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| ID | Type | Description | Link |
|---|---|---|---|
| NCT02499146 | Registry Identifier | ClinicalTrials.gov |
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As part of the global clinical development program for Palbociclib, studies are planned in cancer patients in China. An assessment of Palbociclib pharmacokinetics in Chinese patients, as required by the Chinese Health Authorities, is therefore warranted. In addition, safety and efficacy will be also evaluated.
The single and multiple 125 mg oral dose pharmacokinetics of Palbociclib will be characterized.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Combination therapy of palbociclib and letrozole |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palbociclib | Drug | 125 mg orally once daily with food on Day 1 to Day 21 followed by 7 days off treatment in a 28-day cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Single-dose Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) for Palbociclib | Cmax of palbociclib in the single-dose part (lead-in phase) was observed directly from data. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Time to Reach Maximum Plasma Concentration (Tmax) for Palbociclib | Tmax for palbociclib in the single-dose part (lead-in phase) was observed directly from data as time of first occurrence. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Area Under the Plasma Concentration Versus Time Curve (AUC) From Time 0 to the Time 10 Hours (AUC10) for Palbociclib | AUC10 for palbociclib in the single-dose part (lead-in phase) was obtained by linear/log trapezoidal method. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, and 10 hours post dose |
| Single-dose PK: AUC From Time 0 to the Time 24 Hours (AUC24) for Palbociclib | AUC24 is AUCtau, where the dosing interval (tau) is 24 hours. AUC24 in the single-dose part (lead-in phase) for palbociclib was obtained by linear/log trapezoidal method. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, and 24 hours post dose |
| Single-dose PK: AUC From Time 0 to the Time of Last Quantifiable Concentration (AUClast) for Palbociclib | AUClast for palbociclib in the single-dose part (lead-in phase) was obtained by linear/log trapezoidal method. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: AUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Palbociclib |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Treatment-emergent AEs were those with initial onset or increasing in severity on or after the first dose of investigational product administration. AEs included both SAEs and non-serious AEs. Causality to study treatment was determined by the investigator. |
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Inclusion Criteria:
ER(+), HER2(-), postmenopausal adult (ages 18-65 years, inclusive) Chinese women with proven diagnosis of adenocarcinoma of the breast with evidence locoregionally recurrent or metastatic disease not amenable to resection or radiation therapy with curative intent and for whom chemotherapy is not clinically indicated.
a. Postmenopausal women: i. Prior bilateral surgical oophorectomy; or ii. Medically confirmed post-menopausal status defined as spontaneous cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause b. Documentation of histologically or cytologically confirmed diagnosis of: i. ER(+) breast cancer. c. Documentation of HER2(-) breast cancer. d. Previously untreated with any systemic anti cancer therapy for their locoregionally recurrent or metastatic ER+ disease.
Measurable disease as defined per RECIST v.1.1 or bone-only disease. - Tumor lesions previously irradiated or subjected to other locoregional therapy will only be deemed measurable if disease progression at the treated site after completion of therapy is clearly documented.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital/Oncology department | Beijing | Beijing Municipality | 100142 | China | ||
| Sun Yat-Sen University Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34554584 | Derived | Yu Y, Sun W, Liu Y, Wang D. Pharmacodynamic Modeling of CDK4/6 Inhibition-Related Biomarkers and the Characterization of the Relationship Between Biomarker Response and Progression-Free Survival in Patients With Advanced Breast Cancer. J Clin Pharmacol. 2022 Mar;62(3):376-384. doi: 10.1002/jcph.1971. Epub 2021 Nov 16. | |
| 33835229 |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
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| ID | Title | Description |
|---|---|---|
| FG000 | Palbociclib + Letrozole | Participants received a single dose of palbociclib 125 milligrams (mg) orally on Day 1 during the 5-day lead-in phase and received once daily (QD) from Day 1 to Day 21 (followed by 7 days off-treatment) during each 28-day treatment cycle. A treatment cycle was defined as 28 days in duration and Cycle 1 started on Day 6 of lead-in phase as Cycle 1 Day 1. Letrozole 2.5 mg was administered orally QD from Days 1 to 5 during the 5-day lead-in phase and from Days 1 to 28 during each 28-day treatment cycle. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All enrolled participants who received at least 1 dose of study medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Palbociclib + Letrozole | Participants received palbociclib 125 milligrams (mg) orally once daily (QD) on Day 1 during the 5-day lead-in phase and from Day 1 to Day 21 (followed by 7 days off-treatment) during each treatment cycle. A treatment cycle was defined as 28 days in duration and Cycle 1 was started with Day 6 of lead-in phase as Cycle 1 Day 1. Letrozole 2.5 mg was administered orally QD from Days 1 to 5 during the 5-day lead-in phase and from Days 1 to 28 during each 28-day treatment cycle. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Single-dose Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) for Palbociclib | Cmax of palbociclib in the single-dose part (lead-in phase) was observed directly from data. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanograms per milliliter (ng/mL) | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
