The PALOMA-3 study

FASLODEX is a prescription medicine used to treat women with HR-positive, HER2-negative advanced breast cancer or breast cancer that has spread to other parts of the body (metastatic), in combination with palbociclib or abemaciclib in women whose disease has progressed after endocrine therapy.

PALOMA-3 studied FASLODEX 500 mg with IBRANCE® (palbociclib) 125 mg vs FASLODEX and placebo*

Drugs like FASLODEX are tested in clinical studies to see how well they work before they are approved for use. These studies are also known as clinical trials.

PALOMA-3 is one of the studies that examined FASLODEX. The goal of the study was to see how well FASLODEX with IBRANCE worked vs FASLODEX and placebo in advanced or metastatic breast cancer, and to examine what kind of side effects women in the study experienced.

Based on the results of PALOMA-3, FASLODEX with IBRANCE can be used to treat HR-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women whose disease progressed after endocrine therapy, which is a type of medicine used to treat breast cancer. Your breast cancer therapy is a complex choice influenced by many factors—talk to your doctor about what the PALOMA-3 study may mean for this decision.

Understanding this study may help you discuss FASLODEX with your doctor. FASLODEX with IBRANCE may be an appropriate choice to treat HR-positive, HER2-negative advanced or metastatic breast cancer with disease progression after endocrine therapy.

*Placebo refers to pills that do not contain an active medicine.

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Patients in the study

PALOMA-3 included 521 women who had either been through menopause or been given medication that began menopause. These women had HR-positive, HER2-negative advanced or metastatic breast cancer. Their cancer had spread on or after previous endocrine therapy.

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Where their cancer spread

Women in the PALOMA-3 study had cancer that spread to between 1 and 3 or more locations. These locations included organs (including lungs and liver) and bones.

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Prior treatment for metastatic disease

All women (100%) had been given prior treatment. Most (75%) had been given previous chemotherapy.

Additional information on the PALOMA-3 results

Analysis of the PALOMA-3 study

Results showed that FASLODEX 500 mg with IBRANCE 125 mg (n=347) significantly extended the length of time during and after treatment that patients lived without their cancer getting worse compared with FASLODEX and placebo (n=174). This measure, known as progression-free survival time, is one way to see how well a treatment works. Progression-free survival can be displayed as the middle of a range of months, also known as the median.

Median progression-free survival time was 9.5 months vs 4.6 months, respectively, showing that women who received FASLODEX with IBRANCE experienced more than double the progression-free survival time than did women who received FASLODEX and placebo.

These results were shown to be statistically significant. Statistically significant results are important in studies like PALOMA-3—this means that it is highly likely that the results are related to treatment instead of something else.

HER2=human epidermal growth factor receptor 2; HR=hormone receptor.

9.5 median months’ progression-free survival for FASLODEX 500 mg with palbociclib 125 mg.
4.6 median months’ progression-free survival for FASLODEX with placebo
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IMPORTANT SAFETY INFORMATION ABOUT FASLODEX® (fulvestrant) injection

    You should not receive FASLODEX if you have had an allergic reaction to fulvestrant or any of the ingredients in FASLODEX. Talk to your health care provider if you experience symptoms of an allergic reaction to FASLODEX, which may include itching or hives; swelling of your face, lips, tongue, or throat; and trouble breathing.

    Before receiving FASLODEX, tell your health care provider about all of your medical conditions, including if you:

  • Have a low level of platelets in your blood or bleed easily. Especially, tell your health care provider if you take a blood thinner medicine (anticoagulant)
  • Have liver problems
  • Are pregnant or plan to become pregnant, because FASLODEX can harm your unborn baby. Your health care provider may perform a pregnancy test within 7 days before starting FASLODEX. Women who are able to become pregnant should use effective birth control during treatment with FASLODEX and for 1 year after the last dose. Tell your health care provider right away if you become pregnant or think you are pregnant while on FASLODEX
  • Are breastfeeding or plan to breastfeed. It is not known if FASLODEX passes into breast milk. Do not breastfeed during treatment with FASLODEX and for 1 year after the final dose. Talk to your health care provider about the best way to feed your baby during this time

Tell your health care provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. FASLODEX may affect the way other medicines work, and other medicines may affect how FASLODEX works.

FASLODEX is administered by your health care provider as an injection into the muscle of each buttock. Your health care provider may change your dose of FASLODEX if needed.

FASLODEX may cause serious side effects, including injection site–related nerve damage. Call your health care provider if you develop any of the following symptoms in your legs following a FASLODEX injection: numbness, tingling, or weakness.

