Breast NeoplasmsPERFORMNCT04767594
First-line Palbociclib and Endocrine Therapy for Patients With HR+/HER2- Advanced Breast Cancer in the Real-world Setting.
An observational study of Breast Neoplasms, run by Pfizer at 192 sites in 2 countries.
Trial summary
This is a prospective, single-arm, multi-center observational non-interventional study (NIS) in Germany and Austria. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Neoplasms
- What is being tested?
- Palbociclib + endocrine therapy
- How many people
- 1,407 participants
- Where
- 192 sitesin 2 countries
- Study dates
- 27 Oct 2020to 30 Apr 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients diagnosed with HR+/HER2- locally advanced or metastatic breast cancer indicated by their treating physicians for first line endocrine-based palbociclib combination therapy and who meet eligibility criteria will be invited to participate in this study.
Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:
- Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study.
- Diagnosis of HR+/HER2- locally advanced, inoperable or metastatic breast cancer.
- Physician has determined that first-line treatment with palbociclib (i) in combination with an aromatase inhibitor, or (ii) in combination with fulvestrant in women who received prior endocrine therapy as per current local product label is indicated. In pre- or perimenopausal women, the endocrine therapy should be combined with a luteinizing hormone-releasing hormone (LHRH) agonist.
- Patients who in the opinion of the investigator are willing and able to comply with regular clinic visits as per local standard of care practice at the study site.
- Age of 18 years or older.
Patients meeting any of the following criteria will not be included in the study:
- Any contraindication as per current local product label.
- Prior systemic antineoplastic treatment for advanced disease. Exception: Start of first line treatment with palbociclib in combination with aromatase inhibitor or fulvestrant as per current local product label is allowed up to 4 weeks prior to inclusion.
- Patients currently participating in any interventional clinical trial that includes investigational or marketed products at the time of enrollment. Note: A concomitant participation in other non-interventional/observational studies, registries and translational research networks (e.g., PRAEGNANT, OPAL) or chart reviews is allowed.
- Patients who are unable to understand the nature of the study or are unwilling to sign an informed consent.
Patient eligibility should be reviewed, documented, and confirmed by an appropriately qualified member of the investigator's study team before patients are enrolled in the study.
Trial locations and contacts
192 sites in 2 countries.
192 sites in 2 countries
Germany183 sites
ANregiomed gKU
Ansbach, 91522
Alexianer Klinikum Hochsauerland GmbH
Arnsberg, 59759
Group practice Heinrich
Augsburg, 86150
Group Practice Steinfeld-Birg
Augsburg, 86150
Caritas-Krankenhaus Bad Mergentheim
Bad Mergentheim, Other, 97980
Group practice Tanzer
Bad Reichenhall, 83435
Group practice Seipelt
Bad Soden a.T., 65812
Klinikum Mittelbaden Baden-Baden Balg
Baden-Baden, 76532
Sozialstiftung Bamberg Klinikum am Bruderwald
Bamberg, 96049
Klinikum Bayreuth GmbH
Bayreuth, Bavaria, 95445
Private Practice Bayreuth
Bayreuth, 95445
Mvz Etgo Gmbh
Berlin, Other, 12107
Charité Campus Mitte
Berlin, 10117
Hämatologie Onkologie Berlin-Mitte
Berlin, 10117
MediOnko-Institut GbR
Berlin, 10367
DRK Kliniken Berlin-Köpenick Brustzentrum
Berlin, 12559
Vivantes MVZ Hellersdorf - Zweigpraxis Biesdorf
Berlin, 12683
Group practice Morack
Berlin, 13156
Vivantes Netzwerk für Gesundheit GmbH
Berlin, 13407
Frauenarzt-Zentrum-Zehlendorf
Berlin, 14169
Dr. Leonid Basovski Hämatologikum Biberach
Biberach an der Riss, 85400
Evangelisches Klinikum Bethel gGmbH, Klinik für Innere Medizin, Hämatologie, Onkologie
Bielefeld, 33617
Kliniken Boeblingen
Böblingen, 71032
Group practice Bueckner
Bochum, 44787
Johanniter-MVZ Bonn GmbH
Bonn, North Rhine-Westphalia, 53113
Praxiskooperation Onkologie Bonn / Euskirchen / Rheinbach / Wesseling GbR
Bonn, 53123
Group practice Hannig
Bottrop, 46236
Marienhospital Bottrop gGmbH
Bottrop, 46236
ONKO DOK GbR
Bottrop, 46236
Private practice Brandenburg a.d.H.
