Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial
This work was supported by a grant from Pfizer (no grant number), which also provided palbociclib. Pfizer had no role in the management of this trial. All decisions and responsibilities for the trial were managed solely by the sponsor, the SOLTI Group.
| Autores: | , , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/5114 |
| Acesso em linha: | http://hdl.handle.net/20.500.12328/5114 https://dx.doi.org/10.1016/j.esmoop.2025.105572 |
| Access Level: | acceso abierto |
| Palavra-chave: | Metastatic breast cancer HR-positive/HERC-positive Palbociclib Trastuzumab Biomarkers Gene expression profiling Cáncer de mama metastásico Biomarcadores Perfil de expresión genética Càncer de mama metastàsico Biomarcadors Perfil d'expressió genètica 616 |
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Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trialPascual, T.Villacampa Javierre, GuillermoOliveira, MafaldaEscrivá-de-Romaní, S.Pernas, S.Paré, L.Adamo, BarbaraCortés, J.Perelló, A.Galán, M.Melé, MireiaVillanueva, L.González-Rodríguez, MartaTolosa, PabloGonzalez-Farre, BlancaGalván, PatriciaCanes, JordiNuciforo, PaoloFerrero-Cafiero, Juan ManuelGonzàlez Farré, XavierVillagrasa-Gonzalez, PatriciaPrat, AleixCiruelos, EvaMetastatic breast cancerHR-positive/HERC-positivePalbociclibTrastuzumabBiomarkersGene expression profilingCáncer de mama metastásicoBiomarcadoresPerfil de expresión genéticaCàncer de mama metastàsicoBiomarcadorsPerfil d'expressió genètica616This work was supported by a grant from Pfizer (no grant number), which also provided palbociclib. Pfizer had no role in the management of this trial. All decisions and responsibilities for the trial were managed solely by the sponsor, the SOLTI Group.Background: The SOLTI-1303-PATRICIA trial (NCT02448420) is a phase II study investigating palbociclib and trastuzumab, with or without endocrine therapy, in hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer (MBC). This manuscript presents final overall survival (OS) results and biomarker analyses. Patients and methods: Patients previously treated with trastuzumab and two to four regimens were eligible. For estrogen receptor (ER)-negative disease (cohort A), patients received palbociclib and trastuzumab. For ER-positive disease, patients were randomized 1 : 1 to cohort B1 (no additional therapy) or B2 (letrozole). OS and long-term progression-free survival (PFS) were pre-defined secondary endpoints. Kaplan—Meier curves and stratified Cox models were used. Results: Among 71 patients, median OS was 29.8 months [95% confidence interval (CI) 20.9-38.0 months]; 4-year OS rates were 13.3% (A), 35.7% (B1), and 32.3% (B2). PAM50 luminal subtypes showed better OS than non-luminal subtypes (38.0 versus 26.6 months). Exploratory biomarker analyses found luminal-related genes associated with better long-term survival, while basal and proliferation-related genes were linked to resistance. Higher luminal A, luminal B, and previously reported chemo-endocrine scores correlated with favorable prognoses. Conclusions: These findings highlight the relevance of gene expression profiling in HER2-positive breast cancer and support biomarker-driven patient selection. Long-term PATRICIA results validate the potential of non-chemotherapybased approaches in HR-positive/HER2-positive MBC.info:eu-repo/semantics/publishedVersionElsevier2025info:eu-repo/semantics/article7http://hdl.handle.net/20.500.12328/5114https://dx.doi.org/10.1016/j.esmoop.2025.105572reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésESMO Open10;9© 2025 The Author(s). Published by Elsevier Ltd on behalf of European Society for Medical Oncology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/51142026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| title |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| spellingShingle |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial Pascual, T. Metastatic breast cancer HR-positive/HERC-positive Palbociclib Trastuzumab Biomarkers Gene expression profiling Cáncer de mama metastásico Biomarcadores Perfil de expresión genética Càncer de mama metastàsico Biomarcadors Perfil d'expressió genètica 616 |
| title_short |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| title_full |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| title_fullStr |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| title_full_unstemmed |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| title_sort |
Palbociclib and trastuzumab for HER2-positive metastatic breast cancer: final overall survival results of cohort A and B of SOLTI-1303-PATRICIA trial |
| dc.creator.none.fl_str_mv |
Pascual, T. Villacampa Javierre, Guillermo Oliveira, Mafalda Escrivá-de-Romaní, S. Pernas, S. Paré, L. Adamo, Barbara Cortés, J. Perelló, A. Galán, M. Melé, Mireia Villanueva, L. González-Rodríguez, Marta Tolosa, Pablo Gonzalez-Farre, Blanca Galván, Patricia Canes, Jordi Nuciforo, Paolo Ferrero-Cafiero, Juan Manuel Gonzàlez Farré, Xavier Villagrasa-Gonzalez, Patricia Prat, Aleix Ciruelos, Eva |
| author |
Pascual, T. |
| author_facet |
Pascual, T. Villacampa Javierre, Guillermo Oliveira, Mafalda Escrivá-de-Romaní, S. Pernas, S. Paré, L. Adamo, Barbara Cortés, J. Perelló, A. Galán, M. Melé, Mireia Villanueva, L. González-Rodríguez, Marta Tolosa, Pablo Gonzalez-Farre, Blanca Galván, Patricia Canes, Jordi Nuciforo, Paolo Ferrero-Cafiero, Juan Manuel Gonzàlez Farré, Xavier Villagrasa-Gonzalez, Patricia Prat, Aleix Ciruelos, Eva |
| author_role |
author |
| author2 |
Villacampa Javierre, Guillermo Oliveira, Mafalda Escrivá-de-Romaní, S. Pernas, S. Paré, L. Adamo, Barbara Cortés, J. Perelló, A. Galán, M. Melé, Mireia Villanueva, L. González-Rodríguez, Marta Tolosa, Pablo Gonzalez-Farre, Blanca Galván, Patricia Canes, Jordi Nuciforo, Paolo Ferrero-Cafiero, Juan Manuel Gonzàlez Farré, Xavier Villagrasa-Gonzalez, Patricia Prat, Aleix Ciruelos, Eva |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Metastatic breast cancer HR-positive/HERC-positive Palbociclib Trastuzumab Biomarkers Gene expression profiling Cáncer de mama metastásico Biomarcadores Perfil de expresión genética Càncer de mama metastàsico Biomarcadors Perfil d'expressió genètica 616 |
| topic |
Metastatic breast cancer HR-positive/HERC-positive Palbociclib Trastuzumab Biomarkers Gene expression profiling Cáncer de mama metastásico Biomarcadores Perfil de expresión genética Càncer de mama metastàsico Biomarcadors Perfil d'expressió genètica 616 |
| description |
This work was supported by a grant from Pfizer (no grant number), which also provided palbociclib. Pfizer had no role in the management of this trial. All decisions and responsibilities for the trial were managed solely by the sponsor, the SOLTI Group. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12328/5114 https://dx.doi.org/10.1016/j.esmoop.2025.105572 |
| url |
http://hdl.handle.net/20.500.12328/5114 https://dx.doi.org/10.1016/j.esmoop.2025.105572 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
ESMO Open 10;9 |
| dc.rights.none.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
7 |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
| dc.source.none.fl_str_mv |
reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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