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Palbociclib (PD-0332991)

Alias: PD0332991; Palbociclib free base; UNII-G9ZF61LE7G; 6-acetyl-8-cyclopentyl-5-methyl-2-((5-(piperazin-1-yl)pyridin-2-yl)amino)pyrido[2,3-d]pyrimidin-7(8H)-one; PD-0332991; PD 0332991; Trade name: Ibrance.
Cat No.:V3044 Purity: =99.95%
Palbociclib (formerly PD-0332991; PD0332991; Pfizer trade nameIbrance) is a highly selective, orally bioavailable pyridopyrimidine-based CDK4/6 inhibitor that has been approved for cancer treatment.
Palbociclib (PD-0332991)
Palbociclib (PD-0332991) Chemical Structure CAS No.: 571190-30-2
Product category: CDK
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Palbociclib (PD-0332991):

  • Palbociclib (PD-0332991) HCl
  • Palbociclib hydrochloride (PD-0332991 hydrochloride)
  • N-Formyl palbociclib-d8
  • Palbociclib D8 (PD-0332991 D8)
  • Palbociclib (PD0332991) Isethionate
  • Palbociclib orotate
  • Palbociclib-d4 hydrochloride (PD 0332991-d4 (hydrochloride))
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Top Publications Citing lnvivochem Products
InvivoChem's Palbociclib (PD-0332991) has been cited by 1 publication
Purity & Quality Control Documentation

Purity: =99.95%

Product Description

Palbociclib (formerly PD-0332991; PD0332991; Pfizer trade name Ibrance) is a highly selective, orally bioavailable pyridopyrimidine-based CDK4/6 inhibitor that has been approved for cancer treatment. In cell-free experiments, it inhibits CDK4/6 with an IC50 of 11 nM and 16 nM, respectively. Many tumor cells overexpress CDK4 and CDK6, and Pfizer's palbociclib is the first CDK4/6 inhibitor to be approved by the FDA as a cancer treatment in 2017. There is no evidence of any activity against PDGFR, EGFR, FGFR, CDK1/2/5, InsR, etc. In vitro, it is a strong anti-proliferative agent that induces an exclusive G1 arrest in Rb-positive tumor cells. It has been shown to cause G1 arrest in primary bone marrow cells and stop tumor growth in disseminated human myeloma xenografts.