|
From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks)
The same event may appear as both an AE and an SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Palbociclib + Letrozole | Participants received a single dose of palbociclib 125 milligrams (mg) orally on Day 1 during the 5-day lead-in phase and received orally once daily (QD) from Day 1 to Day 21 (followed by 7 days off-treatment) during each 28-day treatment cycle. A treatment cycle was defined as 28 days in duration and Cycle 1 started on Day 6 of lead-in phase as Cycle 1 Day 1. Letrozole 2.5 mg was administered orally QD from Days 1 to 5 during the 5-day lead-in phase and from Days 1 to 28 during each 28-day treatment cycle. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Drug-induced liver injury | Hepatobiliary disorders | MedDRA 27.1 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 16, 2019 | Dec 2, 2025 | Prot_002.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 16, 2016 | Dec 2, 2025 | SAP_003.pdf |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
| D000077289 | Letrozole |
| ID | Term |
|---|---|
| D009570 | Nitriles |
| D009930 | Organic Chemicals |
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 |
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| Letrozole | Drug | 2.5 mg , orally once daily (continuously) |
|
AUCinf for palbociclib in the single-dose part (lead-in phase) was calculated as AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis and kel was the rate constant for terminal phase obtained by linear regression of the log-linear concentration-time curve. |
| Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Rate Constant for Terminal Phase (Kel) for Palbociclib | Kel for palbociclib in the single-dose part (lead-in phase) was obtained by linear regression of the log-linear concentration-time curve. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Mean Residence Time (MRT) for Palbociclib | MRT for palbociclib in the single-dose part (lead-in phase) was calculated as AUMCinf/AUCinf, where AUMCinf was area under the first moment curve from time 0 to infinity. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Terminal Half-Life (t1/2) for Palbociclib | t1/2 for palbociclib in the single-dose part (lead-in phase) was calculated as Loge(2)/kel. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Apparent Oral Clearance (CL/F) for Palbociclib | CL/F for palbociclib in the single-dose part (lead-in phase) was calculated as Dose/AUCinf. | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Single-dose PK: Apparent Volume of Distribution (Vz/F) for Palbociclib | Vz/F for palbociclib in the single-dose part (lead-in phase) was calculated as Dose/(AUCinf * kel). | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
| Multiple-dose PK: Maximum Plasma Concentration at Steady State (Css,Max) for Palbociclib | Css,max of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
| Multiple-dose PK: Minimum Plasma Concentration at Steady State (Css,Min) for Palbociclib | Css,min of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
| Multiple-dose PK: AUC Within a Dosing Interval of Tau (=24 Hours) at Steady State (AUCss,Tau) for Palbociclib | AUCss,tau of palbociclib in the multiple-dose part (Cycle 1) was determined by linear/log trapezoidal method. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
| Multiple-dose PK: Average Plasma Concentration at Steady State (Css,av) for Palbociclib | Css,av of palbociclib in the multiple-dose part (Cycle 1) was calculated as AUCss,tau/tau, where tau was 24 hours. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
| Multiple-dose PK: Time to Reach Maximum Plasma Concentration at Steady State (Tss,Max) for Palbociclib | Tss,max of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data as time of first occurrence within tau (=24 hours) at steady state. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
| Multiple-dose PK: Vz/F for Palbociclib | Vz/F of palbociclib in the multiple-dose part (Cycle 1) was calculated as Dose/(AUCss,tau * kel), where AUCss,tau was the AUC within a dosing interval of tau (=24 hours) at steady state and kel was the terminal phase rate constant following multiple-dose calculated by a linear regression of the log-linear concentration-time curve. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
| Multiple-dose PK: t1/2 for Palbociclib | t1/2 of palbociclib in the multiple-dose part (Cycle 1) was calculated as ln (2)/kel, where kel was the terminal phase rate constant following multiple-dose calculated by a linear regression of the log-linear concentration-time curve. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
| Multiple-dose PK: CL/F for Palbociclib | CL/F of palbociclib in the multiple-dose part (Cycle 1) was calculated as Dose/AUCss,tau, where AUCss,tau was the AUC within a dosing interval of tau (=24 hours) at steady state. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
