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Overall survival was not improved with the combination of palbociclib and fulvestrant compared with fulvestrant and placebo in the phase III PALOMA-3 trial for patients with HR-positive, HER2-negative metastatic breast cancer who received prior endocrine therapy, according to Pfizer, the developer of the CDK4/6 inhibitor.

Multiple pivotal studies have led to CDK4/6 inhibitors such as ribociclib, abemaciclib, and palbociclib becoming the standard of care for women with metastatic ER-positive/HER2-negative breast cancer. Speaking at the 11th European Breast Cancer Conference in Barcelona, Spain, Nicholas C. Turner, MD, PhD, a consultant medical oncologist with The Royal Marsden Hospital NHS Trust, explained how tumors resist treatment with CDK4/6 inhibitors and how that resistance can be overcome.

Progression-free survival was found to be almost identical at 48 weeks with MYL-1401O in combination with a taxane as initial therapy followed by MYL-1401O monotherapy as maintenance versus trastuzumab in patients with HER2-positive metastatic breast cancer, according to phase III findings of the HERITAGE trial. Results of the trial were presented at the 2018 ASCO Annual Meeting.