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Ribociclib plus letrozole in patients with hormone receptor-positive, HER2-negative advanced breast cancer with no prior endocrine therapy: subgroup safety analysis from the phase 3b CompLEEment-1 trial Cover

Ribociclib plus letrozole in patients with hormone receptor-positive, HER2-negative advanced breast cancer with no prior endocrine therapy: subgroup safety analysis from the phase 3b CompLEEment-1 trial

Open Access
|May 2022

Figures & Tables

Figure 1

Trial Design of CompLEEment-1 showing patients enrolled in central and south European countries of the SERCE cluster.SERCE = Southern Europe, RUC, Central Europe Countries; ECOG = Eastern Cooperative Oncology Group; HER2− = human epidermal growth factor receptor-2-negative; HR+ = hormone receptor-positive
Trial Design of CompLEEment-1 showing patients enrolled in central and south European countries of the SERCE cluster.SERCE = Southern Europe, RUC, Central Europe Countries; ECOG = Eastern Cooperative Oncology Group; HER2− = human epidermal growth factor receptor-2-negative; HR+ = hormone receptor-positive

Baseline demographic and clinical characteristics of patients in the SERCE subgroup of CompLEEment-1*

VariableN = 339
Age, years58.0 (24-88)
          < 65228 (67.3)
          ≥ 65111 (32.7)
Gender
          Female335 (98.8)
          Male4 (1.2)
Child-bearing status
          Able to bear children80 (23.6)
          Postmenopausal241 (71.1)
          Sterile – of child-bearing age14 (4.1)
          Unknown4 (1.2)
Race
          Caucasian330 (97.3)
          Black2 (0.6)
          Other4 (1.2)
          Unknown3 (0.9)
ECOG performance status
          0208 (61.4)
          1119 (35.1)
          212 (3.5)
          3 or 40
BMI, kg/m226.0 (16.1–48.4)

Summary of adverse events for patients (N = 339) in the SERCE subgroup of CompLEEment-1_ Safety set in the core phase

EventAll grades No. (%)Grade ≥ 3 No. (%)
Any adverse event332 (97.9)238 (70.2)
          Treatment-related322 (95.0)211 (62.2)
Serious adverse event62 (18.3)50 (14.79)
          Treatment-related24 (7.1)18 (5.3)
Adverse discontinuation event leading to treatment44 (13.0)30 (8.8)
          Treatment-related36 (10.6)22 (6.6)
Adverse adjustment/event interruption leading to dose233 (68.7)205 (60.5)
          Treatment-related214 (63.1)192 (56.6)
Adverse therapy events requiring additional248 (73.2)96 (28.3)
          Treatment-related149 (44.0)59 (17.4)
Adverse events by preferred term in ≥ 10% of patients
Neutropenia239 (70.5)176 (51.9)
          Treatment-related234 (69.0)175 (51.6)
Nausea81 (23.9)1 (0.3)
          Treatment-related71 (20.9)1 (0.3)
Leucopenia88 (26.0)26 (7.7)
          Treatment-related86 (25.4)26 (7.7)
Fatigue65 (19.2)9 (2.7)
          Treatment-related53 (15.6)5 (1.5)
Anemia61 (18.0)12 (3.5)
          Treatment-related53 (15.6)6 (1.8)
Alanine aminotransferase increase54 (15.9)21 (6.2)
          Treatment-related45 (13.3)18 (5.3)
Alopecia49 (14.5)0 (0)
          Treatment-related39 (11.5)0 (0)
Vomiting46 (13.6)3 (0.9)
          Treatment-related32 (9.4)2 (0.6)
Aspartate aminotransferase increase45 (13.3)11 (3.2)
          Treatment-related37 (10.9)7 (2.1)
Back pain45 (13.3)3 (0.9)
Diarrhea39 (11.5)2 (0.6)
          Treatment-related21 (6.2)1 (0.3)
Headache39 (11.5)1 (0.3)
Arthralgia36 (10.6)2 (0.6)
          Treatment-related23 (6.8)2 (0.6)
Pruritis36 (10.6)2 (0.6)
          Treatment-related30 (8.8)2 (0.6)
Rash34 (10.0)2 (0.6)
          Treatment-related21 (6.2)2 (0.6)

Disease history for patients in the SERCE subgroup of CompLEEment-1

VariableN = 339 No. (%)
Histological grade
          Well-differentiated29 (8.6)
          Moderately differentiated165 (48.7)
          Poorly differentiated76 (22.4)
          Undifferentiated5 (1.5)
          Unknown64 (18.9)
Disease stage at study entry
          II1 (0.3)
          III5 (1.5)
          IV333 (98.2)
Time median since (range) diagnosis months of primary site,33.7 (0.3-401.9)
          ≤ 372 (21.2)
          > 3 and ≤ 1253 (15.6)
          > 12213 (62.8)
          Missing1 (0.3)
Disease-free interval
          Newly-diagnosed disease110 (32.4)
          Existing disease228 (67.3)
          ≤ 12 months26 (7.7)
          > 12 to ≤ 24 months19 (5.6)
          > 24 months183 (54.0)
          Missing1 (0.3)
Types of lesions at baseline
          Target only27 (8.0)
          Non-target only106 (31.3)
          Both target and non-target206 (60.8)
Extent of metastatic disease
          Bone254 (74.9)
          Bone only75 (22.1)
          Breast23 (6.8)
          Central nervous system2 (0.6)

          Visceral214 (63.1)
          Skin14 (4.1)
          Lymph nodes108 (31.9)
          Other13 (3.8)
Number of metastatic sites
          1103 (30.4)
          2105 (31.0)
          ≥ 3131 (38.7)

Best overall response according to local assessment for patients in the SERCE subgroup of CompLEEment-1

No. (%)All patients (N = 339)Patients with measurable disease at baseline (N = 230)
Complete response2 (0.6)0 (0)
Partial response91 (26.8)91 (39.6)
Non-CR / Non-PD90 (26.5)
Stable disease108 (31.9)106 (46.1)
Progressive disease14 (4.1)11 (4.8)
Unknown34 (10.0)22 (9.6)
Overall response rate (CR + PR)93 (27.4)91 (39.6)
Clinical benefit ratea253 (74.6)170 (73.9)
DOI: https://doi.org/10.2478/raon-2022-0020 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 238 - 247
Submitted on: Feb 25, 2022
Accepted on: Apr 8, 2022
Published on: May 17, 2022
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2022 Simona Borstnar, Marketa Palacova, Aleksandra Łacko, Constanta Timcheva, Einav Nili Gal-Yam, Konstantinos Papazisis, Juraj Beniak, Pavol Kudela, Gábor Rubovszky, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.