PMID- 34371506 OWN - NLM STAT- MEDLINE DCOM- 20220308 LR - 20230902 IS - 1473-5741 (Electronic) IS - 0959-4973 (Print) IS - 0959-4973 (Linking) VI - 33 IP - 1 DP - 2022 Jan 1 TI - The efficacy and safety of palbociclib combined with endocrine therapy in patients with hormone receptor-positive HER2-negative advanced breast cancer: a multi-center retrospective analysis. PG - e635-e643 LID - 10.1097/CAD.0000000000001210 [doi] AB - To explore the efficacy and safety of palbociclib combined with endocrine therapy (ET) in advanced breast cancer (ABC). We conducted a retrospective study involving patients with hormone receptor-positive (HR+) and human epidermal growth factor receptor 2-negative (HER2-) ABC who received palbociclib combined with ET in the first- to third-line at three centers in China between January 2018 and October 2020. A total of 151 patients were included in this study. The median age of the patients at palbociclib initiation was 56 years (range 30-86 years) with a median follow-up of 10.9 months (range 2.0-41.2 months). Among these patients, 88 patients received palbociclib combined with ET as first-line therapy, and achieved a median progression-free survival (mPFS) of 19.8 months and an objective response rate (ORR) of 40.9%, meanwhile, in the first-line setting, 62 patients received palbociclib at an initial dose of 125 mg, achieving a mPFS of 20.9 months and an ORR of 46.8%. There were 39 and 24 patients who received palbociclib combined with ET as second- and third-line therapy, the mPFS were 10.0 months and 6.1 months, respectively. The most common and serious adverse events (AEs) were leukopenia and neutropenia. A total of 64 patients (42.4%) underwent palbociclib dose reduction due to AEs. Palbociclib combined with ET is an effective therapeutic regimen for HR+/HER2- ABC, particularly in the first-line setting with palbociclib initial dose of 125 mg, and AEs were manageable. CI - Copyright (c) 2021 The Author(s). Published by Wolters Kluwer Health, Inc. FAU - Zhang, Linhui AU - Zhang L AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Song, Guohong AU - Song G AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Shao, Bin AU - Shao B AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Xu, Ling AU - Xu L AD - Department of Breast Disease Center, Peking University First Hospital, Xi Cheng District. FAU - Xiao, Yu AU - Xiao Y AD - Department of Tumor Chemotherapy and Radiation Sickness, Peking University Third Hospital, Hai-Dian District, Beijing, China. FAU - Wang, Mopei AU - Wang M AD - Department of Tumor Chemotherapy and Radiation Sickness, Peking University Third Hospital, Hai-Dian District, Beijing, China. FAU - Sumou, Ingrid Karmane AU - Sumou IK AD - Department of Oncology, Centro Hospitalar Conde de Sao Januario (CHCSJ), Macao Special Administrative Region of China. FAU - Zhang, Yan AU - Zhang Y AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Liang, Xu AU - Liang X AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Jiang, Hanfang AU - Jiang H AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. FAU - Li, Huiping AU - Li H AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Breast Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District. LA - eng PT - Journal Article PL - England TA - Anticancer Drugs JT - Anti-cancer drugs JID - 9100823 RN - 0 (Piperazines) RN - 0 (Pyridines) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - G9ZF61LE7G (palbociclib) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Breast Neoplasms/*drug therapy MH - China MH - Female MH - Humans MH - Middle Aged MH - Piperazines/administration & dosage/adverse effects/*therapeutic use MH - Progression-Free Survival MH - Pyridines/administration & dosage/adverse effects/*therapeutic use MH - Receptor, ErbB-2/biosynthesis PMC - PMC8670355 COIS- There are no conflicts of interest. EDAT- 2021/08/10 06:00 MHDA- 2022/03/09 06:00 PMCR- 2021/12/14 CRDT- 2021/08/09 20:29 PHST- 2021/08/10 06:00 [pubmed] PHST- 2022/03/09 06:00 [medline] PHST- 2021/08/09 20:29 [entrez] PHST- 2021/12/14 00:00 [pmc-release] AID - 00001813-202201000-00082 [pii] AID - 10.1097/CAD.0000000000001210 [doi] PST - ppublish SO - Anticancer Drugs. 2022 Jan 1;33(1):e635-e643. doi: 10.1097/CAD.0000000000001210.