Retrospective evaluation of the efficacy of CDK4/6 inhibitors compared to ER and PR levels in hormone receptor positive HER2 negative metastatic breast cancer patient
Abstract
CDK4/6
inhibitors
with
aromatase
as
the
first-line
standard-of-care
in
hormone
receptor
(HR)
positive,
human
epidermal
growth
factor
receptor-2
(HER2)-
negative
advanced
breast
cancer.
Phase
III
studies
examining
have
not
identified
significant
predictive
or
prognostic
markers.In
this
study,
we
aimed
to
restrospectively
evaluate
efficacy
of
according
ER
and
PR
levels
HR+,
HER2
(-)
metastatic
Methods
171
patients
were
evaluated
retrospectively.
Patients
divided
into
2
groups
level
≥90
(n=119)
<90
(n=52).
Demographic
characteristics,
histopathologic
findings,
menopausal
status,
presence
visceral
metastases,
treatment
response
side
effects
both
groups.
Results
The
mean
age
was
55
years,
75%
postmenopausal
67%
denova
metastatic.
Visceral
metastases
present
73%
patients,
53%
had
received
second
line
beyond.
87%
clinical
benefit,
12%
primary
non-responders.
ER<90
younger,
higher
grade
(p=0.018),
more
liver
(p=0.009),reached
therapy
later,
shorter
follow-up.
Duration
response(DOR
)
statistically
longer
those
who
(21.3
months
vs.
11
months,
p=0.034).
In
ER≥90
group,
OS
reached
independently
line,
while
group
30
second-line
group.
time
until
inhibitor
associated
(NR-33.9
p=0.019)
no
impact
status
on
overall
survival.
Median
PFS
50
statistical
differences
based
levels.
Receiving
later
significantly
shortened
PFS.
Conclusions
it
observed
that
receiving
inhibitor.
However,
initiation
impacted
PFS,
being
aggressive
disease.

Research Square (Research Square), Год журнала: 2024, Номер unknown
Опубликована: Дек. 11, 2024
Язык: Английский