Metastatic Breast CancerPhase 3NCT01942135
Palbociclib (PD-0332991) Combined With Fulvestrant In Hormone Receptor+ HER2-Negative Metastatic Breast Cancer After Endocrine Failure (PALOMA-3)
A Phase 3 study testing Palbociclib and Fulvestrant in people with Metastatic Breast Cancer, run by Pfizer at 247 sites in 17 countries.
Trial summary
The study is a randomized, double blind, placebo controlled, Phase 3 clinical trial with the primary objective of demonstrating the superiority of palbociclib in combination with fulvestrant (Faslodex®) over fulvestrant alone in prolonging PFS in women with HR+, HER2 negative metastatic breast cancer whose disease has… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Metastatic Breast Cancer
- What is being tested?
- Palbociclib and Fulvestrant
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 521 participants
- Where
- 247 sitesin 17 countries
- Study dates
- 26 Sep 2013to 28 Sep 2022
- 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
- Women 18 years or older with metastatic or locally advanced disease, not amenable to curative therapy
- Confirmed diagnosis of HR+/HER2- breast cancer
- Any menopausal status
- Progressed within 12 months from prior adjuvant or progressed within 1 month from prior advanced/metastatic endocrine breast cancer therapy
- On an LHRH agonist for at least 28 days, if pre-/peri-menopausal, and willing to switch to goserelin (Zoladex ®) at time of randomization.
- Measurable disease defined by RECIST version 1.1, or bone-only disease
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- Eastern Cooperative Oncology Group (ECOG) PS 0-1
- Adequate organ and marrow function, resolution of all toxic effects of prior therapy or surgical procedures
- Patient must agree to provide tumor tissue from metastatic tissue at baseline
Who cannot join
- Prior treatment with any CDK inhibitor, fulvestrant, everolimus, or agent that inhibits the PI3K-mTOR pathway
- Patients with extensive advanced/metastatic, symptomatic visceral disease, or known uncontrolled or symptomatic CNS metastases
- Major surgery or any anti-cancer therapy within 2 weeks of randomization
- Prior stem cell or bone marrow transplantation
- Use of potent CYP3A4 inhibitors or inducers
Trial locations and contacts
247 sites in 17 countries.
247 sites in 17 countries
United States134 sites
University of Michigan Health System/Comprehensive Cancer Center
Ann Arbor, Michigan, 48109
Virginia Cancer Specialists, PC
Arlington, Virginia, 22205
Hope Women's Cancer Centers
Asheville, North Carolina, 28806
Mission Hospital, Inc.
Asheville, North Carolina, 28806
Piedmont Cancer Institute, PC
Atlanta, Georgia, 30318
ATTN - Research Pharmacist
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Cancer Pavilion (ACP)
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
Aurora, Colorado, 80045
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital
Austell, Georgia, 30106
Mount Sinai Medical Center- Aventura
Aventura, Florida, 33180
Arizona Center for Cancer Care
Avondale, Arizona, 85323
CBCC Global Research Inc. at Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Mercy Clinic St. Louis Cancer and Breast Institute
Ballwin, Missouri, 63011
Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins
Baltimore, Maryland, 21231
University of Alabama at Birmingham, The Kirklin Clinic
Birmingham, Alabama, 35233
UAB Hospital-Investigational Drug Service
Birmingham, Alabama, 35249
University of Alabama at Birmingham
Birmingham, Alabama, 35249
CareMount Medical
Brewster, New York, 10509
Maine Center for Cancer Medicine, dba: New England Cancer Specialists
Brunswick, Maine, 04011
Northwest Georgia Oncology Centers, a Service of WellStar Cobb Hospital
Cartersville, Georgia, 30121
Ironwood Physicians P.C dba Ironwood Cancer & Research Centers
Chandler, Arizona, 85224
Emily Couric Clinical Cancer Center
Charlottesville, Virginia, 22903
Mercy Ministry Office
Chesterfield, Missouri, 63017
Rush University Medical Center
Chicago, Illinois, 60612
Administrative Management Only: Translational Research Management
Culver City, California, 90232
Texas Oncology- Dallas Presbyterian Hospital
Dallas, Texas, 75231
Southern Cancer Center, PC
Daphne, Alabama, 36526
Sylvester Comprehensive Cancer Center Deerfield Beach
Deerfield Beach, Florida, 33442
University of Miami Hospitals and Clinics (UHMC) Sylvester at Deerfield Beach
Deerfield Beach, Florida, 33442
City of Hope
Duarte, California, 91010
Fairview Southdale Oncology Clinic
Edina, Minnesota, 55435
Inova Medical Group
Fairfax, Virginia, 22031
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Piedmont Cancer Institute, PC
Fayetteville, Georgia, 30214
Arizona Oncology Associates, PC- HAL
Flagstaff, Arizona, 86001
Holy Cross Hospital/Michael and Dianne Bienes Comprehensive Cancer Center
Fort Lauderdale, Florida, 33308
Investigational Products Center (IPC)
Fort Worth, Texas, 76177
St. Jude Hospital Yorba Linda DBA St. Joseph Heritage Healthcare
Fullerton, California, 92835
The Jones Clinic, PC
Germantown, Tennessee, 38138
Ironwood Physicians P.C dba Ironwood Cancer & Research Centers
Gilbert, Arizona, 85297
Palo Verde Hematology Oncology
Glendale, Arizona, 85304
Arizona Center for Cancer Care
Glendale, Arizona, 85306
Global Research Management
Glendale, California, 91204
Western Regional Medical Center, Inc.
