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An international phase 3 trial (SARC041) presented at ASCO 2026 found the CDK4/6 inhibitor abemaciclib (Verzenio) markedly delayed disease progression in patients with recurrent or metastatic dedifferentiated liposarcoma (DDLS). Among 108 patients randomized across nine U.S. centers, median progression-free survival (PFS) was 9.7 months with abemaciclib versus 1.5 months with placebo (HR 0.38; 90% CI 0.25-0.59; P<0.001). Six- and 12-month PFS rates were 60% and 39% on abemaciclib versus 22% and 13% on placebo.
Overall survival has not been reached in the abemaciclib arm versus 25.5 months for placebo (HR 0.55; 95% CI 0.28-1.07); 85% of placebo patients crossed over to abemaciclib.
An exploratory analysis indicated median PFS exceeded 16 months when given as first-line therapy.
Treatment was abemaciclib 200 mg orally twice daily; grade 3/4 adverse events occurred in about 30% (7% grade 3 diarrhea) and 39% required dose reductions.
Investigators noted DDLS commonly has CDK4 amplification, providing a biological rationale for benefit.
Authors called this the first positive phase 3 trial in DDLS and suggested abemaciclib may become a new standard for many patients.







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