Breast NeoplasmsPhase 3NCT01740427
A Study of Palbociclib (PD-0332991) + Letrozole vs. Letrozole For 1st Line Treatment Of Postmenopausal Women With ER+/HER2- Advanced Breast Cancer (PALOMA-2)
A Phase 3 study testing PD-0332991 and Letrozole in people with Breast Neoplasms, run by Pfizer at 305 sites in 18 countries.
Trial summary
The study is designed to compare the clinical benefit following treatment with letrozole in combination with PD-0332991 versus letrozole in combination with placebo in postmenopausal women with ER(+)/HER2(-) advanced breast cancer who have not received prior systemic anti cancer therapies for their advanced/metastatic… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Neoplasms
- What is being tested?
- PD-0332991 and Letrozole
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 666 participants
- Where
- 305 sitesin 18 countries
- Study dates
- 22 Feb 2013to 9 Nov 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult women with locoregionally recurrent or metastatic disease not amenable to curative therapy.
- Confirmed diagnosis of ER positive breast cancer
- No prior systemic anti-cancer therapy for advanced ER+ disease.
- Postmenopausal women
- Measurable disease as per Response Evaluation Criterion in Solid Tumors [RECIST] or bone-only disease
- Eastern Cooperative Oncology Group [ECOG] 0-2
- Adequate organ and marrow function
- Patient must agree to provide tumor tissue
Who cannot join
- Confirmed diagnosis of HER2 positive disease
- Patients with advanced, symptomatic, visceral spread that are at risk of life threatening complication in the short term
- Known uncontrolled or symptomatic CNS metastases
- Prior (neo)adjuvant treatment with letrozole or anastrozole with DFI ≤ 12-months from completion of treatment.
- Prior treatment with any CDK 4/6 inhibitor.
Trial locations and contacts
305 sites in 18 countries.
305 sites in 18 countries
United States136 sites
University of Michigan Health System
Ann Arbor, Michigan, 48109
Grady Health System
Atlanta, Georgia, 30303
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory University Hospital
Atlanta, Georgia, 30322
The Emory Clinic
Atlanta, Georgia, 30322
Winship Cancer Institute
Atlanta, Georgia, 30322
Mercy Clinic St. Louis Cancer and Breast Institute
Ballwin, Missouri, 63011
University of Maryland, Greenebaum Cancer Center
Baltimore, Maryland, 21201
Southern California Permanente Medical Group
Bellflower, California, 90706
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
Beverly Hills Cancer Center
Beverly Hills, California, 90211
Oncology & Hematology Associates of Southwest Virginia, INC., D.B.A. Blue Rigde Cancer Care
Blacksburg, Virginia, 24060
CareMount Medical
Brewster, New York, 10509
The Mark M. Connolly Center for Cancer and Specialty Care
Chicago, Illinois, 60657
Kootenai Clinic Cancer Services
Coeur d'Alene, Idaho, 83814
The West Clinic, PC
Corinth, Mississippi, 38834
Texas Oncology-Dallas Presbyterian Hospital
Dallas, Texas, 75231
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Carle Foundation Hospital DBA Carle Cancer Center
Danville, Illinois, 61832
Sylvester at Deerfield Beach
Deerfield Beach, Florida, 33442
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
Carle Foundation Hospital DBA Carle Cancer Center
Effingham, Illinois, 62401
Texas oncology-west Texas
El Paso, Texas, 79902
Texas oncology-West Texas
El Paso, Texas, 79915
Texas Oncology-west Texas
El Paso, Texas, 79938
Presence Infusion Care- Evanston
Evanston, Illinois, 60202
Investigational Products Center (IPC)
Fort Worth, Texas, 76177
Tennessee Oncology PLLC
Franklin, Tennessee, 37067
St. Joseph Heritage Healthcare
Fullerton, California, 92835
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
The West Clinic, PC dba West Cancer Centre
Germantown, Tennessee, 38138
Los Angeles Hematology/Oncology Medical Group
Glendale, California, 91206
Saint Francis Medical Center
Grand Island, Nebraska, 68802
Saint Francis Medical Center, Saint Francis Cancer Treatment Center
Grand Island, Nebraska, 68803
St. Mary's Hospital Regional Cancer Center
Grand Junction, Colorado, 81501
Saint Francis Medical Center
Hastings, Nebraska, 68901
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89074-8195
Tennessee Oncology PLLC
Hermitage, Tennessee, 37076
Memorial Breast Cancer Center at Memorial Regional Hospital
Hollywood, Florida, 33021
Memorial Cancer Institute at Memorial Regional Hospital
Hollywood, Florida, 33021
Memorial Regional Hospital
Hollywood, Florida, 33021
The University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology
Houston, Texas, 77030
The University of Texas MD Anderson Cancer Center.
Houston, Texas, 77030
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
UCLA Hematology/ Oncology- Irvine
Irvine, California, 92604
US Oncology Investigational Products Center
Irving, Texas, 75063
Cancer Specialist of North Florida, Pharmacy
Jacksonville, Florida, 32256
Cancer Specialists of North Florida-Southpoint
Jacksonville, Florida, 32256
UCLA Hematology Oncology- Laguna Hills
Laguna Hills, California, 92653
Regulatory Office: Comprehensive Cancer Centers of Nevada Research Department
Las Vegas, Nevada, 89119
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37090
Los Angeles Hematology/Oncology Medical Group
Los Angeles, California, 90017
Southern California Permanente Medical Group
Los Angeles, California, 90027
Translational Research Management
Los Angeles, California, 90045
Drug Management Only: UCLA West Medical Pharmacy, Attn: Steven L Wong, Pharm.D.
Los Angeles, California, 90095-1772
UCLA West Medical Pharmacy, Attn: Steven L. Wong
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy: Drug Management Only
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy; Drug Management Only
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy
Los Angeles, California, 90095-7349
Administrative Address: UCLA Hematology/Oncology
Los Angeles, California, 90095
Drug Management Only: TRIO-US Pharmacy UCLA Medical Plaza, Attn: Steven L Wong, Pharm.D.