Goodyear, Arizona, 85338
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89074
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
US Oncology Investigational Products Center (IPC)
Irving, Texas, 75063
US Oncology lnvestigational Products Center (IPC)
Irving, Texas, 75063
Maine Center for Cancer Medicine, dba: New England Cancer Specialists
Kennebunk, Maine, 04043
UC San Diego Medical Center-La Jolla
La Jolla, California, 92037
UC San Diego Moores Cancer Center
La Jolla, California, 92093
ProHEALTHCARE Associates, LLP
Lake Success, New York, 11042
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Virginia Cancer Specialists, PC
Leesburg, Virginia, 20176
Texas Oncology- Longview Cancer Center
Longview, Texas, 75601
Keck Hospital of USC
Los Angeles, California, 90033
LAC & USC Medical Center
Los Angeles, California, 90033
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
UCLA Hematology Oncology
Los Angeles, California, 90095
Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins, Green Spring Station
Lutherville, Maryland, 21093
Northwest Georgia Oncology Centers, a Service of WellStar Cobb Hospital
Marietta, Georgia, 30060
Northwest Georgia Oncology Centers, PC
Marietta, Georgia, 30060
Texas Oncology- McAllen South Second Street
McAllen, Texas, 78503
Columbia St. Mary's
Mequon, Wisconsin, 53097
Ironwood Physicians P.C dba Ironwood Cancer & Research Centers
Mesa, Arizona, 85202
Ironwood Physicians P.C dba Ironwood Cancer & Research Centers
Mesa, Arizona, 85206
University of Miami Hospitals & Clinics
Miami, Florida, 33136
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Columbia St. Mary's
Milwaukee, Wisconsin, 53211
University of Minnesota Medical Center, Fairview
Minneapolis, Minnesota, 55455
University of Minnesota Physicians, Masonic Cancer Center
Minneapolis, Minnesota, 55455
Southern Cancer Center, PC
Mobile, Alabama, 36607
Southern Cancer Center, PC
Mobile, Alabama, 36608
Southern Cancer Center,PC
Mobile, Alabama, 36608
UPMC Cancer Center, Monroeville
Monroeville, Pennsylvania, 15146
CareMount Medical
Mount Kisco, New York, 10549
Northern Westchester Hospital
Mount Kisco, New York, 10549
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Virginia Oncology Associates
Norfolk, Virginia, 23502
Orlando Health
Ocoee, Florida, 34761
Breastlink Medical Group, Inc.
Orange, California, 92868
Hematology Oncology Medical Group of Orange County, Inc. (HOMG)
Orange, California, 92868
The Center for Cancer Prevention and Treatment at St. Joseph Hospital of Orange
Orange, California, 92868
Orlando Health Cancer Institute
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
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Magee Womens Hospital of UPMC
Pittsburgh, Pennsylvania, 15213
University of Pittsburgh Medical Center, William M. Cooper Pavilion, Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Sylvester at Plantation
Plantation, Florida, 33324
Arizona Oncology Associates, PC- HAL
Prescott Valley, Arizona, 86314
Huntsman Cancer Hospital
Salt Lake City, Utah, 84112
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Cancer Care Centers of South Texas
San Antonio, Texas, 78212
Cancer Care Centers of South Texas
San Antonio, Texas, 78217
Cancer Care Centers of South Texas
San Antonio, Texas, 78258
UC San Diego Medical Center-Hillcrest
San Diego, California, 92103
University of California, San Francisco: Helen Diller Comprehensive Cancer Center
San Francisco, California, 94115
San Luis Obispo Oncology and Hematology Health Center/Pacific Central Coast Health Centers
San Luis Obispo, California, 93401
Breastlink Medical Group, Inc.
Santa Ana, California, 92705
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
UCLA Hematology/Oncology - Santa Monica
Santa Monica, California, 90404
Maine Center for Cancer Medicine, dba: New England Cancer Specialists
Scarborough, Maine, 04074
Swedish Cancer Institute
Seattle, Washington, 98104
Swedish Medical Center First Hill IDS Pharmacy
Seattle, Washington, 98104
Swedish Medical Center
Seattle, Washington, 98122
Arizona Oncology Associates, PC- HAL
Sedona, Arizona, 86336
City of Hope
South Pasadena, California, 91030
Mercy Clinic St. Louis Cancer and Breast Institute
St Louis, Missouri, 63109
Mercy Hospital St. Louis
St Louis, Missouri, 63141
Mercy Hospital St.Louis- David C. Pratt Cancer Center
St Louis, Missouri, 63141
Arizona Center for Cancer Care
Surprise, Arizona, 85374
Torrance Health Association, DBA Torrance Memorial Physician Network/Cancer Care Associates
Torrance, California, 90505
Torrance Memorial Physician Network-Cancer Care
Torrance, California, 90505
The University of Arizona Cancer Center- North Campus
Tucson, Arizona, 85719
The University of Arizona Cancer Center
Tucson, Arizona, 85724
Texas Oncology- Tyler
Tyler, Texas, 75702
Virginia Oncology Associates
Virginia Beach, Virginia, 23456
Texas Oncology- Weslaco
Weslaco, Texas, 78596
Wellness Oncology & Hematology
West Hills, California, 91307
UCLA Hematology - Oncology Clinic - Westlake Village
Westlake Village, California, 91361
Shenandoah Oncology, P.C.