| Multiple-dose PK: Peak to Trough Fluctuation at Steady State (PTF) for Palbociclib | PTF of palbociclib in the multiple-dose part (Cycle 1) was determined as (Css,max - Css,min)/Css,av. Css,max and Css,min were observed directly from data while Css,av was calculated as AUCss,tau/tau, where tau was 24 hours. | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
| Observed Accumulation Ratio (Rac) for Palbociclib | Rac of palbociclib was determined as AUCss,tau/AUCsd,tau, where AUCss,tau (tau=24 hours) was from multiple-dose part (Cycle 1) and AUCsd,tau was AUC24 from single-dose part (lead-in phase). | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, and 24 hours post dose; Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
| Steady State Accumulation Ratio (Rss) for Palbociclib | Rss of palbociclib was calculated as AUCss,tau/AUCinf, where AUCss,tau (tau=24 hours) was from multiple-dose part (Cycle 1) and AUCinf was from single-dose part (lead-in phase). | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose; Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24 hours post dose on Day 21 |
| From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
| Number of Participants With Treatment-Emergent AEs by Maximum National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade | An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Treatment-emergent AEs were those with initial onset or increasing in severity on or after the first dose of investigational product administration. AEs included both SAEs and non-serious AEs. Causality to study treatment was determined by the investigator. AEs were graded by NCI CTCAE version 4.0: Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
| Number of Participants With Laboratory Test Abnormalities | The number of participants with the following laboratory test abnormalities meeting any of the Grades 1 to 4 criteria per the NCI CTCAE (version 4.0) is summarized: anemia, lymphopenia, neutropenia, platelet count decreased, white blood cell (WBC) decreased, alanine aminotransferase (ALT) increased, alkaline phosphatase increased, aspartate aminotransferase (AST) increased, bilirubin (total) increased, creatinine increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, and hyponatremia. Grade 1=mild, Grade 2=moderate, Grade 3=severe and Grade 4=life-threatening. One participant might had more than 1 laboratory test abnormality. | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
| Number of Participants Meeting the Categorical Summarization Criteria for QTcF and QTcB Parameters | QT interval (time from electrocardiogram [ECG] Q wave and the end of the T wave corresponding to electrical systole) corrected for heart rate using Fridericia's formula was QTcF and QT interval corrected for heart rate using Bazett's formula was QTcB. Categorical summarization criteria for QTcF and QTcB were as follows: 1) maximum absolute value of <450 milliseconds (msec), >=450 to <=480 msec, >=481 to <=500 msec, or >=500 msec; 2) maximum increase from baseline of <30 msec, >=30 to <60 msec, or >=60 msec. One participant could be reported under more than 1 categorical summarization criteria for QTcF and QTcB Parameters. | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
| Progression-Free Survival (PFS) | PFS was defined as the time from Cycle 1 Day 1 (C1D1) to date of first documentation of disease progression (PD) or death due to any cause, whichever occurred first. Documentation of progression was by objective disease assessment as defined by the Response Evaluation Criteria in Solid Tumor (RECIST) (version 1.1). PD was defined as a >=20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 millimeter (mm); or unequivocal progression of pre-existing lesions for non-target disease; or appearance of new unequivocal malignant lesions. Median PFS was estimated using the Kaplan-Meier method. | From C1D1 to date of first documentation of PD or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
| Percentage of Participants Achieving Objective Response (Objective Response Rate [ORR]) | ORR was the percentage of participants with an objective response (complete response [CR] or partial response [PR]). Per RECIST (version 1.1). CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions. | From C1D1 until disease progression or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
| Percentage of Participants Achieving Disease Control (Disease Control Rate [DCR]) | Disease control (DC) = CR, PR or stable disease (SD) >= 24 weeks according to RECIST version 1.1 recorded from C1D1 until disease progression or death due to any cause. CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). SD: Does not qualify for CR, PR or progression. PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or appearance of new unequivocal malignant lesions. | From C1D1 until disease progression or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
| Duration of Response | Duration of response was the time from first documentation of CR or PR to date of first documentation of PD or death for the participants with an objective response (CR or PR). Per RECIST (version 1.1). CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions. Kaplan-Meier method was used. | From first documentation of CR or PR to date of first documentation of objective progression or death, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
