AzTrials
AzTrials

Breast CancerPhase 4NCT02679755

Palbociclib In Combination With Letrozole As Treatment Of Post-Menopausal Women With HR+, HER2- Advanced Breast Cancer

A Phase 4 study testing Palbociclib and Letrozole in people with Breast Cancer, run by Pfizer at 34 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

A study of palbociclib in combination with letrozole as treatment of post-menopausal women with hormone receptor-positive, her2-negative advanced breast cancer for whom letrozole therapy is deemed appropriate. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Palbociclib and Letrozole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
252 participants
Where
34 sitesin 2 countries
Study dates
9 Mar 2016to 25 Jul 2019
Phase
Phase 4
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

  • Post-menopausal women (>=18 years of age) with proven diagnosis of advanced carcinoma of the breast (ER(+) and/or PgR(+) and HER2(-)) who are appropriate for letrozole therapy (in the first-line advanced/metastatic disease setting).
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Adequate bone marrow, liver, and renal function.

Who cannot join

  • Prior treatment with any CDK inhibitor .
  • QTc >480 msec; history of QT syndrome, Brugada syndrome or known history of QTc prolongation, or Torsade de Pointes.
  • High cardiovascular risk, including, but not limited to myocardial infarction, severe/unstable angina, severe cardiac dysrhythmias, and symptomatic pulmonary embolism in the past 6 months of enrollment.

Trial locations and contacts

34 sites in 2 countries.

34 sites in 2 countries

Australia22 sites
  • Icon Cancer Care Wesley

    Auchenflower, Queensland, 4066

  • River City Pharmacy

    Auchenflower, Queensland, 4066

  • Flinders Medical Centre-Pharmacy Department

    Bedford Park, South Australia, 5042

  • Flinders Medical Centre

    Bedford Park, South Australia, 5042

  • Icon Cancer Care Chermside

    Chermside, Queensland, 4032

  • Monash Health

    Clayton, Victoria, 3168

  • Peter MacCallum Cancer Centre Pharmacy

    Melbourne, Victoria, 3000

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria, 3000

  • Fiona Stanley Hospital

    Murdoch, Western Australia, 6150

  • Pharmacy Department

    Murdoch, Western Australia, 6150

  • Benjamin Carl Forster

    North Sydney, New South Wales, 2060

  • Dr. Alexander Maxwell Menzies

    North Sydney, New South Wales, 2060

  • HPS Pharmacies - North Sydney

    North Sydney, New South Wales, 2060

  • Mater Hospital Sydney

    North Sydney, New South Wales, 2060

  • Professor Frances Mary Boyle

    North Sydney, New South Wales, 2060

  • Icon Cancer Care South Brisbane

    South Brisbane, Queensland, 4101

  • Icon Cancer Care, Corporate Office

    South Brisbane, Queensland, 4101

  • Icon Cancer Care Southport

    Southport, Queensland, 4215

  • Sunshine Hospital Pharmacy

    St Albans, Victoria, 3021

  • Sunshine Hospital

    St Albans, Victoria, 3021

  • Royal North Shore Hospital - Clinical Trials Pharmacy

    St Leonards, New South Wales, 2065

  • Royal North Shore Hospital, Dept. of Medical Oncology

    St Leonards, New South Wales, 2065

Other trials in Australia

India12 sites
  • The Gujarat Cancer & Research Institute, M.P Shah Cancer Hospital

    Ahmedabad, Gujarat, 380016

  • Manipal Hospital

    Bangalore, Karnataka, 560017

  • HealthCare Global Enterprises Ltd.