Winchester, Virginia, 22601
Cancer Treatment Centers of America at Midwestern Regional Medical Center
Zion, Illinois, 60099
Italy17 sites
Azienda Sanitaria Firenze, c/o Ospedale S. M. Annunziata Farmacia Interna
Bagno A Ripoli (FI), 50012
S.O.C. Oncologia Medica I, Azienda Sanitaria Firenze, c/o Ospedale S. M. Annunziata
Bagno A Ripoli (FI), 50012
SSD Oncologia Medica Addarii-Zamagni A.O.U. di Bologna Policlinico S. Orsola Malpighi
Bologna, 40138
U.O. di Oncologia Medica P.O. Policlinico G. Rodolico"
Catania, 95123
Azienda U.L.S.S. n. 21 di Legnago, Presidio Ospedaliero Mater Salutis
Legnago (VR), 37045
Farmacia Ospedaliera-Azienda U.L.S.S. n. 21 di Legnago
Legnago (VR), 37045
IRST, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola (FC), 47014
Farmacia IRCCS Ospedale San Raffaele
Milan, 20132
IRCCS Ospedale S. Raffaele
Milan, 20132
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Istituto Europeo di Oncologia
Milan, 20141
Servizio di Farmacia - Istituto Europeo di Oncologia
Milan, 20141
Policlinico di Modena Dipartimento ad attivita integrata di Oncologia,
Modena, 41124
IRCCS Istituto Nazionale per lo Studio e la Cura dei Tumori
Naples, 80131
Farmacia - Fondazione Policlinico Universitario A. Gemelli
Roma, 00168
Fondazione Policlinico Universitario A. Gemelli
Roma, 00168
S.C. Oncologia, A.O.S. Maria
Terni, 05100
Australia15 sites
River City Pharmacy
Auchenflower, Queensland, 4066
Bankstown - Lidcombe Hospital
Bankstown, New South Wales, 2200
Cabrini Brighton
Brighton, Victoria, 3186
Monash Medical Centre
Clayton, Victoria, 3168
Peninsula and Southeast Oncology
Frankston, Victoria, 3199
Barwon Health, University Hospital Geelong
Geelong, Victoria, 3220
Cabrini Hospital
Malvern, Victoria, 3144
Peter MacCallum Cancer Centre Pharmacy
Melbourne, Victoria, 3000
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Fiona Stanley Hospital - Cancer Centre
Murdoch, Western Australia, 6150
Sunshine Coast Hospital and Health Service
Nambour, Queensland, 4560
Icon Cancer Care Southport
Southport, Queensland, 4215
Sunshine Hospital Clinical Trials Pharmacy
St Albans, Victoria, 3021
Sunshine Hospital
St Albans, Victoria, 3021
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Belgium13 sites
Imelda Ziekenhuis
Bonheiden, 2820
Institut Jules Bordet
Brussels, Brussels Capital, 1000
Hopital Erasme
Brussels, Region de Bruxelles-capital, 1070
Cliniques Universitaires Saint-Luc
Brussels, 1200
Grand Hôpital de Charleroi - Site Notre Dame
Charleroi, Hainaut, 6000
UZ Antwerpen
Edegem, Antwerpen, 2650
INDC Entité Jolimontoise - CH de Jolimont-Lobbes
Haine-Saint-Paul, Hainaut, 7100
UZ Leuven - Campus Gasthuisberg
Leuven, 3000
C.H. de l'Ardenne - site Libramont
Libramont-Chevigny, Luxembourg, 6800
CHU UCL Namur - Site Sainte-Elisabeth
Namur, 5000
Clinique Saint-Pierre
Ottignies, Brabant Wallon, 1340
CHWaPi - Site IMC
Tournai, Hainaut, 7500
GZA Ziekenhuizen - Campus St Augustinus
Wilrijk, 2610
Russia12 sites
OGBUZ Belgorod Oncology Dispensary
Belgorod, Belgorod Oblast, 308010
GBUZ Chelyabinsk regional clinical center of oncology and nuclear medicine
Chelyabinsk, 454087
FGBUZ Clinical Hospital 101 of the Federal Medical and Biological Agency"
Lermontov, Stavropol Territory, 357340
FSBSI Russian Cancer Research Center n.a.NN Blokhin
Moscow, 115478
GBUZ of Stavropol Territory "Pyatigorsk Oncology Dispensary"
Pyatigorsk, Stavropol Territory, 357502
Saint Petersburg GBUZ "City Clinical Oncology Dispensary"
Saint Petersburg, 197022
Saint Petersburg GBUZ City Clinical Oncology Dispensary
Saint Petersburg, 198255
OGBUZ Belgorod Oncology Dispensary
Stariy Oskol, Belgorod Oblast, 309504
GBUZ of Stavropol Territory "Stavropol Regional Clinical Oncology Dispensary"
Stavropol, 355047
GBUZ Republican Clinical Oncology Dispensary of Ministry of Health of the Republic of Bashkortostan
Ufa, Bashkortostan Republic, 450054
GBUZ Leningrad regional oncological dispensary
Village Kuzmolovsky, Leningradskaya Oblast', 188663
FGBU Russian Research Center for Radiology and Surgical Technologies
Village Pesochny, 197758
Canada11 sites
Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2
British Columbia Cancer Agency - Sindi Ahluwalia Hawkins Centre for the Southern Interior
Kelowna, British Columbia, V1Y 5L3
Cancer Centre of Southeastern Ontario @ Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Lakeridge Health Oshawa, R.S. McLaughlin Durham Regional Cancer Centre
Oshawa, Ontario, L1G 2B9
The Ottawa Hospital Cancer Centre, General Campus
Ottawa, Ontario, K1H 8L6
Niagara Health System Walker Family Cancer Center
St. Catharines, Ontario, L2S 0A9
British Columbia Cancer Agency - Fraser Valley Centre
Surrey, British Columbia, V3V 1Z2
Toronto East General Hospital
Toronto, Ontario, M4C 3E7
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
Japan8 sites
Chiba Cancer Center
Chiba, 260-8717
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hakuaikai Medical Corporation Sagara Hospital
Kagoshima, 892-0833
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
Saitama Cancer Center
Kita-adachi-gun, Saitama,japan, 362-0806
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
National Hospital Organization
Osaka, 540-0006
Netherlands6 sites
Leids Universitair Medisch Centrum
Leiden, South Holland, 2333ZA
Academisch Ziekenhuis Maastricht
Maastricht, Limburg, 6229 HX
Ikazia Ziekenhuis
Rotterdam, South Holland, 3083 AN
Orbis Medisch Centrum
Sittard-Geleen, Limburg, 6162 BG
Haga Ziekenhuis
The Hague, South Holland, 2545 AA
TweeSteden Ziekenhuis
Tilburg, North Brabant, 5042AD
Ukraine6 sites
Oblasne komunalne nekomertsiine pidpryiemstvo "Bukovynskyi klinichnyi onkolohichnyi tsentr"
Chernivtsi, 58013
Komunalnyi zaklad 'Miska klinichna likarnia No.4' Dniprovskoi miskoi rady,
Dnipro, 49102
Komunalne nekomertsiyne pidpryiemstvo "Oblasnyi
Kharkiv, 61070
KNP Lvivskoi oblasnoi rady Lvivskyi onkolohichnyi
Lviv, 79031
Komunalna ustanova "Odeska oblasna klinichna likarnia"
