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. 2023 Mar 5;13(5):987. doi: 10.3390/diagnostics13050987

Table 1.

Pivotal studies on the three approved CDK4/6 inhibitors.

Study Description Phase Number of Patients Enrolled Median PFS Identifier NCT Status Treatment
1st line PALOMA-1 Palbociclib + Letrozol vs. Placebo + Letrozole II 177 18.1 m vs. 11.1 m NCT00721409 Completed Palbociclib 125 mg/d orally for 3 weeks, followed by 1 week off
Letrozole 2.5 mg/d orally on a continuous regimen
Placebo 125 mg/d orally for 3 weeks, followed by 1 week off
PALOMA-2 Palbociclib + Letrozol vs. Placebo + Letrozole III 666 24.8 m vs. 14.5 m NCT01740427 Active, not recruiting Palbociclib 125 mg/d orally for 3 weeks, followed by 1 week off
Letrozole 2.5 mg/d orally on a continuous regimen
Placebo 125 mg/d orally for 3 weeks, followed by 1 week off
MONALEESA-2 Ribociclib + Letrozol vs. Placebo + Letrozole III 668 25.3 m vs. 16.0 m NCT01958021 Active, not recruiting Ribociclib 200 mg × 3/d orally for 3 weeks, followed by 1 week off
Letrozole 2.5 mg/d orally on a continuous regimen
Placebo 200 mg × 3/d orally for 3 weeks, followed by 1 week off
MONALEESA-7 Ribociclib + Goserelin + Tamoxifen/Letrozole/Anastrozole vs. Placebo +Goserelin +Tamoxifen/Letrozole/Anastrozole III 672 23.8 m vs. 13.0 m NCT02278120 Active, not recruiting Ribociclib 200 mg × 3/d orally for 3 weeks, followed by 1 week off
Goserelin 3.6 mg subcutaneous injection once every 28 days
Letrozole 2.5 mg/d orally or Anastrozole 1 mg/d orally or Tamoxifen 20 mg/d orally on a continuous regimen
Placebo 200 mg × 3/d orally for 3 weeks, followed by 1 week off
MONARCH-3 Abemaciclib + Letrozole/Anastrozole vs. Placebo + Letrozole/Anastrozole III 493 28.18 m vs. 14.76 m NCT02246621 Active, not recruiting Abemaciclib 150 mg × 2/d orally
Letrozole 2.5 mg/d orally or Anastrozole 1 mg/d orally
Placebo 150 mg × 2/d orally
2nd line PALOMA-3 Palbociclib + Fulvestrant vs. Placebo + Fulvestrant III 521 9.50 m vs. 4.60 m NCT01942135 Completed Palbociclib 125 mg/d orally for 3 weeks, followed by 1 week off
Fulvestrant 500 mg intramuscular injection on day 1 and day 15 of cycle 1 and then on day 1 of each cycle
Placebo 125 mg/d orally for 3 weeks, followed by 1 week off
MONARCH-2 Abemaciclib + Fulvestrant vs. Placebo + Fulvestrant III 669 16.40 m vs. 9.30 m NCT02107703 Active, not recruiting Abemaciclib 150 mg × 2/d orally
Fulvestrant 500 mg intramuscular injection on day 1 and day 15 of cycle 1 and then on day 1 of each cycle
Placebo 150 mg × 2/d orally
Later line MONARCH-1 Abemaciclib alone (one arm clinical trial) II 132 5.95 m NCT02102490 Completed Abemaciclib 200 mg × 2/d orally