palbociclib
Ibrance · ATC code L01EF01
Brand names: Ibrance, Ibrammaclib, Palbopol, Paldibo, Reampla, Repalbo
- Key facts
- Active substance
- palbociclib
- ATC code
- L01EF01
- Authorisation
- centrally authorised across the EU (EMA)
- Dosage forms
- IBRANCE 75 mg hard capsules / IBRANCE 100 mg hard capsules / IBRANCE 125 mg hard capsules · IBRANCE 75 mg film-coated tablets / IBRANCE 100 mg film-coated tablets / IBRANCE 125 mg film-coated tablets
- Marketing authorisation holder
- Pfizer Europe MA EEIG
- Information as of
- 2026-10-27
Key facts
Palbociclib is a cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor. It is used with endocrine therapy for HR-positive, HER2-negative advanced or metastatic breast cancer.
What it is used for
- HR-positive, HER2-negative locally advanced or metastatic breast cancer in combination with an aromatase inhibitor
- Same indication in combination with fulvestrant after prior endocrine therapy
- Pre- or perimenopausal women also receive an LHRH agonist
Dosing
- 125 mg once daily for 21 consecutive days followed by 7 days off (28-day cycle)
- Dose reductions for adverse reactions: first 100 mg/day, then 75 mg/day; discontinue if lower is needed
- Blood counts before starting, at the start of each cycle and on Day 15 of the first 2 cycles
- Severe hepatic impairment (Child-Pugh C): 75 mg once daily
- If a strong CYP3A inhibitor is unavoidable: 75 mg once daily
- Fulvestrant 500 mg intramuscularly on Days 1, 15, 29 and monthly thereafter
Contraindications
- Hypersensitivity to the active substance or any excipient
- Preparations containing St. John's Wort
Important warnings
- Neutropenia: Grade 3 or 4 requires interruption, dose reduction or cycle delay
- Interstitial lung disease/pneumonitis, which can be severe or fatal; monitor respiratory symptoms
- Ovarian suppression with an LHRH agonist is mandatory in pre/perimenopausal women given an aromatase inhibitor
- Not studied in critical visceral disease
Side effects
- Most common (≥20%): neutropenia, infections, leukopenia, fatigue, nausea, stomatitis, anaemia, diarrhoea, alopecia, thrombocytopenia
- Most common Grade ≥3: neutropenia, leukopenia, infections, anaemia, AST and ALT increased, fatigue
Interactions
- Avoid strong CYP3A inhibitors (e.g. clarithromycin, itraconazole, ketoconazole, voriconazole) and grapefruit
- St. John's Wort contraindicated; strong CYP3A inducers affect exposure
- Palbociclib is a weak CYP3A inhibitor
Pregnancy and breastfeeding
- Not recommended in pregnancy; contraception during and for at least 3 weeks (females) or 14 weeks (males) after therapy
- Should not breast-feed during treatment
Summary of the official product information, written with AI (Claude, Anthropic) on 2026-10-28. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.
Common questions – ask Medelix
For patients
Package leaflet, verbatim
Authorisation and brand names by country
Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.
EU – centrally authorised (all member states)
- IbrancePfizer Europe MA EEIG · EMEA/H/C/003853
- Palbociclib Viatris · genericViatris Limited · EMEA/H/C/006624
Source: European Medicines Agency (EMA), product information
Austria
- IbrammaclibG.L. Pharma Gmbh · 1 register entry
Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28
Turkey
- PalbopolPOLİFARMA İLAÇ SAN. VE TİC. A.Ş. · 1 register entry
- PaldiboABDİ İBRAHİM İLAÇ SAN. VE TİC. A.Ş. · 4 register entries
- ReamplaPFİZER PFE İLAÇLARI A.Ş. · 12 register entries
- RepalboSABA İLAÇ SAN. VE TİC. A.Ş. · 3 register entries
Source: TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, as of 2026-10-16
Brand names in 14 more European countries
- Bulgaria
- Palbociclib
- Croatia
- Palbociclib, Palbociklib Corapharm Corapharm
- Denmark
- Palbociclib Newbury
- Estonia
- Palbociclib
- Finland
- Palbociclib Avansor
- Greece
- Palbociclib Faran, Palbociclib Innovis, Palbociclib Win Medica
- Hungary
- Palbociclib
- Iceland
- Ibrance, Palbociclib Viatris
- Liechtenstein
- Ibrance, Palbociclib Viatris
- Malta
- Palbociclib
- Netherlands
- Ibaclib, Palbociclib Elpen, Palbociclib Synthon
- Norway
- Ibrance, Palbociclib Newbury, Palbociclib Viatris
- Poland
- Palbociclib Polpharma
- Sweden
- Brancen, Brical, Ibneyo, Ibrammaclib, Palbociclib, Palsiva, Valocyra
EMA – Article 57 product data (EU/EEA), 2026-10-28
Medelix receives no money from pharmaceutical companies. Brand names are listed alphabetically and without ranking.
Other substances in the same group
Another question about this substance?
Medelix answers clinical questions from guidelines, studies and product information – every claim with its source.
Sources
- European Medicines Agency. Ibrance – EPAR, Product Information. 2026-10-27. https://www.ema.europa.eu/en/documents/product-information/ibrance-epar-product-information_en.pdf
- EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
- TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, 2026-10-16. https://www.titck.gov.tr/dinamikmodul/85
Editorial: Medelix editorial team · last updated 2026-10-27 · How these pages are made · Report an error
Source: European Medicines Agency (EMA), product information. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.