University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Pfizer Inc, New York, NY, USA.
Future Oncol. 2024;20(19):1299-1307. doi: 10.2217/fon-2023-1079. Epub 2024 Mar 22.
WHAT IS THIS SUMMARY ABOUT?: This summary is about a study that was published in the medical journal in July 2023. The combination of palbociclib with an aromatase inhibitor (AI) was approved by the FDA in 2015 as a treatment for people with -positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) breast (MBC). However, the effectiveness of palbociclib in African-Americans with MBC is not well studied. The goal of this study was to find out whether adding palbociclib to an AI helped African-Americans with HR+/HER2- MBC live longer.
WHAT ARE THE KEY TAKEAWAYS?: This study used medical information from the Flatiron Database. This database contains healthcare information on people with cancer treated by doctors in the United States but personal information is removed to maintain privacy. Medical information for people who received certain treatments in routine clinical practice or real-world setting was included in the study.This study showed that in the real-world setting, African-Americans with HR+/HER2- MBC lived longer when receiving palbociclib with an AI than with an AI alone. Also, the study showed that African-Americans treated with palbociclib plus an AI lived longer without their cancer getting worse than those treated with an AI alone.
WHAT WAS THE MAIN CONCLUSION REPORTED BY THE RESEARCHERS?: These results support the use of palbociclib with an AI as a first treatment for African-Americans with HR+/HER2- MBC. NCT05361655 (ClinicalTrials.gov).
这份总结是关于 2023 年 7 月发表在医学杂志上的一项研究。帕博西尼与芳香化酶抑制剂(AI)联合使用于 2015 年获得 FDA 批准,用于治疗激素受体阳性/人表皮生长因子受体 2 阴性(HR+/HER2-)转移性乳腺癌(MBC)患者。然而,帕博西尼在非洲裔美国人 MBC 中的有效性尚未得到充分研究。这项研究的目的是确定在 AI 治疗的基础上加用帕博西尼是否能延长 HR+/HER2- MBC 非洲裔美国人的生存期。
这项研究使用了 Flatiron 数据库中的医疗信息。该数据库包含了美国医生治疗的癌症患者的医疗信息,但为了保护隐私,已删除了个人信息。本研究纳入了在常规临床实践或真实世界环境中接受某些治疗的患者的医疗信息。
这项研究表明,在真实世界环境中,HR+/HER2- MBC 非洲裔美国人接受 AI 联合帕博西尼治疗的生存期长于单独接受 AI 治疗。此外,该研究还表明,与单独接受 AI 治疗相比,接受帕博西尼联合 AI 治疗的非洲裔美国人癌症进展无恶化的生存期更长。
研究人员报告的主要结论是什么?这些结果支持将帕博西尼与 AI 联合作为 HR+/HER2- MBC 非洲裔美国人的一线治疗药物。NCT05361655(ClinicalTrials.gov)。