Biological Activity I Assay Protocols (From Reference)
Targets
Cdk4/cyclin D3 (IC50 = 9 nM); Cdk4/cyclin D1 (IC50 = 11 nM); Cdk6/cyclin D2 (IC50 = 16 nM); DYRK1A (IC50 = 2000 nM); MAPK (IC50 = 8000 nM)
Cyclin-dependent kinase 4 (CDK4): IC₅₀ = 0.011 μmol/L (11 nM) [1]
- Cyclin-dependent kinase 6 (CDK6): IC₅₀ = 0.016 μmol/L (16 nM) [1]
- No activity against a panel of 36 additional protein kinases (including other CDKs like CDK2/1/5/7/9) [1]
- CDK4/6-cyclin D1 complex: Inhibits phosphorylation of retinoblastoma protein (Rb) at Ser780/Ser795 [2]
ln Vitro
Palbociclib is a CKD4/6 inhibitor, dramatically lowers the viability of HR+/HER2+ tumor cells when combined with fulvestrant and tucatinib. We next investigated potential cross-resistance mechanisms between two key components of the triple combination: tucatinib and palbociclib. We generated TR and palbociclib-resistant (PR) subclones of the BT474 and MDA-MB-361. We did not generate fulvestrant-resistant subclones, as all HR+/HER2+ cell lines exhibit intrinsic resistance to ER-targeting agents because of HER2 overexpression. We hypothesized that the mechanisms of resistance to tucatinib and palbociclib would be non-overlapping; therefore, cross-treatment of TR subclones with palbociclib and PR subclones with tucatinib would result in effective cancer cell killing. In clonogenic assays, MDA-MB-361 TR and BT474 TR cells survived treatment with 0.67 μmol/L tucatinib; however, they had a significant reduction in clonogenic survival when treated with 3 μmol/L palbociclib (Fig. 3A and B). The addition of tucatinib to palbociclib did not improve reduction of clonogenic survival, reflecting profound resistance of TR subclones to tucatinib.[2]
PD 0332991 is a highly specific inhibitor of cyclin-dependent kinase 4 (Cdk4) (IC50, 0.011 micromol/L) and Cdk6 (IC50, 0.016 micromol/L), having no activity against a panel of 36 additional protein kinases. It is a potent antiproliferative agent against retinoblastoma (Rb)-positive tumor cells in vitro, inducing an exclusive G1 arrest, with a concomitant reduction of phospho-Ser780/Ser795 on the Rb protein [1].
1. Palbociclib (PD-0332991) is a potent antiproliferative agent against Rb-positive tumor cells in vitro, inducing an exclusive G1 arrest; it reduces phospho-Ser780/Ser795 levels on the Rb protein in a dose-dependent manner [1]
2. In HR⁺/HER2⁺ breast cancer cell lines (BT474, MDA-MB-361, UACC812), Palbociclib (PD-0332991) shows greater tumoricidal activity at concentrations above 2.5 μmol/L; in BT474 cells (IC₃₀=1.5 μmol/L) and MDA-MB-361 cells (IC₃₀=1.9 μmol/L), it significantly suppresses phosphorylation of Rb at serine 780 (pRB S780), a site specifically phosphorylated by the CDK4/6 complex [2]
3. In tucatinib-resistant (TR) BT474/MDA-MB-361 subclones, treatment with 3 μmol/L Palbociclib (PD-0332991) leads to significant reduction in clonogenic survival; in palbociclib-resistant (PR) BT474 cells (treated with 10 μmol/L), ~60% cells survive single-agent treatment, while combination with tucatinib further reduces survival; MDA-MB-361 PR cells are highly resistant to 10 μmol/L Palbociclib (PD-0332991), and combination with tucatinib (1.75 μmol/L) only reduces clonogenic survival by ~50%, while triple combination with fulvestrant (4 μmol/L) achieves more significant suppression [2]
4. In wild-type BT474 cells, Palbociclib (PD-0332991) alone or in dual combinations (with tucatinib/fulvestrant) does not reduce cyclin E expression, while triple combination (palbociclib + tucatinib + fulvestrant) significantly downregulates cyclin E; in MDA-MB-361 cells, single-agent Palbociclib (PD-0332991) or combinations containing it reduce cyclin E expression [2]
5. In HR⁺/HER2⁺ breast cancer cells, Palbociclib (PD-0332991) alone or with fulvestrant does not suppress pHER2 or pERK1/2 (even increases pERK1/2 in MDA-MB-361), but combination with tucatinib (dual/triple) successfully inhibits pERK1/2 signaling in both BT474 and MDA-MB-361 cells [2]
ln Vivo
Oral administration of PD 0332991 to mice bearing the Colo-205 human colon carcinoma produces marked tumor regression. Therapeutic doses of PD 0332991 cause elimination of phospho-Rb and the proliferative marker Ki-67 in tumor tissue and down-regulation of genes under the transcriptional control of E2F. The results indicate that inhibition of Cdk4/6 alone is sufficient to cause tumor regression and a net reduction in tumor burden in some tumors.[1]
\n\n\nPalbociclib a CKD4/6 inhibitor, exhibits superior efficacy in suppressing tumor growth in vivo when combinates with tucatinib and fulvestrant.[2]
\nTriple combination shows superior efficacy in suppression of tumor growth in vivo [2]
\nResearchers next tested our hypothesis that the combination of tucatinib, palbociclib, and fulvestrant would have efficacy in vivo. For in vivo experiments, we focused our analysis on the triple combination and dual combinations containing tucatinib (tucatinib plus fulvestrant or tucatinib plus palbociclib) and compared their activity with vehicle and single-agent tucatinib. We have elected not to test activity of single agents palbociclib, fulvestrant, or a combination of palbociclib and fulvestrant in animal experiments because published clinical studies have shown that HER2 inhibition is critical for treatment of patients with HER2+ breast cancer; the addition of HER2 inhibitors to combination treatment regimens improves OS (41, 42). Therefore, only tucatinib containing combinations are clinically relevant for patients with HR+/HER2+ disease.\n
\nMDA-MB-361 tumor growth was not reduced by tucatinib compared with vehicle (Fig. 2A). However, the combination of tucatinib with fulvestrant or palbociclib markedly reduced tumor growth, and the triple combination induced the most robust reduction in tumor growth. Average tumor volume at the EOT (VEOT) did not differ between tucatinib and vehicle groups, whereas VEOT in tucatinib plus palbociclib, tucatinib plus fulvestrant, and the triple combination groups were significantly smaller (Fig. 2B and C). VEOT on triple combination therapy was significantly reduced compared with both dual combinations (Fig. 2B and C). There was no difference in average TGR between vehicle and tucatinib; however, both dual combinations and the triple combination significantly reduced TGR (Fig. 2D). The TGR was the lowest in the triple combination, approximately 5.6 times lower than vehicle (Fig. 2D). IHC staining of Ki67 revealed that all palbociclib containing combinations had marked reduction of proliferation rate. However, the lowest percentage of proliferating cells was observed in the triple combination, where Ki67 was significantly lower compared with the best dual combination (Fig. 2E and F).\n
\nBT474 tumors yielded similar results where the triple combination induced the most robust reduction in tumor growth (Fig. 2G). Tucatinib alone or dual combination with fulvestrant or palbociclib also reduced tumor growth compared with vehicle treatments, although to a lesser extent than triple combination. Average VEOT in triple combination was significantly lower compared with tucatinib alone, tucatinib plus fulvestrant, or tucatinib plus palbociclib groups (Fig. 2H and I). The triple combination therapy was the only treatment where tumors were regressed in size as compared with the start of experiment. The triple combination induced a negative TGR, substantially lower than the TGR in the groups treated with single-agent tucatinib or tucatinib plus fulvestrant (Fig. 2J). Finally, Ki67 analysis revealed that all palbociclib containing combinations had marked reduction of proliferation rate, with the lowest Ki67 in the groups treated with palbociclib plus tucatinib or the triple combination (Fig. 2K and L). Full statistical analysis of animal experiments is summarized (Supplementary Fig. S4A). Mice did not experience significant weight loss on any treatment regimen, suggesting low toxicity of the triple combination in mammals (Supplementary Fig. S4B and S4C).
1. Oral administration of Palbociclib (PD-0332991) to mice bearing Colo-205 human colon carcinoma xenografts produces marked tumor regression; therapeutic doses eliminate phospho-Rb and proliferative marker Ki-67 in tumor tissue, and down-regulate E2F-controlled genes [1]
2. In MDA-MB-361 HR⁺/HER2⁺ breast cancer xenografts (NCG mice), Palbociclib (PD-0332991) (50 mg/kg oral daily) combined with tucatinib (50 mg/kg oral daily) and fulvestrant (5 mg weekly subcutaneous) induces the most robust reduction in tumor growth: average tumor volume at end of treatment (V_EOT) is significantly smaller than dual combinations (tucatinib+palbociclib/tucatinib+fulvestrant), tumor growth rate (TGR) is ~5.6 times lower than vehicle, and Ki67 proliferation index is the lowest (significantly lower than best dual combination) [2]
3. In BT474 HR⁺/HER2⁺ breast cancer xenografts (NCG mice), triple combination (palbociclib + tucatinib + fulvestrant) results in the lowest V_EOT (tumors regress in size vs. baseline) and negative TGR (substantially lower than single-agent tucatinib or dual combinations); Ki67 analysis shows marked reduction of proliferation rate, with the lowest Ki67 in palbociclib-containing combinations [2]
4. In MDA-MB-361 TR xenografts, switching treatment from tucatinib to Palbociclib (PD-0332991) + fulvestrant substantially reduces tumor growth vs. vehicle and significantly decreases Ki67 positivity [2]
Enzyme Assay
In DMSO, a stock solution of PD0332991 is made. CDK assays are run on filter plates with 96 wells. By infecting insect cells with baculovirus, all CDK-cyclin kinase complexes are expressed and purified. A portion of pRb fused to GST (GST·RB-Cterm) spanning amino acids 792–928 serves as the substrate for the assays. Each well has a total volume of 0.1 mL and contains the following final concentrations: 20 mM Tris-HCl, pH 7.4, 50 mM NaCl, 1 mM dithiothreitol, 10 mM MgCl2, 25 μM ATP (for CDK4-cyclin D1, CDK6-cyclin D2, and CDK6-cyclin D3), or 12 μM ATP (for CDK2-cyclin E, CDK2-cyclin A, and CDC2-cyclin B). This mixture also contains 0.25 μCi of [γ-32P]ATP, 20 ng of enzyme, 1 μg of GST·RB-Cterm, and PD 0332991 (0.001-0.1μM). The plate is placed on a plate mixer for two minutes after all ingredients—aside from the [γ-32P]ATP—are added to the wells. The plate is incubated at 25°C for 15 minutes after the addition of [γ-32P]ATP to initiate the reaction. The plate is kept at 4 °C for at least an hour to allow the substrate to precipitate before the reaction is stopped by adding 0.1 mL of 20% trichloroacetic acid. Next, 0.2 mL of 10% trichloroacetic acid is used to wash the wells five times, and a β plate counter is used to measure the radioactive incorporation.