Odesa, 65025
Podilskyi rehionalnyi tsentr onkolohii,
Vinnytsia, 21029
United Kingdom6 sites
Velindre Cancer Centre
Cardiff, South Glamorgan, CF14 2TL
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust Portsmouth Haematology and Oncology Centre
Portsmouth, Hampshire, PO6 3LY
Royal Hallamshire Hospital
Sheffield, South Yorkshire, S10 2JF
Sheffield Teaching Hospitals NHS Foundation Trust, Weston Park Hospital
Sheffield, South Yorkshire, S10 2SJ
The Royal Marsden NHS Foundation Trust
Sutton, SM2 5PT
South Korea5 sites
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 463-707
Seoul National University Hospital
Seoul, 03080
Asan medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 135-710
Germany4 sites
Universitaetsklinikum Leipzig AoeR
Leipzig, 04103
Zentrum fuer Radiologie und Nuklearmedizin am Johannisplatz
Leipzig, 04103
Klinikum der Universität München
München, 80336
Klinikum der Universität München
München, 80337
Romania4 sites
Spitalul Clinic CF nr.2 Bucuresti
Bucharest, 011464
Spitalul Municipal Ploiesti
Ploieşti, 100337
Spitalul Judetean de Urgente "Sf. Ioan cel Nou"
Suceava, 720237
Spitalul Clinic Judetean Mures
Tg. Mures, 540142
Portugal2 sites
Champalimaud Cancer Center/ Breast Unit
Lisbon, 1400-038
Instituto Português de Oncologia
Porto, 4200-072
Taiwan2 sites
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Turkey (Türkiye)1 site
Ege University Medical Faculty
Izmir, Bornova, 35040
About this study
Official title: MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 3 TRIAL OF FULVESTRANT (FASLODEX (REGISTERED)). WITH OR WITHOUT PD-0332991 (PALBOCICLIB) +/- GOSERELIN IN WOMEN WITH HORMONE RECEPTOR-POSITIVE, HER2-NEGATIVE METASTATIC BREAST CANCER WHOSE DISEASE PROGRESSED AFTER PRIOR ENDOCRINE THERAPY
The study is a randomized, double blind, placebo controlled, Phase 3 clinical trial with the primary objective of demonstrating the superiority of palbociclib in combination with fulvestrant (Faslodex®) over fulvestrant alone in prolonging PFS in women with HR+, HER2 negative metastatic breast cancer whose disease has progressed after prior endocrine therapy. The safety between the two treatment arms will also be compared. During study treatment, pre- and perimenopausal women must be receiving therapy with the LHRH agonist goserelin (Zoladex® or generic).
- Conditions
- Metastatic Breast Cancer
- Being tested
- Palbociclib, Fulvestrant, Placebo
- Keywords
- Palbociclib (PD-0332991), Fulvestrant, Goserelin, Hormone receptor-+, HER2-negative, Prior Endocrine treatment, any menopausal status, PALOMA-3
- 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
Palbociclib 125 mg/day orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle.
FulvestrantDrug
Fulvestrant 500 mg intramuscularly on Days 1 and 15 of Cycle 1, and then on Day 1 of each subsequent 28 day cycle.
PlaceboDrug
Placebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle.
FulvestrantDrug
Fulvestrant 500 mg intramuscularly on Days 1 and 15 of Cycle 1, and then on Day 1 of each subsequent 28 day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Experimental | Given until objective progression, symptomatic deterioration, unacceptable toxicity, death, or withdrawal of consent, whichever occurs first. Receives: Drug: Palbociclib; Drug: Fulvestrant |
| Arm B | Active comparator | Given until objective progression, symptomatic deterioration, unacceptable toxicity, death, or withdrawal of consent, whichever occurs first. Receives: Drug: Placebo; Drug: Fulvestrant |
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 the time from the date of randomization to the date of the first documentation of objective progression of disease (PD)or death due to any cause in absence of documented PD. Participants lacking an evaluation of tumor response after randomization had their PFS time censored on the date of randomization with the duration of a day. Participants with documentation of PD or death after a long interval (2 or more incomplete or non-evaluable assessments) since the last tumor assessment were censored at the time of last objective assessment that did not show PD. The length of PFS was calculated as PFS time (months) =[progression/death date(censor date) - randomization date + 1]/30.4. Progression is defined using Response Evaluation Criteria in Solid Tumors(RECIST v1.1) a 20% increase in the sum of diameters of target lesions and the sum must also demonstrate an absolute increase of at least 5mm or unequivocal progression of existing non-target lesions or the appearance of new lesions.
Measured: From randomization date to date of first documentation of progression or death (assessed up to 12 months)
Secondary outcomes (19)
Overall Survival (OS)-Number of Participants Who Died
OS is defined as the time from date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time was censored to last date the participant was known to be alive. For participants lacking survival data beyond the date of their last follow-up, the OS time was censored on the last date they were known to be alive. Participants lacking survival data beyond randomization were to have their OS times be censored at randomization. The length of OS was calculated as OS time (months) = [death date (censor date) - randomization date + 1]/30.4.
Measured: From randomization until death (up to 4.5 years)
Overall Survival (OS)
OS is defined as the time from date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time was censored to last date the participant was known to be alive. For participants lacking survival data beyond the date of their last follow-up, the OS time was censored on the last date they were known to be alive. Participants lacking survival data beyond randomization were to have their OS times be censored at randomization. The length of OS was calculated as OS time (months) = [death date (censor date) - randomization date + 1]/30.4.
