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Table 3 Safety analysis of subgroups (as treated population)

From: Efficacy and safety of palbociclib in combination with letrozole as first-line treatment of ER-positive, HER2-negative, advanced breast cancer: expanded analyses of subgroups from the randomized pivotal trial PALOMA-1/TRIO-18

Age group

<65 years (n = 86)

≥65 years (n = 74)

 

P+ L (n = 46)

L (n = 40)

P + L (n = 37)

L (n = 37)

AEs (all causality), n (%)

46 (100.0 %)

33 (82.5 %)

37 (100.0 %)

32 (86.5 %)

Grade 3–4 AEs (all causality), n (%)

37 (80.4 %)

4 (10.0 %)

27 (73.0 %)

12 (32.4 %)

5 most common AEs that had a higher (>10 %) incidence in the P + L arm than in the L arm

Neutropenia, leukopenia, fatigue, anemia, alopecia

Neutropenia, leukopenia, fatigue, anemia, nausea

SAEs (all causality), n (%)

7 (15.2 %)

1 (2.5 %)

11 (29.7 %)

4 (10.8 %)

Permanent discontinuation due to AEs (all causality), n (%)

6 (13.0 %)

1 (2.5 %)

6 (16.2 %)

1 (2.7 %)

Dose reductions due to AEs (all causality), n (%)

18 (39.1 %)

NA

14 (37.8 %)

NA

Histological type

Ductal carcinoma (n = 113)

Lobular carcinoma (n = 36)

 

P+ L (n = 62)

L (n = 51)

P + L (n = 18)

L (n = 18)

AEs (all causality), n (%)

62 (100.0 %)

44 (86.3 %)

18 (100.0 %)

13 (72.2 %)

Grade 3–4 AEs (all causality), n (%)

47 (75.8 %)

13 (25.5 %)

14 (77.8 %)

2 (11.1 %)

5 most common AEs that had a higher (>10 %) incidence in the P + L arm than in the L arm

Neutropenia, fatigue, leukopenia, anemia, nausea

Neutropenia, anemia, leukopenia, asthenia, alopecia

SAEs (all causality), n (%)

12 (19.4 %)

5 (9.8 %)

4 (22.2 %)

0

Permanent discontinuation due to AEs (all causality), n (%)

8 (12.9 %)

1 (2.0 %)

4 (22.2 %)

1 (5.6 %)

Dose reductions due to AEs (all causality), n (%)

27 (43.5 %)

NA

5 (27.8 %)

NA

Prior systemic treatment

None (n = 80)

Yes (n = 80)

 

P+ L (n = 43)

L (n = 37)

P + L (n = 40)

L (n = 40)

AEs (all causality), n (%)

43 (100.0 %)

32 (86.5 %)

40 (100.0 %)

33 (82.5 %)

Grade 3–4 AEs (all causality), n (%)

30 (69.8 %)

5 (13.5 %)

34 (85.0 %)

11 (27.5 %)

5 most common AEs that had a higher (>10 %) incidence in the P + L arm than in the L arm

Neutropenia, fatigue, leukopenia, anemia, alopecia

Neutropenia, leukopenia, anemia, nausea, thrombocytopenia

SAEs (all causality), n (%)

7 (16.3 %)

2 (5.4 %)

11 (27.5 %)

3 (7.5 %)

Permanent discontinuation due to AEs (all causality), n (%)

7 (16.3 %)

1 (2.7 %)

5 (12.5 %)

1 (2.5 %)

Dose reductions due to AEs (all causality), n (%)

17 (39.5 %)

NA

15 (37.5 %)

NA

Disease sitea

Bone-only (n = 28)

Visceral (n = 80)

Other (n = 52)

 

P + L (n = 17)

L (n = 11)

P + L (n = 37)

L (n = 43)

P + L (n = 29)

L (n = 23)

AEs (all causality), n (%)

17 (100.0 %)

10 (90.9 %)

37 100.0 %)

36 (83.7 %)

29 (100.0 %)

19 (82.6 %)

Grade 3–4 AEs (all causality), n (%)

15 (88.2 %)

2 (18.2 %)

27 (73.0 %)

12 (27.9 %)

22 (75.8 %)

2 (8.7 %)

5 most common AEs that had a higher (>10 %) incidence in the P + L arm than in the L arm

Neutropenia, fatigue, leukopenia, nausea, anemia

Neutropenia, leukopenia, fatigue, anemia, decreased appetite

Neutropenia, leukopenia, anemia fatigue, hot flush

SAEs (all causality), n (%)

4 (23.5 %)

1 (9.1 %)

10 (27.0 %)

3 (7.0 %)

4 (13.8 %)

1 (4.3 %)

Permanent discontinuation due to AEs (all causality), n (%)

2 (11.8 %)

0

7 (18.9 %)

1 (2.3 %)

3 (10.3 %)

1 (4.3 %)

Dose reductions due to AEs (all causality), n (%)

5 (29.4 %)

NA

14 (37.8 %)

NA

13 (44.8 %)

NA

  1. aBased on case report form data
  2. AE adverse event, L letrozole alone, NA not applicable, P + L palbociclib + letrozole, SAE serious adverse event