DRUG
Ribociclib
Ribociclib 400 mg orally once daily on days 1-21 of a 28 day cycle followed by 7 days rest
Status
Recruiting
Phase
Phase 3
Enrollment
1,400
Locations
229
Results
Not posted
Publications
0
Study summary
The purpose of this open-label, multicenter, phase IIIb, single-arm study is to characterize the efficacy and safety of the combination of ribociclib and standard adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a close to clinical practice patient population with HR-positive (HR+), HER2-negative (HER2-), Anatomic Stage Group III, IIB, and a subset of Stage IIA Early Breast Cancer (EBC).
The study consists of Screening, Treatment, and Follow-up periods. * Treatment Period: all participants who complete screening will receive ribociclib 400 mg orally once daily on days 1 to 21 of a 28-day cycle, in combination with daily ET for 36 months (approximately 39 cycles) from the date of first dose. The Treatment Period starts when the patient receives their first dose of ribociclib and ends at the time of the 30-day Safety Follow-up. All treated participants should have a Safety Follow-up call conducted 30 days after the last dose of study treatment. * Follow-up period: participants will be followed from 30 days after study treatment (i.e., ribociclib) completion/discontinuation (i.e. 30-day Safety Follow-up) until death, withdrawal of consent, lost to follow-up, or until 48 months after the last participant has received their first dose of study treatment (i.e. End of Study \[EOS\]), whichever occurs first.
Interventions
DRUG
Ribociclib 400 mg orally once daily on days 1-21 of a 28 day cycle followed by 7 days rest
DRUG
Letrozole 2.5 mg orally once daily continuously
DRUG
Anastrozole 1 mg orally once daily continuously.
DRUG
Goserelin administered subcutaneously at 3.6 mg once every 4 weeks if the one-month depot formulation is used or at 10.8 mg once every 3 months if the three-month depot formulation is used
DRUG
Leuprolide administered subcutaneously at 3.75 mg once every 4 weeks if the one-month depot formulation is used or at 11.25 mg once every 3 months if the three-month depot formulation is used
DRUG
Exemestane 25 mg once daily continuously
Timeline
First posted
Apr 24, 2023
Study start
Feb 28, 2024
Primary completion
Sep 7, 2029
Study completion
Sep 20, 2030
Results posted
Not reported
Registry updated
Jul 17, 2026
Outcomes
Invasive Breast Cancer Free Survival (iBCFS) rate at 3 years
Time frame · At 3 years
iBCFS is defined as the time from the date of first dose to the date of the first event of invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence, death (any cause), or contralateral invasive BC. iBCFS will be assessed using STEEP criteria version 2.0 (Standardized Definitions for Efficacy End Points in Adjuvant Breast Cancer Trials), as assessed by Investigator. The iBCFS rate at 3 years will be assessed.
Incidence and severity of adverse events (AEs) using CTCAE v4.03
Time frame · Up to approximately 6 years
To evaluate Safety of ribociclib + ET
Invasive Disease-Free Survival (iDFS)
Time frame · Up to approximately 6 years
iDFS is defined as the time from the date of first dose of study treatment to the date of the first event of invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence, death (any cause), contralateral invasive BC, or second primary non-breast invasive cancer (excluding basal and squamous cell carcinomas of the skin). iDFS will be assessed using STEEP 2.0 as assessed by the investigator.
Distant Disease-Free Survival (DDFS)
Time frame · Up to approximately 6 years
Distant Disease-Free Survival (DDFS) is defined as the time from the date of first dose of study treatment to the date of the first event of recurrence at a distant site, death (any cause), or second primary non-breast invasive cancer (excluding in situ/non-invasive cancers and basal and squamous cell carcinomas of the skin). DDFS will be assessed using STEEP 2.0 as assessed by the investigator.
Distant Relapse-Free Survival (DRFS)
Time frame · Up to approximately 6 years
Distant Relapse Free Survival (DRFS) is defined as the time from the date of first dose of study treatment to the date of the first event of recurrence at a distant site or death (any cause). DRFS will be assessed using STEEP 2.0 as assessed by the investigator.
Recurrence-Free Interval (RFI)
Time frame · Up to approximately 6 years
RFI is defined as the time from date of first dose to date of first event of invasive recurrence in the ipsilateral breast or locoregionally, at a distant site, or death from breast cancer. RFI will be assessed using STEEP 2.0 as per investigator assessment.
Relative dose intensity (RDI) of ribociclib
Time frame · Up to 3 years
RDI is defined as the ratio of the dose intensity delivered to the planned dose intensity.
Overall Survival (OS)
Time frame · Up to approximately 6 years
OS is defined as time from the start of study treatment to date of death due to any cause.
Time To Discontinuation (TTD) of ribociclib
Time frame · Up to 3 years
TTD is defined as the time from starting ribociclib to the time to treatment discontinuation due to any cause.