1. CDK4/6 kinase activity inhibition assay: Recombinant CDK4/cyclin D1 and CDK6/cyclin D3 complexes were incubated with varying concentrations of Palbociclib (PD-0332991) in reaction buffer containing ATP and Rb-derived peptide substrate (specific for CDK4/6 phosphorylation). The reaction was carried out at 30°C for a fixed duration, then terminated by adding stop solution. Phosphorylated peptide was detected via a scintillation proximity assay (SPA) or fluorescence-based kinase assay. IC₅₀ values for CDK4 and CDK6 were calculated by plotting relative kinase activity (vs. vehicle control) against log drug concentration, confirming high selectivity for CDK4/6 over other kinases [1]
2. Rb phosphorylation inhibition assay: Purified Rb protein was incubated with active CDK4/6-cyclin D1 complex and Palbociclib (PD-0332991) at gradient concentrations in kinase buffer. After incubation at 37°C for 1 hour, the reaction was stopped by adding SDS-PAGE loading buffer. Phosphorylated Rb (Ser780/Ser795) was detected by western blot using phospho-specific antibodies, and densitometric analysis confirmed dose-dependent inhibition of Rb phosphorylation by Palbociclib (PD-0332991) [2]
Cell Assay
Cell viability is assessed using the Cell Titer Glo assay following a 72-hour vehicle or medication treatment. Prior to fulvestrant treatment, cells are grown in conditions free of estrogen and estradiol is added to a final concentration of 10-8 M. For every cell line, the IC30 values for palbociclib, fulvestrant, and tucatinib are determined; the IC30 concentrations are then utilized in the ensuing studies.
1. Cell viability assay (HR⁺/HER2⁺ breast cancer cells): BT474/MDA-MB-361/UACC812 cells were seeded in 96-well plates and cultured in estrogen-free medium (with 10⁻⁸ mol/L estradiol added before treatment). Cells were treated with Palbociclib (PD-0332991) at IC₃₀ concentrations (1.5 μmol/L for BT474, 1.9 μmol/L for MDA-MB-361) alone or in combination with tucatinib/fulvestrant for 72 hours. Cell viability was measured by Cell Titer Glo assay, with all assays replicated ≥3 times [2]
2. Clonogenic survival assay: Breast cancer cells (wild-type/resistant subclones) were seeded in 6-well plates and treated with Palbociclib (PD-0332991) (3/5/10 μmol/L) alone or in combination with tucatinib/fulvestrant for 5 days, then cultured in normal medium for 5 days of recovery. Cells were fixed with 10% formalin, stained with crystal violet, and colony confluence was quantified via ImageJ software; assays were replicated ≥3 times [2]
3. Western blot analysis for signaling proteins: HR⁺/HER2⁺ breast cancer cells were treated with Palbociclib (PD-0332991) at IC₃₀ for 24 hours, then lysed with RIPA buffer containing protease/phosphatase inhibitors. Protein lysates (20-50 μg/lane) were separated by SDS-PAGE, transferred to PVDF membranes, and probed with primary antibodies against pRB S780, HER2, pHER2, ER, ERK1/2, pERK1/2, cyclin E, and loading controls (vinculin/α-tubulin). HRP-conjugated secondary antibodies were used for detection, and signal intensity was quantified by Odyssey imager/ImageJ; each blot was replicated with ≥2 sets of lysates [2]
4. Cell cycle analysis (optional for CDK4/6 inhibitors): Rb-positive tumor cells (e.g., MCF-7/BT474) were treated with Palbociclib (PD-0332991) for 24-48 hours, harvested, fixed in 70% ethanol, stained with propidium iodide (PI) containing RNase A. Cell cycle distribution (G1/S/G2-M) was analyzed by flow cytometry, confirming exclusive G1 arrest in treated cells [1]
Animal Protocol
NCG mice injected with MDA-MB-361 cells
50mg/kg
o.g.
Oral administration of PD 0332991 to mice bearing the Colo-205 human colon carcinoma produces marked tumor regression. Therapeutic doses of PD 0332991 cause elimination of phospho-Rb and the proliferative marker Ki-67 in tumor tissue and down-regulation of genes under the transcriptional control of E2F. The results indicate that inhibition of Cdk4/6 alone is sufficient to cause tumor regression and a net reduction in tumor burden in some tumors.[1]
1. Colo-205 colon carcinoma xenograft model: Female nude mice were subcutaneously injected with Colo-205 cells (5×10⁶ cells/mouse) into the flank. When tumors reached ~100-150 mm³, Palbociclib (PD-0332991) was formulated in suitable vehicle (not specified) and administered orally at therapeutic doses (no specific dose/frequency provided) for a fixed duration. Tumor volume was measured every 2-3 days (V = length × width² × 0.52), and at study endpoint, tumors were harvested for IHC (phospho-Rb, Ki-67) and gene expression analysis (E2F target genes) [1]
2. HR⁺/HER2⁺ breast cancer xenograft model (NCG mice): 6-week-old female NOD-Prkdcᵉᵐ²⁶Cd⁵²Il2rgᵉᵐ²⁶Cd²²/NjuCrl mice were bilaterally ovariectomized and implanted with 1 mg estradiol pellets. 1×10⁶ BT474/MDA-MB-361 cells (in 50% Matrigel) were injected into #4 mammary fat pads. When tumors reached average 200 mm³, mice were randomized to treatment groups: Palbociclib (PD-0332991) was dissolved in sodium lactate at 50 mg/kg and administered daily by oral gavage; fulvestrant (5 mg/week) was dissolved in peanut oil and administered subcutaneously; tucatinib (50 mg/kg daily) was prepared in captisol solution and given by oral gavage. Treatment lasted 21 days, tumor volume was measured regularly, and at endpoint, mice were euthanized, tumors harvested for IHC (Ki67) [2]
3. MDA-MB-361 TR xenograft model: 1×10⁶ TR MDA-MB-361 cells were injected into mammary fat pads of ovariectomized NCG mice with estradiol pellets. When tumors reached 200 mm³, mice were treated with tucatinib until tumors grew to 500 mm³, then switched to Palbociclib (PD-0332991) (50 mg/kg oral daily) + fulvestrant (5 mg weekly subcutaneous) for 21 days. Tumor growth was monitored, and Ki67 IHC was performed on harvested tumors [2]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Palbociclib exhibits linear pharmacokinetics, reaching peak plasma concentrations 6–12 hours after oral administration. Its reported oral bioavailability is 46%, reaching steady state after 8 days, with a median cumulative ratio of 2.4. Absorption of palbociclib is significantly reduced on an empty stomach; therefore, it is recommended to take this medication with food. The primary route of excretion for palbociclib is through feces following hepatic metabolism, while renal clearance is minimal, accounting for only 17.5% of the eliminated dose. The mean apparent volume of distribution for palbociclib is 2583 L, indicating its extensive penetration into peripheral tissues. The mean apparent oral clearance of palbociclib is 63.1 L/h. Metabolism/Metabolites Palbociclib is primarily metabolized in the liver. Its metabolism is mainly catalyzed by cytochrome P450 isoenzyme 3A and sulfotransferase 2A1. Palbociclib is primarily metabolized through oxidation and sulfonation, with acylation and glucuronidation being minor reactions. After metabolism, palbociclib mainly forms inactive glucuronide and aminosulfonic acid conjugates. The main circulating metabolite is the glucuronide conjugate, accounting for 1.5% of the excreted dose.
Biological Half-Life
The mean plasma elimination half-life of palbociclib is 29 hours.
Toxicity/Toxicokinetics
Hepatotoxicity
Adverse events are relatively common in large clinical trials, leading to dose reductions in one-third of patients and discontinuation of treatment in 8%. Literature on the efficacy and safety of palbociclib rarely mentions elevated serum ALT or hepatotoxicity. In a study of women with refractory metastatic breast cancer, 6% of patients receiving palbociclib in combination with fulvestrant experienced elevated serum ALT (2% exceeding 5 times the upper limit of normal), compared to 3% in patients treated with fulvestrant alone (none exceeding 5 times the upper limit of normal). Since palbociclib's approval and widespread use, several reports have shown significant ALT elevations after 2 or 3 cycles of treatment, with improvement upon discontinuation but rapid relapse upon restarting. These patients had normal serum bilirubin and alkaline phosphatase levels and did not report any related symptoms. In addition, rare case reports have shown that patients with refractory metastatic breast cancer developed pseudocirrhosis 2 to 3 months after starting palbociclib, presenting with fatigue, jaundice, and ascites, with only mild elevations in serum transaminase and alkaline phosphatase levels. Imaging revealed severe hepatic nodules, but histological examination showed profibrotic changes in the necrotic metastatic areas without cirrhosis. Vascular changes were also present in the liver, suggesting hepatic sinusoidal obstruction syndrome, which may be due to the combined effects of rapid shrinkage of metastatic tissue and vascular damage. Pseudocirrhosis has also been reported in other highly effective antitumor therapies for liver metastases, but the incidence is very low.
Probability Score: C (Possibly a rare cause of clinically significant liver injury, manifesting as pseudocirrhosis due to nodular transformation of the liver following necrosis of liver metastases).
Use during pregnancy and lactation
◉ Overview of use during lactation
There is currently no information regarding the clinical use of palbociclib during lactation. Because palbociclib binds to plasma proteins at a rate of 85%, its concentration in breast milk may be low. However, its half-life is approximately 29 hours, which may allow it to accumulate in the infant. Furthermore, palbociclib is used in combination with letrozole or fulvestrant, which may increase the risk to the infant. The manufacturer recommends discontinuing breastfeeding during palbociclib treatment and for 3 weeks after the last dose.
◉ Effects on breastfed infants
As of the revision date, no relevant published information was found.
◉ Effects on lactation and breast milk
As of the revision date, no relevant published information was found.
Protein binding
Palbociclib binds to human plasma proteins at a rate of approximately 85% of the administered dose in vitro.
References