Measured: From randomization until death (up to 4.5 years)
Survival Probabilities at Year 1, Year 2, and Year 3
One-, Two- or Three-year Survival Probability is defined as the probability of survival 1 year, 2 or 3 years after the date of randomization based on the Kaplan-Meier estimate. Survival time was censored to last date the participant is known to be alive.
Measured: From randomization until death (assessed up to 36 months)
Objective Response (OR)
OR is defined as the overall complete response (CR) or partial response (PR) according to the RECIST version 1.1 Objective Response Rate (ORR) is defined as the proportion of participants with CR or PR relative to all randomized participants and randomized participants with measurable disease at baseline. Participants who do not have on-study radiographic tumor re-evaluation, who received anti-tumor treatment other than the study medication prior to reaching a CR or PR, or who died, progressed, or dropped out for any reason prior to reaching a CR or PR were counted as non-responders in the assessment of ORR. Per response evaluation criteria in solid tumors criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), ≥30% decrease in the sum of the longest diameter of target lesions (longest for non-nodal and short axis for nodal target lesions); Overall Response (OR) = CR + PR.
Measured: From randomization until end of treatment (assessed up to 2 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 was used. DR was calculated as [the date response ended (ie, date of PD or death) - first CR or PR date + 1)]/30.4. Kaplan-Meier estimate of median of the DR is provided below. No inferential statistical analysis were done for DR. The DR was only calculated for the participants with a CR or PR.
Measured: From randomization until end of treatment (assessed up to 2 years)
Clinical Benefit Response (CBR)
CBR is defined as the overall complete response (CR), partial response (PR) , or stable disease (SD) ≥24 weeks according to the RECIST version 1.1. Clinical Benefit Response Rate (CBRR) is defined as the proportion of participants with CR, PR, or SD ≥24 weeks relative to all randomized participants and randomized participants with measurable disease at baseline. Participants who do not have on-study radiographic tumor re-evaluation, who received antitumor treatment other than the study medication prior to reaching a CR or PR, a best response of SD ≥24 weeks, or who died, progressed, or dropped out for any reason prior to reaching a CR or PR and a best response of SD ≥24 weeks was counted as non-responders in the assessment of CBR. Per RECIST v1.1 for target lesions and assessed by MRI: CR, disappearance of all target lesions; PR, ≥30% decrease in the sum of the longest diameter of target lesions; OR = CR + PR.
Measured: From randomization until end of treatment (assessed up to 2 years)
Observed Plasma Trough Concentration (Ctrough) for Palbociclib
Ctrough was defined as steady-state predose concentration. Observed directly from data. For palbociclib, a steady-state trough was to be defined as a predose plasma concentration following at least 8 consecutive days of 125 mg daily dose without dosing interruption and the time window for the PK collection was to be between 22 and 26 hours after the dose (the day prior to PK collection) and no more than 1 hour post-dose on the day of PK collection.
Measured: Cycle 1/Day 15 and Cycle 2/Day 15
Ctrough for Fulvestrant
Ctrough was defined as steady-state predose concentration. Observed directly from data. For fulvestrant, a steady-state trough was to be defined when a patient had received all prior planned doses and the sample was collected predose.
Measured: Cycles 2/Day 1 and Cycle 3/Day 1
Ctrough for Goserelin
Ctrough was defined as steady-state predose concentration. Observed directly from data. For goserelin, a steady-state trough was to be defined when a patient had received all prior planned doses and the sample was collected predose.
Measured: Cycles 2/ Day 1 and Cycle 3/ Day 1
Change From Baseline Between Treatment Comparison in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Functional Scale Scores
The EORTC-QLQ-C30 is a 30-item questionnaire composed of five multi-item functional subscales (physical, role, emotional, cognitive , and social functioning), three multi-item symptom scales (fatigue, nausea/vomiting, and pain), a global quality of life (QOL) subscale, and six single item symptom scales assessing other cancer-related symptoms (dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, and the financial impact of cancer). The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items are then converted to a 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represents more severe symptoms. A 10-point or higher change in scores from baseline is considered clinically significant.
Measured: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EORTC QLQ-C30 Symptom Scale Scores
The EORTC-QLQ-C30 is a 30-item questionnaire composed of five multi-item functional subscales (physical, role, emotional, cognitive , and social functioning), three multi-item symptom scales (fatigue, nausea/vomiting, and pain), a global quality of life (QOL) subscale, and six single item symptom scales assessing other cancer-related symptoms (dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, and the financial impact of cancer). The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items are then converted to a 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represents more severe symptoms. A 10-point or higher change in scores from baseline is considered clinically significant.
Measured: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in European Organization for Research and Treatment of Cancer Breast Cancer Module (EORTC QLQ BR23) Functional Scale Scores
The EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual functioning, sexual enjoyment, future perspective) and four symptom scales (systemic side effects, breast symptoms, arm symptoms, upset by hair loss). QLQ-BR23 questionnaire employs 4-point scales with responses from 'not at all' to 'very much'. All scores are converted to a 0 to 100 scale. For functional scales, higher scores represent a better level of functioning.
Measured: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EORTC QLQ BR23 Symptom Scale Scores
The EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual functioning, sexual enjoyment, future perspective) and four symptom scales (systemic side effects, breast symptoms, arm symptoms, upset by hair loss). QLQ-BR23 questionnaire employs 4-point scales with responses from 'not at all' to 'very much'. All scores are converted to a 0 to 100 scale. For symptom-oriented scales, a higher score represent more severe symptoms.
