo Universitario Asistencial de León, León/ES
  • 15Oncology, University Hosptial 12 De Octubre Medical oncology, 28041 - Madrid/ES
  • 16Department Of Medical Oncology, Red De Investigación En Servicios De Salud En Enfermedades Crónicas (redissec, Hospital COSTA DEL SOL, 29600 - MARBELLA/ES
  • 17Oncología Médica, Hospital universitario Puerta del Mar, 11009 - Cadiz/ES
  • 18Oncology, Hospital Ramón y Cajal, Madrid/ES
  • 19Oncology, Clínica Benidorm, Alicante/ES
  • 20Medical Oncology, HOSPITAL VALME, 41014 - SEVILLA/ES

Abstract

Aim

After CONFIRM study results, fulvestrant 500 mg (F500) became one of the standard treatments for patients with oestrogen receptor (ER+) Metastatic Breast Cancer (MBC) who previously had progressed on hormonal treatment. The aim of this study is to describe the efficacy of F500 in terms of progression free survival(PFS) and clinical benefit rate (CBR: complete response [CR] + partial response [PR] + stable disease ≥ 24 weeks [SD]) in Spanish patients (P) with oestrogen receptor (ER+) MBC, through a retrospective data collection

Methods

After written informed consent, data collection was recorded from clinical records of P who previously had progressed on hormonal treatment and who received at any time F 500 from 1st January 2010 to 30th June 2012. Preliminary results after 102 P were presented in 2013.

Results

272 P in 25 centers were included in the study, 263 P were evaluable. Median age was 65.8 (56.3-72.2). Histology: 80.3% ductal; 14.3% lobulillar. Hormonal receptors: ER + / PgR+ 76.1%; ER + /PgR- 23.6%. HER2 status was documented in 232P, 11.2% of them were HER2+. 49.3% were Ki67 +. Mean time from diagnosis to metastatic disease: 3.7 years, 20.9% of P had de novo metastatic disease. 14.4% of P had visceral metastases and 88.8% had good PS (0-1) when F started. F was received as 1st line in 22.6%, as 2nd line in 32.2% and 3rd or more in 45.2% of the P. Average cycles administered: 13.7(SD 11.1). With a median follow up of 16 months (m) since F treatment (1.4-34.4), median PFS was 10.6 m [9.0-11.5]. CBR was 56.5% (6.9% CR, 14.1% PR and 35.5% SD). Median PFS in P with or without CB was 18.4 m and 4.8 m respectively. Median PFS in P receiving F in 1st line was 11.5 m, 10.6 m in 2nd line and 9.9 m in 3rd line or more. No significant differences in CBR were observed between P with or without visceral metastases (52.8 vs 57.1%) or P with HER –ve and +ve tumours (57.1% vs 50.0%). Median Overall Survival was 43,2 m (37,0; NR). 1-year survival rate was 86.7%. More frequent toxicities were: local injection site pain (9.9%) joint disorders (7.2%) gastrointestinal disorders (6.8%) and hot flushes (6.1%).

Conclusions

F500 in real life setting showed a PFS of 10.6 m and achieved CB in more than a half of P with a good toxicity profile, in line with phase III trials. P with visceral metastases may benefit from F same as those with non visceral involvement.

Disclosure

All authors have declared no conflicts of interest.