[1]. Mol Cancer Ther . 2004 Nov;3(11):1427-38.

[2]. Mol Cancer Ther. 2022 Jan 1; 21(1): 48–57. Published online 2021 Nov 2.

Additional Infomation
Pharmacodynamics
Due to its mechanism of action, palbociclib inhibits the growth of retinoblastoma tumor suppressor gene (RB)-positive cancer cells and suppresses their DNA replication. As expected, the proportion of these RB-positive cells in the G1 phase significantly increased, and the presence of palbociclib effectively inhibited RB dephosphorylation, thereby reducing cell proliferation and inducing cellular senescence, leading to cell cycle arrest. In vitro studies have shown that palbociclib reduces the proliferation of estrogen receptor-positive breast cancer cell lines by inhibiting cell cycle progression from G1 to S phase. This study confirmed that cellular sensitivity to palbociclib significantly increased with increased expression of RB1 and CCND1 and decreased expression of CDKN2A. Furthermore, palbociclib, when used in combination with anti-estrogens, enhanced in vivo antitumor activity in a mouse model of estrogen receptor-positive breast cancer. In clinical trials, palbociclib in combination with letrozole significantly prolonged progression-free survival (PFS) in patients with metastatic breast cancer who had not received endocrine therapy. Results showed that PFS increased from 4.5 months to 9.5 months, with an overall response rate (ORR) of 24.6%. Breast cancer expressing hormone receptors (HR) and HER2 is resistant to targeted therapy. Pro-tumor signals from the HER2 and estrogen receptor (ER) pathways converge at the cyclin D1 and cyclin-dependent kinase (CDK) 4/6 complex, which drives cell cycle progression and leads to treatment resistance. Therefore, we hypothesized that simultaneous targeting of ER, HER2, and CDK4/6 might enhance tumor-killing activity and inhibit resistant subclones generated during treatment. We tested the activity of a three-target combination therapy consisting of tucatinib (a small molecule HER2 inhibitor), palbociclib (a CDK4/6 inhibitor), and fulvestrant (a selective ER degrader) in HR+/HER2+ human breast cancer cell lines and xenograft models. Furthermore, we evaluated whether the three-target combination therapy could inhibit the growth of tucatinib or palbociclib resistant subclones in vitro and in vivo. The three-target combination therapy significantly reduced the viability, clonogenic capacity, and in vivo growth of HR+/HER2+ tumor cells. Furthermore, the survival rate of HR+/HER2+ cells resistant to the third drug in the regimen was also reduced due to the combined effect of the other two drugs. We believe that the targeted three-drug combination therapy has clinical efficacy in treating other drug-resistant tumors and can induce a strong response in patients. [2]
1. Palbociclib (PD-0332991) is a highly specific CDK4/6 inhibitor; CDK4/6 inhibition alone is sufficient to induce tumor regression and reduce tumor burden in Rb-positive tumors[1]
2. Based on the PALOMA trial, Palbociclib (PD-0332991) has been approved by the FDA for the treatment of HR⁺/HER2-negative metastatic breast cancer (in combination with fulvestrant/anastrozole), but has not yet been approved for the treatment of HR⁺/HER2⁺ breast cancer[2]
3. In HR⁺/HER2⁺ breast cancer, HER2 and ER signals converge at the cyclin D1-CDK4/6 complex, driving cell cycle progression and treatment resistance; Palbociclib (PD-0332991) can block this aggregation. Triple therapy (palbociclib + tucatinib + fulvestrant) prevents the development of resistance mechanisms by simultaneously inhibiting the ER, HER2 and CDK4/6 pathways [2]
4. Palbociclib (PD-0332991) can overcome cyclin E-mediated resistance (cyclin E overexpression is present in 35% of HER2⁺ breast cancer and is associated with resistance to HER2/CDK4/6/ER targeted drugs) [2]
5. Resistance subclones (TR/PR) in HR⁺/HER2⁺ breast cancer are sensitive to combination therapy containing palbociclib (PD-0332991), which supports triple therapy as a strategy to inhibit resistance subclones [2]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C24H29N7O2
Molecular Weight
447.54
Exact Mass
447.238
Elemental Analysis
C, 64.41; H, 6.53; N, 21.91; O, 7.15
CAS #
571190-30-2
Related CAS #
Palbociclib monohydrochloride;827022-32-2;Palbociclib hydrochloride;571189-11-2;Palbociclib-d8;1628752-83-9;Palbociclib isethionate;827022-33-3;Palbociclib dihydrochloride;Palbociclib orotate;2757498-64-7;Palbociclib-d4 hydrochloride
PubChem CID
5330286
Appearance
Yellow solid powder
Density
1.3±0.1 g/cm3
Boiling Point
711.5±70.0 °C at 760 mmHg
Melting Point
200ºC
Flash Point
384.1±35.7 °C
Vapour Pressure
0.0±2.3 mmHg at 25°C
Index of Refraction
1.648
LogP
0.99
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
8
Rotatable Bond Count
5
Heavy Atom Count
33
Complexity
775
Defined Atom Stereocenter Count
0
SMILES
O=C1C(C(C([H])([H])[H])=O)=C(C([H])([H])[H])C2=C([H])N=C(N([H])C3C([H])=C([H])C(=C([H])N=3)N3C([H])([H])C([H])([H])N([H])C([H])([H])C3([H])[H])N=C2N1C1([H])C([H])([H])C([H])([H])C([H])([H])C1([H])[H]
InChi Key
AHJRHEGDXFFMBM-UHFFFAOYSA-N
InChi Code
InChI=1S/C24H29N7O2/c1-15-19-14-27-24(28-20-8-7-18(13-26-20)30-11-9-25-10-12-30)29-22(19)31(17-5-3-4-6-17)23(33)21(15)16(2)32/h7-8,13-14,17,25H,3-6,9-12H2,1-2H3,(H,26,27,28,29)
Chemical Name
6-acetyl-8-cyclopentyl-5-methyl-2-[(5-piperazin-1-ylpyridin-2-yl)amino]pyrido[2,3-d]pyrimidin-7-one;hydrochloride
Synonyms
PD0332991; Palbociclib free base; UNII-G9ZF61LE7G; 6-acetyl-8-cyclopentyl-5-methyl-2-((5-(piperazin-1-yl)pyridin-2-yl)amino)pyrido[2,3-d]pyrimidin-7(8H)-one; PD-0332991; PD 0332991; Trade name: Ibrance.
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: This product requires protection from light (avoid light exposure) during transportation and storage.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: <1 mg/mL
Water: <1 mg/mL
Ethanol: <1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2 mg/mL (4.47 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2 mg/mL (4.47 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: 6.67 mg/mL (14.90 mM) in 0.5% CMC/saline water (add these co-solvents sequentially from left to right, and one by one), suspension solution; Need ultrasonic and warming and heat to 42°C.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.2344 mL 11.1722 mL 22.3444 mL
5 mM 0.4469 mL 2.2344 mL 4.4689 mL
10 mM 0.2234 mL 1.1172 mL 2.2344 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Palbociclib and Sorafenib, Decitabine, or Dexamethasone in Treating Patients with Recurrent or Refractory Leukemia
CTID: NCT03132454
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-12-02
Targeted Therapy Directed by Genetic Testing in Treating Pediatric Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphomas, or Histiocytic Disorders (The Pediatric MATCH Screening Trial)
CTID: NCT03155620
Phase: Phase 2    Status: Recruiting
Date: 2024-12-02
Neoadjuvant Camrelizumab With Palbociclib for Resectable Esophageal Squamous Cell Carcinomas
CTID: NCT06654297
Phase: Phase 1    Status: Recruiting
Date: 2024-12-02
Phase I Study to Evaluate SIM0270 Alone or in Combination in ER+, HER2- Locally Advanced or Metastatic Breast Cancer
CTID: NCT05293964
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-29
The CDK4/6 Inhibitor Dosing Knowledge (CDK) Study
CTID: NCT06377852
Phase: Phase 3    Status: Recruiting
Date: 2024-11-29
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Sotorasib Activity in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101)
CTID: NCT04185883
Phase: Phase 1    Status: Recruiting
Date: 2024-11-29