Los Angeles, California, 90095
Regulatory Management Only: TRIO-US Central Administration
Los Angeles, California, 90095
Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095
TRIO-US Central Administration: Regulatory Management Only
Los Angeles, California, 90095
TRIO-US Central Administration
Los Angeles, California, 90095
UCLA Hematology Oncology
Los Angeles, California, 90095
UCLA Hematology/Oncology
Los Angeles, California, 90095
James Graham Brown Cancer Center and University Hospital
Louisville, Kentucky, 40202
James Graham Brown Cancer Center
Louisville, Kentucky, 40202
Oncology & Hematology Associates of Southwest Virginia, Inc. D.B.A Blue Ridge Cancer Care
Low Moor, Virginia, 24457
University of Wisconsin
Madison, Wisconsin, 53792-6164
Northwest Georgia Oncology Centers, PC
Marietta, Georgia, 30060
Carle Foundation Hospital DBA Carle Cancer Center
Mattoon, Illinois, 61938
The West Clinic, PC dba West Cancer Centre
Memphis, Tennessee, 38104
WVU Medicine
Morgantown, West Virginia, 26506
CareMount Medical
Mount Kisco, New York, 10549
Northern Westchester Hospital
Mount Kisco, New York, 10549
Tennessee Oncology PLLC
Murfreesboro, Tennessee, 37129
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37205
Tennessee Oncology PLLC
Nashville, Tennessee, 37207
Tennessee Oncology PLLC
Nashville, Tennessee, 37211
Smilow Cancer Hospital at Yale New Haven
New Haven, Connecticut, 06510
Columbia University Medical Center
New York, New York, 10032
Virginia Oncology Associates
Newport News, Virginia, 23606
Virginia oncology Associates
Norfolk, Virginia, 23502
Whittingham Cancer Center @ Norwalk Hospital
Norwalk, Connecticut, 06856
Orlando Health, Inc.
Orlando, Florida, 32806
UCLA Hematology/ Oncology- Pasadena
Pasadena, California, 91105
Memorial Breast Cancer Center at Memorial Hospital West
Pembroke Pines, Florida, 33028
Memorial Cancer Institute at Memorial Hospital West
Pembroke Pines, Florida, 33028
Memorial Hospital West
Pembroke Pines, Florida, 33028
Sylvester Comprehensive Cancer Center Plantation
Plantation, Florida, 33324
Northwest Cancer Specialists, PC
Portland, Oregon, 97213
Kaiser Permanente Northwest Region
Portland, Oregon, 97227
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227
OHSU Center for Health and Healing 2
Portland, Oregon, 97239
OHSU Center for Health and Healing
Portland, Oregon, 97239
OHSU Research Pharmacy Services
Portland, Oregon, 97239
Oregon Health and Science University
Portland, Oregon, 97239
Kootenai Clinic Cancer Services
Post Falls, Idaho, 83854
Torrance Health Association, DBa Torrance Memorial Physician Network
Redondo Beach, California, 90277
Oncology & Hematology Associates of Southwest Virginia, Inc. D.B.A Blue Ridge Cancer Care
Roanoke, Virginia, 24014
Cancer Specialists of North Florida - St. Augustine
Saint Augustine, Florida, 32086
Park Nicollet Frauenshuh Cancer Center
Saint Louis Park, Minnesota, 55426
Oncology & Hematology Associates of Southwest Virginia, Inc. D.B.A Blue Ridge Cancer Care
Salem, Virginia, 24153
Southern California Permanente Medical Group
San Diego, California, 92108
University of California, San Francisco
San Francisco, California, 94115
University of California San Francisco - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158
San Luis Obispo Oncology and Hematology Health Center/ Pacific Central Coast Health Centers
San Luis Obispo, California, 93401
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
UCLA Santa Monica Medical Center and Orthopaedic Hospital
Santa Monica, California, 90404
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Presence Infusion Care- Skokie
Skokie, Illinois, 60077
Tennessee Oncology PLLC
Smyrna, Tennessee, 37167
The West Clinic, PC dba West Cancer Centre
Southaven, Mississippi, 38671
Mercy Clinic St. Louis Cancer and Breast Institute
St Louis, Missouri, 63109
Mercy Hospital St. Louis - David C. Pratt Cancer Center
St Louis, Missouri, 63141
Mercy Hospital St. Louis
St Louis, Missouri, 63141
Stanford Women's Cancer Center
Stanford, California, 94304-5826
Stony Brook University- Cancer Center
Stony Brook, New York, 11794-9447
Carle Foundation Hospital DBA Carle Cancer Center
Urbana, Illinois, 61801
Northwest Cancer Specialists, P.C.
Vancouver, Washington, 98683
Northwest Cancer Specialists P.C.
Vancouver, Washington, 98684
Virginia Oncology Associates
Virginia Beach, Virginia, 23456
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Wellness Oncology & Hematology
West Hills, California, 91307
UCLA Hematology/Oncology- Westlake
Westlake Village, California, 91361
Shenandoah Oncology PC
Winchester, Virginia, 22601
Oncology & Hematology Associates of Southwest Virginia, INC., D.B.A. Blue Rigde Cancer Care
Wytheville, Virginia, 24382
Spain22 sites
Centro Oncologico de Galicia
A Coruña, 15009
Hospital Universitario Fundacion de Alcorcon
Alcorcón, Madrid, 28922
Hospital Universitario Infanta Cristina
Badajoz, 06080
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital del Mar
Barcelona, 08003
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic I Provincial
Barcelona, 08036
Hospital de Donostia
Donostia / San Sebastian, 20014
Complejo Hospitalario de Jaen
Jaén, 23007
Instituto Catalan de Oncologia L'Hospitalet
L'Hospitalet de Llobregat (Barcelona), 08908
Hospital Universitario Arnau de Vilanova de Lleida
Lleida, 25198
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Centro Oncologico MD Anderson Internacional España
Madrid, 28033
Hospital Clinico San Carlos
Madrid, 28040
HOSPITAL Universitario 12 DE OCTUBRE
Madrid, 28041
Hospital Madrid Universitario Sanchinarro
Madrid, 28050
Hospital Universitari Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Santa CRUZ DE Tenerife, 38320
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Universitario Virgen del Rocio
Seville, 41013
Consorci Sanitari de Terrassa
Terrassa, Barcelona, 08227
Instituto Valenciano de Oncologia
Valencia, 46009
Australia16 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Icon Cancer Care
Auchenflower, Queensland, 4066
Bendigo Health Care Group, The Bendigo Hospital Campus
Bendigo, Victoria, 3550
Sunshine Coast University Hospital
Birtinya, Queensland, 4575
