Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Chemistry Results
Palbociclib (PD-0332991) Combined With Fulvestrant In Hormone Receptor+ HER2-Negative Metastatic Breast Cancer After Endocrine Failure (PALOMA-3) · Source last updated 2024-04-04
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
From baseline to end of treatment/withdrawal (up to 4.5 years)
What was measured
Number of participants with shifts from Grade ≤2 at baseline values to post-baseline values (shift to Grade 3 or 4) were reported as per NCI-CTCAE, V4.0 graded from Grade 1 to 5. Grade 1: Mild; asymptomatic/ mild symptoms; clinical/diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local/noninvasive intervention indicated. Grade 3: Severe/medically significant but not immediately life-threatening; hospitalization/prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Shifts in lab parameter from Grade ≤2 at baseline to Grade 3 or 4 postbaseline (for parameters ALT increased, ALP increased, AST increased, Blood bilirubin increased, Creatinine increased, Hypercalcemia, Hyperkalemia, Hypermagnesemia, Hypernatremia, Hypoalbuminemia, Hypocalcemia, Hypokalemia, Hypomagnesemia, and Hyponatremia) were reported.
Analysis population: The as-treated (AT) population or safety analysis set included all participants who received at least 1 dose of study intervention, with treatment assignments designated according to actual study intervention received.
Groups in this outcome
Palbociclib + Fulvestrant
Participants were administered an initial dose of 125 mg per day orally continuously for 3 weeks followed by 1 week off that can be reduced to 100 mg or 75 mg in case of toxicity; repeated at each subsequent cycle and fulvestrant 500 mg intramuscularly on days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 105 cycles.
Placebo + Fulvestrant
Participants were administered placebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle and Fulvestrant 500 mg intramuscularly on Days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 93 cycles.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
345
Placebo + Fulvestrant
172
Reported measurements
ALT increased
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
10
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
1
Not reported
Not reported
Not reported
Not reported
ALP increased
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
AST increased
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
170
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
13
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
7
Not reported
Not reported
Not reported
Not reported
Blood bilirubin increased
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
3
Not reported
Not reported
Not reported
Not reported
Creatinine increased
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
5
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Hypercalcemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
1
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Hyperkalemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Hypermagnesemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
342
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
7
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Hypernatremia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
1
Not reported
Not reported
Not reported
Not reported
Hypoalbuminemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
342
Placebo + Fulvestrant
171
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
1
Not reported
Not reported
Not reported
Not reported
Hypocalcemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
2
Not reported
Not reported
Not reported
Not reported
Hypokalemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Hypomagnesemia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
342
Placebo + Fulvestrant
171
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
0
Not reported
Not reported
Not reported
Not reported
Hyponatremia
Analysis denominator · Participants
Group
Source count
Palbociclib + Fulvestrant
343
Placebo + Fulvestrant
172
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Palbociclib + Fulvestrant
12
Not reported
Not reported
Not reported
Not reported
Placebo + Fulvestrant
4
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
value
10
group Id
OG001
value
1
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
ALT increased
categories
measurements
group Id
OG000
value
2
group Id
OG001
value
2
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
ALP increased
categories
measurements
group Id
OG000
value
13
group Id
OG001
value
7
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
170
units
Participants
title
AST increased
categories
measurements
group Id
OG000
value
2
group Id
OG001
value
3
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Blood bilirubin increased
categories
measurements
group Id
OG000
value
5
group Id
OG001
value
0
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Creatinine increased
categories
measurements
group Id
OG000
value
1
group Id
OG001
value
0
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Hypercalcemia
categories
measurements
group Id
OG000
value
2
group Id
OG001
value
2
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Hyperkalemia
categories
measurements
group Id
OG000
value
7
group Id
OG001
value
2
denoms
counts
group Id
OG000
value
342
group Id
OG001
value
172
units
Participants
title
Hypermagnesemia
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
1
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Hypernatremia
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
1
denoms
counts
group Id
OG000
value
342
group Id
OG001
value
171
units
Participants
title
Hypoalbuminemia
categories
measurements
group Id
OG000
value
2
group Id
OG001
value
2
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Hypocalcemia
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
0
denoms
counts
group Id
OG000
value
343
group Id
OG001
value
172
units
Participants
title
Hypokalemia
denoms
counts
group Id
OG000
value
345
group Id
OG001
value
172
units
Participants
description
Number of participants with shifts from Grade ≤2 at baseline values to post-baseline values (shift to Grade 3 or 4) were reported as per NCI-CTCAE, V4.0 graded from Grade 1 to 5. Grade 1: Mild; asymptomatic/ mild symptoms; clinical/diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local/noninvasive intervention indicated. Grade 3: Severe/medically significant but not immediately life-threatening; hospitalization/prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Shifts in lab parameter from Grade ≤2 at baseline to Grade 3 or 4 postbaseline (for parameters ALT increased, ALP increased, AST increased, Blood bilirubin increased, Creatinine increased, Hypercalcemia, Hyperkalemia, Hypermagnesemia, Hypernatremia, Hypoalbuminemia, Hypocalcemia, Hypokalemia, Hypomagnesemia, and Hyponatremia) were reported.
groups
description
Participants were administered an initial dose of 125 mg per day orally continuously for 3 weeks followed by 1 week off that can be reduced to 100 mg or 75 mg in case of toxicity; repeated at each subsequent cycle and fulvestrant 500 mg intramuscularly on days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 105 cycles.
id
OG000
title
Palbociclib + Fulvestrant
description
Participants were administered placebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle and Fulvestrant 500 mg intramuscularly on Days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 93 cycles.
id
OG001
title
Placebo + Fulvestrant
param Type
COUNT_OF_PARTICIPANTS
population Description
The as-treated (AT) population or safety analysis set included all participants who received at least 1 dose of study intervention, with treatment assignments designated according to actual study intervention received.
reporting Status
POSTED
time Frame
From baseline to end of treatment/withdrawal (up to 4.5 years)
title
Participants With Shifts From CTCAE Grade ≤2 at Baseline to CTCAE Grade 3 or 4 Postbaseline for Chemistry Results