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. 2023 Mar 14;15(6):1763. doi: 10.3390/cancers15061763

Table 1.

Efficacy of CDK4/6 inhibitors in hormone receptor-positive, HER2-negative aBC phase III trials (in alphabetical and numerical order; adapted and updated from [27]).

Study Name ET Partner Sample Size Rando-mization Median PFS in Months
(PFS = Primary Endpoint)
Median OS in Months
(OS = Secondary Endpoint)
with CDK4/6 Inhibitor without CDK4/6 Inhibitor HR 95% CI Statistically Significant as per Protocol with CDK4/6 Inhibitor without CDK4/6 Inhibitor HR 95% CI Statistically Significant as per Protocol
ET +/− Abemaciclib MONARCH-2
[24,28]
Fulvestrant 669 2:1 16.4 9.3 0.55 0.45–0.68 yes 45.8 37.3 0.78 0.64–0.96 yes
MONARCH-3
[23,29]
AI 493 2:1 28.2 14.8 0.54 0.42–0.70 yes 67.1 54.5 0.75 0.58–0.97 Final analys is not reported yet 1
ET +/− Dalpiciclib DAWNA-1
[26]
Fulvestrant 361 2:1 13.6 2 7.7 2 0.45 2 0.32–0.64 2 yes 2 Final analys is not reported yet
DAWNA-2
[25]
AI 456 2:1 30.6 18.2 0.51 0.38–0.69 yes Final analys is not reported yet
ET +/− Palbociclib PALOMA-2
[18,30]
AI 666 2:1 24.8 14.5 0.58 0.46–0.72 yes 53.9 51.2 0.96 0.78–1.18 no
PALOMA-3
[19,31]
Fulvestrant 521 2:1 9.5 4.6 0.46 0.36–0.59 yes 34.9 28.0 0.81 0.64–1.03 no
ET +/− Ribociclib MONALEESA-2
[22,32]
AI 668 1:1 25.3 16.0 0.57 0.46–0.70 yes 63.9 51.4 0.76 0.63–0.93 yes
MONALEESA-3
[21,33]
Fulvestrant 726 2:1 20.5 12.8 0.59 0.48–0.73 yes 53.7 41.5 0.73 0.59–0.90 yes
MONALEESA-7
[20,34]
OFS plus tamoxifen or AI 672 1:1 23.8 13.0 0.55 0.44–0.69 yes 58.7 48.0 0.76 0.61–0.96 yes

aBC: advanced breast cancer; AI: aromatase inhibitor; CI: confidence interval; ET: endocrine treatment; HR: hazard ratio; OFS: ovarian function suppression; OS: overall survival; PFS: progression-free survival; Tam: Tamoxifen. 1 An interim analysis has been reported [29]. 2 As assessed by an independent review committee.