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Northern Hospital
Epping, Victoria, 3076
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Royal Melbourne Hospital
Parkville, Victoria, 3050
Laverty Pathology
Port Macquarie, New South Wales, 2444
Mid North Coast Diagnostic Imaging
Port Macquarie, New South Wales, 2444
Epworth Healthcare
Richmond, Victoria, 3121
Maroondah Hospital
Ringwood East, Victoria, 3135
Goulburn Valley Health
Shepparton, Victoria, 3630
Icon Cancer Care Corporate Office
South Brisbane, Queensland, 4101
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Japan15 sites
Chiba Cancer Center
Chiba, 260-8717
National Cancer Center Hospital
Chuo-Ku, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518
Hakuaikai Medical Corporation Sagara Hospital
Kagoshima, 892-0833
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
Saitama Cancer Center
Kita-adachi-gun, Saitama, 362-0806
Kumamoto City Hospital
Kumamoto, Kumamoto, 862-8505
Kumamoto University Hospital
Kumamoto, 860-8556
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
Niigata Cancer Center Hospital 2-15-3
Niigata, 951-8566
Iwate Medical University Hospital
Numakunai, 020-8505
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Canada14 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
QEII Health Sciences Centre, Victoria General Site
Halifax, Nova Scotia, B3H 2Y9
London Regional Cancer Program
London, Ontario, N6A 4L6
McGill University Health Centre (MUHC), Glen Site, Cedars Cancer Centre
Montreal, Quebec, H4A 3J1
Hopital du Sacre-Coeur
Montreal, Quebec, H4J 1C5
Southlake Regional Health Centre- Stronach Regional Cancer Centre
Newmarket, Ontario, L3Y2P9
Center Hospitalier Affilie Universitaire de Quebec, Universite Laval, Hopital du Saint Sacrement
Québec, Quebec, G1S 4L8
Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1
BC Cancer Agency-Fraser Valley Centre
Surrey, British Columbia, V3V 1Z2
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
St. Michaels Hospital
Toronto, Ontario, M5B 1W8
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
British Columbia Cancer Agency-Vancouver Centre
Vancouver, British Columbia, V5Z 4E6
Russia13 sites
GUZ Republic Clinical Oncology Dispensary of Ministry of Health of Republic of Tatarstan
Kazan', 420029
Regional Budgetary Healthcare Institution Kursk Regional Clinical
Kursk, Kursk Oblast, 305524
State Budget Healthcate Institution "Leningrad Region Oncology Dispensary"
Kuzmolovo, Leningradskaya Oblast', 188663
Federal State Budget Institution
Moscow, 115478
State Budget Healthcare Institution Moscow City Oncology Hospital
Moscow Area, 143423
Budget Institution of Healthcare
Omsk, 644013
Budget Institution of Healthcare
Omsk, 644046
Ryazan Regional Clinical Oncology Dispensary
Ryazan, 390011
Non-State Health Care agency "Road Clinical Hospital of PLC" Russian Railways
Saint Petersburg, 195271
Saint-Petersburg State Budget Healthcare Institution (SBHCI)
Saint Petersburg, 198255
Republican Clinical Hospital n.a. G.G. Kuvatov
Ufa, 450005
State Budget Medical Institution Republican Clinical Oncology
Ufa, 450054
SBHI of Republic of Bashkortostan Emergency Hospital
Ufa, 450106
France12 sites
Institut de Cancerologie de l'Ouest- Paul Papin
Anger Cedex 02, 49055
Centre François Baclesse
Caen, 14076
Centre Georges François Leclerc
Dijon, 21079
CHD Vendée
La Roche-sur-Yon, 85295
Centre Val d'Aurelle,
Montpellier, 34298
Centre Antoine Lacassagne
Nice, 06189
Institut Curie, Departement d'Oncologie Medicale
Paris, 75248
Centre Eugene Marquis
Rennes, 35042
Hopital Rene Huguenin/Institut Curie
Saint-Cloud, 92210
Institut de Cancérologie de l'Ouest-Rene Gauducheau
Saint-Herblain, 44805
Institut Claudius Regaud- Cancer Comprehensive Center- IUCT-O-Medical Oncology Department
Toulouse Cedex-9, 31059
Institut Gustave Roussy
Villejuif, 94805
Germany12 sites
Klinikverbund Sudwest - Kliniken Sidelfingen-Boblingen
Böblingen, 71032
University Hospital Carl Gustav Carus - Department for Obstetrics and Gynecology.
Dresden, 01307
Universitatsklinikum Erlangen, Frauenklinik
Erlangen, 91054
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Universitatsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Gynakologie und Geburtshilfe
Kiel, 24105
Universitaetsklinikum Magdeburg AOR Universitaetsfrauenklinik
Magdeburg, 39108
Katholisches Klinikum Mainz
Mainz, 55131
Frauenklinik und Poliklinik Klinikum rechts der Isar, Technische Universitaet Muenchen
München, 81675
IOZ- Munchen, PGM- Studien GmbH
Munich, Bavaria, 80336
Rotkreuzklinikum Munchen, Frauenklinik,
Munich, 80637
Breast Cancer, University of Munich, Grosshadern Hospital
Munich, 81377
Klinikum Mutterhaus
Trier, 54290
Hungary11 sites
Szent Margit Korhaz
Budapest, 1032
Affidea Diagnosztika Kft.
Budapest, 1054
Orszagos Onkologiai Intezet ,
Budapest, 1122
Országos Onkológiai Intézet "B" Belgyogyaszati osztaly
Budapest, H-1122
Országos Onkológiai Intézet, Nuklearis Medicina Osztaly
Budapest, H-1122
Országos Onkológiai Intézet, Radiologiai Diagnosztikai Osztily
Budapest, H-1122
Petz Aladar Megyei Oktato Korhaz, Onkoradiologiai Osztaly
Győr, 9024
Josa Andras Teaching Hospital,
Nyíregyháza, 4400
Szegedi Tudomanyegyetem Altalanos Orvosi Kar, Patologia Intezet
Szeged, 6720
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont, Altalanos Orvostudomanyi Kar
Szeged, 6720
Diagnoscan Magyarorszag Kft.
Szeged, 6725
Ukraine10 sites
MI "Dnipropetrovsk City Multidisciplinary Clinical Hospital No.4" of the Dnipropetrovsk City Council
Dnipro, 49102
State Institution Dnipropetrovsk Medical Academy at the Ministry of Health of Ukraine
Dnipro, 49102
Municipal Non-profit Enterprise "Regional Centre of Oncology"
Kharkiv, 61070
Lviv State Oncologic Regional Treatment and Diagnostic Center, Chemotherapy Department
Lviv, 79031
Municipal Medical Institution "Makiivka City Hospital No.2 of Donetsk Region"
Makiivka, 86120
Regional Municipal Establishment "Sumy Regional Clinical Oncology Dispensary", Thoracic Department
Sumy, 40005
City Oncology Centre of Central Municipal Clinical Hospital
Uzhhorod, 88000
Institute of Postgraduate education and preuniversity preparing of Uzhgorod National Univ.