Measured: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EuroQoL 5D (EQ-5D)- Health Index Scores
The EuroQol-5D (version 3L) is a brief self-administered, validated instrument consisting of 2 parts. The first part consists of 5 descriptors of current health state (mobility, self care, usual activities, pain/discomfort, and anxiety/ depression); a participant is 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 Published weights are available that allow for the creation of a single summary score called the EQ-5D index, which basically ranges from 0 to 1 with low scores representing a higher level of dysfunction and 1 as perfect health. The second part consists of the EQ-5D general health status as measured by a visual analog scale (EQ-5D VAS). EQ-5D VAS measures the participant's self-rated health status on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state).
Measured: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EQ-5D Visual Analog Scale (VAS) Scores Scale
The EuroQol-5D (version 3L) is a brief self-administered, validated instrument consisting of 2 parts. The second part consists of the EQ-5D general health status as measured by a visual analog scale (EQ-5D VAS). EQ-5D VAS measures the participant's self-rated health status on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state).
Measured: From Cycle 1 to 14, as of 05 December 2014.
Time to Deterioration (TTD)
A time to event analysis was pre-specified for pain. An analysis of TTD in pain defined as time between baseline and first occurrence of increase of ≥10 points in pain. Deterioration will be defined increase in score of 10 points or greater from baseline. The Kaplan-Meier estimates of quartiles (time to deterioration) with 95% CI is mentioned below.
Measured: Baseline, Day 1 of Cycles 2 to 4, Day 1 of every alternate cycle after that until the end of treatment, as of 05 December 2014
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs; All Causalities)
An AE is any untoward medical occurrence in a clinical investigation patient administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. An SAE is any untoward medical occurrence at any dose that results in death; is life-threatening; requires hospitalization; results in persistent or significant disability or in congenital anomaly/birth defect. Severity will be graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 4.0.
Measured: From the date of randomization up to 28 calendar days (±7 days) after last dose of study intervention (up to 8.4 years).
Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Hematology Results
Number of participants with shifts from Grade ≤2 at baseline values to post-baseline values (shift to Grade 3 or 4) were reported as per NCI-CTCAE, V4.0 graded from Grade 1 to 5. Grade 1: Mild; asymptomatic/ mild symptoms; clinical/diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local/noninvasive intervention indicated. Grade 3: Severe/medically significant but not immediately life-threatening; hospitalization/prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Shifts in lab parameter from Grade ≤2 at baseline to Grade 3 or 4 postbaseline (for parameters Anemia, Hemoglobin increased, Neutrophil count decreased, Platelet count decreased, and White blood cell count decreased) were reported.
Measured: From baseline to end of treatment/withdrawal (up to 4.5 years)
Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Chemistry Results
Number of participants with shifts from Grade ≤2 at baseline values to post-baseline values (shift to Grade 3 or 4) were reported as per NCI-CTCAE, V4.0 graded from Grade 1 to 5. Grade 1: Mild; asymptomatic/ mild symptoms; clinical/diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local/noninvasive intervention indicated. Grade 3: Severe/medically significant but not immediately life-threatening; hospitalization/prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Shifts in lab parameter from Grade ≤2 at baseline to Grade 3 or 4 postbaseline (for parameters ALT increased, ALP increased, AST increased, Blood bilirubin increased, Creatinine increased, Hypercalcemia, Hyperkalemia, Hypermagnesemia, Hypernatremia, Hypoalbuminemia, Hypocalcemia, Hypokalemia, Hypomagnesemia, and Hyponatremia) were reported.
Measured: From baseline to end of treatment/withdrawal (up to 4.5 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2013 (estimated)
- Study start26 Sep 2013
- Primary completion5 Dec 2014
- Study completion28 Sep 2022
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 (23)Papers the sponsor has linked to this study.
- Other trials for Metastatic Breast CancerStudies 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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 521 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01942135
- Sponsor's protocol ID
- A5481023
- Other IDs
- 2013-002580-26
- Status last verified
- Apr 2024
- First submitted
- 10 Sep 2013
- Last updated
- 4 Apr 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
Li 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 38861871Rugo 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 35974168Rugo HS, Cristofanilli M, Loibl S, Harbeck N, DeMichele A, Iwata H, Park YH, Brufsky A, Theall KP, Huang X, McRoy L, Bananis E, Turner NC. Prognostic Factors for Overall Survival in Patients with Hormone Receptor-Positive Advanced Breast Cancer: Analyses From PALOMA-3. Oncologist. 2021 Aug;26(8):e1339-e1346. doi: 10.1002/onco.13833. Epub 2021 Jun 12.
PubMed 34037282Iwata 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 33486783Finn 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 32783178Ettl 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 32164785Masuda N, Mukai H, Inoue K, Rai Y, Ohno S, Mori Y, Hashigaki S, Muramatsu Y, Umeyama Y, Iwata H, Toi M. Neutropenia management with palbociclib in Japanese patients with advanced breast cancer. Breast Cancer. 2019 Sep;26(5):637-650. doi: 10.1007/s12282-019-00970-7. Epub 2019 May 24.
PubMed 31127500Turner NC, Liu Y, Zhu Z, Loi S, Colleoni M, Loibl S, DeMichele A, Harbeck N, Andre F, Bayar MA, Michiels S, Zhang Z, Giorgetti C, Arnedos M, Huang Bartlett C, Cristofanilli M. Cyclin E1 Expression and Palbociclib Efficacy in Previously Treated Hormone Receptor-Positive Metastatic Breast Cancer. J Clin Oncol. 2019 May 10;37(14):1169-1178. doi: 10.1200/JCO.18.00925. Epub 2019 Feb 26.
PubMed 30807234Masuda N, Inoue K, Nakamura R, Rai Y, Mukai H, Ohno S, Hara F, Mori Y, Hashigaki S, Muramatsu Y, Nagasawa T, Umeyama Y, Huang X, Iwata H. Palbociclib in combination with fulvestrant in patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer: PALOMA-3 subgroup analysis of Japanese patients. Int J Clin Oncol. 2019 Mar;24(3):262-273. doi: 10.1007/s10147-018-1359-3. Epub 2018 Nov 3.