| 1-Year PFS Probability | PFS was defined as the time from C1D1 to date of first documentation of PD or death due to any cause, whichever occurred first. Documentation of progression was by objective disease assessment as defined by the RECIST (version 1.1). PD was defined as a >=20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 millimeter (mm); or unequivocal progression of pre-existing lesions for non-target disease; or appearance of new unequivocal malignant lesions. One-year PFS probability was defined as the probability (expressed as percentage) of PFS at 1 year after C1D1. PFS probability was determined using the Kaplan-Meier method. | 1 year |
| Trough Plasma Concentration of Letrozole | Plasma samples were analyzed for letrozole concentrations using a validated, sensitive and specific high-performance liquid chromatography tandem mass spectrometric (HPLC/MS/MS) method. | pre-dose of Cycle 1 Days 19, 20, 21 and Cycle 2 Day 1 |
| Ratio Over Baseline for Skin Biomarker Phosphorylated Retinoblastoma Protein (pRb) Expression | The pRb was one of the skin biomarkers and samples were assayed using immunohistochemistry (IHC) method. Ratio over baseline was calculated by dividing the H-score value for pRb at each specified time point by baseline value. The H-score value, which could range from 0 to 300 (strongest expression) with higher score representing stronger expression, was calculated from the total of each individual intensity of staining (0 [negative], 1+ [weak], 2+ [moderate], 3+ [strong]) multiplied by the percentages of cells (0 to 100) that represented that staining. | Baseline (Day -1), lead-in phase Days 1 and 2, Cycle 1 Days 21, 22, 23, 24, 25, 26 |
| Ratio Over Baseline for Skin Biomarker Ki67 Expression | The Ki67 was one of the skin biomarkers and samples were assayed using IHC method. Ratio over baseline was calculated by dividing the percentage of Ki67 positive cells at each specified time point by baseline value. | Baseline (Day -1), lead-in phase Days 1 and 2, Cycle 1 Days 21, 22, 23, 24, 25, 26 |
| Ratio Over Baseline for Thymidine Kinase (TK) Concentration | Blood samples were collected to provide serum for the assessments of TK activity. The concentrations of TK were determined using enzyme-linked immunosorbent assay (ELISA) method. Ratio of serum TK concentration at each specified time point over baseline value was presented. | Baseline (Day -1 pre-dose), lead-in phase Day 1 (4, 8, 10, 24, 72, 120 hours post dose), Cycle 1 Day 21 (4, 8, 10, 24, 72, 96, 120 hours post dose), Cycle 2 Day 1 pre-dose |
| Guangzhou |
| Guangdong |
| 510060 |
| China |
| Guangdong General Hospital/Department of Breast Surgery | Guangzhou | Guangdong | 510080 | China |
| Harbin Medical University Cancer Hospital | Harbin | Heilongjiang | 150081 | China |
| The first hospital of jilin university | Changchun | Jilin | 130021 | China |
| The First Affiliated Hospital of College of Medicine, Zhejiang University | Hangzhou | Zhejiang | 310003 | China |
| Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Beijing | 100021 | China |
| Xu B, Li H, Zhang Q, Sun W, Yu Y, Li W, Wang S, Liao N, Shen P, Liu Y, Huang Y, Linn C, Zhao H, Jiang J, Wang D. Pharmacokinetics, safety, activity, and biomarker analysis of palbociclib plus letrozole as first-line treatment for ER+/HER2- advanced breast cancer in Chinese women. Cancer Chemother Pharmacol. 2021 Jul;88(1):131-141. doi: 10.1007/s00280-021-04263-9. Epub 2021 Apr 9. |
| Participant refused continued treatment for reason other than adverse event |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
|
|
| Primary | Single-dose PK: Time to Reach Maximum Plasma Concentration (Tmax) for Palbociclib | Tmax for palbociclib in the single-dose part (lead-in phase) was observed directly from data as time of first occurrence. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Median | Full Range | hours | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
|
|
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| Primary | Single-dose PK: Area Under the Plasma Concentration Versus Time Curve (AUC) From Time 0 to the Time 10 Hours (AUC10) for Palbociclib | AUC10 for palbociclib in the single-dose part (lead-in phase) was obtained by linear/log trapezoidal method. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanograms*hour per milliliter (ng*hr/mL) | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, and 10 hours post dose |
|
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| Primary | Single-dose PK: AUC From Time 0 to the Time 24 Hours (AUC24) for Palbociclib | AUC24 is AUCtau, where the dosing interval (tau) is 24 hours. AUC24 in the single-dose part (lead-in phase) for palbociclib was obtained by linear/log trapezoidal method. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, and 24 hours post dose |
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|
| Primary | Single-dose PK: AUC From Time 0 to the Time of Last Quantifiable Concentration (AUClast) for Palbociclib | AUClast for palbociclib in the single-dose part (lead-in phase) was obtained by linear/log trapezoidal method. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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|
