TABLE 1.
CDK4/6 inhibitors for the treatment of advanced luminal breast cancer in phase II/III trials.
| Clinical trial | Regimen | Phase | Patients | PFS (months) | ORR | Hazard ratio | References | |
|---|---|---|---|---|---|---|---|---|
| First line | ||||||||
| PALOMA-1 | Letrozole + palbociclib/Letrozole | Ⅱ | 165 | 10.2 vs. 20.2 | 39 vs. 55% | 0.49 | Finn et al. (2015) | |
| PALOMA-2 | Letrozole + palbociclib/Letrozole | Ⅲ | 666 | 14.5 vs. 24.8 | 44 vs. 55% | 0.58 | Finn et al. (2016) | |
| MONALEESA-2 | Letrozole ± ribociclib | Ⅲ | 668 | 14.7 vs. 26.0 | 37 vs. 53% | 0.57 | Hortobagyi et al. (2018) | |
| MONARCH-3 | NSAI ± abemaciclib | Ⅲ | 493 | 14.7 vs. 28.2 | 44 vs. 59% | 0.54 | Goetz et al. (2017) | |
| MONALEESA-7 | NSAI/Tamoxifen + OFS ± ribociclib | Ⅲ | 672 | 13.0 vs. 23.8 | 36 vs. 51% | 0.55 | Tripathy et al. (2018) | |
| Second line | ||||||||
| PALOMA-3 | Fulvestrant ± palbociclib | Ⅲ | 521 | 4.6 vs. 9.5 | 11.1 vs. 25% | 0.46 | Cristofanilli et al. (2016) | |
| MONARCH-1 | Abemaciclib monotherapy | Ⅱ | 132 | 6.0 | 20% | — | Dickler et al. (2017) | |
| MONARCH-2 | Fulvestrant ± abemaciclib | Ⅲ | 669 | 9.3 vs. 16.4 | 21 vs. 48 | 0.55 | Sledge et al. (2017) | |
| MONALEESA-3 | Fulvestrant ± ribociclib | Ⅲ | 725 | 12.8 vs. 20.5 | 29 vs. 41% | 0.59 | Slamon et al. (2018) | |
| MONARCH-plus | NSAI ± abemaciclib | Ⅲ | 306 | 14.73 vs. NE | 30.3 vs. 56% | 0.499 | Jiang et al. (2019a) | |
| Fulvestrant ± ribociclib | Ⅲ | 157 | 5.59 vs. 11.47 | 7.5 vs. 38.5% | 0.376 | |||
| MONARCH HER | Herceptin + abemaciclib + fulvestrant | Ⅲ | 79 | 8.32 vs. 0.65 vs. 5.69 | 32.9 vs. 13.9 vs. 13.9% |
0.673 | Tolaney et al. (2019) | |
| Herceptin + abemaciclib | Ⅲ | 79 | 0.943 | |||||
| Herceptin + chemo | Ⅲ | 79 | — | |||||
PFS, progression free survival; NSAI, nonsteroidal aromatase inhibitors; OFS, ovarian function suppression; ORR, objective response rate; NE indicates that the value could not be estimated.