Brandenburg a.d.H., 14770
Staedtisches Klinikum Brandenburg GmbH
Brandenburg an der Havel, 14770
Onkologisch-Hämatologische Schwerpunktpraxis
Bremen, Other, 28209
Klinikum Bremerhaven Reinkenheide gGmbH
Bremerhaven, 27574
Fürst-Stirum-Klinik Bruchsal Klinik für Frauenheilkunde und Geburtshilfe
Bruchsal, 76646
AKH-Gruppe-Allgemeines Krankenhaus Celle + MVZ gGmbH
Celle, 29223
Klinikum Chemnitz gGmbH
Chemnitz, 09116
Private Practice Jungberg
Chemnitz, 09117
private practice Ziegler-Loehr
Cologne, 50679
St. Elisabeth Krankenhaus GmbH
Cologne, 50935
Medizinische Universität Lausitz Carl Thiem
Cottbus, Brandenburg, 03048
St. Vincenz-Krankenhaus
Datteln, 45711
Onkologiezentrum Donauwoerth
Donauwörth, 86609
Klinikum Dortmund Frauenklinik
Dortmund, 44137
Studiengesellschaft Gefos Dortmund mbH
Dortmund, 44263
Group practice Goehler
Dresden, 01127
Gemeinschaftspraxis
Dresden, 01307
Group practice Jacobasch
Dresden, 01307
Naedler GmbH
Duisburg, 47166
St. Marien-Hospital
Düren, 52353
Private Practice Groell
Ebersberg, 85560
Studienzentrale für das MVZ Eggenfelde e.K.
Eggenfelden, 84307
St. Georg Klinikum Eisenach gGmbH
Eisenach, 99817
Group practice Weniger
Erfurt, 99085
Group practice Haecker
Erlangen, 91052
imland gGmbH
Fockbek, 24787
Universitaetsklinikum Frankfurt Frauenheilkunde
Frankfurt am Main, 60590
pioh Studien und Management GbR
Frechen, 50226
Group Practice Dr. med. M. Zaiss
Freiburg im Breisgau, 79110
KKH Landkreis Freudenstadt Frauenheilkunde und Geburtshilfe
Freudenstadt, 72250
Group practice Fuerth
Fürth, 90766
MVZ II der Niels Stensen Kliniken
Georgsmarienhütte, 49124
Onkostudien Gera GbR
Gera, 07548
Onkologische Kooperation Harz
Goslar, Lower Saxony, 38642
Private practice Rabenbauer
Grafenau, 94481
Klinikum Oberberg KKH Gummersbach
Gummersbach, 51643
Onkodok GmbH
Gütersloh, 33332
Group practice Neumeister
Haldensleben I, 39340
Group practice Behlendorf
Halle, 06110
Studiengesellschaft Haemato-Onkologie Hamburg GbR
Hamburg, 20251
Praxisklinik Harburger Ring
Hamburg, 21073
Katholisches Marienkrankenhaus gGmbH Frauenklinik
Hamburg, 22087
Überörtliche Gemeinschaftspraxis
Hamburg, 48415
Private Practice Rubanov
Hamelin, 31785
Klinikum Hanau Gynäkologisches Krebszentrum
Hanau, 63450
Group Practice Kamal
Hanover, 30625
Westkuestenkliniken Heide und Brunsbuettel
Heide, 25746
Private Practice Fuxius
Heidelberg, 69115
Private practice Petersen
Heidenheim a.d.B., 89522
Mathilden-Hospital
Herford, 32052
cancer Center Zweiseenland GbR
Herrsching am Ammersee, 82211
Private Practice Dr. med. Andreas Lorenz
Hildburghausen, 98646
Gemeinschaftspraxis Dr.med. Ch. Uleer
Hildesheim, 31134
Onkologie Hof MVZ GmbH
Hof, 95028
Universitätsklinik des Saarlandes Ausführende Stelle: Universitätsklinikum Homburg,
Homberg (Efze), 66421
Frauenarzt Toralf Baerens
Ilsede, 31241
Klinikum Itzehoe
Itzehoe, 25524
IDGGQ GbR
Kaiserslautern, 67655
ViDia Christliche Kliniken Karlsruhe Vincentius-Diakonissen-Kliniken gAG
Karlsruhe, 76135
Diakonissenkrankenhaus Karlsruhe
Karlsruhe, 76199
Klinikum Kaufbeuren
Kaufbeuren, 87600
Institut fuer Versorgungsforschung in der Onkologie GbR
Koblenz, 56068
Klinikum Dahme-Spreewald GmbH
Königs Wusterhausen, 15711
group practice Krefeld
Krefeld, 47805
Private practice Kronach
Kronach, 96317
Klinikum Kulmbach
Kulmbach, 95326
ÜBAG - MVZ Dr. Vehling-Kaiser GmbH Landshut