| Primary | Single-dose PK: AUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Palbociclib | AUCinf for palbociclib in the single-dose part (lead-in phase) was calculated as AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis and kel was the rate constant for terminal phase obtained by linear regression of the log-linear concentration-time curve. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Single-dose PK: Rate Constant for Terminal Phase (Kel) for Palbociclib | Kel for palbociclib in the single-dose part (lead-in phase) was obtained by linear regression of the log-linear concentration-time curve. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Mean | Standard Deviation | per hour | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Single-dose PK: Mean Residence Time (MRT) for Palbociclib | MRT for palbociclib in the single-dose part (lead-in phase) was calculated as AUMCinf/AUCinf, where AUMCinf was area under the first moment curve from time 0 to infinity. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Mean | Standard Deviation | hours | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Single-dose PK: Terminal Half-Life (t1/2) for Palbociclib | t1/2 for palbociclib in the single-dose part (lead-in phase) was calculated as Loge(2)/kel. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Mean | Standard Deviation | hours | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Single-dose PK: Apparent Oral Clearance (CL/F) for Palbociclib | CL/F for palbociclib in the single-dose part (lead-in phase) was calculated as Dose/AUCinf. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters per hour (L/hr) | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Single-dose PK: Apparent Volume of Distribution (Vz/F) for Palbociclib | Vz/F for palbociclib in the single-dose part (lead-in phase) was calculated as Dose/(AUCinf * kel). | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose |
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| Primary | Multiple-dose PK: Maximum Plasma Concentration at Steady State (Css,Max) for Palbociclib | Css,max of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: Minimum Plasma Concentration at Steady State (Css,Min) for Palbociclib | Css,min of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: AUC Within a Dosing Interval of Tau (=24 Hours) at Steady State (AUCss,Tau) for Palbociclib | AUCss,tau of palbociclib in the multiple-dose part (Cycle 1) was determined by linear/log trapezoidal method. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: Average Plasma Concentration at Steady State (Css,av) for Palbociclib | Css,av of palbociclib in the multiple-dose part (Cycle 1) was calculated as AUCss,tau/tau, where tau was 24 hours. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: Time to Reach Maximum Plasma Concentration at Steady State (Tss,Max) for Palbociclib | Tss,max of palbociclib in the multiple-dose part (Cycle 1) was observed directly from data as time of first occurrence within tau (=24 hours) at steady state. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Median | Full Range | hours | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: Vz/F for Palbociclib | Vz/F of palbociclib in the multiple-dose part (Cycle 1) was calculated as Dose/(AUCss,tau * kel), where AUCss,tau was the AUC within a dosing interval of tau (=24 hours) at steady state and kel was the terminal phase rate constant following multiple-dose calculated by a linear regression of the log-linear concentration-time curve. | All enrolled and treated participants who had at least 1 PK parameter of primary interest and a well characterized terminal phase in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | Liters | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: t1/2 for Palbociclib | t1/2 of palbociclib in the multiple-dose part (Cycle 1) was calculated as ln (2)/kel, where kel was the terminal phase rate constant following multiple-dose calculated by a linear regression of the log-linear concentration-time curve. | All enrolled and treated participants who had at least 1 PK parameter of primary interest and a well characterized terminal phase in the multiple-dose part . | Posted | Mean | Standard Deviation | hours | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: CL/F for Palbociclib | CL/F of palbociclib in the multiple-dose part (Cycle 1) was calculated as Dose/AUCss,tau, where AUCss,tau was the AUC within a dosing interval of tau (=24 hours) at steady state. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | L/hr | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
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| Primary | Multiple-dose PK: Peak to Trough Fluctuation at Steady State (PTF) for Palbociclib | PTF of palbociclib in the multiple-dose part (Cycle 1) was determined as (Css,max - Css,min)/Css,av. Css,max and Css,min were observed directly from data while Css,av was calculated as AUCss,tau/tau, where tau was 24 hours. | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24, 48, 72, 96, 120 hours post dose on Day 21 |
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| Primary | Observed Accumulation Ratio (Rac) for Palbociclib | Rac of palbociclib was determined as AUCss,tau/AUCsd,tau, where AUCss,tau (tau=24 hours) was from multiple-dose part (Cycle 1) and AUCsd,tau was AUC24 from single-dose part (lead-in phase). | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose and multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, and 24 hours post dose; Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, and 24 hours post dose on Day 21 |
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| Primary | Steady State Accumulation Ratio (Rss) for Palbociclib | Rss of palbociclib was calculated as AUCss,tau/AUCinf, where AUCss,tau (tau=24 hours) was from multiple-dose part (Cycle 1) and AUCinf was from single-dose part (lead-in phase). | All enrolled and treated participants who had at least 1 PK parameter of primary interest in the single-dose and multiple-dose part. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Lead-in phase: Day 1 pre-dose, 2, 4, 6, 8, 10, 24, 48, 72, 96 and 120 hours post dose; Cycle 1: pre-dose on Day 19, Day 20, Day 21, and 2, 4, 6, 8, 10, 24 hours post dose on Day 21 |
