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DosingDosingIBRANCE® Dosing
 
Monitoring Requirements
SafetySafetyIBRANCE® Safety ProfileNeutropeniaAdverse Event ManagementClinical Trials
Clinical TrialsIBRANCE® Clinical TrialsIBRANCE® PALOMA-2 Trial
 
IBRANCE® PALOMA-3 Trial
Real World EvidenceReal World EvidenceIBRANCE® Real World EvidenceIRIS (UK) StudyROIS
 
P-REALITY X
Patient ProfilesThe Ibrance® PatientPatient ProfilesAlison - >65 years with comorbiditiesBecky - Postmenopausal with bone-only diseaseELEVATE TVSupport and ResourcesSupport and ResourcesIBRANCE Service SupportMaterials
 
Videos

The content of this website has been produced in line with the IBRANCE® Summary of Product Characteristics for the UK. IBRANCE® (palbociclib) Prescribing Information for the UK click here.  Adverse event reporting information can be found at the bottom of the page.

Title
IBRANCE® (palbociclib) is indicated for the treatment of HR+ HER2- locally advanced or metastatic breast cancer in combination with an AI, or in combination with fulvestrant in women who have received prior endocrine therapy. In pre- or perimenopausal women, the endocrine therapy should be combined with a LHRH agonist.1
PALOMA-2 Trial

PALOMA-2 was a randomised, double blind, placebo-controlled Phase III study of IBRANCE (palbociclib) plus letrozole (n=444) versus letrozole alone (n=222) in post-menopausal women with hormone receptor-positive, human epidermal growth factor receptor-negative (HR+/HER2-) locally advanced and metastatic breast cancer who had received no prior systemic therapy for advanced disease.2,3

The study primary endpoint was investigator-assessed progression-free survival (PFS) according to RECIST criteria version 1.1, and a key secondary endpoint was overall survival.3

Significantly longer median PFS (primary endpoint) with IBRANCE plus letrozole versus letrozole alone in the intention-to-treat (ITT) population (HR: 0.56 [95% CI: 0.46-0.69]; 1-sided p<0.0001)*†2

Adapted From Rugo HS et al. Breast Cancer Res Treat. 2019;174:719-29.2

Data cutoff: May 2017 (median follow-up was 37.6 months in the IBRANCE plus letrozole arm and 37.3 months in the letrozole alone arm).2

*Investigator-assessed PFS was defined as the time from date of randomisation to the date of first documented objective disease progression (per Response Evaluation Criteria in Solid Tumors, v1.1) or death due to any cause, whichever occurred first.2,3

PALOMA-2 did not meet the key secondary endpoint of OS. IBRANCE plus letrozole demonstrated numerically longer, not statistically significant median overall survival (OS) versus letrozole alone in the ITT population (HR: 0.96 [95% CI: 0.78-1.18]; 1-sided p=0.34 [NS])*4

Adapted from Slamon DJ, et al. J Clin Oncol 2024.4

Data cutoff: 15th November 2021 (median follow-up was 90.1 months).4,5

*There was an 80% power to detect an OS difference between treatment arms with a HR of ≤0.74. Given the HR was 0.956 (95% CI: 0.777–1.177), PALOMA-2 did not meet the OS endpoint. OS was defined as time from randomisation to death from any cause.4,5

Exploratory analysis of OS in patient subgroups (ITT population)*4

PALOMA-2 OS subgroup analysis are considered exploratory. The results are descriptive and should be interpreted with caution.

Adapted from Slamon DJ, et al. J Clin Oncol 2024.4

Data cutoff: 15th November 2021 (median follow-up was 90.1 months).4,5

*Figure shows OS from subgroups in the ITT population. Data cut-off: 15th November 2021; median follow-up of 90 months.4,5

PALOMA-2 Trial Summary

Click below to learn more about the PALOMA-2 Trial - including study design, further efficacy outcomes and safety information.

Download PDFLoading

HR+, hormone receptor-positive  HER2: human epidermal growth factor 2; PFS: progression-free survival; HR: hazard ratio; CI: confidence interval; RECIST: response evaluation criteria in solid tumours; NE: not estimable; ITT: intention-to-treat. OS, overall survival; ECOG, Eastern Cooperative Oncology Group; ITT, intention-to-treat 

References

For IBRANCE® Summary of Product Characteristics for the UK click  here.Rugo HS, et al. Breast Cancer Res Treat. 2019;174:719–29.Finn RS, et al. N Engl J Med. 2016;375:1925-1936.Slamon DJ, et al. J Clin Oncol. 2024;42(9):994-1000 Slamon DJ, et al. J Clin Oncol. 2024;42(9):994-1000 (supplementary appendix).
PP-IBR-GBR-6234. March 2025

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