Landshut, 84036
Group practice Koehler
Langen, 63225
Onkologisches Zentrum Lebach
Lebach, 66822
Group practice Mueller
Leer, 26789
Group practice Knoblich
Loerrach, 79539
Private practice Wierick
Lohsa, 02999
Universitätsklinikum Schleswig Holstein
Lübeck, 23538
Onkologie Zentrum Lüneburg Praxisgemeinschaft
Lüneburg, 21335
Universitätsklinikum Magdeburg Frauenklinik, Brustzentrum
Magdeburg, 39108
Klinikum Magdeburg Frauenheilkunde und Geburtshilfe
Magdeburg, 39130
Group practice Prof. Dr. M. Hensel
Mannheim, 63739
Klinikum Fichtelgebirge gGmbH
Marktredwitz, 95615
Hämatologisch Onkologisches Studieninstitut
Mayen, 56727
MVZ Hämatologie/Onkologie
Mayen, 56727
OnkoLog Moers GbR
Moers, 47441
Brustzentrum-Rhein-Ruhr Servicegesellschaft mbH
Mönchengladbach, 41061
MVZ GmbH-Muehlhausen
Mühlhausen, 99974
Onko - Log Muelheim GbR
Mühlheim, 45468
Klinikum Dritter Orden
München, 80638
Group practice Schmidt
München, 81241
Stauferklinikum Schwaebisch Gmuend
Mutlangen, 73557
Private practice Naunhof
Naunhof, 04683
Dr Ines Vanselor Gessner U A Kagelmacher
Neubrandenburg, 17036
Group Practice Nacke
Neuenahr-Ahrweller, 53474
Friedrich-Ebert-Krankenhaus
Neumünster, 24534
TZN-Tumorzentrum Niederrhein GmbH
Neuss, 41462
Klinikum Nürnberg
Nuremberg, Bavaria, 90419
Spital 2 medizinisches Institut PartG mbB
Nuremberg, 90403
medius Klinik Nürtingen
Nürtingen, 72622
ONSO GbR
Oldenburg, 26121
Pius Hospital Oldenburg
Oldenburg, 26121
Oberhavel Kliniken GmbH
Oranienburg, 16515
Klinikum Osnabrueck GmbH
Osnabrück, 49076
St. Vincenz-Krankenhaus GmbH
Paderborn, 33098
Klinikum Ernst von Bergmann gGmbH
Potsdam, 14467
MVZ für Hämatologie und Onkologie
Ravensburg, 88212
Oncologianova GmbH
Recklinghausen, 45659
Group practice Remscheid
Remscheid, 42853
Private practice Remscheid
Remscheid, 42853
Onkologie Zentrum Süd MVZ GmbH
Remscheid, 42859
Gemeinschaftspraxis für internistische Hämatologie und Onkologie
Rheine, 12489
Nadler GmbH
Rinteln, 31737
Private practice Markmann
Rostock, 18057
Klinikum Suedstadt Rostock, Universitaetsfrauenklinik
Rostock, 18059
Agaplesion Diakonieklinik Rotenburg gGmbH
Rotenburg (Wümme), 27356
GPR Klinikum Rüsselsheim
Rüsselsheim am Main, 65428
CaritasKlinikum St. Theresia
Saarbrücken, 66113
Krankenhaus Saarlouis vom DRK
Saarlouis, 66740
Private practice Schubert
Scheibenberg, 09481
MedCenter Nordsachsen - Studien
Schkeuditz, 04435
Onkster GbR
Schorndorf, 73614
Diakoneo Diakonie-Klinikum Schwaebisch Hall gGmbH
Schwäbisch Hall, 74523
Leopoldina Krankenhaus der Stadt Schweinfurt GmbH
Schweinfurt, 97422
Marienkrankenhaus Schwerte
Schwerte, 58239
Group Practice Esser
Siegburg, 53721
Group practice Singen
Singen (Hohentwiel), 78224
Onkologiezentrum Soest/Iserlohn
Soest, 59494
Staedtisches Klinikum Solingen gemeinützige GmbH, Klinik für Frauenheilkunde
Solingen, 42653
KMG Klinikum Sömmerda
Sömmerda, 99610
Group practice Behringer
Speyer, 67346
MVZ Klinik Dr. Hancken GmbH
Stade, 21680
Johanniter-Krankenhaus Genthin Stendal
Stendal, 39576
Private Practice Denck
Stendal, 39576
Clinical Research Stohlberg GmbH
Stohlberg, 52222
Private practice Stralsund
Stralsund, 18435
Gynäkologie Kompetenzzentrum Praxis Dr. med. Carsten Hielscher
Stralsund, 18439
Klinikum der Landeshauptstadt Stuttgart gKAoeR
Stuttgart, 70174
Vinzenz von Paul Kliniken gGmbH Marienhospital