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|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Treatment-emergent AEs were those with initial onset or increasing in severity on or after the first dose of investigational product administration. AEs included both SAEs and non-serious AEs. Causality to study treatment was determined by the investigator. | Safety analysis set included all enrolled participants who received at least 1 dose of study medication. | Posted | Count of Participants | Participants | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
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|
| Secondary | Number of Participants With Treatment-Emergent AEs by Maximum National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade | An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Treatment-emergent AEs were those with initial onset or increasing in severity on or after the first dose of investigational product administration. AEs included both SAEs and non-serious AEs. Causality to study treatment was determined by the investigator. AEs were graded by NCI CTCAE version 4.0: Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. | Safety analysis set included all enrolled participants who received at least 1 dose of study medication. | Posted | Count of Participants | Participants | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
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|
|
| Secondary | Number of Participants With Laboratory Test Abnormalities | The number of participants with the following laboratory test abnormalities meeting any of the Grades 1 to 4 criteria per the NCI CTCAE (version 4.0) is summarized: anemia, lymphopenia, neutropenia, platelet count decreased, white blood cell (WBC) decreased, alanine aminotransferase (ALT) increased, alkaline phosphatase increased, aspartate aminotransferase (AST) increased, bilirubin (total) increased, creatinine increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, and hyponatremia. Grade 1=mild, Grade 2=moderate, Grade 3=severe and Grade 4=life-threatening. One participant might had more than 1 laboratory test abnormality. | Safety analysis set included all enrolled participants who received at least 1 dose of study medication. | Posted | Count of Participants | Participants | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
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|
|
| Secondary | Number of Participants Meeting the Categorical Summarization Criteria for QTcF and QTcB Parameters | QT interval (time from electrocardiogram [ECG] Q wave and the end of the T wave corresponding to electrical systole) corrected for heart rate using Fridericia's formula was QTcF and QT interval corrected for heart rate using Bazett's formula was QTcB. Categorical summarization criteria for QTcF and QTcB were as follows: 1) maximum absolute value of <450 milliseconds (msec), >=450 to <=480 msec, >=481 to <=500 msec, or >=500 msec; 2) maximum increase from baseline of <30 msec, >=30 to <60 msec, or >=60 msec. One participant could be reported under more than 1 categorical summarization criteria for QTcF and QTcB Parameters. | Safety analysis set included all enrolled participants who received at least 1 dose of study medication. | Posted | Count of Participants | Participants | From first dose of study medication up to 28 days after last dose of study medication (up to maximum of 475 weeks, maximum treatment exposure = 471 weeks) |
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| Secondary | Progression-Free Survival (PFS) | PFS was defined as the time from Cycle 1 Day 1 (C1D1) to date of first documentation of disease progression (PD) or death due to any cause, whichever occurred first. Documentation of progression was by objective disease assessment as defined by the Response Evaluation Criteria in Solid Tumor (RECIST) (version 1.1). PD was defined as a >=20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 millimeter (mm); or unequivocal progression of pre-existing lesions for non-target disease; or appearance of new unequivocal malignant lesions. Median PFS was estimated using the Kaplan-Meier method. | Efficacy analysis set included all enrolled participants who started the treatment of Cycle 1. | Posted | Median | 95% Confidence Interval | Months | From C1D1 to date of first documentation of PD or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
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| Secondary | Percentage of Participants Achieving Objective Response (Objective Response Rate [ORR]) | ORR was the percentage of participants with an objective response (complete response [CR] or partial response [PR]). Per RECIST (version 1.1). CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions. | Efficacy analysis set included all enrolled participants who started the treatment of Cycle 1. | Posted | Number | 95% Confidence Interval | Percentage of participants | From C1D1 until disease progression or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
