关键词: CDK4/6 inhibitor HR+/HER2- metastatic breast cancer overall survival palbociclib progression-free survival real-world evidence

来  源:   DOI:10.2144/fsoa-2023-0074   PDF(Pubmed)

Abstract:
Approximately 70% of newly diagnosed breast cancers are of the HR+/HER2- subtype. For the treatment of patients with HR+/HER2- metastatic breast cancer, current guidelines recommend the use of a CDK4/6 inhibitor (palbociclib, ribociclib or abemaciclib) in combination with endocrine therapy. In this review we assess existing literature concerning real-world effectiveness of palbociclib. Survival outcomes in terms of progression-free survival and overall survival are discussed and compared among the included real-world studies and in relation to the phase III PALOMA trials.
About 70% of newly diagnosed breast cancers belong to a specific subgroup called hormone receptor positive (HR+)/Human epidermal growth factor receptor 2 negative (HER2-). In cases with metastatic disease, doctors recommend a treatment approach combining drugs such as palbociclib along with hormonal therapy. Our review evaluates how palbociclib performs in patients in real-world practice situations, beyond clinical trial settings. We looked at two key measures: how long the cancer stays controlled (progression-free survival) and overall survival. The results from these real-world studies are discussed and compared to findings in clinical trials.
摘要:
大约70%的新诊断乳腺癌是HR+/HER2-亚型。对于HR+/HER2-转移性乳腺癌患者的治疗,目前的指南建议使用CDK4/6抑制剂(palbociclib,ribociclib或abemaciclib)与内分泌治疗相结合。在这篇综述中,我们评估了有关palbociclib在现实世界中的有效性的现有文献。在纳入的真实世界研究中以及与III期PALOMA试验相关的研究中,讨论并比较了无进展生存期和总生存期方面的生存结果。
大约70%的新诊断乳腺癌属于一个特定的亚组,称为激素受体阳性(HR)/人类表皮生长因子受体2阴性(HER2-)。在转移性疾病的病例中,医生建议将palbociclib等药物与激素治疗相结合的治疗方法。我们的综述评估了palbociclib在现实实践情况下在患者中的表现,超出临床试验设置。我们研究了两个关键指标:癌症保持控制的时间(无进展生存期)和总生存期。讨论了这些真实世界研究的结果,并将其与临床试验的结果进行了比较。
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