    Bangalore, Karnataka, 560027

  • Apollo Speciality Hospital

    Chennai, Tamil Nadu, 600 035

  • Kasturba Hospital

    Manipal, Karnataka, 576104

  • Tata Memorial Centre, Tata Memorial Hospital

    Mumbai, Maharashtra, 400 012

  • Meditrina Institute Of Medical Sciences

    Nagpur, Maharashtra, 440012

  • Shatabdi Hospital

    Nashik, Maharashtra, 422005

  • Rajiv Gandhi Cancer Institute And Research Centre

    New Delhi, National Capital Territory of Delhi, 110 085

  • Dr. B.R.A Institute Rotary Cancer Hospital, All India Institue of Medical Sciences

    New Delhi, National Capital Territory of Delhi, 110029

  • Deenanath Mangeshkar Hospital and Research Center

    Pune, Maharashtra, 411 004

  • Sahyadri Super Speciality Hospital

    Pune, Maharashtra, 411004

Other trials in India

About this study

Official title: A STUDY OF PALBOCICLIB IN COMBINATION WITH LETROZOLE AS TREATMENT OF POST-MENOPAUSAL WOMEN WITH HORMONE RECEPTOR-POSITIVE, HER2-NEGATIVE ADVANCED BREAST CANCER FOR WHOM LETROZOLE THERAPY IS DEEMED APPROPRIATE

A study of palbociclib in combination with letrozole as treatment of post-menopausal women with hormone receptor-positive, her2-negative advanced breast cancer for whom letrozole therapy is deemed appropriate.

Read the detailed description

To provide access to palbociclib to post-menopausal patients with hormone receptor-positive [HR(+)], HER2-negative [HER2(-)] ABC who are deemed appropriate for letrozole therapy.

Conditions
Breast Cancer
Being tested
Palbociclib, Letrozole
Keywords
Hormone receptor positive advanced breast cancer
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PalbociclibDrug

    Also called IBRANCE

    125 mg/d capsules orally for 3 out of 4 weeks in repeated cycles

  • LetrozoleDrug

    2.5 mg/d tablets orally on a continuous regimen

Study groups in NCT02679755
Study groupRoleWhat they receive
Experimental armExperimentalPalbociclib plus Letrozole
Receives: Drug: Palbociclib; Drug: Letrozole

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events (All Causalities)

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as treatment emergent adverse events (TEAEs). AE severity was graded according to Common Terminology Criteria for AEs (CTCAE) version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Each AE was counted once for the participant in the most severe severity. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: Baseline up to 28 days after last dose of study treatment, an average of 14 months

  2. Number of Participants With Treatment-Emergent Adverse Events by Severity (All Causalities)

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as TEAE. AE severity was graded according to Common Terminology Criteria for AEs (CTCAE) version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Each AE was counted once for the participant in the most severe severity.

    Measured: Baseline up to 28 days after last dose of study treatment, an average of 14 months

  3. Number of Participants With Treatment-Emergent Adverse Events (Palbociclib-Related)

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as TEAE. AE severity was graded according to Common Terminology Criteria for AEs (CTCAE) version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Each AE was counted once for the participant in the most severe severity. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Palbociclib-related TEAEs were determined by the investigator.

    Measured: Baseline up to 28 days after last dose of study treatment, an average of 14 months

  4. Number of Participants With Treatment-Emergent Adverse Events by Severity (Palbociclib-Related)

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. All AEs reported after initiation of study drug treatment were considered as TEAE. AE severity was graded according to Common Terminology Criteria for AEs (CTCAE) version 4.03. Grade 1 AEs are mild AEs; Grade 2 AEs are moderate AEs; Grade 3 AEs are severe AEs, Grade 4 AEs are life-threatening consequences and Grade 5 AEs are deaths related to AEs. Each AE was counted once for the participant in the most severe severity. Palbociclib-related TEAEs were determined by the investigator.

    Measured: Baseline up to 28 days after last dose of study treatment, an average of 14 months

  5. Number of Participants With Serious Adverse Events (All Causalities and Palbociclib-Related)

    An SAE was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. Palbociclib-related SAEs were determined by the investigator.

    Measured: Baseline up to 28 days after last dose of study treatment, an average of 14 months

Secondary outcomes (6)
  1. Percentage of Participants With Complete Response and Partial Response

    Tumor response assessments were evaluated as per local guidelines by investigators and were collected in the CRF. No response confirmation was applied.

