MedPath

European Treatment Patterns and Outcomes Associated With First-Line CDK4/6 Inhibition and Hormonal Therapies

Completed
Conditions
Metastatic Breast Cancer
Interventions
Registration Number
NCT05043506
Lead Sponsor
Pfizer
Brief Summary

A retrospective observational analysis of de-identified data from a multinational medical record review to describe patient characteristics, treatment patterns, and effectiveness of palbociclib + AI as first-line therapy among adult patients with HR+/HER2- advanced breast cancer (ABC) in Europe

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1939
Inclusion Criteria
  • Is male or female
  • Has histologically or cytologically confirmed breast cancer diagnosis (HR+/HER2- breast cancer)
  • Has received a diagnosis of locally advanced breast cancer not amenable to curative radiation or surgical cure or of metastatic breast cancer (i.e., advanced breast cancer [ABC]); diagnosis may be de novo (initial diagnosis at ABC stage) or recurrent from earlier-stage disease (initial diagnosis of earlier-stage disease with subsequent progression to advanced disease)
  • Has initiated a required first-line therapy of interest: Palbociclib plus AI as first-line therapy for ABC between September 1, 2016, and July 31, 2020, or AI monotherapy as first-line therapy for ABC between January 1, 2010,, and July 31, 2020
  • Was aged 18 years or older at the time of diagnosis of ABC
  • Is living or deceased at the time of record abstraction
  • Has a complete medical record, covering treatment for ABC, including any transfer record from other facilities (if applicable) that is available to the abstractor for data abstraction
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Exclusion Criteria
  • The patient's first treatment after ABC diagnosis was chemotherapy (including induction chemotherapy)
  • The patient has evidence of other active malignant neoplasms within 3 years (except nonmelanoma skin cancer or carcinoma in situ) prior to diagnosis of ABC; patients diagnosed with second primary cancer after ABC diagnosis will not be excluded
  • The patient has evidence of prior treatment with any CDK4/6 inhibitor (i.e. palbociclib, abemaciclib, ribociclib) in the early-stage breast cancer setting or treatment with abemaciclib or ribociclib in the ABC setting
  • The patient has participated in a clinical trial related to treatment of ABC (including after first-line therapy [i.e., palbociclib plus AI or AI monotherapy])
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Palbociclib + aromatase inhibitorPalbociclib + aromatase inhibitorAdult patients with advanced breast cancer patients who initiated Palbociclib + an aromatase inhibitor as first line therapy between September 1, 2016, and July 31, 2020.
Aromatase inhibitorAromatase inhibitorAdult patients with advanced breast cancer patients who initiated an aromatase inhibitor as first line therapy between January 1, 2010,, and July 31, 2020
Primary Outcome Measures
NameTimeMethod
Real-world progression free survivalTime from treatment line start date to clinician assessed date of disease progression, date of death, or date of censoring

Total time from the treatment line start date to the date of disease progression confirmed by clinician assessment or the date of censoring, as measured in months

Secondary Outcome Measures
NameTimeMethod
Overall survivalTime from treatment line start date to clinician assessed date of death, or date of censoring

Time from the treatment line start to the date of confirmed death, or the date of censoring

Time to first objective tumor responseTime from treatment line start date to clinician-assessed first date of objective response or date of censoring

Time from the date of treatment line start to the first date of clinician-assessed objective response, or the date of censoring, measured in months

Trial Locations

Locations (64)

Örebro University Hospital

🇸🇪

Örebro, Sweden

Medizinische Studiengesellschaft NORD-WEST GmbH

🇩🇪

Westerstede, Germany

Ruppiner Kliniken GmbH

🇩🇪

Neuruppin, Ostprignitz-ruppin, Germany

Kantonsspital Baselland

🇨🇭

Liestal, Switzerland

Complejo Universitario de Albacete

🇪🇸

Albacete, Spain

Western General Hospital

🇬🇧

Waterloo Place, Edinburgh, United Kingdom

Hospital Universitario Quiron Madrid

🇪🇸

Pozuelo de Alarcon, Madrid, Spain

Gynäkologie Kompetenzzentrum Praxis Dr. med. Carsten Hielscher

🇩🇪

Stralsund, Germany

Royal Bournemouth Hospital

🇬🇧

Bournemouth, United Kingdom

Glan Clwyd Hospital

🇬🇧

Rhyl, Denbighshire, United Kingdom

Airedale NHS Foundation Trust

🇬🇧

Keighley, WEST Yorkshire, United Kingdom

Hospital Universitario Virgen Del Rocio

🇪🇸

Sevilla, Sevila, Spain

Universitätsklinikum Leipzig

🇩🇪

Leipzig, Saxony, Germany

Hospital Universitario de Puerto Real

🇪🇸

Cádiz, Andalucía, Spain

St Goran Hospital

🇸🇪

Bromma, Sweden

Hospital de Sagunto

🇪🇸

Sagunto, Valencia, Valencia/madrid Castilla LA Mancha, Spain

UZ Leuven

🇧🇪

Leuven, Belgium

Hospital General Universitario Morales Meseguer

🇪🇸

Murcia, Comunidad DE Murcia, Spain

Mälarsjukhuset

🇸🇪

Eskilstuna, Södermanlands LÄN [se-04], Sweden

Complejo Hospitalario Universitario de Vigo. Area Sanitaria de Vigo. Hospital Alvaro Cunqueiro