Common side effects of FASLODEX include injection site pain; nausea; muscle, joint, and bone pain; headache; back pain; tiredness; pain in arms, hands, legs or feet; hot flashes; vomiting; loss of appetite; weakness; cough; shortness of breath; constipation; increased liver enzymes; and diarrhea.

Tell your health care provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects with FASLODEX. For more information, ask your health care provider or pharmacist. You may report side effects to the FDA at 1-800-FDA-10881-800-FDA-1088.

Approved Uses for FASLODEX

FASLODEX is a prescription medicine used to treat advanced breast cancer or breast cancer that has spread to other parts of the body (metastatic).

FASLODEX may be used alone, if you have gone through menopause, and your advanced breast cancer is:

  • hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)-negative and has not been previously treated with endocrine therapy

or

  • HR-positive and has progressed after endocrine therapy

FASLODEX may be used in combination with ribociclib, if you have gone through menopause, and your advanced or metastatic breast cancer is HR-positive and HER2-negative, and has not been previously treated with endocrine therapy or has progressed after endocrine therapy.

FASLODEX may be used in combination with palbociclib or abemaciclib if your advanced or metastatic breast cancer is HR-positive and HER2-negative, and has progressed after endocrine therapy.

When FASLODEX is used in combination with palbociclib, abemaciclib or ribociclib, also read the Patient Information for the prescribed product.

It is not known if FASLODEX is safe and effective in children or in people with severe liver problems.

Please see FASLODEX Prescribing Information with Patient Information.

 
 
Read More

IMPORTANT SAFETY INFORMATION ABOUT FASLODEX® (fulvestrant) injection

    You should not receive FASLODEX if you have had an allergic reaction to fulvestrant or any of the ingredients in FASLODEX. Talk to your health care provider if you experience symptoms of an allergic reaction to FASLODEX, which may include itching or hives; swelling of your face, lips, tongue, or throat; and trouble breathing.

    Before receiving FASLODEX, tell your health care provider about all of your medical conditions, including if you:

  • Have a low level of platelets in your blood or bleed easily. Especially, tell your health care provider if you take a blood thinner medicine (anticoagulant)
  • Have liver problems
  • Are pregnant or plan to become pregnant, because FASLODEX can harm your unborn baby. Your health care provider may perform a pregnancy test within 7 days before starting FASLODEX. Women who are able to become pregnant should use effective birth control during treatment with FASLODEX and for 1 year after the last dose. Tell your health care provider right away if you become pregnant or think you are pregnant while on FASLODEX
  • Are breastfeeding or plan to breastfeed. It is not known if FASLODEX passes into breast milk. Do not breastfeed during treatment with FASLODEX and for 1 year after the final dose. Talk to your health care provider about the best way to feed your baby during this time

Tell your health care provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. FASLODEX may affect the way other medicines work, and other medicines may affect how FASLODEX works.

FASLODEX is administered by your health care provider as an injection into the muscle of each buttock. Your health care provider may change your dose of FASLODEX if needed.

FASLODEX may cause serious side effects, including injection site–related nerve damage. Call your health care provider if you develop any of the following symptoms in your legs following a FASLODEX injection: numbness, tingling, or weakness.

Common side effects of FASLODEX include injection site pain; nausea; muscle, joint, and bone pain; headache; back pain; tiredness; pain in arms, hands, legs or feet; hot flashes; vomiting; loss of appetite; weakness; cough; shortness of breath; constipation; increased liver enzymes; and diarrhea.

Tell your health care provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects with FASLODEX. For more information, ask your health care provider or pharmacist. You may report side effects to the FDA at 1-800-FDA-10881-800-FDA-1088.

Approved Uses for FASLODEX

FASLODEX is a prescription medicine used to treat advanced breast cancer or breast cancer that has spread to other parts of the body (metastatic).

FASLODEX may be used alone, if you have gone through menopause, and your advanced breast cancer is:

  • hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)-negative and has not been previously treated with endocrine therapy

or

  • HR-positive and has progressed after endocrine therapy

FASLODEX may be used in combination with ribociclib, if you have gone through menopause, and your advanced or metastatic breast cancer is HR-positive and HER2-negative, and has not been previously treated with endocrine therapy or has progressed after endocrine therapy.

FASLODEX may be used in combination with palbociclib or abemaciclib if your advanced or metastatic breast cancer is HR-positive and HER2-negative, and has progressed after endocrine therapy.

When FASLODEX is used in combination with palbociclib, abemaciclib or ribociclib, also read the Patient Information for the prescribed product.

It is not known if FASLODEX is safe and effective in children or in people with severe liver problems.

Please see FASLODEX Prescribing Information with Patient Information.