Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial

Abstract Currently, there is limited data regarding the effectiveness of standard subsequent line therapies such as endocrine therapy, chemotherapy, or targeted agents after progression on CDK4/6 inhibitor-based regimens. This paper describes time-to-treatment failure beyond progression on palbocicl...

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Main Authors: Lorenzo Rossi, Chiara Biagioni, Amelia McCartney, Ilenia Migliaccio, Giuseppe Curigliano, Giuseppina Sanna, Erica Moretti, Alessandro M. Minisini, Saverio Cinieri, Carlo Tondini, Grazia Arpino, Antonio Bernardo, Angelo Martignetti, Emanuela Risi, Marta Pestrin, Luca Boni, Matteo Benelli, Laura Biganzoli, Angelo Di Leo, Luca Malorni
Format: Article
Language:English
Published: BMC 2019-05-01
Series:Breast Cancer Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13058-019-1149-5
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author Lorenzo Rossi
Chiara Biagioni
Amelia McCartney
Ilenia Migliaccio
Giuseppe Curigliano
Giuseppina Sanna
Erica Moretti
Alessandro M. Minisini
Saverio Cinieri
Carlo Tondini
Grazia Arpino
Antonio Bernardo
Angelo Martignetti
Emanuela Risi
Marta Pestrin
Luca Boni
Matteo Benelli
Laura Biganzoli
Angelo Di Leo
Luca Malorni
author_facet Lorenzo Rossi
Chiara Biagioni
Amelia McCartney
Ilenia Migliaccio
Giuseppe Curigliano
Giuseppina Sanna
Erica Moretti
Alessandro M. Minisini
Saverio Cinieri
Carlo Tondini
Grazia Arpino
Antonio Bernardo
Angelo Martignetti
Emanuela Risi
Marta Pestrin
Luca Boni
Matteo Benelli
Laura Biganzoli
Angelo Di Leo
Luca Malorni
author_sort Lorenzo Rossi
collection DOAJ
description Abstract Currently, there is limited data regarding the effectiveness of standard subsequent line therapies such as endocrine therapy, chemotherapy, or targeted agents after progression on CDK4/6 inhibitor-based regimens. This paper describes time-to-treatment failure beyond progression on palbociclib or palbociclib+endocrine therapy in patients enrolled in the phase II, multicenter TREnd trial. Our results indicate that there is limited benefit from post-palbociclib treatment, regardless of the type of therapy received. A small population of long responders were identified who demonstrated ongoing benefit from a subsequent line of endocrine therapy after progression to palbociclib-based regimens. A translational research program is ongoing on this population of outliers.
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spelling doaj.art-7597ce6a4a454fd6a655f6904551e47c2022-12-21T22:28:53ZengBMCBreast Cancer Research1465-542X2019-05-012111710.1186/s13058-019-1149-5Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trialLorenzo Rossi0Chiara Biagioni1Amelia McCartney2Ilenia Migliaccio3Giuseppe Curigliano4Giuseppina Sanna5Erica Moretti6Alessandro M. Minisini7Saverio Cinieri8Carlo Tondini9Grazia Arpino10Antonio Bernardo11Angelo Martignetti12Emanuela Risi13Marta Pestrin14Luca Boni15Matteo Benelli16Laura Biganzoli17Angelo Di Leo18Luca Malorni19“Sandro Pitigliani” Medical Oncology Department, Hospital of PratoBioinformatics Unit, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Translational Research Unit, Hospital of PratoDivision of Early Drug Development, Department of Haematology and Haemato-Oncology, Istituto Europeo di Oncologia, IRCCS, Milano and University of Milano“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of PratoDepartment of Oncology, Azienda Sanitaria Universitaria Integrata di UdineMedical Oncology Department, ASL BrindisiHospital Papa Giovanni XXIIIDepartment of Clinical Medicine and Surgery, University of Naples Federico IIMedical Oncology Department, ICS Maugeri IRCCSOncology Department, Azienda USL Toscana Sud Est, Hospital Alta Val D’Elsa“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of PratoClinical Trial Coordinating Center, AOU Careggi, Istituto Toscano Tumori“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of Prato“Sandro Pitigliani” Medical Oncology Department, Hospital of PratoAbstract Currently, there is limited data regarding the effectiveness of standard subsequent line therapies such as endocrine therapy, chemotherapy, or targeted agents after progression on CDK4/6 inhibitor-based regimens. This paper describes time-to-treatment failure beyond progression on palbociclib or palbociclib+endocrine therapy in patients enrolled in the phase II, multicenter TREnd trial. Our results indicate that there is limited benefit from post-palbociclib treatment, regardless of the type of therapy received. A small population of long responders were identified who demonstrated ongoing benefit from a subsequent line of endocrine therapy after progression to palbociclib-based regimens. A translational research program is ongoing on this population of outliers.http://link.springer.com/article/10.1186/s13058-019-1149-5Metastatic breast cancerCDK4/6 inhibitorsPalbociclibBest sequenceTREnd trial
spellingShingle Lorenzo Rossi
Chiara Biagioni
Amelia McCartney
Ilenia Migliaccio
Giuseppe Curigliano
Giuseppina Sanna
Erica Moretti
Alessandro M. Minisini
Saverio Cinieri
Carlo Tondini
Grazia Arpino
Antonio Bernardo
Angelo Martignetti
Emanuela Risi
Marta Pestrin
Luca Boni
Matteo Benelli
Laura Biganzoli
Angelo Di Leo
Luca Malorni
Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
Breast Cancer Research
Metastatic breast cancer
CDK4/6 inhibitors
Palbociclib
Best sequence
TREnd trial
title Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
title_full Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
title_fullStr Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
title_full_unstemmed Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
title_short Clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and HER2-negative metastatic breast cancer enrolled in the TREnd trial
title_sort clinical outcomes after palbociclib with or without endocrine therapy in postmenopausal women with hormone receptor positive and her2 negative metastatic breast cancer enrolled in the trend trial
topic Metastatic breast cancer
CDK4/6 inhibitors
Palbociclib
Best sequence
TREnd trial
url http://link.springer.com/article/10.1186/s13058-019-1149-5
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