Stuttgart, 70199
Frauenaerztliches Zentrum Suhl im medico Facharztzentrum MVZ GmbH Betriebsstaette Suhl
Suhl, 98527
SRH Zentralklinikum Suhl GmbH
Suhl, 98527
Group Practice Kronawitter
Traunstein, 83278
Klinikum Traunstein
Traunstein, 83278
Group practice Forstbauer
Troisdorf, 53840
Private practice Weissenborn
Twistringen, 27239
Group practice Wagner
Völklingen, 66333
GRN Klinik Weinheim
Weinheim, 69469
Asklepios Klinik Weissenfels Frauenheilkunde, Geburtshilfe Brustzentrum
Weißenfels, 06667
MVZ Marien-Hospital Wesel GmbH
Wesel, 46483
Medizinische Studiengesellschaft NORD-WEST GmbH
Westerstede, 26655
Lahn-Dill-Kliniken GmbH
Wetzlar, 35578
Helios Dr. Horst Schmidt Kliniken Wiesbaden
Wiesbaden, 65199
Gruop practice Rodemer / Wismann / Distelrath
Wilhelmshaven, 26389
Rems-Murr-Klinikum Winnenden Gynaekologie und Geburtshilfe
Winnenden, 71364
GIM - Gemeinschaftspraxis Innere Medizin
Witten, 58452
Group practice Wolfsburg
Wolfsburg, 38440
Helios Universitätsklinikum Wuppertal GmbH
Wuppertal, 42283
Group practice Wuerzburg
Würzburg, 97080
Universitätsklinikum Wuerzburg AoeR
Würzburg, 97080
Austria9 sites
Sankt Josef Hospital Braunau
Braunau am Inn, 5280
Medizinische Universität Innsbruck
Innsbruck, 6020
Klinikum Klagenfurt am Woerthersee
Klagenfurt, 9020
Country Hospital Salzburg
Salzburg, 5020
Universitaetsklinikum Sankt Poelten
Sankt Pölten, 3100
Priv. Doz. OA Dr. Michael Hubalek
Schwaz, 6130
Medizinische Universität Wien, Abteilung Innere Medizin I
Vienna, 1090
Medizinische Universität Wien
Vienna, 1090
Oesterreichische Gesundheitskasse Hanusch-Krankenhaus
Vienna, 1140
About this study
Official title: PERFORM: An EPidEmiological, PRospective Cohort Study to Generate Real-world Evidence in Patients With HR+/HER2- Advanced Breast Cancer Treated in the First Line Setting as Per Current Standard Of Care With an EndocRine-based Palbociclib CoMbination Therapy
This is a prospective, single-arm, multi-center observational non-interventional study (NIS) in Germany and Austria.
Read the detailed description
Patients diagnosed with HR+/HER2- locally advanced or metastatic breast cancer indicated by their treating physicians for first line endocrine-based palbociclib combination therapy and who meet eligibility criteria will be invited to participate in this study. The key objectives of this study are to describe clinical, scientific and patient reported outcomes for patients with HR+/HER2- locally advanced or metastatic breast cancer initiating treatment with first line endocrine-based palbociclib combination therapy in the real-world setting in Germany and Austria. Patient characteristics, real-world treatment patterns, treatment sequences and reasons for the physician's treatment decisions will be collected. Additional real-world research questions are to explore patient-focused parameters such as longitudinal follow-up data on patient-reported outcomes beyond disease progression and by treatment sequence or to analyze the time from the start of first line treatment to the first administered palliative chemotherapy. Clinical outcome by treatment sequences will be described. Routinely assessed biomarkers and diagnostic procedures applied for treatment sequence decisions will be collected.
- Conditions
- Breast Neoplasms
- Being tested
- Palbociclib + endocrine therapy
