CDK4/6 inhibitorFDA-approvedSecond-line

Palbociclib

How it works

Blocks the CDK4/6 enzymes that drive cell division in cancer cells, causing them to die.

Cancer types

Breast Cancer— Hormone receptor-positive

Efficacy

Palbociclib has been shown to improve progression-free survival in patients with hormone receptor-positive, HER2-negative metastatic breast cancer, particularly when combined with letrozole.

Side effects

Moderate

Side effects can be significant and may require dose adjustments or supportive medication, but the treatment is usually continued.

Evidence from research

StudyCancer typeStageEfficacy
Antacid Use and Genetic Variants Affect Survival in Breast Cancer PatientsBreast Cancerphase-3Concomitant antacid treatment reduced progression-free survival (26.2 vs. 32.6 months, p = 0.059)Source →
Testing Anastrozole and Palbociclib in Advanced Breast CancerBreast Cancerphase-2—Source →
Testing Palbociclib and Bicalutamide for Metastatic Breast CancerBreast Cancerphase-1—Source →
Palbociclib Shows Promise in Treating Ovarian CancerOvarian Cancerphase-2The disease control rate was 38% (90% CI, 25 to 100) and the overall response rate was 11% (95% CI, 2 to 29).Source →
Ribociclib and Palbociclib Show Similar Efficacy in Treating Metastatic Breast CancerBreast CancerobservationalThe 24-month PFS rates were comparable between the ribociclib and palbociclib cohorts (55.4% vs. 55.2%, respectively).Source →
Palbociclib and Fulvestrant for Metastatic Breast CancerBreast Cancerphase-2—Source →
Evaluating CDK4/6 Inhibitors for Metastatic Breast CancerBreast Cancerphase-3—Source →
Study of Palbociclib and Locoregional Treatment for Advanced Breast CancerBreast Cancerpreclinical—Source →
Comorbidities Affect Outcomes for Breast Cancer Patients on PalbociclibBreast CancerobservationalMedian overall survival durations were 48.8 months for patients with a Charlson Comorbidity Index score of 0, 39.0 months for patients with a score of 1-2, and 31.6 months for patients with a score of 3+.Source →
Testing Palbociclib and Avelumab in Metastatic Triple Negative Breast CancerBreast Cancerphase-1—Source →
Using Text Messages to Help People Take Palbociclib for Breast CancerBreast Cancerpreclinical—Source →
Testing Palbociclib and Binimetinib in RAS-Mutant CancersPancreatic Cancerphase-2—Source →
Palbociclib in Metastatic Prostate Cancer: A Clinical TrialProstate Cancerphase-2—Source →
New Long-Acting Palbociclib Injection for Metastatic Breast CancerBreast Cancerlab-study—Source →
Lab Test Models Breast Cancer Cells to Study Palbociclib EffectivenessBreast Cancerlab-study—Source →
New Insights into Treating Low-Grade Ovarian CancerOvarian Cancerlab-study—Source →
Palbociclib and Neutropenia in Metastatic Breast CancerBreast CancerobservationalThe 30-month PFS rate was 75% with the dose of 100 mg, 90.9% with 75 mg, and 97.2% with the dose of 125 mg.Source →
Palbociclib's Potential in Leukemia TreatmentLeukemiareview—Source →
Inavolisib Combination Not Cost-Effective for Advanced Breast CancerBreast Cancerphase-3Inavolisib provided an additional 0.6 QALYs compared to placebo.Source →
Palbociclib Effectiveness in Indian Breast Cancer PatientsBreast CancerobservationalThe real-world response rate and the real-world clinical benefit rate across treatment lines were 68% and 75.3%, respectively.Source →
Cyclin Dependent Kinase Inhibitors in Metastatic Breast CancerBreast CancerobservationalIn patients receiving palbociclib, a better median progression-free survival (PFS) was observed in patients with Eastern Cooperative Oncology Group (ECOG) performance status (PS) 1 (27.3 months,p-value <0.0001), de novo disease (17.5 months,p-value 0.0155), first line hormonal therapy (22.5 months,p-value <0.0001) and no prior chemotherapy (20.3 months,p-value 0.0001).Source →