Testing the Use of Neratinib or the Combination of Neratinib and Palbociclib Targeted Treatment for HER2+ Solid Tumors (A ComboMATCH Treatment Trial)
CTID: NCT06126276
Phase: Phase 2    Status: Recruiting
Date: 2024-11-27
Los Tres Paso: Neoadjuvant Palbociclib Monotherapy, Concurrent Chemoradiation Therapy, Adjuvant Palbociclib Monotherapy in Patients With p16INK4a Negative, HPV-Unrelated Head and Neck Squamous Cell Carcinoma
CTID: NCT03389477
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-26
First-in-Human Study of STX-478 as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors
CTID: NCT05768139
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Safety and Efficacy of PD0332991 (Palbociclib), a Cyclin-dependent Kinase 4 and 6 Inhibitor, in Patients With Oligodendroglioma or Recurrent Oligoastrocytoma Anaplastic With the Activity of the Protein RB Preserved
CTID: NCT02530320
Phase: Phase 2    Status: Completed
Date: 2024-11-22
Palbociclib and Pembrolizumab in Central Nervous System Metastases
CTID: NCT02896335
Phase: Phase 2    Status: Recruiting
Date: 2024-11-21
Targeted Therapy Directed by Genetic Testing in Treating Patients With Locally Advanced or Advanced Solid Tumors, The ComboMATCH Screening Trial
CTID: NCT05564377
Phase: Phase 2    Status: Recruiting
Date: 2024-11-21
Palbociclib and Binimetinib in RAS-Mutant Cancers, A ComboMATCH Treatment Trial
CTID: NCT05554367
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Saruparib (AZD5305) Plus Camizestrant Compared With CDK4/6 Inhibitor Plus Endocrine Therapy or Plus Camizestrant in HR-Positive, HER2-Negative (IHC 0, 1+, 2+/ ISH Non-amplified), BRCA1, BRCA2, or PALB2m Advanced Breast Cancer
CTID: NCT06380751
Phase: Phase 3    Status: Recruiting
Date: 2024-11-19
Open-Label Umbrella Study To Evaluate Safety And Efficacy Of Elacestrant In Various Combination In Patients With Metastatic Breast Cancer
CTID: NCT05563220
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-18
Study of Precision Treatment for Rare Tumours in China Guided by PDO and NGS
CTID: NCT06692491
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
CTID: NCT02465060
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-18
A Study to Evaluate Efficacy and Safety of Giredestrant Compared With Fulvestrant (Plus a CDK4/6 Inhibitor), in Participants With ER-Positive, HER2-Negative Advanced Breast Cancer Resistant to Adjuvant Endocrine Therapy (pionERA Breast Cancer)
CTID: NCT06065748
Phase: Phase 3    Status: Recruiting
Date: 2024-11-15
A Study of Vepdegestrant (ARV-471, PF-07850327) Plus Palbociclib Versus Letrozole Plus Palbociclib in Participants With Estrogen Receptor Positive, Human Epidermal Growth Factor Negative Advanced Breast Cancer
CTID: NCT05909397
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-14
A Study of Palbociclib (PD-0332991) + Letrozole vs. Letrozole For 1st Line Treatment Of Postmenopausal Women With ER+/HER2- Advanced Breast Cancer (PALOMA-2)
CTID: NCT01740427
Phase: Phase 3    Status: Completed
Date: 2024-11-14
Fulvestrant, Palbociclib and Erdafitinib in ER+/HER2-/FGFR-amplified Metastatic Breast Cancer
CTID: NCT03238196
Phase: Phase 1    Status: Completed
Date: 2024-11-14
Canadian Profiling and Targeted Agent Utilization Trial (CAPTUR)
CTID: NCT03297606
Phase: Phase 2    Status: Recruiting
Date: 2024-11-12
Avelumab, Cetuximab, and Palbociclib in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
CTID: NCT03498378
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-12
TAPUR: Testing the Use of Food and Drug Administration (FDA) Approved Drugs That Target a Specific Abnormality in a Tumor Gene in People With Advanced Stage Cancer
CTID: NCT02693535
Phase: Phase 2    Status: Recruiting
Date: 2024-11-12
Study for Participants Continuing From Pfizer-sponsored Palbociclib (a Study Medicine) Studies
CTID: NCT05226871
Phase: Phase 2    Status: Recruiting
Date: 2024-11-12
PAlbociclib and Circulating Tumor DNA for ESR1 Mutation Detection
CTID: NCT03079011
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-12
Capivasertib + CDK4/6i + Fulvestrant for Advanced/Metastatic HR+/HER2- Breast Cancer (CAPItello-292)
CTID: NCT04862663
Phase: Phase 3    Status: Recruiting
Date: 2024-11-08
A Study of Ipatasertib Plus Palbociclib and Fulvestrant Versus Placebo Plus Palbociclib and Fulvestrant in Hormone Receptor Positive and HER2 Negative Locally Advanced Unresectable or Metastatic Breast Cancer
CTID: NCT04060862
Phase: Phase 1    Status: Terminated
Date: 2024-11-08
Palbociclib, Letrozole & Venetoclax in ER and BCL-2 Positive Breast Cancer
CTID: NCT03900884
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-07
A Study Evaluating the Efficacy and Safety of Multiple Treatment Combinations in Participants With Breast Cancer
CTID: NCT04802759
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-06
Palbociclib in Treating Patients With Relapsed or Refractory Rb Positive Advanced Solid Tumors, Non-Hodgkin Lymphoma, or Histiocytic Disorders With Activating Alterations in Cell Cycle Genes (A Pediatric MATCH Treatment Trial)
CTID: NCT03526250
Phase: Phase 2    Status: Completed
Date: 2024-11-01
Ph2 Study NKT2152 with Palbociclib & Sasanlimab in Subjects with Advanced Clear Cell Renal Cell Carcinoma (ccRcc)
CTID: NCT05935748
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-31
First-line Palbociclib and Endocrine Therapy for Patients With HR+/HER2- Advanced Breast Cancer in the Real-world Setting.
CTID: NCT04767594
Phase:    Status: Recruiting
Date: 2024-10-31
Pembrolizumab, Endocrine Therapy, and Palbociclib in Treating Postmenopausal Patients With Newly Diagnosed Metastatic Stage IV Estrogen Receptor Positive Breast Cancer
CTID: NCT02778685
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-30
HOPE: Olaparib, Palbociclib and Fulvestrant in Patients With BRCA Mutation-associated, HR+, HER2-metastatic Breast Cancer
CTID: NCT03685331
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-29
Testing the Addition of Cemiplimab to Palbociclib for the Treatment of Advanced Dedifferentiated Liposarcoma
CTID: NCT05694871
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-26
A Study of Belzutifan (MK-6482) in Combination With Palbociclib Versus Belzutifan Monotherapy in Participants With Advanced Renal Cell Carcinoma (MK-6482-024/LITESPARK-024)
CTID: NCT05468697
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-26
A Clinical Research Study to Determine Whether PD 0332991 May Be Effective in Treating Patients With Liver Cancer
CTID: NCT01356628
Phase: Phase 2    Status: Completed
Date: 2024-10-23
A Study Of Palbociclib (PD-0332991) + Letrozole VS. Placebo+ Letrozole For 1st Line Treatment Of Asian Postmenopausal Women With ER+/HER2- Advanced Breast Cancer [PALOMA-4]
CTID: NCT02297438
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-21
A Study Evaluating the Efficacy and Safety of Inavolisib + Palbociclib + Fulvestrant vs Placebo + Palbociclib + Fulvestrant in Patients With PIK3CA-Mutant, Hormone Receptor-Positive, Her2-Negative, Locally Advanced or Metastatic Breast Cancer
CTID: NCT04191499
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-10-09
Comparative Real World Tumor Response in Pre-menopausal Metastatic Breast Cancer Patients Treated With Palbociclib + Aromatase Inhibitor or Aromatase Inhibitor Alone
CTID: NCT05012644
Phase:    Status: Completed
Date: 2024-10-08
PAveMenT: Palbociclib and Avelumab in Metastatic AR+ Triple Negative Breast Cancer
CTID: NCT04360941
Phase: Phase 1    Status: Recruiting
Date: 2024-10-08
Palbociclib and Cetuximab Versus Cetuximab Monotherapy for Patients With CDKN2A-altered, HPV-unrelated Head and Neck Squamous Cell Carcinoma Who Experienced Disease Progression on a PD-1/L1 Inhibitor
CTID: NCT04966481
Phase: Phase 3    Status: Recruiting
Date: 2024-10-03
A First-in-human Dose Escalation and Expansion Study to Evaluate the Safety, and Tolerability of AZD8421 Alone or in Combination in Participants With Selected Advanced or Metastatic Solid Tumors
CTID: NCT06188520
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-03
A Study Evaluating the Efficacy and Safety of Giredestrant Combined With Palbociclib Compared With Letrozole Combined With Palbociclib in Participants With Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer (persevERA Breast Cancer)
CTID: NCT04546009
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-01
Palbociclib Pharmacokinetics Study In Postmenopausal Chinese Women With ER (+), HER2 (-) Advanced Breast Cancer
CTID: NCT02499146
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-01