PubMed 30392115Turner NC, Slamon DJ, Ro J, Bondarenko I, Im SA, Masuda N, Colleoni M, DeMichele A, Loi S, Verma S, Iwata H, Harbeck N, Loibl S, Andre F, Puyana Theall K, Huang X, Giorgetti C, Huang Bartlett C, Cristofanilli M. Overall Survival with Palbociclib and Fulvestrant in Advanced Breast Cancer. N Engl J Med. 2018 Nov 15;379(20):1926-1936. doi: 10.1056/NEJMoa1810527. Epub 2018 Oct 20.
PubMed 30345905Cristofanilli M, DeMichele A, Giorgetti C, Turner NC, Slamon DJ, Im SA, Masuda N, Verma S, Loi S, Colleoni M, Theall KP, Huang X, Liu Y, Bartlett CH. Predictors of prolonged benefit from palbociclib plus fulvestrant in women with endocrine-resistant hormone receptor-positive/human epidermal growth factor receptor 2-negative metastatic breast cancer in PALOMA-3. Eur J Cancer. 2018 Nov;104:21-31. doi: 10.1016/j.ejca.2018.08.011. Epub 2018 Oct 8.
PubMed 30308388Rugo HS, Turner NC, Finn RS, Joy AA, Verma S, Harbeck N, Masuda N, Im SA, Huang X, Kim S, Sun W, Iyer S, Schnell P, Bartlett CH, Johnston S. Palbociclib plus endocrine therapy in older women with HR+/HER2- advanced breast cancer: a pooled analysis of randomised PALOMA clinical studies. Eur J Cancer. 2018 Sep;101:123-133. doi: 10.1016/j.ejca.2018.05.017. Epub 2018 Jul 25.
PubMed 30053671Dieras V, Rugo HS, Schnell P, Gelmon K, Cristofanilli M, Loi S, Colleoni M, Lu DR, Mori A, Gauthier E, Huang Bartlett C, Slamon DJ, Turner NC, Finn RS. Long-term Pooled Safety Analysis of Palbociclib in Combination With Endocrine Therapy for HR+/HER2- Advanced Breast Cancer. J Natl Cancer Inst. 2019 Apr 1;111(4):419-430. doi: 10.1093/jnci/djy109.
PubMed 30032196
Study at a glance
From the registry record, last updated by the sponsor on 4 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 3 TRIAL OF FULVESTRANT (FASLODEX (REGISTERED)). WITH OR WITHOUT PD-0332991 (PALBOCICLIB) +/- GOSERELIN IN WOMEN WITH HORMONE RECEPTOR-POSITIVE, HER2-NEGATIVE METASTATIC BREAST CANCER WHOSE DISEASE PROGRESSED AFTER PRIOR ENDOCRINE THERAPY
- ClinicalTrials.gov ID
- NCT01942135
- Acronym / sponsor ID
- A5481023
- Conditions
- Metastatic Breast Cancer
- Keywords
- Palbociclib (PD-0332991), Fulvestrant, Goserelin, Hormone receptor-+, HER2-negative, Prior Endocrine treatment, any menopausal status, PALOMA-3
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 521 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Study start
- 26 Sep 2013 (actual)
- Primary completion
- 5 Dec 2014 (actual)
- Study completion
- 28 Sep 2022 (actual)
- First posted
- 13 Sep 2013 (estimated)
- Results
- Posted 23 May 2016
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 a randomized, double blind, placebo controlled, Phase 3 clinical trial with the primary objective of demonstrating the superiority of palbociclib in combination with fulvestrant (Faslodex®) over fulvestrant alone in prolonging PFS in women with HR+, HER2 negative metastatic breast cancer whose disease has progressed after prior endocrine therapy. The safety between the two treatment arms will also be compared. During study treatment, pre- and perimenopausal women must be receiving therapy with the LHRH agonist goserelin (Zoladex® or generic).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A | Experimental | Drug: Palbociclib, Drug: FulvestrantGiven until objective progression, symptomatic deterioration, unacceptable toxicity, death, or withdrawal of consent, whichever occurs first. |
| Arm B | Active comparator | Drug: Placebo, Drug: FulvestrantGiven until objective progression, symptomatic deterioration, unacceptable toxicity, death, or withdrawal of consent, whichever occurs first. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Women 18 years or older with metastatic or locally advanced disease, not amenable to curative therapy
- Confirmed diagnosis of HR+/HER2- breast cancer
- Any menopausal status
- Progressed within 12 months from prior adjuvant or progressed within 1 month from prior advanced/metastatic endocrine breast cancer therapy
- On an LHRH agonist for at least 28 days, if pre-/peri-menopausal, and willing to switch to goserelin (Zoladex ®) at time of randomization.
Key exclusion criteria (5 listed)
- Prior treatment with any CDK inhibitor, fulvestrant, everolimus, or agent that inhibits the PI3K-mTOR pathway
- Patients with extensive advanced/metastatic, symptomatic visceral disease, or known uncontrolled or symptomatic CNS metastases
- Major surgery or any anti-cancer therapy within 2 weeks of randomization
- Prior stem cell or bone marrow transplantation
- Use of potent CYP3A4 inhibitors or inducers
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 |
|---|---|---|
| PalbociclibPalbociclib 125 mg/day orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle. | Drug | Arm A |
| FulvestrantFulvestrant 500 mg intramuscularly on Days 1 and 15 of Cycle 1, and then on Day 1 of each subsequent 28 day cycle. | Drug | Arm A |
| PlaceboPlacebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle. | Drug | Arm B |
| FulvestrantFulvestrant 500 mg intramuscularly on Days 1 and 15 of Cycle 1, and then on Day 1 of each subsequent 28 day cycle. | Drug | Arm B |
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 (assessed up to 12 months)
PFS is the time from the date of randomization to the date of the first documentation of objective progression of disease (PD)or death due to any cause in absence of documented PD. Participants lacking an evaluation of tumor response after randomization had their PFS time censored on the date of randomization with the duration of a day. Participants with documentation of PD or death after a long interval (2 or more incomplete or non-evaluable assessments) since the last tumor assessment were censored at the time of last objective assessment that did not show PD. The length of PFS was calculated as PFS time (months) =[progression/death date(censor date) - randomization date + 1]/30.4. Progression is defined using Response Evaluation Criteria in Solid Tumors(RECIST v1.1) a 20% increase in the sum of diameters of target lesions and the sum must also demonstrate an absolute increase of at least 5mm or unequivocal progression of existing non-target lesions or the appearance of new lesions.