Combining Wip1 and Palbociclib May Improve Breast Cancer TreatmentBreast Cancerlab-studyThe combined treatment produced a concentration-dependent reduction in cell viability and a marked increase in both early and late apoptotic populations compared with monotherapies.Source →
Metformin Enhances Effect of Breast Cancer TreatmentBreast Cancerlab-study—Source →
Intermittent Palbociclib Use in Metastatic Breast Cancer During Economic CrisisBreast CancerobservationalIntermittent discontinuation statistically reduces PFS by 26%.Source →
Real-world effectiveness of palbociclib in breast cancer treatmentBreast Cancermeta-analysisFirst-line palbociclib+AI MMPFS (22.5 months, 95% CI = 19.5 to 31.8) aligned with PALOMA-1/2 pooled mPFS (23.9, 95% CI = 20.2 to 27.6).Source →
Understanding Resistance to Breast Cancer TreatmentBreast Cancerlab-study—Source →
Real-world study of palbociclib and fulvestrant for breast cancerBreast CancerobservationalMedian real-world progression-free survival was 19.6 months (95% CI 15.2-23.6)Source →
Palbociclib and Endocrine Therapy for Metastatic Breast Cancer in JapanBreast CancerobservationalThe median progression-free survival was 26.6 months.Source →
New Combination Therapy Shows Promise for Lung Cancer TreatmentLung Cancerlab-study—Source →
G Protein Estrogen Receptor Linked to Resistance to Breast Cancer TreatmentBreast Cancerlab-study—Source →
Palbociclib plus endocrine therapy effective in Japanese breast cancer patientsBreast CancerobservationalMedian progression-free survival was 24.5 months for first-line treatment and 14.5 months for second-line treatment.Source →
Study Examines Combination Therapy for Advanced Breast CancerBreast Cancerphase-2The median progression-free survival on F + P + A was 8.1 months (HR 0.75 [90% CI, 0.50 to 1.12]; = .23).Source →
Palbociclib plus aromatase inhibitors may improve outcomes for African American breast cancer patientsBreast CancerobservationalMedian overall survival was not reached in the palbociclib + AI group versus 28.2 months in the AI group.Source →
CDK4/6 Inhibitors May Work Later in Cell Cycle Than ThoughtBreast Cancerlab-study—Source →
Reusing a Cancer Drug May Help Some Breast Cancer PatientsBreast Cancerphase-2The clinical benefit rate was 34.4% and 13.0% of tumors showed loss of Rb protein expression.Source →
Rare Skin Reaction Linked to Breast Cancer TreatmentBreast Cancerobservational—Source →
Combining two drugs may slow triple-negative breast cancerBreast Canceranimal-study—Source →
Combining Two Cancer Drugs May Help Some Patients with Advanced Colorectal CancerColorectal Cancerphase-2The 4-month disease control rate was 20%.Source →
Palbociclib Effectiveness in Real-World Breast Cancer TreatmentBreast Cancerobservational—Source →
Palbociclib treatment duration linked to dose reductions in breast cancerBreast CancerobservationalThe time-to-treatment discontinuation was 8.9 months in the case of P + f (95% CI: 7.1-12.7) and 13.7 months in the case of P + ia.Source →
Continuing CDK Inhibitors After Disease Progression in ER-positive Breast CancerBreast CancerobservationalThe overall response rate was 16.0% and the clinical benefit rate was 44.0%.Source →
Combination Therapy May Help Overcome Resistance to Ovarian Cancer TreatmentOvarian Cancerlab-study—Source →
Combining Palbociclib and Vemurafenib in Metastatic Melanoma TreatmentMelanomaphase-1/2The median progression-free survival was 2.8 months, and 5 (27.8%) patients showed a clinical response.Source →
Palbociclib Doesn't Prevent Recurrence in High-Risk Breast CancerBreast Cancerphase-3—Source →
Comparing Two Cancer Treatments in Younger WomenBreast CancerobservationalThe median progression-free survival was 24.05 months for palbociclib and 24.41 months for ribociclib.Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.