Olema (OLMA) palazestrant + ribociclib updated data: mPFS 15.5 months
Olema Pharmaceuticals (OLMA) reported updated Phase 1b/2 results for palazestrant combined with ribociclib in ER+/HER2- advanced or metastatic breast cancer.
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Rhea-AI Filing Summary
Olema Pharmaceuticals (OLMA) reported updated Phase 1b/2 results for palazestrant combined with ribociclib in ER+/HER2- advanced or metastatic breast cancer. As of July 8, 2025, 72 patients were enrolled across 90 mg and 120 mg palazestrant dose cohorts alongside ribociclib 600 mg daily.
Efficacy in the 120 mg cohort (median follow-up >19 months) showed mature results with median progression-free survival (mPFS) of 15.5 months for all patients. Among those previously treated with CDK4/6 inhibitors, mPFS was 12.2 months, including 9.2 months for ESR1 wild-type tumors and 13.8 months for ESR1-mutant tumors. In the 90 mg cohort (median follow-up 10.8 months), mPFS was not reached.
The combination was well tolerated with no new safety signals, no observed drug–drug interactions, and mostly grade 1–2 adverse events, consistent with known profiles. These findings support the ongoing pivotal Phase 3 OPERA-02 trial of palazestrant plus ribociclib in frontline ER+/HER2- metastatic breast cancer.
Insights
Updated combo data show 15.5-month mPFS with supportive safety.
Olema presented Phase 1b/2 outcomes for palazestrant plus ribociclib in ER+/HER2- MBC, enrolling 63% with prior CDK4/6 inhibitor exposure as of July 8, 2025. The 120 mg cohort reached mature efficacy with mPFS 15.5 months overall, and stratified results by prior CDK4/6i and ESR1 status (9.2 months wild-type; 13.8 months mutant). The 90 mg cohort’s mPFS was not reached at a 10.8‑month median follow-up.
Tolerability appears consistent with ribociclib plus endocrine therapy: no new safety signals, no drug–drug interactions reported, and most adverse events were grade 1–2. This safety-compatibility matters for combination use across lines of therapy.
The update explicitly states these data support the pivotal OPERA-02 Phase 3 program. Actual clinical and regulatory impact will depend on Phase 3 outcomes and further disclosures in company filings.
8-K Event Classification
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