Uzhhorod, 88000
MI "Zaporizhzhia Regional Clinical Oncology Dispensary" Zaporizhzhia Regional Assembly,
Zaporizhzhya, 69040
State institution "Zaporizhzhia Medical Academy of Postgraduate Education MOH Ukraine",
Zaporizhzhya, 69040
Belgium8 sites
Institut Jules Bordet
Brussels, 1000
UZ Brussel
Brussels, 1090
Oncologie
Brussels, 1200
Grand Hopital de Charleroi / Service d'Hematologie et Oncologie
Charleroi, 6000
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven, 3000
CHU Start Tilman
Liège, 4000
CHR East Belgium - Verviers
Verviers, 4800
Gasthuis Zusters Antwerpen - Campus Sint- Augustinus
Wilrijk, Antwerpen, 2610
Ireland8 sites
Bon Secours Hospital
Cork
St. James Hospital
Dublin, 8
Beaumont Hospital
Dublin, 9
Mater Misericordiae University Hospital
Dublin, Dublin 7
St Vincents University Hospital
Dublin
Department of Medical Oncology
Galway
Mid Western Regional Hospital
Limerick
Waterford Regional Hospital
Waterford
United Kingdom8 sites
Edinburgh Cancer Centre, Western General Hospital
Edinburgh, Scotland, EH4 2XU
Beatson Institute for Cancer Research
Glasgow, Scotland, G12 0YN
Guys Hospital
London, SE1 9RT
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
Charing Cross Hospital
London, W6 8RF
Kent Oncology Center
Maidstone, KENT, ME16 9QQ
Christie Hospital NHS Foundation Trust
Manchester, M20 4BX
The Research And Development Office, The Christie NHS Foundation Trust
Manchester, M204BX
Italy7 sites
Azienda Ospedaliera San Giuseppe Moscati
Avellino, 83100
Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola-Malpighi
Bologna, BO, 40138
Irccs Irst
Meldola, FC, 47014
IRCCS - Istituto Europeo di Oncologia
Milan, Milan, 20141
Azienda Ospedaliero-Universitaria Pisana
Pisa, 56126
Istituti Fisioterapici Ospitalieri
Roma, 00128
Ospedale SS Trinita
Sora (FR), 03039
South Korea6 sites
National Cancer Center, Center for Breast Cancer
Goyang-si, Gyeonggi-do, 10408
Severance Hospital, Yonsei University Health System
Seodaemun-gu, Seoul, 03722
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital / Department of Internal Medicine
Seoul, 03080
Asan Medical Center, Division of Oncology, Department of Internal Medicine
Seoul, 05505
Samsung Medical Center, Division of Hematology-Oncology, Department of Medicine
Seoul, 06351
Poland3 sites
Oncology and Radiotherapy Clinic
Gdansk, 80-214
Europejskie Centrum Zdrowia Otwock
Otwock, Masovian Voivodeship, 05-400
Niepubliczny Zakład Opieki Zdrowotnej "Onko-Dent" SP.P. G.L. Słomian
Żory, 44-240
Taiwan3 sites
National Taiwan University Hospital
Taipei, 10002
Mackay Memory Hospital
Taipei, 10449
Veterans General Hospital-Taipei
Taipei, 11217
Czechia1 site
Fakultni nemocnice Hradec Kralove, Klinika onkologie a radiologie
Hradec Králové, 500 05
About this study
Official title: A RANDOMIZED, MULTICENTER, DOUBLE-BLIND PHASE 3 STUDY OF PD-0332991 (ORAL CDK 4/6 INHIBITOR) PLUS LETROZOLE VERSUS PLACEBO PLUS LETROZOLE FOR THE TREATMENT OF POSTMENOPAUSAL WOMEN WITH ER (+), HER2 (-) BREAST CANCER WHO HAVE NOT RECEIVED ANY PRIOR SYSTEMIC ANTI CANCER TREATMENT FOR ADVANCED DISEASE
The study is designed to compare the clinical benefit following treatment with letrozole in combination with PD-0332991 versus letrozole in combination with placebo in postmenopausal women with ER(+)/HER2(-) advanced breast cancer who have not received prior systemic anti cancer therapies for their advanced/metastatic disease.
- Conditions
- Breast Neoplasms
- Being tested
- PD-0332991, Letrozole, Placebo
- Keywords
- breast cancer, postmenopausal women, estrogen-receptor positive, HER2 negative, locoregionally recurrent, metastatic, Palbociclib (PD-0332991), PALOMA-2
- Medical subject headings
- Breast Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PD-0332991Drug
PD-0332991, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment
LetrozoleDrug
Letrozole, 2.5mg, orally once daily (continuously)
PlaceboDrug
Placebo, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment
LetrozoleDrug
Letrozole, 2.5mg, orally once daily (continuously)
| Study group | Role | What they receive |
|---|---|---|
| PD-0332991 + Letrozole | Experimental | PD-0332991, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment in combination with Letrozole, 2.5mg, orally once daily (continuously). Receives: Drug: PD-0332991; Drug: Letrozole |
| Placebo + Letrozole | Active comparator | Placebo, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment in combination with Letrozole, 2.5mg, orally once daily (continuously). Receives: Drug: Placebo; Drug: Letrozole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) as Assessed by the Investigator
PFS is defined as the time from the date of randomization to the date of the first documentation of objective tumor progression as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or death due to any cause in the absence of documented PD, whichever occurs first. If tumor progression data include more than 1 date, the first date will be used. PFS (in months) will be calculated as (first event date - randomization date +1)/30.4. Progression is defined using RECIST v1.1, as a 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions, or the appearance of new lesions.
Measured: From randomization date to date of first documentation of progression or death (up to approximately 2.5 years)
Secondary outcomes (15)
Objective Response as Assessed by the Investigator
Objective Response (OR) defined as overall complete response (CR) or partial response (PR) according to RECIST v1.1. Objective Response Rate (ORR) is defined as proportion of participants with CR or PR relative to all randomized participants with measurable disease at baseline. Participants who do not have on-study radiographic tumor re-evaluation, who received anti-tumor treatment, or who died, progressed/ dropped out for any reason prior to reaching a CR or PR were counted as non-responders in assessment of ORR. Per RECIST v1.1, CR: Complete disappearance of target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis <10mm). PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. Stable Disease: neither sufficient shrinkage nor increase to qualify for disease progression.
Measured: From randomization until end of treatment (up to approximately 2.5 years)
Objective Response: Participants With Measurable Disease at Baseline as Assessed by the Investigator
The OR is defined as the overall CR or PR according to the RECIST v1.1. ORR is defined as proportion of participants with CR or PR relative to all randomized participants with measurable disease at baseline. Participants who do not have on-study radiographic tumor re-evaluation, who received anti-tumor treatment, or who died, progressed/ dropped out for any reason prior to reaching a CR or PR were counted as non-responders in the assessment of ORR. Per RECIST v1.1, CR: Complete disappearance of target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis <10mm). PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. Stable Disease: neither sufficient shrinkage nor increase to qualify for disease progression.
Measured: From randomization until end of treatment (up to approximately 2.5 years)
Duration of Response (DR)
DR is defined as the time from the first documentation of objective tumor response (CR or PR) to the first documentation of disease progression or to death due to any cause, whichever occurs first. If tumor progression data included more than 1 date, the first date will be used. DR was calculated as [the date response ended (i.e. date of PD or death) - first CR or PR date + 1)]/30.4. DR would only be calculated for the subgroup of participants with an objective tumor response. Per RECIST v1.1, CR: Complete disappearance of target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis <10mm). PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions.The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. Stable Disease: neither sufficient shrinkage nor increase to qualify for disease progression.