19 secondary outcomes
Overall Survival (OS)-Number of Participants Who Died
Time frame: From randomization until death (up to 4.5 years)
Overall Survival (OS)
Time frame: From randomization until death (up to 4.5 years)
Survival Probabilities at Year 1, Year 2, and Year 3
Time frame: From randomization until death (assessed up to 36 months)
Objective Response (OR)
Time frame: From randomization until end of treatment (assessed up to 2 years)
Duration of Response (DR)
Time frame: From randomization until end of treatment (assessed up to 2 years)
Clinical Benefit Response (CBR)
Time frame: From randomization until end of treatment (assessed up to 2 years)
Observed Plasma Trough Concentration (Ctrough) for Palbociclib
Time frame: Cycle 1/Day 15 and Cycle 2/Day 15
Ctrough for Fulvestrant
Time frame: Cycles 2/Day 1 and Cycle 3/Day 1
Ctrough for Goserelin
Time frame: Cycles 2/ Day 1 and Cycle 3/ Day 1
Change From Baseline Between Treatment Comparison in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Functional Scale Scores
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EORTC QLQ-C30 Symptom Scale Scores
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in European Organization for Research and Treatment of Cancer Breast Cancer Module (EORTC QLQ BR23) Functional Scale Scores
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EORTC QLQ BR23 Symptom Scale Scores
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EuroQoL 5D (EQ-5D)- Health Index Scores
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Change From Baseline Between Treatment Comparison in EQ-5D Visual Analog Scale (VAS) Scores Scale
Time frame: From Cycle 1 to 14, as of 05 December 2014.
Time to Deterioration (TTD)
Time frame: Baseline, Day 1 of Cycles 2 to 4, Day 1 of every alternate cycle after that until the end of treatment, as of 05 December 2014
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs; All Causalities)
Time frame: From the date of randomization up to 28 calendar days (±7 days) after last dose of study intervention (up to 8.4 years).
Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Hematology Results
Time frame: From baseline to end of treatment/withdrawal (up to 4.5 years)
Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Chemistry Results
Time frame: From baseline to end of treatment/withdrawal (up to 4.5 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Apr 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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 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 34037282Rugo HS, Cristofanilli M, Loibl S, Harbeck N, DeMichele A, Iwata H, Park YH, Brufsky A, Theall KP, Huang X, McRoy L, Bananis E, Turner NC. Prognostic Factors for Overall Survival in Patients with Hormone Receptor-Positive Advanced Breast Cancer: Analyses From PALOMA-3. Oncologist. 2021 Aug;26(8):e1339-e1346. doi: 10.1002/onco.13833. Epub 2021 Jun 12.
- 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 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 32164785Ettl 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.
- Derived from this study: PubMed 31127500Masuda N, Mukai H, Inoue K, Rai Y, Ohno S, Mori Y, Hashigaki S, Muramatsu Y, Umeyama Y, Iwata H, Toi M. Neutropenia management with palbociclib in Japanese patients with advanced breast cancer. Breast Cancer. 2019 Sep;26(5):637-650. doi: 10.1007/s12282-019-00970-7. Epub 2019 May 24.
- Derived from this study: PubMed 30807234Turner NC, Liu Y, Zhu Z, Loi S, Colleoni M, Loibl S, DeMichele A, Harbeck N, Andre F, Bayar MA, Michiels S, Zhang Z, Giorgetti C, Arnedos M, Huang Bartlett C, Cristofanilli M. Cyclin E1 Expression and Palbociclib Efficacy in Previously Treated Hormone Receptor-Positive Metastatic Breast Cancer. J Clin Oncol. 2019 May 10;37(14):1169-1178. doi: 10.1200/JCO.18.00925. Epub 2019 Feb 26.
- Derived from this study: PubMed 30392115Masuda N, Inoue K, Nakamura R, Rai Y, Mukai H, Ohno S, Hara F, Mori Y, Hashigaki S, Muramatsu Y, Nagasawa T, Umeyama Y, Huang X, Iwata H. Palbociclib in combination with fulvestrant in patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer: PALOMA-3 subgroup analysis of Japanese patients. Int J Clin Oncol. 2019 Mar;24(3):262-273. doi: 10.1007/s10147-018-1359-3. Epub 2018 Nov 3.
- Derived from this study: PubMed 30345905Turner NC, Slamon DJ, Ro J, Bondarenko I, Im SA, Masuda N, Colleoni M, DeMichele A, Loi S, Verma S, Iwata H, Harbeck N, Loibl S, Andre F, Puyana Theall K, Huang X, Giorgetti C, Huang Bartlett C, Cristofanilli M. Overall Survival with Palbociclib and Fulvestrant in Advanced Breast Cancer. N Engl J Med. 2018 Nov 15;379(20):1926-1936. doi: 10.1056/NEJMoa1810527. Epub 2018 Oct 20.
- 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
247 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Palbociclib and Fulvestrant in people with Metastatic Breast Cancer, run by Pfizer at 247 sites in 17 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 9 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 4 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 247 sites in United States, Italy, Australia, Belgium, Russia and 12 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 23 May 2016). 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 (assessed up to 12 months)). 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 NCT01942135, which also lists 23 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 4 Apr 2024.