Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer
This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metasta...
Ausführliche Beschreibung
Autor*in: |
Xuan Ge [verfasserIn] Susan E. Yost [verfasserIn] Jin Sun Lee [verfasserIn] Paul H. Frankel [verfasserIn] Christopher Ruel [verfasserIn] Yujie Cui [verfasserIn] Mireya Murga [verfasserIn] Aileen Tang [verfasserIn] Norma Martinez [verfasserIn] Samuel Chung [verfasserIn] Christina Yeon [verfasserIn] Daphne Stewart [verfasserIn] Daneng Li [verfasserIn] Swapnil Rajurkar [verfasserIn] George Somlo [verfasserIn] Joanne Mortimer [verfasserIn] James Waisman [verfasserIn] Yuan Yuan [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Übergeordnetes Werk: |
In: Cancers - MDPI AG, 2010, 14(2022), 17, p 4279 |
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Übergeordnetes Werk: |
volume:14 ; year:2022 ; number:17, p 4279 |
Links: |
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DOI / URN: |
10.3390/cancers14174279 |
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Katalog-ID: |
DOAJ023687983 |
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10.3390/cancers14174279 doi (DE-627)DOAJ023687983 (DE-599)DOAJ9b5cccea381444f597de8e8c7e330929 DE-627 ger DE-627 rakwb eng RC254-282 Xuan Ge verfasserin aut Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. pembrolizumab aromatase inhibitor metastatic hormone receptor positive breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens Susan E. Yost verfasserin aut Jin Sun Lee verfasserin aut Paul H. Frankel verfasserin aut Christopher Ruel verfasserin aut Yujie Cui verfasserin aut Mireya Murga verfasserin aut Aileen Tang verfasserin aut Norma Martinez verfasserin aut Samuel Chung verfasserin aut Christina Yeon verfasserin aut Daphne Stewart verfasserin aut Daneng Li verfasserin aut Swapnil Rajurkar verfasserin aut George Somlo verfasserin aut Joanne Mortimer verfasserin aut James Waisman verfasserin aut Yuan Yuan verfasserin aut In Cancers MDPI AG, 2010 14(2022), 17, p 4279 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:14 year:2022 number:17, p 4279 https://doi.org/10.3390/cancers14174279 kostenfrei https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 kostenfrei https://www.mdpi.com/2072-6694/14/17/4279 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 17, p 4279 |
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10.3390/cancers14174279 doi (DE-627)DOAJ023687983 (DE-599)DOAJ9b5cccea381444f597de8e8c7e330929 DE-627 ger DE-627 rakwb eng RC254-282 Xuan Ge verfasserin aut Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. pembrolizumab aromatase inhibitor metastatic hormone receptor positive breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens Susan E. Yost verfasserin aut Jin Sun Lee verfasserin aut Paul H. Frankel verfasserin aut Christopher Ruel verfasserin aut Yujie Cui verfasserin aut Mireya Murga verfasserin aut Aileen Tang verfasserin aut Norma Martinez verfasserin aut Samuel Chung verfasserin aut Christina Yeon verfasserin aut Daphne Stewart verfasserin aut Daneng Li verfasserin aut Swapnil Rajurkar verfasserin aut George Somlo verfasserin aut Joanne Mortimer verfasserin aut James Waisman verfasserin aut Yuan Yuan verfasserin aut In Cancers MDPI AG, 2010 14(2022), 17, p 4279 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:14 year:2022 number:17, p 4279 https://doi.org/10.3390/cancers14174279 kostenfrei https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 kostenfrei https://www.mdpi.com/2072-6694/14/17/4279 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 17, p 4279 |
allfields_unstemmed |
10.3390/cancers14174279 doi (DE-627)DOAJ023687983 (DE-599)DOAJ9b5cccea381444f597de8e8c7e330929 DE-627 ger DE-627 rakwb eng RC254-282 Xuan Ge verfasserin aut Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. pembrolizumab aromatase inhibitor metastatic hormone receptor positive breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens Susan E. Yost verfasserin aut Jin Sun Lee verfasserin aut Paul H. Frankel verfasserin aut Christopher Ruel verfasserin aut Yujie Cui verfasserin aut Mireya Murga verfasserin aut Aileen Tang verfasserin aut Norma Martinez verfasserin aut Samuel Chung verfasserin aut Christina Yeon verfasserin aut Daphne Stewart verfasserin aut Daneng Li verfasserin aut Swapnil Rajurkar verfasserin aut George Somlo verfasserin aut Joanne Mortimer verfasserin aut James Waisman verfasserin aut Yuan Yuan verfasserin aut In Cancers MDPI AG, 2010 14(2022), 17, p 4279 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:14 year:2022 number:17, p 4279 https://doi.org/10.3390/cancers14174279 kostenfrei https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 kostenfrei https://www.mdpi.com/2072-6694/14/17/4279 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 17, p 4279 |
allfieldsGer |
