Clinical trial Recruiting at 24 sites Observational Ages 18 and up

Predicting outcomes for advanced breast cancer patients treated with CDK4/6 inhibitors and endocrine therapy

Official title: Predictive Impact of Peripheral Blood Lymphocytes on clinicAL outcoMes During First-line CDK4/6 Inhibitors Plus Endocrine Therapy in Patients With Advanced Hormone REceptor-poSitive HER2-negative Breast Cancer: the Retrospective-prospective Multicenter Italian PALMARES-2 Study

Run by Fondazione IRCCS Istituto Nazionale dei Tumori, Milano · NCT06805812 · Data updated 2026-11-12

This study is trying to see how well different CDK4/6 inhibitors combined with hormone therapy work for people with advanced breast cancer and how safe they are.

More Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment3500 (estimated)
SponsorFondazione IRCCS Istituto Nazionale dei Tumori, Milano
Academic / other
Locations24 sites (Aviano and 23 other locations)
StatusRecruiting
StartedMay 1, 2023
Main results expectedDecember 31, 2030
Study endsDecember 31, 2040
Registry record updatedFebruary 3, 2025
Trial IDNCT06805812 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients diagnosed with HR+/HER2- advanced breast cancer who are receiving or are candidates for first-line treatment with CDK4/6 inhibitors.

Probably not a fit

Patients who have received CDK4/6 inhibitors as monotherapy or as adjuvant treatment for localized disease may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The PALMARES-2 study is a multicenter, observational study that aims to gather real-world evidence on patients with HR+/HER2- advanced breast cancer receiving first-line treatment with CDK4/6 inhibitors combined with endocrine therapy. It will collect data from various sources, including clinical records, medical imaging, and biological samples, to assess overall survival and safety outcomes among different CDK4/6 inhibitors. The study includes multiple sub-studies focusing on real-world data, safety, medical imaging, and translational research to build predictive models. This comprehensive approach aims to enhance understanding of treatment effectiveness and patient outcomes.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the most effective treatment options for patients with advanced hormone receptor-positive breast cancer.

How similar studies have gone: Other studies have shown success with similar approaches in evaluating treatment outcomes for advanced breast cancer, indicating that this methodology is both relevant and potentially impactful.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of HR+/HER2- advanced Breast Cancer (aBC), as defined as at least 1% estrogen receptor (ER) and/or progesterone receptor (PgR) positivity at IHC. HER2 negativity is defined on the basis of an IHC score of 0, 1+, or 2+ with absence of gene amplification at in situ hybridization (ISH) analyses.
* Have received or are candidate to receive treatment with palbociclib, ribociclib or abemaciclib in combination with endocrine therapy as first-line treatment for HR+/HER2- aBC.

Exclusion Criteria:

* Less than 3 months of follow up from the CDK4/6i start to the date of data cut-off;
* Have received CDK4/6i as monotherapy;
* Have received CDK4/6i as adjuvant treatment for localized disease.

Where it's running

  • Centro di Riferimento Oncologico IRCCS
    Aviano, Italy
    Recruiting
  • Azienda Socio Sanitaria Territoriale degli Spedali Civili
    Brescia, Italy
    Recruiting
  • Humanitas Istituto Clinico Catanese
    Catania, Italy
    Recruiting
  • ASST Lariana - Ospedale Sant'Anna
    Como, Italy
    Recruiting
  • ASST Ospedale Maggiore
    Cremona, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria Careggi
    Florence, Italy
    Recruiting
Show 18 more locations
  • Ospedale San Martino
    Genova, Italy
    Recruiting
  • Istituto Tumori della Romagna IRST IRCCS
    Meldola, Italy
    Recruiting
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore
    Milan, Italy
    Recruiting
  • IEO Istituto Europeo di Oncologia
    Milan, Italy
    Recruiting
  • IRCCS Ospedale San Raffaele
    Milan, Italy
    Recruiting
  • Ospedale ASST Fatebenefratelli Sacco
    Milan, Italy
    Recruiting
  • ULSS 3 Veneto
    Mirano, Italy
    Recruiting
  • Azienda Ospedaliero-Universitaria
    Modena, Italy
    Recruiting
  • Azienda Ospedaliero-Universitaria Federico II
    Naples, Italy
    Recruiting
  • Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
    Naples, Italy
    Recruiting
  • Ospedale Maggiore della Carità
    Novara, Italy
    Recruiting
  • IOV Istituto Oncologico Veneto IRCCS
    Padova, Italy
    Recruiting
  • Fondazione IRCCS Policlinico San Matteo
    Pavia, Italy
    Recruiting
  • IRCCS - ICS Maugeri
    Pavia, Italy
    Recruiting
  • Clinica Ospedaliero - Universitaria Policlinico Umberto I
    Roma, Italy
    Recruiting
  • Policlinico Universitario Campus Bio-Medico
    Roma, Italy
    Recruiting
  • Policlinico Universitario Fondazione Agostino Gemelli
    Roma, Italy
    Recruiting
  • Istituto Clinico Humanitas
    Rozzano, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Radiology-based prediction of HER2 level and T‑DXd benefit in metastatic breast cancer

    This study tests whether patterns in CT or FDG‑PET images can show HER2 level and help predict response to trastuzumab deruxtecan for people with metastatic breast cancer.

    Recruiting Fondazione IRCCS Istituto Nazionale dei Tumori, Milano · Milan · NCT07030569

  • PRT13722 in advanced HR+/HER2- breast cancer

    This early study tests PRT13722, by itself and with standard therapies, to see if it is safe and has any signs of activity in adults with HR+/HER2- breast cancer who have progressed on prior treatments.

    Recruiting Phase 1 Prelude Therapeutics Incorporated · Maumee, Ohio · NCT07905001

  • Dalpiciclib plus hormone therapy for early HR+/HER2- breast cancer

    This trial tests whether adding dalpiciclib at two different doses and durations to standard hormone therapy helps people with early HR+/HER2- breast cancer.

    Recruiting Phase 2 Fujian Cancer Hospital · Fuzhou, Fujian and 1 other locations · NCT07581834

  • Revaree Plus for vaginal dryness in people with breast cancer

    This trial will test whether Revaree Plus can improve vaginal dryness and related discomfort in adults with hormone-receptor–positive stage 0–III breast cancer who are on tamoxifen, aromatase inhibitors, or SERMs.

    Recruiting at 7 sites Phase 4 Memorial Sloan Kettering Cancer Center · Basking Ridge, New Jersey and 6 other locations · NCT07042581

  • Testing Abemaciclib with Radiation Therapy for Metastatic Breast Cancer

    This study is testing different doses of the drug abemaciclib in people with metastatic breast cancer who are also getting hormone therapy and radiation to see if it helps them better manage their symptoms.

    Recruiting at 7 sites Phase 1 Memorial Sloan Kettering Cancer Center · Basking Ridge, New Jersey and 6 other locations · NCT06678269

  • Using tart cherry juice to prevent nerve damage from chemotherapy in breast cancer patients

    This study is testing if drinking tart cherry juice can help prevent nerve damage in breast cancer patients receiving chemotherapy.

    Recruiting Phase 2 University of California, Davis · Sacramento, California · NCT06268665

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.