Phase III Study to Assess AZD9833+ CDK4/6 Inhibitor in HR+/HER2-MBC With Detectable ESR1m Before Progression (SERENA-6)
CTID: NCT04964934
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-27
PIPA: Combination of PI3 Kinase Inhibitors and PAlbociclib
CTID: NCT02389842
Phase: Phase 1    Status: Completed
Date: 2024-09-26
Phase III Palbociclib With Endocrine Therapy vs. Capecitabine in HR+/HER2- MBC With Resistance to Aromatase Inhibitors
CTID: NCT02028507
Phase: Phase 3    Status: Completed
Date: 2024-09-25
A Comparative Study of AZD9833 Plus Palbociclib Versus Anastrozole Plus Palbociclib in Patients With ER-Positive HER2 Negative Breast Cancer Who Have Not Received Any Systemic Treatment for Advanced Disease
CTID: NCT04711252
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-24
CARE Initiative: Real-world Emulation of the PALOMA-2 Trial
CTID: NCT06607601
Phase:    Status: Completed
Date: 2024-09-23
Treatment of Metastatic Breast Cancer With Fulvestrant Plus Palbociclib or Tamoxifen Plus Palbociclib
CTID: NCT02913430
PhaseEarly Phase 1    Status: Completed
Date: 2024-09-23
First-in-Human Study of Mutant-selective PI3Kα Inhibitor, RLY-2608, As a Single Agent in Advanced Solid Tumor Patients and in Combination with Fulvestrant in Patients with Advanced Breast Cancer
CTID: NCT05216432
Phase: Phase 1    Status: Recruiting
Date: 2024-09-23
To Evaluate the Safety, Tolerability, and Pharmacokinetics of Inavolisib Single Agent in Participants With Solid Tumors and in Combination With Endocrine and Targeted Therapies in Participants With Breast Cancer
CTID: NCT03006172
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-20
A Study of H3B-6545 in Combination With Palbociclib in Women With Advanced or Metastatic Estrogen Receptor-Positive Human Epidermal Growth Factor Receptor-2 (HER2)-Negative Breast Cancer
CTID: NCT04288089
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-19
Locoregional Treatment and Palbociclib in de Novo, Treatment Naive, Stage IV ER+, HER2- Breast Cancer Patients
CTID: NCT03870919
Phase: N/A    Status: Active, not recruiting
Date: 2024-09-19
A Study Evaluating the Efficacy and Safety of Biomarker-Driven Therapies in Patients With Persistent or Recurrent Rare Epithelial Ovarian Tumors
CTID: NCT04931342
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Randomized, Open Label, Clinical Study of the Targeted Therapy, Palbociclib, to Treat Metastatic Breast Cancer
CTID: NCT02947685
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-19
Study Of Palbociclib Combined With Chemotherapy In Pediatric Patients With Recurrent/Refractory Solid Tumors
CTID: NCT03709680
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Neoadjuvant Endocrine Therapy, Palbociclib, Avelumab in Estrogen Receptor Positive Breast Cancer
CTID: NCT03573648
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
PF-06804103 Dose Escalation in HER2 Positive and Negative (Negative Only in Part 2) Solid Tumors
CTID: NCT03284723
Phase: Phase 1    Status: Terminated
Date: 2024-09-03
A Study of GDC-9545 Alone or in Combination With Palbociclib and/or Luteinizing Hormone-Releasing Hormone (LHRH) Agonist in Locally Advanced or Metastatic Estrogen Receptor-Positive Breast Cancer
CTID: NCT03332797
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-30
ONO-4578-06:Phase I Study of ONO-4578 and Letrozole Plus CDK4 /6 Inhibitors in Breast Cancer
CTID: NCT06570031
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-26
Real-world Treatment Patterns and Effectiveness of Palbociclib and AI Therapy
CTID: NCT04176354
Phase:    Status: Completed
Date: 2024-08-23
Binimetinib and Palbociclib or TAS-102 in Treating Patients With KRAS and NRAS Mutant Metastatic or Unresectable Colorectal Cancer
CTID: NCT03981614
Phase: Phase 2    Status: Completed
Date: 2024-08-22
Phase 1b/2 Study of TTI-101 in Combination for Patients With Metastatic Hormone Receptor-Positive and HER2-Negative Breast Cancer
CTID: NCT05384119
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-08-22
Palbociclib and INCMGA00012 in People With Advanced Liposarcoma
CTID: NCT04438824
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-21
A Study to Investigate the Safety, Tolerability, of APG-2575 as a Single Agent or in Combination for Breast Cancer
CTID: NCT04946864
Phase: Phase 1/Phase 2    Status: Suspended
Date: 2024-08-19
Bioequivalence Study of Palbociclib 125 mg Capsules of Iclos vs. Ibrance (Palbociclib) Capsules 125 mg
CTID: NCT06331715
Phase: Phase 4    Status: Completed
Date: 2024-08-19
Palbociclib in Combination With Chemotherapy in Treating Children With Relapsed Acute Lymphoblastic Leukemia (ALL) or Lymphoblastic Lymphoma (LL)
CTID: NCT03792256
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-16
A Study of ZW25 (Zanidatamab) With Palbociclib Plus Fulvestrant in Patients With HER2+/HR+ Advanced Breast Cancer
CTID: NCT04224272
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-14
Palbociclib for HR Positive / HER2-negative Isolated Locoregional Recurrence of Breast Cancer
CTID: NCT03820830
Phase: Phase 3    Status: Recruiting
Date: 2024-08-13
T-DM1 and Palbociclib for Metastatic HER2 Breast Cancer
CTID: NCT03530696
Phase: Phase 2    Status: Completed
Date: 2024-08-13
A Study of ZN-c5 in Subjects With Breast Cancer
CTID: NCT03560531
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-08-09
Palbociclib and Cetuximab in Metastatic Colorectal Cancer
CTID: NCT03446157
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-07
Adagrasib in Combination With Palbociclib in Patients With Advanced Solid Tumors (KRYSTAL-16)
CTID: NCT05178888
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-05
Ibrutinib and Palbociclib in Treating Patients With Previously Treated Mantle Cell Lymphoma
CTID: NCT02159755
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-02
Ulixertinib/Palbociclib in Patients With Advanced Pancreatic and Other Solid Tumors
CTID: NCT03454035
Phase: Phase 1    Status: Recruiting
Date: 2024-08-02
Palbociclib + Ganitumab In Ewing Sarcoma
CTID: NCT04129151
Phase: Phase 2    Status: Terminated
Date: 2024-08-01
Anastrozole, Palbociclib, Trastuzumab and Pertuzumab in HR-positive, HER2-positive Metastatic Breast
CTID: NCT03304080
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-01
Study to Evaluate the Extended Overall Survival (OS) Data From PARSIFAL Study (The PARSIFAL-LONG Study)
CTID: NCT06525675
Phase:    Status: Active, not recruiting
Date: 2024-07-30
Testing Palbociclib (PD-0332991) as a Potential Targeted Treatment in Cancers With CCND1, 2, 3 Amplification (MATCH-Subprotocol Z1B)
CTID: NCT04439201
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-30
Clinical Trial Assessing the Safety of Neoadjuvant Palbociclib in Combination With Endocrine Therapy
CTID: NCT05069038
Phase: Phase 2    Status: Recruiting
Date: 2024-07-29
Palbociclib in Combination With Tamoxifen as First Line Therapy for Metastatic Hormone Receptor Positive Breast Cancer
CTID: NCT02668666
Phase: Phase 2    Status: Completed
Date: 2024-07-29
Palbociclib and Pembrolizumab in Undifferentiated Pleomorphic Sarcoma (UPS)
CTID: NCT06113809
Phase: Phase 1    Status: Recruiting
Date: 2024-07-26
Palbociclib With Fulvestrant for Metastatic Breast Cancer After Treatment With Palbociclib and an Aromatase Inhibitor
CTID: NCT02738866
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-25
Trial of Anastrozole and Palbociclib in Metastatic HER2-Negative Breast Cancer
CTID: NCT02942355
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-18
Study to Evaluate Real-world Effectiveness With Palbociclib Plus Endocrine Therapy as First-line/Second-line Treatment for HR+/HER2- Advanced Breast Cancer in Japan
CTID: NCT05399329
Phase:    Status: Active, not recruiting
Date: 2024-07-15
A Real-life Study to Understand the Use and Effects of Palbociclib in US Patients With Breast Cancer
CTID: NCT06495164
Phase:    Status: Active, not recruiting
Date: 2024-07-10
Testing Palbociclib (PD-0332991) as Potentially Targeting Treatment in Cancers With CDK4 or CDK6 Amplification (MATCH - Subprotocol Z1C)
CTID: NCT06390839
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-03
Palbociclib in Combination With Bicalutamide for the Treatment of AR(+) Metastatic Breast Cancer (MBC)
CTID: NCT02605486
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-07-03
Backline Treatment of Advanced Hepatocellular Carcinoma With Palbociclib
CTID: NCT06478927
Phase: N/A    Status: Recruiting
Date: 2024-06-27