Measured: From randomization until end of treatment (up to approximately 2.5 years)
Disease Control (DC)/Clinical Benefit Response (CBR)
DC is defined as overall CR, PR, or stable disease (SD) >=24 weeks according to RECIST version 1.1. Disease Control Rate (DCR) is defined as participants with CR, PR, or SD >=24 weeks relative to all randomized participants. Participants who do not have on-study radiographic tumor reevaluation, who received anti-tumor treatment, a best response of SD>=24 weeks, or who died, progressed, or dropped out for any reason prior to achieving reaching a CR or PR and a best response of SD>=24 weeks was counted as non-responders in DCR. Per RECIST v1.1, CR: Complete disappearance of target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis <10mm). PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. SD: neither sufficient shrinkage nor increase to qualify for disease progression.
Measured: From randomization until end of treatment (up to approximately 2.5 years)
PFS by Tumor Tissue Biomarkers Status, Including Genes (eg, Copy Numbers of CCND1, CDKN2A), Proteins (eg, Ki67, pRb), and RNA Expression (eg, cdk4, cdk6)
PFS by biomarker status by Investigator assessment. Progression is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Positive is defined as H-Score >=1 and negative as H-Score <1. H-Score is calculated as the sum of the % of cells at each level of staining intensity (0, 1+, 2+, and 3+) multiplied by the staining intensity value: H-Score = (% at 0)*0 + (% at 1+)*1 + (% at 2+)*2 + (% at 3+)*3. H-Score values range from 0 to 300. ER stands for estrogen receptor and Rb stands for retinoblastoma susceptibility gene product.
Measured: From randomization until end of treatment (up to approximately 24 Months)
Corrected QT Interval (QTc) Time-Matched Change From Baseline on Cycle 1 Day 14
Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and sent to a central laboratory for blinded manual adjudication. The average was calculated. The time corresponding to beginning of depolarization to repolarization of the ventricles (QT interval) was adjusted for RR interval using QT and RR from each ECG by Fridericia's formula (QTcF = QT divided by cube root of RR), by Bazette's formula (QTcB = QT divided by square root of RR) and corrected QT interval according to study-specific criteria (QTcS). Time-matched change from baseline values were reported for QTc analysis population.
Measured: Time-matched triplicate ECGs were collected at 0 (predose), 2, 4, 6 and 8 hours on Day 0 and on Cycle1 Day14
Percentage of Participants With Corrected QT Interval (QTc)
Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and sent to a central laboratory for blinded manual adjudication. The average was calculated. The time corresponding to beginning of depolarization to repolarization of the ventricles (QT interval) was adjusted for RR interval using QT and RR from each ECG by Fridericia's formula (QTcF = QT divided by cube root of RR), by Bazette's formula (QTcB = QT divided by square root of RR) and corrected QT interval according to study-specific criteria (QTcS). Percentage of participants with post-baseline maximum absolute values and maximum increase from baseline were summarized for the safety analysis population.
Measured: For safety monitoring triplicate ECGs were obtained at 0 hour (pre-dose) on Day 1 of Cycle 1, Day 14 of Cycles 1 and Cycle 2, then on Day 1 of Cycles 4, 7, and 10 (ECGs beyond Cycle 10 were performed as clinically indicated)
Observed Plasma Trough Concentration (Ctrough) at Steady-State
Summary of plasma palbociclib within-participant mean steady-state trough concentrations.
Measured: 0 hour (predose) on Day 14 of cycles 1 and 2
Change From Baseline Between Treatment Comparison in Euro Quality of Life (EQ-5D) Index
The EuroQol EQ-5D is a 6-item instrument designed to assess health status in terms of a single index value or utility score. It contains 5 descriptors of current health state (mobility, self-care, usual activities, pain or discomfort, and anxiety or depression) with each dimension having 3 levels of function (1=no problem, 2=some problem, and 3=extreme problem). The scores on the 5 descriptors are summarized to create a single summary score. An overall utility score is calculated based on these domains, with a range score from 0 (worse health scenario) to a maximum of 1.0 (best health scenario).
Measured: From Baseline up to 2.5 years
Change From Baseline Between Treatment Comparison in Functional Assessment of Cancer Therapy-Breast (FACT-B)
FACT is a modular approach to assess participant health-related quality of life using a 'core' set of questions (FACT-G) as well as a cancer site-specific module. The FACT-G is a 27-item compilation of general questions divided into 4 domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. The FACT-B consisted of the FACT-G (27-item) and a breast-specific module: a 10-item instrument designed to assess participant concerns relating to breast cancer. For all questions, participants were asked to respond to a five-level scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. FACT-B total score = Physical Well-Being + Social/Family Well-Being + Emotional Well-Being + Functional Well-Being + Breast Cancer Subscale. As each of the items ranges from 0-4, the range of possible scores is 0-144, with 0 being the worst possible score and 144 the best.
Measured: From Baseline up to 2.5 years
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs): All Causalities
An AE was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. SAE was any untoward medical occurrence at any dose that resulted in death; was life-threatening; required hospitalization; resulted in persistent or significant disability or in congenital anomaly/birth defect. TEAE were events that occurred between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Severity was graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 4.0 as Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening and Grade 5 = death related to AE. Discontinuation included permanent, temporary discontinuation and dose reduction due to AEs.
Measured: From date of randomization up to 28 days after last dose of study drug (final analysis till study completion, approximately up to 10.51 years)
Overall Survival (OS): Primary Analysis
OS was defined as the time from date of randomization to date of death due to any cause. Participants without survival data beyond the date of their last follow-up were censored on the last date they were known to be alive. Data for this outcome measure was reported at primary analysis.
Measured: From date of randomization until death due to any cause or censored, (assessed up to data cut-off date of 15-Nov-2021, approximately 8.7 years)
Overall Survival (OS): Final Analysis
OS was defined as the time from date of randomization to date of death due to any cause. Participants without survival data beyond the date of their last follow-up were censored on the last date they were known to be alive. Data for this outcome measure was reported at final analysis.
Measured: From date of randomization until death due to any cause or censored (final analysis till study completion, approximately up to 10.51 years)
Survival Probability at 1 Year, 2 Year and 3 Year
One, two or three-year survival probability was defined as the probability of survival 1 year, 2 or 3 years after the date of randomization. The survival probability was estimated using the Kaplan-Meier method and 2-sided 95% confidence interval (CI) was calculated using the product limit method.
Measured: 1, 2 and 3 years after randomization
Number of Participants With Laboratory Abnormalities by Maximum Common Terminology Criteria for Adverse Events (CTCAE) Grade
Laboratory abnormalities included anemia, hemoglobin increased, neutrophils (absolute), platelets, white blood cells, alanine aminotransferase (ALT), alkaline phosphatase, aspartate aminotransferase (AST), bilirubin (total), creatinine, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia and hyponatremia. Laboratory abnormalities were graded by CTCAE version (v) 4.0 as Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe and Grade 4 = life-threatening. Categories with at least 1 non-zero data values are reported.
