Current partner codePEPTIDESDE
NCT05827081·Phase 3·INTERVENTIONAL

Phase IIIb Study of Ribociclib + ET in Early Breast Cancer

Status

Recruiting

Phase

Phase 3

Enrollment

1,400

Locations

229

Results

Not posted

Publications

0

Study summary

What the protocol is testing.

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).

Full detailed description

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

Treatment arms and agents.

DRUG

Ribociclib

Ribociclib 400 mg orally once daily on days 1-21 of a 28 day cycle followed by 7 days rest

DRUG

Letrozole

Letrozole 2.5 mg orally once daily continuously

DRUG

Ansastrozole

Anastrozole 1 mg orally once daily continuously.

DRUG

Goserelin

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

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

Exemestane 25 mg once daily continuously

Timeline

From registration to results.

  1. First posted

    Apr 24, 2023

  2. Study start

    Feb 28, 2024

  3. Primary completion

    Sep 7, 2029

  4. Study completion

    Sep 20, 2030

  5. Results posted

    Not reported

  6. Registry updated

    Jul 17, 2026

Outcomes

What the study measures.

Primary 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.

Secondary outcomes

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

Who can take part.

Minimum age
18 Years
Maximum age
100 Years
Sex
ALL
Healthy volunteers
No

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

229 registered sites.

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

Results and literature.

No PMID-linked publications were present in this registry snapshot.

Primary links

Continue at the source.

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Put the record in context.

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