10.3390/cancers14174279 doi (DE-627)DOAJ023687983 (DE-599)DOAJ9b5cccea381444f597de8e8c7e330929 DE-627 ger DE-627 rakwb eng RC254-282 Xuan Ge verfasserin aut Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. pembrolizumab aromatase inhibitor metastatic hormone receptor positive breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens Susan E. Yost verfasserin aut Jin Sun Lee verfasserin aut Paul H. Frankel verfasserin aut Christopher Ruel verfasserin aut Yujie Cui verfasserin aut Mireya Murga verfasserin aut Aileen Tang verfasserin aut Norma Martinez verfasserin aut Samuel Chung verfasserin aut Christina Yeon verfasserin aut Daphne Stewart verfasserin aut Daneng Li verfasserin aut Swapnil Rajurkar verfasserin aut George Somlo verfasserin aut Joanne Mortimer verfasserin aut James Waisman verfasserin aut Yuan Yuan verfasserin aut In Cancers MDPI AG, 2010 14(2022), 17, p 4279 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:14 year:2022 number:17, p 4279 https://doi.org/10.3390/cancers14174279 kostenfrei https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 kostenfrei https://www.mdpi.com/2072-6694/14/17/4279 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 17, p 4279 |
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10.3390/cancers14174279 doi (DE-627)DOAJ023687983 (DE-599)DOAJ9b5cccea381444f597de8e8c7e330929 DE-627 ger DE-627 rakwb eng RC254-282 Xuan Ge verfasserin aut Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. pembrolizumab aromatase inhibitor metastatic hormone receptor positive breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens Susan E. Yost verfasserin aut Jin Sun Lee verfasserin aut Paul H. Frankel verfasserin aut Christopher Ruel verfasserin aut Yujie Cui verfasserin aut Mireya Murga verfasserin aut Aileen Tang verfasserin aut Norma Martinez verfasserin aut Samuel Chung verfasserin aut Christina Yeon verfasserin aut Daphne Stewart verfasserin aut Daneng Li verfasserin aut Swapnil Rajurkar verfasserin aut George Somlo verfasserin aut Joanne Mortimer verfasserin aut James Waisman verfasserin aut Yuan Yuan verfasserin aut In Cancers MDPI AG, 2010 14(2022), 17, p 4279 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:14 year:2022 number:17, p 4279 https://doi.org/10.3390/cancers14174279 kostenfrei https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 kostenfrei https://www.mdpi.com/2072-6694/14/17/4279 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 17, p 4279 |
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Xuan Ge Susan E. Yost Jin Sun Lee Paul H. Frankel Christopher Ruel Yujie Cui Mireya Murga Aileen Tang Norma Martinez Samuel Chung Christina Yeon Daphne Stewart Daneng Li Swapnil Rajurkar George Somlo Joanne Mortimer James Waisman Yuan Yuan |
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phase ii study combining pembrolizumab with aromatase inhibitor in patients with metastatic hormone receptor positive breast cancer |
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Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer |
abstract |
This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. |
abstractGer |
This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. |
abstract_unstemmed |
This study investigated the safety and antitumor activity of aromatase inhibitors (AI) with immune checkpoint inhibitor (ICI) pembrolizumab in patients with hormone receptor positive (HR<sup<+</sup<) human epidermal growth factor receptor 2-negative (HER2<sup<−</sup<) metastatic breast cancer (MBC) in a phase II study with a safety lead-in (NCT 02648477). Patients received pembrolizumab plus AI up to 2 years or until confirmed progression or unacceptable toxicity. Key eligibility criteria were HR<sup<+</sup< HER2<sup<−</sup< MBC; RECIST v1.1 measurable disease; adequate organ function; and ECOG 0-1. Primary endpoints were safety and overall response rate. A 3-at-risk design was used for the safety lead-in with a targeted accrual of 20 patients. Grade 2 adverse events (AEs) included 35% fatigue, 20% rash, and 10% hot flashes. Grade 3 immune-related AEs (irAEs) related to pembrolizumab included 5% elevated AST/ALT, 5% rash, and 5% lymphopenia. Two (10%) patients had partial responses, three (15%) had stable disease, and 15 (75%) had progression of disease. Median progression-free survival was 1.8 months (95% CI 1.6, 2.6), median overall survival was 17.2 months (95% CI 9.4, NA), and median follow-up time was 40.1 months (range 31.3–46.8 months). The combination was well tolerated, but clinical activity was comparable to AI alone. |
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17, p 4279 |
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Phase II Study Combining Pembrolizumab with Aromatase Inhibitor in Patients with Metastatic Hormone Receptor Positive Breast Cancer |
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https://doi.org/10.3390/cancers14174279 https://doaj.org/article/9b5cccea381444f597de8e8c7e330929 https://www.mdpi.com/2072-6694/14/17/4279 https://doaj.org/toc/2072-6694 |
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Susan E. Yost Jin Sun Lee Paul H. Frankel Christopher Ruel Yujie Cui Mireya Murga Aileen Tang Norma Martinez Samuel Chung Christina Yeon Daphne Stewart Daneng Li Swapnil Rajurkar George Somlo Joanne Mortimer James Waisman Yuan Yuan |
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