Measured: From randomization up to 28 days after last dose of study drug (assessed up to analysis date of 15-Nov-2021, approximately 8.7 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2012 (estimated)
- Study start22 Feb 2013
- Primary completion26 Feb 2016
- Study completion9 Nov 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (25)Papers the sponsor has linked to this study.
- Other trials for Breast NeoplasmsStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 666 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01740427
- Sponsor's protocol ID
- A5481008
- Other IDs
- 2012-004601-27, PALMOA-2, PALOMA-2
- Status last verified
- Oct 2024
- First submitted
- 26 Nov 2012
- Last updated
- 14 Nov 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Cheang MCU, Rimawi M, Johnston S, Jacobs SA, Bliss J, Pogue-Geile K, Kilburn L, Zhu Z, Schuster EF, Xiao H, Swaim L, Deng S, Lu DR, Gauthier E, Tursi J, Slamon DJ, Rugo HS, Finn RS, Liu Y. Effect of cross-platform gene-expression, computational methods on breast cancer subtyping in PALOMA-2 and PALLET studies. NPJ Breast Cancer. 2024 Jun 29;10(1):54. doi: 10.1038/s41523-024-00658-y.
PubMed 38951507Li H, Wu Y, Zou H, Koner S, Plichta JK, Tolaney SM, Zhang J, He YW, Wei Q, Tang L, Zhang H, Zhang B, Guo Y, Chen X, Li K, Lian L, Ma F, Luo S. Clinical efficacy of CDK4/6 inhibitor plus endocrine therapy in HR-positive/HER2-0 and HER2-low-positive metastatic breast cancer: a secondary analysis of PALOMA-2 and PALOMA-3 trials. EBioMedicine. 2024 Jul;105:105186. doi: 10.1016/j.ebiom.2024.105186. Epub 2024 Jun 10.
PubMed 38861871Slamon DJ, Dieras V, Rugo HS, Harbeck N, Im SA, Gelmon KA, Lipatov ON, Walshe JM, Martin M, Chavez-MacGregor M, Bananis E, Gauthier E, Lu DR, Kim S, Finn RS. Overall Survival With Palbociclib Plus Letrozole in Advanced Breast Cancer. J Clin Oncol. 2024 Mar 20;42(9):994-1000. doi: 10.1200/JCO.23.00137. Epub 2024 Jan 22.
PubMed 38252901Jhaveri K, O'Shaughnessy J, Fasching PA, Tolaney SM, Yardley DA, Sharma VK, Biswas C, Thuerigen A, Pathak P, Rugo HS. Matching-adjusted indirect comparison of PFS and OS comparing ribociclib plus letrozole versus palbociclib plus letrozole as first-line treatment of HR+/HER2- advanced breast cancer. Ther Adv Med Oncol. 2023 Dec 14;15:17588359231216095. doi: 10.1177/17588359231216095. eCollection 2023.
PubMed 38107828Rugo HS, Im SA, Joy AA, Shparyk Y, Walshe JM, Sleckman B, Loi S, Theall KP, Kim S, Huang X, Bananis E, Mahtani R, Finn RS, Dieras V. Effect of palbociclib plus endocrine therapy on time to chemotherapy across subgroups of patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer: Post hoc analyses from PALOMA-2 and PALOMA-3. Breast. 2022 Dec;66:324-331. doi: 10.1016/j.breast.2022.11.005. Epub 2022 Nov 15.
PubMed 36463643Zhu Z, Turner NC, Loi S, Andre F, Martin M, Dieras V, Gelmon KA, Harbeck N, Zhang C, Cao JQ, Yan Z, Lu DR, Wei P, VanArsdale TL, Rejto PA, Huang X, Rugo HS, Loibl S, Cristofanilli M, Finn RS, Liu Y. Comparative biomarker analysis of PALOMA-2/3 trials for palbociclib. NPJ Precis Oncol. 2022 Aug 16;6(1):56. doi: 10.1038/s41698-022-00297-1.
PubMed 35974168Gelmon K, Walshe JM, Mahtani R, Joy AA, Karuturi M, Neven P, Lu DR, Kim S, Schnell P, Bananis E, Schwartzberg L. Efficacy and safety of palbociclib in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer with preexisting conditions: A post hoc analysis of PALOMA-2. Breast. 2021 Oct;59:321-326. doi: 10.1016/j.breast.2021.07.017. Epub 2021 Jul 28.
PubMed 34388698Iwata H, Umeyama Y, Liu Y, Zhang Z, Schnell P, Mori Y, Fletcher O, Marshall JC, Johnson JG, Wood LS, Toi M, Finn RS, Turner NC, Bartlett CH, Cristofanilli M. Evaluation of the Association of Polymorphisms With Palbociclib-Induced Neutropenia: Pharmacogenetic Analysis of PALOMA-2/-3. Oncologist. 2021 Jul;26(7):e1143-e1155. doi: 10.1002/onco.13811. Epub 2021 Jun 7.
PubMed 33955129Finn 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. 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. 2021 May;26(5):e749-e755. doi: 10.1002/onco.13684. Epub 2021 Mar 10.
PubMed 33486783Zheng J, Yu Y, Durairaj C, Dieras V, Finn RS, Wang DD. Impact of Dose Reduction on Efficacy: Implications of Exposure-Response Analysis of Palbociclib. Target Oncol. 2021 Jan;16(1):69-76. doi: 10.1007/s11523-020-00771-5.
PubMed 33211314Finn RS, Cristofanilli M, Ettl J, Gelmon KA, Colleoni M, Giorgetti C, Gauthier E, Liu Y, Lu DR, Zhang Z, Bartlett CH, Slamon DJ, Turner NC, Rugo HS. Treatment effect of palbociclib plus endocrine therapy by prognostic and intrinsic subtype and biomarker analysis in patients with bone-only disease: a joint analysis of PALOMA-2 and PALOMA-3 clinical trials. Breast Cancer Res Treat. 2020 Nov;184(1):23-35. doi: 10.1007/s10549-020-05782-4. Epub 2020 Aug 11.
PubMed 32783178Huang Bartlett C, Mardekian J, Cotter MJ, Huang X, Zhang Z, Parrinello CM, Bourla AB. Concordance of real-world versus conventional progression-free survival from a phase 3 trial of endocrine therapy as first-line treatment for metastatic breast cancer. PLoS One. 2020 Apr 21;15(4):e0227256. doi: 10.1371/journal.pone.0227256. eCollection 2020.
PubMed 32315295Ettl J, Im SA, Ro J, Masuda N, Colleoni M, Schnell P, Bananis E, Lu DR, Cristofanilli M, Rugo HS, Finn RS. Hematologic adverse events following palbociclib dose reduction in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer: pooled analysis from randomized phase 2 and 3 studies. Breast Cancer Res. 2020 Mar 12;22(1):27. doi: 10.1186/s13058-020-01263-0.