Changes from baseline in Functional Assessment of Cancer Therapy - Breast (FACT-B) score
Time frame · Up to approximately 6 years
The FACT-B is a questionnaire that consists of 37 items with items from FACT-General (FACT-G) questionnaire (27 items) and from the Breast Cancer Subscale (BCS, 10 items). FACT-B consists of five subscales that address different aspects of the participant's quality of life: physical well-being (PWB), social/family well-being (SWB), emotional well-being (EWB), functional well-being (FWB), and BCS.
Changes from baseline in Functional Assessment of Cancer Therapy - Endocrine Symptoms (FACT-ES) score
Time frame · Up to approximately 6 years
The FACT-ES is a questionnaire that consists of 19 items which assesses endocrine complaints and adverse events.
Eligibility
Key Inclusion criteria: * Participant is an adult, male or female ≥ 18 years of age at the time of informed consent form signature (IC). * Participant has a histologically and/or cytologically confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer (BC) based on the most recently analyzed tissue sample tested by a local laboratory prior to enrollment. * Participant has HER2- BC defined as a negative in situ hybridization test or an immunohistochemistry (IHC) status of 0, 1+ or 2+. If IHC is 2+, a negative in situ hybridization (FISH, CISH, or SISH) test is required by local laboratory testing based on the most recently analyzed tissue sample. * Participants may have already received any standard neoadjuvant and/or adjuvant ET, including tamoxifen or toremifene at the time of informed consent signature, but enrollment should occur within 36 months of prior ET start date and participants should have at least 3 years remaining of endocrine adjuvant therapy. * For participants with prior ET treatment \> 12 months, restaging is highly recommended (unless contradictory to local regulations) to rule out disease recurrence prior to enrollment. * The number of participants with prior ET between 12 and 36 months will be capped at 30%. The cap will not apply to Black or African American participants. * Participant has no contraindication to receive adjuvant ET in the study. * Participant after surgical resection where tumor was removed completely, with the final surgical specimen microscopic margins free from tumor, and belongs to one of the following categories: * Anatomic Stage Group III, or * Anatomic Stage Group IIB, or * A subset of Anatomic Stage Group IIA. * Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1 or 2. * Participant has adequate bone marrow and organ function. * ECG values assessed by KardiaMobile-6L device, or standard 12-lead ECG per local investigator where KardiaMobile-6L cannot be used, as: * QTcF interval at Screening \< 450 msec (QT interval using Fridericia's correction). * Mean resting heart rate 50-99 beats per minute (determined from the ECG). Key Exclusion criteria: * Participant with distant metastases of BC beyond regional lymph nodes (Stage IV according to AJCC 8th edition) and/or evidence of recurrence after curative surgery. * Participant is concurrently using other antineoplastic therapy with the exception of adjuvant ET. * Participant has any other concurrent severe and/or uncontrolled medical condition that would, in the Investigator's judgment, cause unacceptable safety risks, contraindicate participant participation in the clinical study or compromise compliance with the protocol, or limit life expectancy to ≤5 years. * Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality. * Pregnant or breast-feeding (lactating) women or women who plan to become pregnant or breast-feed during the trial. * Women of child-bearing potential (CBP), defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for 21 days after stopping the treatment. Other inclusion/exclusion criteria may apply
Study locations
Argentina · Australia · Brazil · Canada · China · Germany · Hong Kong · India · Israel · Mexico · Portugal · Puerto Rico · South Korea · Taiwan · Turkey (Türkiye) · United States. Showing up to 24 locations stored in the fast local snapshot.
Central Alabama Research
Birmingham, Alabama, United States
Alaska Oncology and Hematology LLC
Anchorage, Alaska, United States
Western Reg MC-COH Phoenix
Goodyear, Arizona, United States
CARTI Cancer Center
Little Rock, Arkansas, United States
Beverly Hills Cancer Center
Beverly Hills, California, United States
Onco Inst of Hope and Innovation
Cerritos, California, United States
City of Hope National Medical
Duarte, California, United States
Providence Medical Foundation
Fullerton, California, United States
Los Angeles Cancer Network Good Samaritan
Los Angeles, California, United States
El Camino Hospital
Mountain View, California, United States
Palo Alto Medical Foundation
Mountain View, California, United States
UC Irvine Medical Center
Orange, California, United States
Sutter Inst Medical Research
Sacramento, California, United States
School Of Medicine
Sacramento, California, United States
Sharp Rees Stealy Medical Group Inc
San Diego, California, United States
AdventHealth Medical Group Hematology and Oncology
Denver, Colorado, United States
Rocky Mountain Cancer Centers
Denver, Colorado, United States
Georgetown University Lombardi Cancer Center
Washington D.C., District of Columbia, United States
Medstar Washington Hospital Center
Washington D.C., District of Columbia, United States
AdventHealth Altamonte Springs
Altamonte Springs, Florida, United States
Holy Cross Health
Fort Lauderdale, Florida, United States
Hialeah Hospital
Hialeah, Florida, United States
Memorial Cancer Institute
Hollywood, Florida, United States
Jupiter Medical Center
Jupiter, Florida, United States
Publications
No PMID-linked publications were present in this registry snapshot.
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