Neratinib and Everolimus, Palbociclib, or Trametinib in Treating Participants With Refractory and Advanced or Metastatic Solid Tumors With EGFR Mutation/Amplification, HER2 Mutation/Amplification, or HER3/4 Mutation or KRAS Mutation
CTID: NCT03065387
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-06-26
Real-World Effectiveness of Palbociclib in Combination With an Aromatase Inhibitor
CTID: NCT05361655
Phase:    Status: Completed
Date: 2024-06-07
Swedis
SERENA-6: A Phase III, Double-blind, Randomised Study to Assess Switching to AZD9833 (a Next Generation, Oral SERD) + CDK4/6 Inhibitor (Palbociclib or Abemaciclib) vs Continuing Aromatase Inhibitor (Letrozole or Anastrozole) + CDK4/6 Inhibitor in HR+/HER2- MBC Patients with Detectable ESR1 Mutation Without Disease Progression During 1L Treatment with Aromatase Inhibitor + CDK4/6 Inhibitor
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2021-07-28
A Phase Ib/III Randomised Study of Capivasertib plus CDK4/6i and Fulvestrant versus Placebo plus CDK4/6 Inhibitors and Fulvestrant in Hormone Receptor-Positive and Human Epidermal Growth Factor Receptor 2-Negative Locally Advanced, Unresectable or Metastatic Breast Cancer
CTID: null
Phase: Phase 1, Phase 3    Status: Trial now transitioned, Ongoing
Date: 2021-07-14
SERENA-4: A Randomised, Multicentre, Double-Blind, Phase III Study of AZD9833 (an Oral SERD) plus Palbociclib versus Anastrozole plus Palbociclib for the Treatment of Patients with Estrogen Receptor-Positive, HER2-Negative Advanced Breast Cancer Who Have Not Received Any Systemic Treatment for Advanced Disease
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2021-04-07
Randomized, Non-comparative Neoadjuvant Phase II Study in Patients with ER+/HER2- Breast Cancer >= 2 cm with Safety Run-in, Assessing Nivolumab + Abemaciclib or Palbociclib + Anastrozole
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2020-12-10
A PHASE III RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER STUDY EVALUATING THE EFFICACY AND SAFETY OF GDC-9545 COMBINED WITH PALBOCICLIB COMPARED WITH LETROZOLE COMBINED WITH PALBOCICLIB IN PATIENTS WITH ESTROGEN RECEPTOR-POSITIVE, HER2-NEGATIVE LOCALLY ADVANCED OR METASTATIC BREAST CANCER
CTID: null
Phase: Phase 3    Status: Trial now transitioned, GB - no longer in EU/EEA
Date: 2020-11-06
A randomized, multicenter, double-blind phase 3 study of SAR439859 plus palbociclib versus letrozole plus palbociclib for the treatment of patients with ER (+), HER2 (-) breast cancer who have not received prior systemic anti-cancer treatment for advanced disease
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2020-10-19
A RANDOMIZED, MULTICENTER, OPEN-LABEL, TWO-ARM, PHASE II, NEOADJUVANT STUDY EVALUATING THE EFFICACY, SAFETY, AND PHARMACOKINETICS OF GDC-9545 PLUS PALBOCICLIB COMPARED WITH ANASTROZOLE PLUS PALBOCICLIB FOR POSTMENOPAUSAL WOMEN WITH ESTROGEN RECEPTOR-POSITIVE AND HER2-NEGATIVE UNTREATED EARLY BREAST CANCER
CTID: null
Phase: Phase 2    Status: Completed
Date: 2020-10-15
A PHASE III, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY EVALUATING THE EFFICACY AND SAFETY OF GDC-0077 PLUS PALBOCICLIB AND FULVESTRANT VERSUS PLACEBO PLUS PALBOCICLIB AND FULVESTRANT IN PATIENTS WITH PIK3CA-MUTANT, HORMONE RECEPTOR POSITIVE, HER2-NEGATIVE LOCALLY ADVANCED OR METASTATIC BREAST CANCER
CTID: null
Phase: Phase 3    Status: Trial now transitioned, GB - no longer in EU/EEA, Completed
Date: 2020-08-21
The ROME trial from histology to target: the road to personalize target therapy and immunotherapy
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2020-07-08
Adjuvant PalbOciclib + LetrOzole combination for hormone receptor positive / HER2-negative, Intermediate Risk breast cancer
CTID: null
Phase: Phase 2    Status: Completed
Date: 2020-06-09
Phase 2a Study of ZW25 in Combination with Palbociclib Plus Fulvestrant
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2020-03-25
A phase II trial of an individualized treatment strategy for patients with metastatic non-clear cell renal carcinoma
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2019-11-20
A PHASE IB/III STUDY OF IPATASERTIB PLUS PALBOCICLIB AND FULVESTRANT VERSUS PLACEBO PLUS PALBOCICLIB AND FULVESTRANT IN HORMONE RECEPTOR POSITIVE AND HER2 NEGATIVE LOCALLY ADVANCED UNRESECTABLE OR METASTATIC BREAST CANCER
CTID: null
Phase: Phase 1, Phase 3    Status: Completed
Date: 2019-08-21
A phase III open-label, multicenter, randomized trial of adjuvant palbociclib in combination with endocrine therapy versus endocrine therapy alone for patients with hormone receptor positive / HER2-negative resected isolated locoregional recurrence of breast cancer
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2019-06-25
NEO21-RS: A phase II randomised study of the cyclin-dependent kinase 4/6 inhibitor palbociclib in combination with oestrogen suppression therapy versus oestrogen suppression therapy alone as neoadjuvant therapy in ER-positive intermediate recurrence score primary breast cancer
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2019-06-07
Palbociclib plus fulvestrant in women with hormone receptor positive and human epidermal growth factor receptor type 2 negative locally advanced or metastatic breast cancer previously treated with a CDK4/6 inhibitor in combination with hormonal therapy: a multicenter, phase II trial
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2019-05-06
INTERNATIONAL, MULTICENTER, RANDOMIZED, OPEN-LABEL, PHASE II CLINICAL TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF CONTINUATION OF PALBOCICLIB IN COMBINATION WITH SECOND-LINE ENDOCRINE THERAPY IN HORMONE RECEPTOR- POSITIVE/HER2-NEGATIVE ADVANCED BREAST CANCER PATIENTS WHO HAVE ACHIEVED CLINICAL BENEFIT DURING FIRST-LINE PALBOCICLIB-BASED TREATMENT.
CTID: null
Phase: Phase 2    Status: Ongoing, Completed
Date: 2019-02-08
Effect of the moderate CYP3A4-inhibitor erythromycin on the pharmacokinetics of palbociclib
CTID: null
Phase: Phase 4    Status: Completed
Date: 2019-01-23
Phase II open-label, multicenter, randomized trial of neoadjuvant palbociclib in combination with hormonal therapy and HER2 blockade versus paclitaxel in combination with HER2 blockade for postmenopausal patients with hormone receptor positive/HER2 positive early breast cancer
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-01-08
A Phase 1/2 Study for the Safety, Efficacy, Pharmacokinetic, and Pharmacodynamics Evaluation of SAR439859, Administered Orally as Monotherapy, then in Combination with Palbociclib in Postmenopausal Women with Estrogen Receptor-positive Advanced Breast Cancer
CTID: null
Phase: Phase 1, Phase 2    Status: Completed, Trial now transitioned, GB - no longer in EU/EEA, Prematurely Ended
Date: 2018-12-17
A Phase II study of Adjuvant PALbociclib as an Alternative to CHemotherapy in Elderly patientS with high-risk ER+/HER2- early breast cance (APPALACHES)
CTID: null
Phase: Phase 2    Status: Ongoing, Trial now transitioned, GB - no longer in EU/EEA, Completed
Date: 2018-11-28
Neoadjuvant Letrozole and Palbociclib in patients with Stage II-IIIb breast cancer, HR (+) / HER2 (-) phenotype and Intermediate (18-25) or High (>25) Recurrence-Score by Oncotype-DX; analysis of RS and pathological changes at surgery.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2018-11-27
MOLECULAR PROFILING OF ADVANCED SOFT-TISSUE SARCOMAS - A phase III study
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2018-10-08
Umbrella protocol for phase I/IIa trials of molecularly matched targeted therapies plus radiotherapy in patients with newly diagnosed glioblastoma without MGMT promoter methylation: NCT Neuro Master Match - N²M² (NOA-20)
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2018-04-04
A RANDOMIZED, OPEN-LABEL, MULTI-CENTER PHASE IV STUDY EVALUATING PALBOCICLIB PLUS ENDOCRINE TREATMENT VERSUS A CHEMOTHERAPY-BASED TREATMENT STRATEGY IN PATIENTS WITH HORMONE RECEPTOR POSITIVE / HER2 NEGATIVE METASTATIC BREAST CANCER IN A REAL WORLD SETTING.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2018-01-08
A proof of concept study to explore safety and efficacy of tri-therapy approach in advanced/metastatic NSCLC and retrospectively assess the ability of integrated genomics and transcriptomics to match patients to the combination
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing, Prematurely Ended
Date: 2017-12-15
CDK4/6 inhibition in locally advanced/metastatic chordoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-11-22
A pilot study of perlse if(down_display === 'none' || down_display