PubMed 32164785Rugo HS, Finn RS, Gelmon K, Joy AA, Harbeck N, Castrellon A, Mukai H, Walshe JM, Mori A, Gauthier E, Lu DR, Bananis E, Martin M, Dieras V. Progression-free Survival Outcome Is Independent of Objective Response in Patients With Estrogen Receptor-positive, Human Epidermal Growth Factor Receptor 2-negative Advanced Breast Cancer Treated With Palbociclib Plus Letrozole Compared With Letrozole: Analysis From PALOMA-2. Clin Breast Cancer. 2020 Apr;20(2):e173-e180. doi: 10.1016/j.clbc.2019.08.009. Epub 2019 Sep 5.
PubMed 31836434Dieras V, Harbeck N, Joy AA, Gelmon K, Ettl J, Verma S, Lu DR, Gauthier E, Schnell P, Mori A, Rugo HS, Finn RS. Palbociclib with Letrozole in Postmenopausal Women with ER+/HER2- Advanced Breast Cancer: Hematologic Safety Analysis of the Randomized PALOMA-2 Trial. Oncologist. 2019 Dec;24(12):1514-1525. doi: 10.1634/theoncologist.2019-0019. Epub 2019 Jun 19.
PubMed 31217344
Study at a glance
From the registry record, last updated by the sponsor on 14 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A RANDOMIZED, MULTICENTER, DOUBLE-BLIND PHASE 3 STUDY OF PD-0332991 (ORAL CDK 4/6 INHIBITOR) PLUS LETROZOLE VERSUS PLACEBO PLUS LETROZOLE FOR THE TREATMENT OF POSTMENOPAUSAL WOMEN WITH ER (+), HER2 (-) BREAST CANCER WHO HAVE NOT RECEIVED ANY PRIOR SYSTEMIC ANTI CANCER TREATMENT FOR ADVANCED DISEASE
- ClinicalTrials.gov ID
- NCT01740427
- Acronym / sponsor ID
- A5481008
- Conditions
- Breast Neoplasms
- Keywords
- breast cancer, postmenopausal women, estrogen-receptor positive, HER2 negative, locoregionally recurrent, metastatic, Palbociclib (PD-0332991), PALOMA-2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 666 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 22 Feb 2013 (actual)
- Primary completion
- 26 Feb 2016 (actual)
- Study completion
- 9 Nov 2023 (actual)
- First posted
- 4 Dec 2012 (estimated)
- Results
- Posted 26 Apr 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is designed to compare the clinical benefit following treatment with letrozole in combination with PD-0332991 versus letrozole in combination with placebo in postmenopausal women with ER(+)/HER2(-) advanced breast cancer who have not received prior systemic anti cancer therapies for their advanced/metastatic disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PD-0332991 + Letrozole | Experimental | Drug: PD-0332991, Drug: LetrozolePD-0332991, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment in combination with Letrozole, 2.5mg, orally once daily (continuously). |
| Placebo + Letrozole | Active comparator | Drug: Placebo, Drug: LetrozolePlacebo, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment in combination with Letrozole, 2.5mg, orally once daily (continuously). |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Adult women with locoregionally recurrent or metastatic disease not amenable to curative therapy.
- Confirmed diagnosis of ER positive breast cancer
- No prior systemic anti-cancer therapy for advanced ER+ disease.
- Postmenopausal women
- Measurable disease as per Response Evaluation Criterion in Solid Tumors [RECIST] or bone-only disease
Key exclusion criteria (5 listed)
- Confirmed diagnosis of HER2 positive disease
- Patients with advanced, symptomatic, visceral spread that are at risk of life threatening complication in the short term
- Known uncontrolled or symptomatic CNS metastases
- Prior (neo)adjuvant treatment with letrozole or anastrozole with DFI ≤ 12-months from completion of treatment.
- Prior treatment with any CDK 4/6 inhibitor.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PD-0332991PD-0332991, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment | Drug | PD-0332991 + Letrozole |
| LetrozoleLetrozole, 2.5mg, orally once daily (continuously) | Drug | PD-0332991 + Letrozole |
| PlaceboPlacebo, 125mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment | Drug | Placebo + Letrozole |
| LetrozoleLetrozole, 2.5mg, orally once daily (continuously) | Drug | Placebo + Letrozole |
Primary outcome
Progression-Free Survival (PFS) as Assessed by the Investigator
Time frame: From randomization date to date of first documentation of progression or death (up to approximately 2.5 years)
PFS is defined as the time from the date of randomization to the date of the first documentation of objective tumor progression as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or death due to any cause in the absence of documented PD, whichever occurs first. If tumor progression data include more than 1 date, the first date will be used. PFS (in months) will be calculated as (first event date - randomization date +1)/30.4. Progression is defined using RECIST v1.1, as a 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions, or the appearance of new lesions.
15 secondary outcomes
Objective Response as Assessed by the Investigator
Time frame: From randomization until end of treatment (up to approximately 2.5 years)
Objective Response: Participants With Measurable Disease at Baseline as Assessed by the Investigator
Time frame: From randomization until end of treatment (up to approximately 2.5 years)
Duration of Response (DR)
Time frame: From randomization until end of treatment (up to approximately 2.5 years)
Disease Control (DC)/Clinical Benefit Response (CBR)
Time frame: From randomization until end of treatment (up to approximately 2.5 years)
PFS by Tumor Tissue Biomarkers Status, Including Genes (eg, Copy Numbers of CCND1, CDKN2A), Proteins (eg, Ki67, pRb), and RNA Expression (eg, cdk4, cdk6)
Time frame: From randomization until end of treatment (up to approximately 24 Months)
Corrected QT Interval (QTc) Time-Matched Change From Baseline on Cycle 1 Day 14
Time frame: Time-matched triplicate ECGs were collected at 0 (predose), 2, 4, 6 and 8 hours on Day 0 and on Cycle1 Day14
Percentage of Participants With Corrected QT Interval (QTc)
Time frame: For safety monitoring triplicate ECGs were obtained at 0 hour (pre-dose) on Day 1 of Cycle 1, Day 14 of Cycles 1 and Cycle 2, then on Day 1 of Cycles 4, 7, and 10 (ECGs beyond Cycle 10 were performed as clinically indicated)
Observed Plasma Trough Concentration (Ctrough) at Steady-State
Time frame: 0 hour (predose) on Day 14 of cycles 1 and 2
Change From Baseline Between Treatment Comparison in Euro Quality of Life (EQ-5D) Index
Time frame: From Baseline up to 2.5 years
Change From Baseline Between Treatment Comparison in Functional Assessment of Cancer Therapy-Breast (FACT-B)
Time frame: From Baseline up to 2.5 years
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs): All Causalities
Time frame: From date of randomization up to 28 days after last dose of study drug (final analysis till study completion, approximately up to 10.51 years)
Overall Survival (OS): Primary Analysis
Time frame: From date of randomization until death due to any cause or censored, (assessed up to data cut-off date of 15-Nov-2021, approximately 8.7 years)
Overall Survival (OS): Final Analysis
Time frame: From date of randomization until death due to any cause or censored (final analysis till study completion, approximately up to 10.51 years)
Survival Probability at 1 Year, 2 Year and 3 Year
Time frame: 1, 2 and 3 years after randomization
Number of Participants With Laboratory Abnormalities by Maximum Common Terminology Criteria for Adverse Events (CTCAE) Grade
Time frame: From randomization up to 28 days after last dose of study drug (assessed up to analysis date of 15-Nov-2021, approximately 8.7 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Nov 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38951507Cheang MCU, Rimawi M, Johnston S, Jacobs SA, Bliss J, Pogue-Geile K, Kilburn L, Zhu Z, Schuster EF, Xiao H, Swaim L, Deng S, Lu DR, Gauthier E, Tursi J, Slamon DJ, Rugo HS, Finn RS, Liu Y. Effect of cross-platform gene-expression, computational methods on breast cancer subtyping in PALOMA-2 and PALLET studies. NPJ Breast Cancer. 2024 Jun 29;10(1):54. doi: 10.1038/s41523-024-00658-y.
