Clinical Study

Everolimus-Based Therapy versus Chemotherapy among Patients with HR+/HER2− Metastatic Breast Cancer: Comparative Effectiveness from a Chart Review Study

Table 2

Full models of univariate and multivariate-adjusted comparisons between everolimus-based therapy and chemotherapy.

Characteristic (reference group)Time to discontinuation Overall survivalProgression-free survival
HR95% CI valueHR95% CI valueHR95% CI value

Everolimus-based therapy (chemotherapy) unadjusted0.36 (0.27, 0.47)0.49 (0.30, 0.78)0.74 (0.55, 1.01)0.0582
Everolimus-based therapy (chemotherapy) adjusted0.34 (0.25, 0.45)0.37 (0.22, 0.63)0.70 (0.50, 0.97)
Index therapy line (First line)
 Second line1.11 (0.70, 1.75)0.6571.41 (0.65, 3.05)0.3801.26 (0.77, 2.07)0.357
 Third line and above0.98 (0.61, 1.56)0.9181.07 (0.46, 2.50)0.8751.30 (0.78, 2.15)0.314
Disease status (de novo)
 Recurrent with adjuvant ET1.79 (1.11, 2.89)1.46 (0.62, 3.44)0.3911.74 (1.04, 2.93)
 Recurrent without adjuvant ET0.63 (0.34, 1.17)0.1440.69 (0.24, 1.99)0.4890.47 (0.23, 0.98)
Age at index therapy initiation1.00 (0.97, 1.03)0.9111.07 (1.02, 1.12)1.01 (0.98, 1.04)0.355
Race (all other races)
 White0.68 (0.51, 0.91)0.92 (0.55, 1.52)0.7390.77 (0.56, 1.06)0.111
Insurance at mBC diagnosis (neither insurance)
 Private1.79 (0.95, 3.39)0.0721.49 (0.44, 5.08)0.5252.36 (1.07, 5.21)
 Medicare only1.83 (0.91, 3.66)0.0891.04 (0.29, 3.81)0.9492.28 (0.99, 5.25)0.053
CCI at index therapy initiation1.00 (0.87, 1.14)0.9571.04 (0.85, 1.28)0.7130.95 (0.82, 1.12)0.561
Sites of metastasis at index therapy initiation
 Bone1.42 (1.06, 1.91)1.28 (0.76, 2.13)0.3511.90 (1.34, 2.69)
 Visceral1.80 (1.10, 2.96)1.36 (0.56, 3.27)0.4981.83 (1.08, 3.12)
Performance status at index therapy initiation (ECOG 0)
 ECOG 11.10 (0.76, 1.60)0.6001.78 (0.83, 3.81)0.1371.78 (1.14, 2.77)
 ECOG 22.29 (1.36, 3.86)4.73 (1.89, 11.84)4.13 (2.31, 7.40)
 ECOG 320.29 (7.05, 58.35)264.30 (63.54, 1,099.46)49.13 (16.74, 144.24)
 None1.28 (0.79, 2.05)0.3173.36 (1.33, 8.49)2.10 (1.22, 3.62)
Previous chemotherapy treatment in mBC setting1.39 (0.92, 2.11)0.1212.51 (1.22, 5.15)1.21 (0.76, 1.92)0.424
Duration from initiation of last adjuvant ET to mBC diagnosis0.99 (0.99, 1.00)1.00 (0.99, 1.01)0.9611.00 (0.99, 1.00)0.173

.