🇪🇸

Vigo, Pontevedra, Cantabria Castilla Y LEON, Spain

Studienzentrum UnterEms

🇩🇪

Emden, Saxony, Germany

St. Vincenz-Krankenhaus GmbH

🇩🇪

Paderborn, Germany

Hospital Universitario Virgen de Las Nieves

🇪🇸

Granada, Spain

Bethanien Center for Hematology and Oncology

🇩🇪

Frankfurt, Germany

Complejo Asistencial Universitario de Leon

🇪🇸

Leon, Spain

Sankt Josef Hospital Braunau

🇦🇹

Braunau, Austria

Hospital Puerta de Hierro

🇪🇸

Majadahonda, Madrid, Spain

Frauenarztpraxis

🇩🇪

Ilsede, Peine, Germany

Group practice Goehler

🇩🇪

Dresden, Germany

Nottingham University Hospitals NHS Trust

🇬🇧

Nottingham, United Kingdom

Ysbyty Gwynedd Hospital

🇬🇧

Bangor, Gwynedd, United Kingdom

Universität des Saarlandes

🇩🇪

Saarbrücken, Saarland, Germany

Universitatsklinikum Essen

🇩🇪

Essen, North Rhine-westphalia, Germany

Royal United Hospital Bath NHS Trust

🇬🇧

Bath, United Kingdom

Bradford Teaching Hospitals NHS Foundation Trust

🇬🇧

Bradford, WEST Yorkshire, United Kingdom

Royal Blackburn Hospital

🇬🇧

Blackburn, United Kingdom

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Universitario Marques de Valdecilla

🇪🇸

Santander, Spain

Hospital de Sant Pau i Santa Tecla

🇪🇸

Tarragona, Spain

Hospital Universitario Dr. Peset

🇪🇸

Valencia, Spain

Wrexham Maelor Hospital

🇬🇧

Wrexham, Wales, United Kingdom

Universitaetsklinikum Sankt Poelten

🇦🇹

Sankt Poelten, Austria

Landesklinikum Krems

🇦🇹

Krems, Austria

Priv. Doz. OA Dr. Michael Hubalek

🇦🇹

Schwaz, Austria

Universitätsklinikum Würzburg Frauenklinik und Poliklinik

🇩🇪

Würzburg, Bavaria, Germany

Kreisklinikum Böblingen gGmbH, Frauenklinik Böblingen

🇩🇪

Sindelfingen, Landkreis Boblingen, Germany

Institut für Versorgungsforschung GbR

🇩🇪

Mainz, Rhineland-palatinate, Germany

Hospital Universitario de Basurto

🇪🇸

Bilbao, Bizkaia, Spain

Überörtliche Gemeinschaftspraxis

🇩🇪

Hamburg, Germany

Institut Catalâ Oncologia-L'Hospitalet

🇪🇸

Hospitalet de Llobregat, Barcelona [barcelona], Spain

Complejo Hospitalario de Navarra

🇪🇸

Pamplona, Navarra, Spain

Hospital San Jorge Huesca

🇪🇸

Zaragoza, Huesca/ Aragon, Spain

Hospital nuestra señora del prado de Toledo

🇪🇸

Talavera De La Reina, Toledo, Madrid/castilla LA Mancha, Spain

Hospital Clínico de Santiago de Compostela

🇪🇸

Santiago de Compostela, Santiago DE Compostela/cantabria, Spain

Uppsala University Hospital

🇸🇪

Uppsala, Sweden

Beatson West of Scotland Cancer Centre

🇬🇧

Glasglow, Glasglow City, Scotland, United Kingdom

Borders General Hospital

🇬🇧

Roxburghshire, Scotland, United Kingdom

Shrewsbury and Telford Hospital NHS Trust

🇬🇧

Shrewsbury, Shropshire, United Kingdom

Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital

🇬🇧

Buckinghamshire, United Kingdom

Royal Cornwall Hospital

🇬🇧

Cornwall, United Kingdom

MediOnko-Institut GbR

🇩🇪

Berlin, Brandenburg, Germany

Kantonsspital Baden AG

🇨🇭

Baden, Switzerland

Queen Elizabeth Hospital

🇬🇧

King's Lynn, Norfolk, United Kingdom

Forth Valley Royal Hospital

🇬🇧

Stirling, Scotland, United Kingdom

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