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Palbociclib + endocrine therapyDrug
Palbociclib + letrozole, or Palbociclib + anastrozole, or Palbociclib + exemestane, or Palbociclib + fulvestrant after prior endocrine therapy In pre- or perimenopausal women, the endocrine therapy should be combined with a luteinizing hormone-releasing hormone (LHRH) agonist.
| Study group | Role | What they receive |
|---|---|---|
| First-line Palbociclib + endocrine therapy | Palbociclib + letrozole, or Palbociclib + anastrozole, or Palbociclib + exemestane, or Palbociclib + fulvestrant after prior endocrine therapy Receives: Drug: Palbociclib + endocrine therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS)
Measured: from date of start of first-line treatment until the date of first documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Secondary outcomes (17)
Cohort-specific PFS of second-line treatment
Cohorts are defined by substance class of second-line therapy following first-line endocrine-based palbociclib therapy
Measured: from date of start of second-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Cohort-specific PFS2
Measured: from date of start of first-line treatment until the date of documented disease progression on the respective second-line treatment or date of death from any cause, whichever came first, assessed up to 7.5 years
Landmark progression-free survival rates (PFSR) of first- and second-line treatment
Measured: proportion of patients without documented disease progression or death due to any cause at defined intervals after start of first-/second-line treatment (at 6, 12, 18, 24, 30, 36 months)
Overall survival (OS)
Measured: from date of start of first-line treatment until the date of documented death from any cause, assessed up to 7.5 years
Landmark overall survival rates (OSR)
Measured: proportion of patients without documented death due to any cause at defined intervals (at 12, 24, 36, 48, 60 months after start of first-line treatment)
Objective response rate (ORR) of first- and second-line treatment
Measured: from date of start of first-/ second-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Duration of response (DoR) of first- and second-line treatment
Measured: from the date of first documented tumor response during first-/ second-line treatment until to the date of first subsequent documented disease progression or to death due to any cause, whichever came first, assessed up to 7.5 years
Disease control rate (DCR) of first- and second-line treatment
Measured: proportion of patients with documented tumor response during first-/second-line treatment (as assessed by local investigator in routine clinical practice) or stable disease (SD) over a period of at least 24 weeks after start of first-line treatment
Progression-free survival (PFS) of third-line treatment
Measured: from date of start of third-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Time to first subsequent therapy (TFST)
Measured: from date of start of first-line treatment until the date of start of first subsequent systemic antineoplastic treatment, assessed up to 7.5 years
Time to first subsequent chemotherapy (TFSC)
Measured: from date of start of first-line treatment until the date of start of first subsequent systemic chemotherapy or chemotherapy-based antineoplastic treatment, assessed up to 7.5 years