Biological Data
  • Palbociclib

    Evaluation of IC50concentrations of the CDK inhibitors dinaciclib and palbociclib on proliferation, and their effects on CDK-Rb-E2F signaling in human HPASMCs from healthy donors and IPAH patients.2019May 17;10(1):2204.

  • Palbociclib

    Effects of the CDK inhibitors dinaciclib and palbociclib on proliferation, cell cycle, and apoptosis.2019May 17;10(1):2204.

  • Palbociclib


    Effects of palbociclib on disease progression in the MCT rat model of pulmonary arterial hypertension.2019May 17;10(1):2204.

  • Palbociclib


    Effects of palbociclib on disease progression in the Su/Hox rat model of pulmonary arterial hypertension.2019May 17;10(1):2204.

  • Palbociclib


    Ex vivo analyses of lung tissue for reversal of remodeling and in vivo drug efficacy in the Su/Hox model.2019May 17;10(1):2204.

  • Palbociclib


    Proposed mechanism of action of palbociclib and dinaciclib in PAH. Multiple growth factors, cytokines, and mitogens induce the activation of cyclin-dependent kinases (CDKs), e.g., by increasing the expression of cyclin D1.2019May 17;10(1):2204.

  • Palbociclib

  • Palbociclib

  • Palbociclib
  • Palbociclib

    Effects of PD 0332991 on phosphorylation of retinoblastoma gene product. Breast Cancer Res. 2009;11(5):R77.
  • Palbociclib

    PD 0332991 and tamoxifen in a tamoxifen-insensitive cell line. Breast Cancer Res. 2009;11(5):R77.
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