- Derived from this study: PubMed 38861871Li H, Wu Y, Zou H, Koner S, Plichta JK, Tolaney SM, Zhang J, He YW, Wei Q, Tang L, Zhang H, Zhang B, Guo Y, Chen X, Li K, Lian L, Ma F, Luo S. Clinical efficacy of CDK4/6 inhibitor plus endocrine therapy in HR-positive/HER2-0 and HER2-low-positive metastatic breast cancer: a secondary analysis of PALOMA-2 and PALOMA-3 trials. EBioMedicine. 2024 Jul;105:105186. doi: 10.1016/j.ebiom.2024.105186. Epub 2024 Jun 10.
- Derived from this study: PubMed 38252901Slamon DJ, Dieras V, Rugo HS, Harbeck N, Im SA, Gelmon KA, Lipatov ON, Walshe JM, Martin M, Chavez-MacGregor M, Bananis E, Gauthier E, Lu DR, Kim S, Finn RS. Overall Survival With Palbociclib Plus Letrozole in Advanced Breast Cancer. J Clin Oncol. 2024 Mar 20;42(9):994-1000. doi: 10.1200/JCO.23.00137. Epub 2024 Jan 22.
- Derived from this study: PubMed 38107828Jhaveri K, O'Shaughnessy J, Fasching PA, Tolaney SM, Yardley DA, Sharma VK, Biswas C, Thuerigen A, Pathak P, Rugo HS. Matching-adjusted indirect comparison of PFS and OS comparing ribociclib plus letrozole versus palbociclib plus letrozole as first-line treatment of HR+/HER2- advanced breast cancer. Ther Adv Med Oncol. 2023 Dec 14;15:17588359231216095. doi: 10.1177/17588359231216095. eCollection 2023.
- Derived from this study: PubMed 36463643Rugo HS, Im SA, Joy AA, Shparyk Y, Walshe JM, Sleckman B, Loi S, Theall KP, Kim S, Huang X, Bananis E, Mahtani R, Finn RS, Dieras V. Effect of palbociclib plus endocrine therapy on time to chemotherapy across subgroups of patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer: Post hoc analyses from PALOMA-2 and PALOMA-3. Breast. 2022 Dec;66:324-331. doi: 10.1016/j.breast.2022.11.005. Epub 2022 Nov 15.
- Derived from this study: PubMed 35974168Zhu Z, Turner NC, Loi S, Andre F, Martin M, Dieras V, Gelmon KA, Harbeck N, Zhang C, Cao JQ, Yan Z, Lu DR, Wei P, VanArsdale TL, Rejto PA, Huang X, Rugo HS, Loibl S, Cristofanilli M, Finn RS, Liu Y. Comparative biomarker analysis of PALOMA-2/3 trials for palbociclib. NPJ Precis Oncol. 2022 Aug 16;6(1):56. doi: 10.1038/s41698-022-00297-1.
- Derived from this study: PubMed 34388698Gelmon K, Walshe JM, Mahtani R, Joy AA, Karuturi M, Neven P, Lu DR, Kim S, Schnell P, Bananis E, Schwartzberg L. Efficacy and safety of palbociclib in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer with preexisting conditions: A post hoc analysis of PALOMA-2. Breast. 2021 Oct;59:321-326. doi: 10.1016/j.breast.2021.07.017. Epub 2021 Jul 28.
- Derived from this study: PubMed 33955129Iwata H, Umeyama Y, Liu Y, Zhang Z, Schnell P, Mori Y, Fletcher O, Marshall JC, Johnson JG, Wood LS, Toi M, Finn RS, Turner NC, Bartlett CH, Cristofanilli M. Evaluation of the Association of Polymorphisms With Palbociclib-Induced Neutropenia: Pharmacogenetic Analysis of PALOMA-2/-3. Oncologist. 2021 Jul;26(7):e1143-e1155. doi: 10.1002/onco.13811. Epub 2021 Jun 7.
- Derived from this study: PubMed 33486783Finn 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. 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. 2021 May;26(5):e749-e755. doi: 10.1002/onco.13684. Epub 2021 Mar 10.
- Derived from this study: PubMed 33211314Zheng J, Yu Y, Durairaj C, Dieras V, Finn RS, Wang DD. Impact of Dose Reduction on Efficacy: Implications of Exposure-Response Analysis of Palbociclib. Target Oncol. 2021 Jan;16(1):69-76. doi: 10.1007/s11523-020-00771-5.
- Derived from this study: PubMed 32783178Finn RS, Cristofanilli M, Ettl J, Gelmon KA, Colleoni M, Giorgetti C, Gauthier E, Liu Y, Lu DR, Zhang Z, Bartlett CH, Slamon DJ, Turner NC, Rugo HS. Treatment effect of palbociclib plus endocrine therapy by prognostic and intrinsic subtype and biomarker analysis in patients with bone-only disease: a joint analysis of PALOMA-2 and PALOMA-3 clinical trials. Breast Cancer Res Treat. 2020 Nov;184(1):23-35. doi: 10.1007/s10549-020-05782-4. Epub 2020 Aug 11.
- Derived from this study: PubMed 32315295Huang Bartlett C, Mardekian J, Cotter MJ, Huang X, Zhang Z, Parrinello CM, Bourla AB. Concordance of real-world versus conventional progression-free survival from a phase 3 trial of endocrine therapy as first-line treatment for metastatic breast cancer. PLoS One. 2020 Apr 21;15(4):e0227256. doi: 10.1371/journal.pone.0227256. eCollection 2020.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
305 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing PD-0332991 and Letrozole in people with Breast Neoplasms, run by Pfizer at 305 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 305 sites in United States, Spain, Australia, Japan, Canada and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) as Assessed by the Investigator (time frame: From randomization date to date of first documentation of progression or death (up to approximately 2.5 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01740427, which also lists 25 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Nov 2024.