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Table 2 Initiation dose of palbociclib and patterns of dose reductions among patients treated with palbociclib + letrozole

From: Real-world evidence analysis of palbociclib prescribing patterns for patients with advanced/metastatic breast cancer treated in community oncology practice in the USA one year post approval

 

Overall

Number of palbociclib cycles receiveda

6 cyclesb

4 cyclesc

2 cyclesd

Total patients (n (%)

612

(100)

336

(54.9)

445

(72.7)

524

(85.6)

Patients with known starting dose

417

(68.1)

269

(80.1)

323

(72.6)

367

(70.0)

Patients with unknown starting dose

195

(31.9)

67

(19.9)

122

(27.4)

157

(30.0)

Starting dose (n (% of patients with known starting dose))

        

 125 mg

367

(88.0)

237

(88.1)

283

(87.6)

321

(87.5)

 100 mg

46

(11.0)

30

(11.2)

38

(11.8)

42

(11.4)

 75 mg

4

(1.0)

2

(0.7)

2

(0.6)

4

(1.1)

Number of dose reductions (n (% of patients with known dose))

        

 None

333

(79.9)

185

(68.8)

240

(74.3)

309

(84.2)

  ≥ =1

84

(20.1)

84

(31.2)

83

(25.7)

58

(15.8)

Type of first dose reduction (n (% of patients with known dose))

        

 Reduction from 125 mg to 100 mg

65

(15.6)

65

(24.2)

64

(19.8)

45

(12.3)

 Reduction from 100 mg to 75 mg

6

(1.4)

6

(2.2)

6

(1.9)

5

(1.4)

 Reduction from 125 mg to 75 mg

13

(3.1)

13

(4.8)

13

(4.0)

8

(2.2)

Days to first dose reduction (mean, SD)

48

(31)

48

(31)

48

(31)

46

(31)

  1. aNumber of cycles approximated by time since initiation of treatment of palbociclib as cycle/refill dates not available in the electronic medical record
  2. bInterval from initiation of palbociclib + letrozole through 168 days post initiation among those considered on palbociclib + letrozole at day 168 post initiation
  3. cInterval from initiation of palbociclib + letrozole through 112 days post initiation among those considered on palbociclib + letrozole at day 112 post initiation
  4. dInterval from initiation of palbociclib + letrozole through 56 days post initiation among those considered on palbociclib + letrozole at day 56 post initiation