Evidence map›Paper›PMID 42489342›Full record

Observational studyCancer reports (Hoboken, N.J.)2026

Ribociclib and Palbociclib Are Safe and Effective for Treating Metastatic Breast Cancer: A Retrospective Study.

Cheng-Wei Chou, Yi-Hung Lo, Chia-I Wei, Chiann-Yi Hsu, Chih-Chiang Hung, Yen-Dun Tzeng, Chia-Hua Liu

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cheng-Wei ChouDivision of Medical Oncology, Department of Oncology, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID 0000-0003-1801-4964
Yi-Hung LoDepartment of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chia-I WeiDepartment of Surgery, Pingtung Veterans General Hospital, Pingtung, Taiwan.
Chiann-Yi HsuBiostatistics Task Force, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Chih-Chiang HungDivision of Breast Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID 0000-0002-7164-9179
Yen-Dun TzengDepartment of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.ORCID 0000-0003-1502-0840
Chia-Hua LiuDivision of Breast Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

Funding

Taichung Veterans General Hospital TCVGH-1123701C
6 · The paper itself

Abstract

backgroundCyclin-dependent kinase (CDK) 4/6 inhibitors are standard for treating hormone receptor-positive metastatic breast cancer when combined with endocrine therapy. However, comparisons of first-line treatments are scarce.

aimsIn this retrospective study, we aimed to determine the effects and safety of ribociclib and palbociclib as first-line treatments for metastatic hormone receptor-positive breast cancer in real-world settings at two tertiary medical centers. METHODS AND

resultsThis retrospective observational study, conducted in two tertiary medical centers, included patients receiving palbociclib or ribociclib in combination with endocrine therapy. Treatment responses were assessed by imaging studies according to RECIST 1.1 criteria. The primary endpoint was 24-month progression-free survival (PFS). Safety outcomes were also recorded and compared between the treatment groups. The median follow-up times for the ribociclib and palbociclib groups were 19.7 and 24.6 months, respectively. The 24-month PFS rates were comparable between the ribociclib and palbociclib cohorts (55.4% vs. 55.2%, respectively; hazard ratio [HR] = 1.110, 95% confidence interval [CI]: 0.605-2.035; p = 0.736), but the objective response rate was significantly higher in the palbociclib group than in the ribociclib group (43.2% vs. 30.2%, p = 0.035). A high rate of dose reduction was observed in both cohorts due to treatment-related toxicities (41.2% in the palbociclib group vs. 47.2% in the ribociclib group). The adverse effect profiles were comparable, although the incidence of grade 1 fatigue was slightly higher in the ribociclib group than in the palbociclib group (p = 0.043).

conclusionIn Taiwanese real-world practice, ribociclib and palbociclib demonstrated comparable 24-month efficacy. Our findings show that dose reductions do not compromise targeted treatment efficacy, supporting proactive toxicity-guided dose to optimize patient tolerability without sacrificing oncological outcomes in Asian populations.

Indexed as

AminopyridinesAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsPiperazinesPurinesPyridinesAdultAgedFemaleHumansMiddle AgedProgression-Free SurvivalProtein Kinase InhibitorsRetrospective StudiesAminopyridinespalbociclibPiperazinesProtein Kinase InhibitorsPurinesPyridinesribociclibhormone receptor‐positive breast cancerpalbociclibreal‐world dataribociclib

Identifiers

PMID42489342
PMCPMC13393296

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.