Change from baseline in the FACT-B total score
The FACT-B is a 37-item instrument designed to measure five domains of Health-Relaed Quality of Life (HRQOL) in breast cancer patients: Physical Well-being (PWB), Social/family Well-being (SWB), Emotional Well-being (EWB), Functional Well-being (FWB) as well as a Breast Cancer Subscale (BCS).
Utilized with the 27 core FACT-G items, the FACT-B was developed with an emphasis on patients' values and brevity.
For all questions, participants are asked to respond to a 5-point Likert-type scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. The higher the score, the better the QOL (minimum 0; maximum 148).
Measured: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in the FACT-G total score
The FACT-G is a 27-item instrument designed to measure four domains of HRQOL in breast cancer patients: PWB, SWB, EWB, and FWB.
For all questions, participants are asked to respond to a 5-point Likert-type scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. The higher the score, the better the QOL (minimum 0; maximum 108).
Measured: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in the FACT-B subscales scores: PWB, SWB, EWB, FWB and additional concerns for BCS.
The FACT-B is a 37-item instrument designed to measure five domains of HRQOL in breast cancer patients: PWB, SWB, EWB, FWB as well as a BCS. Utilized with the 27 core FACT-G items, the FACT-B was developed with an emphasis on patients' values and brevity.
For all questions, participants are asked to respond to a 5-point Likert-type scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. The higher the score, the better the QOL (PWB: minimum 0; maximum 28. SWB: minimum 0; maximum 28. EWB: minimum 0; maximum 24. FWB: minimum 0; maximum 28. BCS: minimum 0; maximum 40).
Measured: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in FACT-B Trial Outcome Index (TOI)
The FACT-B is a 37-item instrument designed to measure five domains of HRQOL in breast cancer patients: PWB, SWB, EWB, FWB as well as a BCS. Utilized with the 27 core FACT-G items, the FACT-B was developed with an emphasis on patients' values and brevity. The TOI combines the PWB+FWB+BCS items, making it 24-items altogether.
For all questions, participants are asked to respond to a 5-point Likert-type scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. The higher the score, the better the QOL (minimum 0; maximum 96).
Measured: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Time to deterioration (TTD) in FACT-B total score
The FACT-B is a 37-item instrument designed to measure five domains of HRQOL in breast cancer patients: PWB, SWB, EWB, FWB as well as a BCS. Utilized with the 27 core FACT-G items, the FACT-B was developed with an emphasis on patients' values and brevity.
For all questions, participants are asked to respond to a 5-point Likert-type scale where 0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, and 4=very much. The higher the score, the better the QOL (minimum 0; maximum 148).
Measured: From the date of first questionnaire assessment until the date of first subsequent questionnaire with a decrease of ≥ 7 points in FACT-B total score or death, whichever came first, assessed up to 7.5 years.
