Palbociclib, ribociclib or abemaciclib

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Hi, trying to decide which of these to go for: Palbociclib, ribociclib or abemaciclib. Which is better for mean survival compared with standard anti-hormone therapy? Which drug has the safest profile with least side-effects and what does it actually guarantee in terms of life extension.

Facts, figures and experiences are welcome.

Thank you.


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  • Moderators
    Moderators Member Posts: 25,912
    edited September 2019

    Hi RT0466, and welcome to our community

    Here are some pages from our site that you may find helpful:

    Ibrance, Kisqali Verzenio.

    And go here to find research news on these three as well: https://www.breastcancer.org/research-news/targete...

    You may want to use the Search box to the left in the blue bar to find topics on these as well.

    Also from our site:

    About Ibrance, Kisqali, and Verzenio

    Ibrance, Kisqali, and Verzenio are cyclin-dependent kinase 4/6 inhibitors, commonly called CDK4/6 inhibitors. A kinase is a type of protein in the body that helps control cell division. CDK4/6 inhibitors work by stopping cancer cells from dividing and growing.

    Ibrance, Kisqali, and Verzenio are used in combination with a type of hormonal therapy called an aromatase inhibitor as the first hormonal therapy to treat advanced-stage or metastatic, hormone-receptor-positive, HER2-negative breast cancer in postmenopausal women. Arimidex (chemical name: anastrozole), Aromasin (chemical name: exemestane), and Femara (chemical name: letrozole) are aromatase inhibitors.

    Ibrance, Kisqali, and Verzenio also are used in combination with the hormonal therapy Faslodex (chemical name: fulvestrant) to treat advanced-stage or metastatic hormone-receptor-positive, HER2-negative breast cancer that has grown while being treated with a different hormonal therapy, in postmenopausal women.

    Ibrance also may be used to treat men diagnosed with advanced-stage or metastatic hormone-receptor-positive, HER2-negative breast cancer.

    Kisqali also may be used to treat premenopausal and perimenopausal women. Premenopausal and perimenopausal women treated with Kisqali also should be treated with a luteinizing hormone-releasing hormone agonist, such as Zoladex (chemical name: goserelin), to suppress ovarian function.

    Verzenio also may be used alone to treat men or women diagnosed with hormone-receptor-positive, HER2-negative metastatic or advanced-stage breast cancer if the cancer has grown after hormonal therapy treatment and earlier chemotherapy for metastatic disease.

    All three CDK4/6 inhibitors are pills taken by mouth.

  • RT0466
    RT0466 Member Posts: 2
    edited September 2019

    Thank you moderators. I will do all the reading I can. But I was wondering what experiences people have had with these drugs (particularly perimenopausal women on zoladex and letrazole).

  • Lolis197138
    Lolis197138 Member Posts: 512
    edited November 2019

    Hi RT,

    Hope you are well.

    I have been almost 2 years on Kisqali and letrozole. I am taking Zaladex as well on a monthly basis. the first couple of months were a bit hard (hot flashes, moodiness, and sore joints and hair thinning) then my body adjusted and the tumor shrinked after 3 month on Kisqali. I have been stable since then and the side effects have subsided.

    it is definitely worth a trial.

    good luck with your choice.


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