Table 3:
Phase III trials with CDK4/6 in HR-positive/HER2-negative MBC: safety data
| Adverse event (AE) | PALOMA-2 | PALOMA-3 | MONALEESA-2 | MONARCH 3 | MONARCH 2 | ||||||||||
| Grade % | Grade % | Grade % | Grade % | Grade % | |||||||||||
| All | 3 | 4 | All | 3 | 4 | All | 3 | 4 | All | 3 | 4 | All | 3 | 4 | |
| Rash | 18 | 1 | – | NR | NR | NR | 17.1 | 0.6 | – | NR | NR | NR | 11.1 | 1.1 | 0 |
| Fatigue | 37 | 2 | – | 38 | 2 | – | 36.5 | 2.1 | 0.3 | 40.1 | 1.8 | – | 39.9 | 2.7 | – |
| Diarrhea | 26 | 1 | – | 19 | – | – | 35 | 1.2 | – | 81.3 | 9.5 | – | 86.4 | 13.4 | 0 |
| Nausea | 35 | <1 | – | 29 | – | – | 51.4 | 2.4 | – | 38.5 | 0.9 | – | 45.1 | 2.7 | – |
| Decreased appetite | 15 | 1 | – | 12.8 | 0.9 | – | 18.6 | 1.5 | – | 24.5 | 1.2 | – | 26.5 | 1.1 | 0 |
| Neutropenia | 80 | 56 | 10 | 78.8 | 53.3 | 8.7 | 74.3 | 49.7 | 9.6 | 41.3 | 19.6 | 1.5 | 46.0 | 23.6 | 2.9 |
| Anaemia | 24 | 5 | <1 | 26.1 | 2.6 | 0 | 18.6 | 0.9 | 0.3 | 28.4 | 5.8 | – | 29.0 | 7.0 | 0.2 |
| Thrombocytopenia | 16 | 1 | <1 | 19.4 | 1.7 | 0.6 | 9 | 0.6 | – | NR | NR | NR | 15.6 | 2.0 | 1.4 |
| Alopecia | 33 | – | – | 14.8 | – | – | 33.2 | – | – | 26.6 | – | – | 15.6 | – | – |
| QTcF Prolongation | – | – | 3.3 | – | – | ||||||||||
| Increased creatinine | – | – | – | 19 | 2.1 | – | 11.8 | 0.9 | 0 | ||||||