Landmark analyses of cohort-specific Area Under the Curve (AUC) in the Functional Assessment of Cancer Therapy - Breast (FACT-B) TOI-Physical/Functional/Breast (TOI-PFB)
Cohorts are defined by substance class of second-line therapy following first-line endocrine-based palbociclib therapy.
Measured: From the date of first questionnaire assessment until 12, 24, 36, 48 months thereafter (irrespective of disease or treatment situation at that time point)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2021
- Study start27 Oct 2020
- Primary completion3 Apr 2028 (estimated)
- Study completion30 Apr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,407 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
- NCT04767594
- Sponsor's protocol ID
- A5481152
- Other IDs
- PERFORM-NIS
- Acronym
- PERFORM
- Status last verified
- Apr 2026
- First submitted
- 21 Jan 2021
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: 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
Lux MP, Runkel ED, Glastetter E, Vannier C, Buncke J, Frank M, Bartsch R, Thill M, Wockel A. PERFORM: a non-interventional study assessing the patients' treatment starting with 1L palbociclib in HR+/HER2- ABC. Future Oncol. 2022 Nov;18(36):3971-3982. doi: 10.2217/fon-2022-0552. Epub 2022 Nov 25.
PubMed 36427183
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- PERFORM: An EPidEmiological, PRospective Cohort Study to Generate Real-world Evidence in Patients With HR+/HER2- Advanced Breast Cancer Treated in the First Line Setting as Per Current Standard Of Care With an EndocRine-based Palbociclib CoMbination Therapy
- ClinicalTrials.gov ID
- NCT04767594
- Acronym / sponsor ID
- PERFORM / A5481152
- Conditions
- Breast Neoplasms
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,407 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 27 Oct 2020 (actual)
- Primary completion
- 3 Apr 2028 (estimated)
- Study completion
- 30 Apr 2028 (estimated)
- First posted
- 23 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, single-arm, multi-center observational non-interventional study (NIS) in Germany and Austria.
Detailed description
Patients diagnosed with HR+/HER2- locally advanced or metastatic breast cancer indicated by their treating physicians for first line endocrine-based palbociclib combination therapy and who meet eligibility criteria will be invited to participate in this study. The key objectives of this study are to describe clinical, scientific and patient reported outcomes for patients with HR+/HER2- locally advanced or metastatic breast cancer initiating treatment with first line endocrine-based palbociclib combination therapy in the real-world setting in Germany and Austria. Patient characteristics, real-world treatment patterns, treatment sequences and reasons for the physician's treatment decisions will be collected. Additional real-world research questions are to explore patient-focused parameters such as longitudinal follow-up data on patient-reported outcomes beyond disease progression and by treatment sequence or to analyze the time from the start of first line treatment to the first administered palliative chemotherapy. Clinical outcome by treatment sequences will be described. Routinely assessed biomarkers and diagnostic procedures applied for treatment sequence decisions will be collected.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| First-line Palbociclib + endocrine therapy | – | Drug: Palbociclib + endocrine therapyPalbociclib + letrozole, or Palbociclib + anastrozole, or Palbociclib + exemestane, or Palbociclib + fulvestrant after prior endocrine therapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients diagnosed with HR+/HER2- locally advanced or metastatic breast cancer indicated by their treating physicians for first line endocrine-based palbociclib combination therapy and who meet eligibility criteria will be invited to participate in this study.