    Measured: Baseline and per routine clinical practice to time of last dose of study treatment, an average of 1 year

  2. The Objective Response Rate (ORR)

    The tumor response was based on the response reported by investigator per local practice. No response confirmation was applied. ORR was defined as the percentage of participants with complete response or partial response relative to all as-treated population.

    Measured: Baseline and per routine clinical practice to time of last dose of study treatment, an average of 1 year

  3. EQ-5D Health Utility Index Score

    The EuroQol-5D (EQ-5D) (version 3L) consisted of 2 parts. The first part was a 5 item questionnaire designed to assess health status in terms of a single index value or utility score. It consisted of 5 descriptors of current health state (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). A respondent was asked to rate each state on a three level scale (1=no problem, 2=some problem, and 3=extreme problem) with higher levels indicating greater severity/impairment. The answers given to the 5 descriptors permit to find 243 unique health states which can be converted into a single EQ-5D index value by published algorithms. For the EQ-5D index, published weights are available that allow for the creation of a summary score ranging from -0.594 to 1, with low scores representing a higher level of dysfunction and 1 as perfect health.

    Measured: The descriptive analysis was carried out on Day 1 of each cycle (cycle 1 to cycle 38), at end of treatment (EOT) and end of study (EOS), up to 3 years. Cycle 1 Day 1 is taken to be baseline.

  4. Change From Baseline in EQ-5D Health Utility Index Score

    The EuroQol-5D (EQ-5D) (version 3L) consisted of 2 parts. The first part was a 5 item questionnaire designed to assess health status in terms of a single index value or utility score. It consisted of 5 descriptors of current health state (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). A respondent was asked to rate each state on a three level scale (1=no problem, 2=some problem, and 3=extreme problem) with higher levels indicating greater severity/impairment. The answers given to the 5 descriptors permit to find 243 unique health states which can be converted into a single EQ-5D index value by published algorithms. For the EQ-5D index, published weights are available that allow for the creation of a summary score ranging from -0.594 to 1, with low scores representing a higher level of dysfunction and 1 as perfect health.

    Measured: The descriptive analysis was carried out on Day 1 of each cycle (cycle 1 to cycle 38), at end of treatment (EOT) and end of study (EOS), up to 3 years. Cycle 1 Day 1 is taken to be baseline.

  5. EQ-VAS Score

    The EuroQol-5D (EQ-5D) (version 3L) consisted of 2 parts. The second part consisted of a visual analogue scale (the EuroQol-visual analogue scale [EQ-VAS]). The respondent's self-rated health was assessed on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state)

    Measured: The descriptive analysis was carried out on Day 1 of each cycle (cycle 1 to cycle 38), at end of treatment (EOT) and end of study (EOS), up to 3 years. Cycle 1 Day 1 is taken to be baseline.

  6. Change From Baseline in EQ-VAS Score

    The EuroQol-5D (EQ-5D) (version 3L) consisted of 2 parts. The second part consisted of a visual analogue scale (the EuroQol-visual analogue scale [EQ-VAS]). The respondent's self-rated health was assessed on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state)

    Measured: The descriptive analysis was carried out on Day 1 of each cycle (cycle 1 to cycle 38), at end of treatment (EOT) and end of study (EOS), up to 3 years. Cycle 1 Day 1 is taken to be baseline.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2016 (estimated)
  2. Study start9 Mar 2016
  3. Primary completion25 Jul 2019
  4. Study completion25 Jul 2019

Resources

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 4
Primary purpose
Treatment
Allocation
Non-randomised
Masking
None (open label)
Enrolment
252 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02679755
Sponsor's protocol ID
A5481037
Status last verified
Jul 2022
First submitted
22 Jan 2016
Last updated
27 Jul 2022
Data monitoring committee
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Palbociclib and Letrozole in people with Breast Cancer, run by Pfizer at 34 sites in 2 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 3 inclusion and 3 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 27 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Australia, India. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 5 Oct 2020). 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?

Number of Participants With Treatment-Emergent Adverse Events (All Causalities) (time frame: Baseline up to 28 days after last dose of study treatment, an average of 14 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Jul 2022; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in