Prolonging the lives of African-Americans with metastatic breast cancer by adding palbociclib to an aromatase inhibitor in routine clinical practice: a plain language summary of a real-world database study

Future Oncol. 2024;20(19):1299-1307. doi: 10.2217/fon-2023-1079. Epub 2024 Mar 22.

Abstract

What is this summary about?: This summary is about a study that was published in the medical journal The Oncologist 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 hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) metastatic breast cancer (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 de-identified 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.Clinical Trial Registration: NCT05361655 (ClinicalTrials.gov).

Keywords: African American; metastatic breast cancer; palbociclib; real-world study.

Plain language summary

Effectiveness of palbociclib plus an aromatase inhibitor in African Americans with metastatic breast cancer in routine clinical practice: a plain language summary.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Aromatase Inhibitors* / therapeutic use
  • Black or African American* / statistics & numerical data
  • Breast Neoplasms* / drug therapy
  • Breast Neoplasms* / pathology
  • Databases, Factual*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Metastasis
  • Piperazines* / therapeutic use
  • Pyridines* / therapeutic use
  • Receptor, ErbB-2 / metabolism
  • United States

Substances

  • Piperazines
  • palbociclib
  • Aromatase Inhibitors
  • Pyridines
  • Receptor, ErbB-2

Associated data

  • ClinicalTrials.gov/NCT05361655