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Primary Objective: 1 year PFS Rates

Odds Ratio: 70% vs 85%

PARSIFAL STRATEGY: First Line ER[+] MBC

Phase II-randomized trial

FULVESTRANT HD (500) +

PALBOCICLIB (3w/4)

LETROZOLE +

PALBOCICLIB (3w/4)

PD

1:1

Stratification factors:

Visceral disease

Adjuvant AI

Open Label

Postmenopausal

MBC ER[+]

HER2[-]

AI Sensitive

FIRST LINE ET

N = 464 patients