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| Secondary | Percentage of Participants Achieving Disease Control (Disease Control Rate [DCR]) | Disease control (DC) = CR, PR or stable disease (SD) >= 24 weeks according to RECIST version 1.1 recorded from C1D1 until disease progression or death due to any cause. CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). SD: Does not qualify for CR, PR or progression. PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or appearance of new unequivocal malignant lesions. | Efficacy analysis set included all enrolled participants who started the treatment of Cycle 1. | Posted | Number | 95% Confidence Interval | Percentage of participants | From C1D1 until disease progression or death due to any cause, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
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| Secondary | Duration of Response | Duration of response was the time from first documentation of CR or PR to date of first documentation of PD or death for the participants with an objective response (CR or PR). Per RECIST (version 1.1). CR: complete disappearance of all target lesions except nodal disease or disappearance of all non-target lesions and normalization of tumor marker levels. All target nodes/lymph nodes must decrease to normal size (<10 mm short axis); PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions (short diameter=sum for target nodes; longest diameter=sum for all other target lesions). PD: 20% increase in sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions. Kaplan-Meier method was used. | Efficacy analysis set included all enrolled participants who started the treatment of Cycle 1. Here, 'Overall Number of Participants Analyzed' signifies participants in the efficacy analysis set who achieved an objective response. | Posted | Median | 95% Confidence Interval | Months | From first documentation of CR or PR to date of first documentation of objective progression or death, whichever occurred first (up to maximum of 471 weeks of treatment exposure) |
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| Secondary | 1-Year PFS Probability | PFS was defined as the time from C1D1 to date of first documentation of PD or death due to any cause, whichever occurred first. Documentation of progression was by objective disease assessment as defined by the RECIST (version 1.1). PD was defined as a >=20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 millimeter (mm); or unequivocal progression of pre-existing lesions for non-target disease; or appearance of new unequivocal malignant lesions. One-year PFS probability was defined as the probability (expressed as percentage) of PFS at 1 year after C1D1. PFS probability was determined using the Kaplan-Meier method. | Efficacy analysis set included all enrolled participants who started the treatment of Cycle 1. | Posted | Number | 95% Confidence Interval | Percentage probability | 1 year |
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| Secondary | Trough Plasma Concentration of Letrozole | Plasma samples were analyzed for letrozole concentrations using a validated, sensitive and specific high-performance liquid chromatography tandem mass spectrometric (HPLC/MS/MS) method. | "Number of Participants Analyzed" represents all enrolled and treated participants who had letrozole concentration data. "Number Analyzed" represents the number of such participants who had data at each specified time point. | Posted | Median | Full Range | nanograms per milliliter (ng/mL) | pre-dose of Cycle 1 Days 19, 20, 21 and Cycle 2 Day 1 |
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| Secondary | Ratio Over Baseline for Skin Biomarker Phosphorylated Retinoblastoma Protein (pRb) Expression | The pRb was one of the skin biomarkers and samples were assayed using immunohistochemistry (IHC) method. Ratio over baseline was calculated by dividing the H-score value for pRb at each specified time point by baseline value. The H-score value, which could range from 0 to 300 (strongest expression) with higher score representing stronger expression, was calculated from the total of each individual intensity of staining (0 [negative], 1+ [weak], 2+ [moderate], 3+ [strong]) multiplied by the percentages of cells (0 to 100) that represented that staining. | All enrolled and treated participants who had both pre-dose value and at least 1 post dose value for at least 1 biomarker. "Number Analyzed" refers to the number of evaluable participants for each specified time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Baseline (Day -1), lead-in phase Days 1 and 2, Cycle 1 Days 21, 22, 23, 24, 25, 26 |
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| Secondary | Ratio Over Baseline for Skin Biomarker Ki67 Expression | The Ki67 was one of the skin biomarkers and samples were assayed using IHC method. Ratio over baseline was calculated by dividing the percentage of Ki67 positive cells at each specified time point by baseline value. | All enrolled and treated participants who had both pre-dose value and at least 1 post dose value for at least 1 biomarker. "Number Analyzed" refers to the number of evaluable participants for each specified time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Baseline (Day -1), lead-in phase Days 1 and 2, Cycle 1 Days 21, 22, 23, 24, 25, 26 |
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| Secondary | Ratio Over Baseline for Thymidine Kinase (TK) Concentration | Blood samples were collected to provide serum for the assessments of TK activity. The concentrations of TK were determined using enzyme-linked immunosorbent assay (ELISA) method. Ratio of serum TK concentration at each specified time point over baseline value was presented. | All enrolled and treated participants who had both pre-dose value and at least 1 post dose value for at least 1 biomarker. "Number Analyzed" refers to the number of evaluable participants for each specified time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Baseline (Day -1 pre-dose), lead-in phase Day 1 (4, 8, 10, 24, 72, 120 hours post dose), Cycle 1 Day 21 (4, 8, 10, 24, 72, 96, 120 hours post dose), Cycle 2 Day 1 pre-dose |