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 |
|---|---|---|
| Palbociclib + endocrine therapyPalbociclib + letrozole, or Palbociclib + anastrozole, or Palbociclib + exemestane, or Palbociclib + fulvestrant after prior endocrine therapy In pre- or perimenopausal women, the endocrine therapy should be combined with a luteinizing hormone-releasing hormone (LHRH) agonist. | Drug | First-line Palbociclib + endocrine therapy |
Primary outcome
Progression-free survival (PFS)
Time frame: from date of start of first-line treatment until the date of first documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
17 secondary outcomes
Cohort-specific PFS of second-line treatment
Time frame: from date of start of second-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Cohort-specific PFS2
Time frame: from date of start of first-line treatment until the date of documented disease progression on the respective second-line treatment or date of death from any cause, whichever came first, assessed up to 7.5 years
Landmark progression-free survival rates (PFSR) of first- and second-line treatment
Time frame: proportion of patients without documented disease progression or death due to any cause at defined intervals after start of first-/second-line treatment (at 6, 12, 18, 24, 30, 36 months)
Overall survival (OS)
Time frame: from date of start of first-line treatment until the date of documented death from any cause, assessed up to 7.5 years
Landmark overall survival rates (OSR)
Time frame: proportion of patients without documented death due to any cause at defined intervals (at 12, 24, 36, 48, 60 months after start of first-line treatment)
Objective response rate (ORR) of first- and second-line treatment
Time frame: from date of start of first-/ second-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Duration of response (DoR) of first- and second-line treatment
Time frame: from the date of first documented tumor response during first-/ second-line treatment until to the date of first subsequent documented disease progression or to death due to any cause, whichever came first, assessed up to 7.5 years
Disease control rate (DCR) of first- and second-line treatment
Time frame: proportion of patients with documented tumor response during first-/second-line treatment (as assessed by local investigator in routine clinical practice) or stable disease (SD) over a period of at least 24 weeks after start of first-line treatment
Progression-free survival (PFS) of third-line treatment
Time frame: from date of start of third-line treatment until the date of first subsequent documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 years
Time to first subsequent therapy (TFST)
Time frame: from date of start of first-line treatment until the date of start of first subsequent systemic antineoplastic treatment, assessed up to 7.5 years
Time to first subsequent chemotherapy (TFSC)
Time frame: from date of start of first-line treatment until the date of start of first subsequent systemic chemotherapy or chemotherapy-based antineoplastic treatment, assessed up to 7.5 years
Change from baseline in the FACT-B total score
Time frame: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in the FACT-G total score
Time frame: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in the FACT-B subscales scores: PWB, SWB, EWB, FWB and additional concerns for BCS.
Time frame: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Change from baseline in FACT-B Trial Outcome Index (TOI)
Time frame: from the date of first questionnaire assessment until the date of last questionnaire assessment, assessed at baseline, thereafter 3-monthly until end of study, and at the end of palbociclib treatment, up to 7.5 years.
Time to deterioration (TTD) in FACT-B total score
Time frame: From the date of first questionnaire assessment until the date of first subsequent questionnaire with a decrease of ≥ 7 points in FACT-B total score or death, whichever came first, assessed up to 7.5 years.
Landmark analyses of cohort-specific Area Under the Curve (AUC) in the Functional Assessment of Cancer Therapy - Breast (FACT-B) TOI-Physical/Functional/Breast (TOI-PFB)
Time frame: From the date of first questionnaire assessment until 12, 24, 36, 48 months thereafter (irrespective of disease or treatment situation at that time point)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Derived from this study: PubMed 36427183Lux MP, Runkel ED, Glastetter E, Vannier C, Buncke J, Frank M, Bartsch R, Thill M, Wockel A. PERFORM: a non-interventional study assessing the patients' treatment starting with 1L palbociclib in HR+/HER2- ABC. Future Oncol. 2022 Nov;18(36):3971-3982. doi: 10.2217/fon-2022-0552. Epub 2022 Nov 25.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: No. 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
192 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Breast Neoplasms, run by Pfizer at 192 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?
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: under way, not looking for participants, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 192 sites in Germany, Austria. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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) (time frame: from date of start of first-line treatment until the date of first documented disease progression or date of death from any cause, whichever came first, assessed up to 7.5 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 NCT04767594, which also lists 1 linked publication.
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 13 Apr 2026.