Ibrance Real World Insights (IRIS)
TREATMENT PATTERNS AND CLINICAL OUTCOMES AMONG PATIENTS RECEIVING PALBOCICLIB COMBINATIONS FOR HR+/HER2- ADVANCED/METASTATIC BREAST CANCER IN REAL WORLD SETTINGS
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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New York
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New York, New York, United States, 10017
- Pfizer, Inc.
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Physician inclusion criteria
- Oncologist or gynecologist
- Responsible for treating a minimum of ≥2-6 (depending on country) ABC/MBC patients who meet the eligibility criteria.
- Agrees to participate in the study and complete the eCRFs within the data collection period.
Patient inclusion criteria
- Female
- ≥18 years old.
- HR+/HER2- breast cancer diagnosis with confirmed metastatic or advanced disease.
- Received palbociclib plus letrozole/aromatase inhibitor or palbociclib plus fulvestrant in line with the licenced indication(s).
- No prior or current enrolment in an interventional clinical trial for ABC/MBC.
- Minimum of three months of follow up data since palbociclib with fulvestrant initiation, or minimum of six months of follow up data since palbociclib with letrozole/aromatase inhibitor initiation (core medical record review).
- Minimum of three months of follow up data since palbociclib initiation (German interim medical record review only).
- Inoperable or recurrent breast cancer (Japan only)
Exclusion criteria:
Physician exclusion criteria
- Qualified less than 2 years ago or more than 35 years ago
- Participated in observational research for ABC/MBC in the last 3 months
- Have not prescribed either palbociclib plus fulvestrant or palbociclib plus aromatase inhibitor in line with the licenced indication(s).
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
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Breast Cancer Patients
HR+/HER2- advanced/metastatic breast cancer patients across multiple countries.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Progression Free Survival (PFS) at Month 12
Time Frame: Day 1 of palbociclib combination treatment up to Month 12 (data recorded during 4 years of retrospective observation period)
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PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first.
Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up.
PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4.
Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease.
Percentage of participants with PFS events at 12 months based on the Kaplan-Meier estimate were reported.
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Day 1 of palbociclib combination treatment up to Month 12 (data recorded during 4 years of retrospective observation period)
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Percentage of Participants With Progression Free Survival at Month 24
Time Frame: Day 1 of palbociclib combination treatment up to Month 24 (data recorded during 4 years of retrospective observation period)
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PFS was defined as the time from palbociclib combination treatment initiation until 1) clinician documented disease progression (PD) while on palbociclib, 2) death, 3) start of a new therapy line after final palbociclib dose, if the reason for discontinuation of palbociclib was disease progression, or 4) last available follow-up, whichever occurred first.
Participants who did not experience a progression event (items 1, 2 and 3) were censored at date of last available follow-up.
PFS (in months) was calculated as (first event date - palbociclib initiation date + 1)/30.4.
Progressive disease - An increase in visible disease and/or presence of any new lesions; included cases where the clinician indicated progressive disease.
Percentage of participants with PFS events at 24 months based on the Kaplan-Meier estimate were reported.
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Day 1 of palbociclib combination treatment up to Month 24 (data recorded during 4 years of retrospective observation period)
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Percentage of Participants With Objective Response Rate (ORR)
Time Frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) on palbociclib combination therapy according to the RECIST version 1.1 recorded from first dose of study treatment until disease progression due to any cause.
Complete response: complete resolution of all visible disease.
Partial response: partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.
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From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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Percentage of Participants Alive After 1 Year Post Palbociclib Treatment Initiation
Time Frame: 1 Year (Month 12) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)
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Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure.
Percentage of participants who alive after 1 year post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.
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1 Year (Month 12) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)
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Percentage of Participants Alive After 2 Years Post Palbociclib Treatment Initiation
Time Frame: 2 years (Month 24) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)
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Percentage of participants alive from date of initiation of palbociclib treatment through up to 2 or above progression-based lines of therapy were recorded and reported in this outcome measure.
Percentage of participants who alive after 2 years post Palbociclib treatment initiation were based on the Kaplan-Meier estimate.
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2 years (Month 24) post Palbociclib treatment initiation (data recorded during 4 years of retrospective observation period)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Clinical Benefit Rate (CBR)
Time Frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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CBR was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment) or partial response (where 'partial response' was recorded at any time on treatment), or stable disease at greater than equal to (>=) 24 weeks on palbociclib combination therapy.
Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater.
Complete response - Complete resolution of all visible disease.
Partial response - Partial reduction in size of visible disease in some or all areas without any areas of increase in visible disease.
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From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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Percentage of Participants With Best Overall Response
Time Frame: From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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Best overall response was defined as the percentage of participants who achieved complete (where 'complete response' was recorded at any time on treatment), partial response (where 'partial response' was recorded at any time on treatment) and stable disease at greater than equal to (>=) 24 weeks on palbociclib combination therapy.
Stable disease was defined as no evidence of complete or partial response, and no progression on palbociclib therapy for 24 weeks or greater.
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From initiation of treatment up to disease progression (data recorded during 4 years of retrospective observation period)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
General Publications
- Mycock K, Zhan L, Hart K, Taylor-Stokes G, Milligan G, Atkinson C, Mitra D. Real-world treatment patterns and clinical outcomes in patients receiving palbociclib combinations for HR+/HER2- advanced/metastatic breast cancer in Japan: Results from the IRIS study. Cancer Treat Res Commun. 2022;32:100573. doi: 10.1016/j.ctarc.2022.100573. Epub 2022 May 6.
- Mycock K, Zhan L, Taylor-Stokes G, Milligan G, Mitra D. Real-World Palbociclib Use in HR+/HER2- Advanced Breast Cancer in Canada: The IRIS Study. Curr Oncol. 2021 Jan 24;28(1):678-688. doi: 10.3390/curroncol28010066.
- Waller J, Mitra D, Mycock K, Taylor-Stokes G, Milligan G, Zhan L, Iyer S. Real-World Treatment Patterns and Clinical Outcomes in Patients Receiving Palbociclib for Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced or Metastatic Breast Cancer in Argentina: The IRIS Study. J Glob Oncol. 2019 May;5:JGO1800239. doi: 10.1200/JGO.18.00239.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- A5481090
- IRIS (Other Identifier: Alias Study Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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