|
|
|
| 0 |
| 26 |
| 4 |
| 26 |
| 26 |
| 26 |
| Pneumonia | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Abscess | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Osteomyelitis | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Pneumonia viral | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Lenticular opacities | Eye disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Gingival pain | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Gingival ulceration | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Mouth ulceration | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood cholesterol increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood glucose increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood insulin increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Blood triglycerides increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Haemoglobin decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Low density lipoprotein increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Red blood cell count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Weight increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
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| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Joint stiffness | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
|
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| Title | Measurements |
|---|---|
|
| Treatment-emergent SAEs (treatment-related) |
|
| Title | Measurements |
|---|
|
| Grade 4 |
|
| Grade 5 |
|
| Title | Measurements |
|---|---|
|
| Platelet count decreased |
|
| WBC decreased |
|
| ALT increased |
|
| Alkaline phosphatase increased |
|
| AST increased |
|
| Bilirubin (total) increased |
|
| Creatinine increased |
|
| Hypercalcemia |
|
| Hyperglycemia |
|
| Hyperkalemia |
|
| Hypermagnesemia |
|
| Hypernatremia |
|
| Hypoalbuminemia |
|
| Hypocalcemia |
|
| Hypoglycemia |
|
| Hypokalemia |
|
| Hypomagnesemia |
|
| Hyponatremia |
|
| Title | Measurements |
|---|---|
|
| Maximum QTcF >500 msec |
|
| Maximum increase in QTcF <30 msec |
|
| Maximum increase in QTcF >=30 to <60 msec |
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| Maximum increase in QTcF >=60 msec |
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| Maximum QTcB <450 msec |
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| Maximum QTcB >=450 to <=480 msec |
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| Maximum QTcB >=481 to <=500 msec |
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| Maximum QTcB >500 msec |
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| Maximum increase in QTcB <30 msec |
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| Maximum increase in QTcB >=30 to <60 msec |
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| Maximum increase in QTcB >=60 msec |
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| Cycle 1 Day 21 pre-dose |
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| Cycle 2 Day 1 pre-dose |
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| Cycle 1 Day 21 |
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| Cycle 1 Day 22 |
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| Cycle 1 Day 23 |
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| Cycle 1 Day 24 |
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| Cycle 1 Day 25 |
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| Cycle 1 Day 26 |
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| Cycle 1 Day 21 |
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| Cycle 1 Day 22 |
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| Cycle 1 Day 23 |
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| Cycle 1 Day 24 |
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| Cycle 1 Day 25 |
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| Cycle 1 Day 26 |
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| Lead-in phase Day 1, 10 hours post dose |
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| Lead-in phase Day 1, 24 hours post dose |
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| Lead-in phase Day 1, 72 hours post dose |
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| Lead-in phase Day 1, 120 hours post dose |
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| Cycle 1 Day 21, 4 hours post dose |
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| Cycle 1 Day 21, 8 hours post dose |
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| Cycle 1 Day 21, 10 hours post dose |
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| Cycle 1 Day 21, 24 hours post dose |
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| Cycle 1 Day 21, 48 hours post dose |
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| Cycle 1 Day 21, 72 hours post dose |
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| Cycle 1 Day 21, 96 hours post dose |
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| Cycle 1 Day 21, 120 hours post dose |
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| Cycle 2 Day 1, pre-dose |
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