Clinical Trials

JBCRG-C10

Optimal therapeutic strategies with CDK4/6 inhibitors based on the real world evidence in patients with HR-positive/HER2-negative advanced and metastatic breast cancer

Status
No Longer Recruiting

Objectives
The purpose of this study is to generate real-world evidence in Japan on the actual treatment of patients with hormone receptor-positive HER2-negative advanced metastatic breast cancer treated with CDK4/6 inhibitors (palbociclib or abemaciclib) as primary or second-line therapy.

Subjects
1) Women over 18 years old
2) Menopausal status is not required.
3) Diagnosed with advanced metastatic breast cancer (AMBC).
4) Confirmed estrogen receptor (ER) positive or progesterone receptor (PgR) positive
5) Confirmed HER2 negative
6) Palbociclib (PAL) or abemaciclib (ABE) initiated in combination with any endocrine therapy as primary or secondary treatment for AMBC between January 1, 2019 and December 31, 2021
7) PAL or ABE administered for at least 2 months
8) No anticancer therapy prior to initiation of PAL or ABE as AMBC treatment
9) If PAL or ABE was used as perioperative treatment, the period from the date of its last administration to the date of AMBC diagnosis is at least 6 months
10) Has not expressed non-participation in the study

Endpoints
Chemotherapy-free survival (CFS)
1.Overall survival: OS
2.CFS
3.real world progression-free survival: rwPFS
4. Time to treatment discontinuation : TTD
5. Background factors for CDK4/6 inhibitors + endocrine therapy
6. CDK4/6 inhibitor + endocrine therapy post-treatment TTD
7. Exploratory study: prediction factors of response to CDK4/6 inhibitor + endocrine therapy

Trial Period
October 1, 2023 - December 31, 2024

Lead Principal Investigator
Osaka University Hospital
Tetsuhiro Yoshinami

Target Sample Size
400

Regimen
- A multi-institutional observational study using real world data (RWD) to clarify the current status of CDK4/6 inhibitor therapy in Japan.
- The primary endpoint is chemotherapy-free survival (CFS) from the start of primary treatment
- Evaluate CFS by timing of initial CDK4/6 inhibitor use and post-treatment patterns
- Secondary endpoints include overall survival from AMBC diagnosis, CDK4/6 inhibitor + background factors for endocrine therapy



Source of Funding
Eli Lilly Japan K.K.

Conference Presentation

Articles and Publications

UMIN-ID
UMIN000051975

jRCT

Memo

COI Disclosure

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