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Low recruitment
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This was a prospective, multi-national, non-interventional study (NIS) collecting data from postmenopausal women, and adult men, with HR+, HER2- locally advanced or metastatic breast cancer whose tumor harbors a PIK3CA mutation, and who were to be treated with alpelisib in combination with fulvestrant after disease progression following endocrine therapy as monotherapy, in the real-world setting.
Once the patient provided informed consent, he or she was enrolled in the study. Patients were planned to be followed from enrollment until 1) 30 days after alpelisib treatment discontinuation, or 2) death, or 3) lost to follow-up, or 4) patient withdrawal, or 5) physician decision to end treatment/study, or 6) end of the study, whichever occured first. The end of the study was defined as a maximum of 12 months after the date the last patient was enrolled (LPFV); if the last patient was still on treatment on that date, they were not be followed up any further.
Due to very low patient numbers (4 patients, including 2 eligible patients) no statistical analyses were performed. Database lock was achieved without all queries resolved.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| alpelisib in combination with fulvestrant | Patients treated with alpelisib in combination with fulvestrant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alpelisib | Other | Prospective observational PASS study. There was no treatment allocation. Patients recruited on or before their first prescribed dose of alpelisib in combination with fulvestrant were enrolled. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence proportion of hyperglycemia | To assess the incidence of hyperglycemia (Adverse Event of Special Iinterest) observed during follow-up of patients treated with alpelisib in combination with fulvestrant. | Up to 53 months |
| Measure | Description | Time Frame |
|---|---|---|
| Calculated BMI | Calculated BMI will be collected | Baseline |
| Medical history | Number of patients with diabetes mellitus (including gestational diabetes), tobacco use, baseline diabetic status per laboratory values for HbA1c and FPG |
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Inclusion Criteria:
Exclusion Criteria:
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Postmenopausal women, and adult men, with HR+, HER2- locally advanced or metastatic breast cancer whose tumor harbors a PIK3CA mutation, and who were treated with alpelisib in combination with fulvestrant after disease progression following endocrine therapy as monotherapy, in the real-world setting.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
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| Label | URL |
|---|---|
| Link to study results | View source |
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| Fulvestrant | Other | Prospective observational PASS study. There was no treatment allocation. Patients recruited on or before their first prescribed dose of alpelisib in combination with fulvestrant were enrolled. |
|
| Baseline |
| Family history of diabetes mellitus | Yes/ No variable | Baseline |
| Number of patients with concomitant medications known to affect blood glucose levels | Number of patients with concomitant medications known to affect blood glucose levels will be measured | Baseline |
| Number of participants with incidence proportion of ketoacidosis and Hyperglycemic Hyperosmolar Non-Ketotic Syndrome (HHNKS) | Number of participants with incidence proportion of ketoacidosis and HHNKS based on AE data | Up to 53 months |
| Incidence of the Adverse Events of Special Interest (AESI) of Osteonecrosis of the Jaw (ONJ) | Incidence of AESI of Osteonecrosis of the Jaw (ONJ) will be provided | Up to 53 months |
| Number of participants with risk factors for Osteonecrosis of the Jaw (ONJ) observed | Number of participants with risk factors for ONJ will be collected. Risk factors for ONJ include:
| Baseline |
| Incidence proportion of AESIs | The incidence proportion of AESIs:
| Up to 53 months |
| Other safety and tolerability events | The incidence proportion of:
| Up to 53 months |
| Number of patients with hematological and biochemical laboratory abnormalities | Number of patients with hematological and biochemical laboratory abnormalities will be provided | Up to 53 months |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C585539 | Alpelisib |
| D000077267 | Fulvestrant |
| ID | Term |
|---|---|
| D004958 | Estradiol |
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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