The KM curve everyone’s been waiting for. Adjuvant ribociclib for 3 years significantly improved iDFS in patients with stage II-III HR+ BC, with 25% reduction in the risk of recurrence & a 3-year iDFS delta of 3.3%. #ASCO23
Breast oncologists, here’s a question post day 2 of #ASCO22 and the #PALOMA2 results:
What will you tell your patient who asks you if ribo is better than the drug they’re on (palbo)?
Have your answer ready because the question will be asked!
@DrSGraff Wow. Unfortunately this is practice changing. Ribo usage will pick up very quickly! I love palbo! I’ve been using it for years! But I have shifted to Ribo since it’s OS data was resulted.
@hoperugo@DrSGraff@OncoAlert Agree 100% with Dr Rugo but going forward, I have to make a choice and out of an “abundance of caution” I’ll recommend Ribo until more data says otherwise.
90 months of follow up is 7.5 YEARS.
13/21% data is missing.
The trial is NEGATIVE.
(Editing to add): I get primary endpoint was PFS, but with other CDK4/6 w/OS, everything after this slide was spin. Mad love to everyone’s work here—this work matters.
#PALOMA2#MicDrop#ASCO22
Unfortunately, OS is not different in #PALOMA2 w/ let +\- palbo.
Dr. Finn calls out that missing data and follow up can really hurt study outcomes.
It's true. ✅ But is this the whole reason❓
#ASCO22@OncoAlert#bcsm
PALOMA-2: No significant overall survival benefit from the addition of palbociclib to letrozole!
When are we going to finally admit that palbociclib is inferior to ribociclib and abemaciclib!
Disappointing results to say the least!
#ASCO22@OncoAlert
The final OS analysis of the PALOMA-2 study was presented at #ASCO22:
palbo+let vs let
↔️OS is no different (53.9 vs 51.2 mos, HR:0.95)
Is it time to question Palbo's effectiveness? There seems to be something beyond patient selection and statistical method.
@OncoAlert@ASCO
Hot take from #HallD1:
PALOMA-2 was more disappointing than even expected.
FAKTION impressed me more than expected in terms of magnitude of benefit.
#ASCO22#bcsm@OncoAlert
Wow - bold move! Head to head CDK4/6 trial led by @Novartis. #bcsm#CDK4and6
Novartis, determined to dethrone Pfizer, will launch bold Kisqali-Ibrance head-to-head trial in breast cancer https://t.co/pxKMfusDGK
This is a fantastic list (and pretty!)- I would only say that MAINTAIN I think is practice changing. We have CDK4/6, so we could be implementing them 2nd line immediately if there is benefit.
#bcsm#ASCO22
#ASCO22 is only 2 weeks away! Below are my Top 10 abstracts I'm looking forward to in #bcsm across early & metastatic settings.
I've also attached the "why" - what is intriguing me about these particular abstracts or why they are important IMO.
@SarahCannonDocs@OncoAlert
Ribociclib/Letrozole Combo Yields Significant OS Benefit in Postmenopausal HR+/HER2- Advanced Breast Cancer @MDAndersonNews https://t.co/57Bd5wsgUl via @onclive
“I am very encouraged that metastatic breast cancer patients may have a treatment option that extends survival, delays chemotherapy treatment and preserves their quality of life,” says Dr. Gabriel Hortobagyi of the MONALEESA-2 results: https://t.co/2ggSHvMffO #ESMO21#EndCancer