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Poster display session

3998 - Impact of prior treatment on palbociclib plus letrozole (P+L) efficacy and safety in patients (pts) with estrogen receptor-positive/human epidermal growth factor receptor 2-negative (ER+/HER2–) first-line advanced breast cancer (ABC): a PALOMA-2 subgroup analysis

Date

11 Sep 2017

Session

Poster display session

Topics

Cytotoxic Therapy;  Breast Cancer

Presenters

Richard Finn

Citation

Annals of Oncology (2017) 28 (suppl_5): v74-v108. 10.1093/annonc/mdx365

Authors

R.S. Finn1, K.A. Gelmon2, J. Ettl3, J. Asselah4, A. Castrellon5, A. Ruiz Simón6, A.A. Joy7, D. Lu8, E.R. Gauthier9, A. Mori10, H.S. Rugo11, V. Diéras12

Author affiliations

  • 1 Department Of Medicine, Division Of Hematology/oncology, David Geffen School of Medicine at UCLA, 90095 - Santa Monica/US
  • 2 Department Of Medical Oncology, British Columbia Cancer Agency, V5Z 4E6 - Vancouver/CA
  • 3 Frauenklinik Und Poliklinik Klinikum Rechts Der Isar, Technische Universität München, Munich/DE
  • 4 Department Of Oncology, McGill University Health Centre, Montreal/CA
  • 5 Breast Cancer Center, Memorial Healthcare System, 33021 - Hollywood/US
  • 6 Medical Oncology, Fundación Instituto Valenciano Oncología, València/ES
  • 7 Cross Cancer Institute, University of Alberta, Edmonton/CA
  • 8 Clinical Oncology, Pfizer Inc, La Jolla/US
  • 9 Clinical Oncology, Pfizer Inc, San Francisco/US
  • 10 Clinical Oncology, Pfizer S.r.l., Milan/IT
  • 11 Department Of Medicine, University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco/US
  • 12 Department Of Medical Oncology, Center Eugène Marquis, Rennes/FR
More

Resources

Abstract 3998

Background

PALOMA-2 confirmed the efficacy and safety of P+L vs placebo (PBO)+L in pts with treatment-naive ER+/HER2– ABC (Finn NEJM, 2016). Here, we report efficacy and safety among P+L-treated pts in 2 subgroups of either exposed or not exposed to prior neo(adjuvant) endocrine therapy (ET) and/or chemotherapy (CT).

Methods

Postmenopausal women (N = 666) were randomized 2:1 to receive P (125 mg QD; 3 wk on, 1 wk off) + L (2.5 mg QD; continuously) or PBO+L. Prior neo(adjuvant) ET/CT with curative intent was allowed; prior ET or CT for recurrent advanced or metastatic disease was not. The primary endpoint was investigator-assessed progression-free survival (PFS); other key endpoints included response rates and safety. Exposure to P among subgroups is also presented.

Results

At baseline, 249/444 pts (56%) in the P+L arm had received prior ET and 213 (48%) had received prior CT (Table). Pts previously treated were slightly younger vs those not previously treated. Exposure to P+L was similar across subgroups. In P+L-treated pts, median PFS was 22.2/25.7 mo with prior ET/no prior ET and 22.4/25.7 mo for prior CT/no prior CT. The significant clinical benefit of P+L vs PBO+L remained regardless of prior ET/CT exposure. Across all subgroups, the incidence of all-causality adverse events (AEs) was similar; neutropenia was the most frequent AE. AEs leading to permanent discontinuation occurred in 

Conclusions

Regardless of prior (neo)adjuvant treatment, P+L significantly prolonged PFS vs PBO+L and demonstrated consistent efficacy in pre-treated and non–pre-treated subgroups of postmenopausal pts with ER+/HER2– ABC. Tolerability was similar across subgroups and consistent with the known safety profile of P.

Clinical trial identification

NCT01740427

Legal entity responsible for the study

Pfizer

Funding

Pfizer

Disclosure

R.S. Finn: Honoraria: Bayer, Pfizer, Bristol-Myers Squibb, Novartis, Eisai; Consulting or advisory role: Pfizer, Bayer, Novartis, Bristol-Myers Squibb, Merck; Research funding Pfizer. K.A. Gelmon: Consulting or advisory role: Pfizer, Novartis, AstraZeneca, NanoString Technologies, Merck. J. Ettl: Honoraria: Pfizer, Novartis, Roche; Consulting or advisory role: Pfizer, Novartis Pharma KK; Speakers’ bureau: Pfizer, Novartis, Roche, Celgene. J. Asselah: Consulting or advisory role: Pfizer, Novartis. A. Castrellon: Research funding: Novartis; Consulting or advisory role: Biotheranostics. A. Ruiz Simón: Honoraria: Pfizer, Novartis, Roche. A.A. Joy: Consulting or advisory role: Pfizer, Novartis, Roche, Eli Lilly, AstraZeneca, Bristol-Myers Squibb, Boehringer Ingleheim. D. Lu, E.R. Gauthier, A. Mori: Pfizer employee and shareholder. H.S. Rugo: Speakers’ bureau and honoraria: Genomic health; Research funding (Plexxikon Macrogenics, OBI Pharma, Eisai, Pfizer, Novartis, Eli Lilly, GlaxoSmithKline, Genentech, Celsion, Merck, Clovis Oncology. V. Diéras: Consulting and advisory role: Genentech, Lilly, Pfizer, AbbVie, Novartis Pharma KK, Roche-Peru; Speakers’ bureau: Pfizer, Novartis Pharma KK, Roche-Peru.

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