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Un essai pour évaluer l'efficacité et l'innocuité du ribociclib avec hormonothérapie comme traitement adjuvant chez les patientes atteintes d'un cancer du sein précoce HR+/HER2- (NATALEE)

8 octobre 2026 mis à jour par: Novartis Pharmaceuticals

Un essai multicentrique, randomisé et ouvert de phase III pour évaluer l'efficacité et l'innocuité du ribociclib avec hormonothérapie en tant que traitement adjuvant chez des patientes atteintes d'un cancer du sein précoce à récepteurs hormonaux positifs et HER2 négatif (nouvel essai adjuvant avec ribociclib [LEE011] : NATALEE)

A phase III, multicenter, randomized, open-label trial to evaluate the efficacy and safety of ribociclib with Endocrine Therapy (ET) as an adjuvant treatment in women and men with Hormone Receptor positive (HR+), Human Epidermal Growth Factor Receptor 2 negative (HER2-) Early Breast Cancer (EBC).

Aperçu de l'étude

Statut

Actif, ne recrute pas

Les conditions

Intervention / Traitement

Description détaillée

The trial will include pre and postmenopausal women and men with HR-positive, HER2-negative EBC, with an Anatomic Stage Group III, IIB or a subset of Stage IIA cases, after adequate surgical resection, radiotherapy (if indicated), adjuvant or neoadjuvant chemotherapy (if indicated), and who are deemed to be eligible for adjuvant ET for at least 60 months of duration.

Approximately 5,000 patients will be randomized (using an Interactive Response Technology system [IRT]) into two treatment arms in a 1:1 ratio to:

• Investigational arm:

~ Ribociclib 400 mg by mouth once daily on days 1 to 21 of a 28-day cycle, for 36 months since randomization (approximately 39 cycles).

And

~ ET consisting of:

  • For postmenopausal women: letrozole 2.5 mg by mouth once daily continuously or anastrozole 1 mg by mouth once daily continuously.
  • For premenopausal women and men: letrozole 2.5 mg by mouth once daily continuously or anastrozole 1 mg by mouth once daily continuously, combined with goserelin 3.6 mg subcutaneously once every 4 weeks.

Duration of ET in the trial will be 60 months from the randomization date.

• Control arm:

~ ET: Same as in the Investigational arm.

In both arms, ET will be administered according to the local clinical guidelines and current local prescribing information. Subsequent ET (or any other anti-cancer treatment) given after the protocol-required 60 months of ET (or after premature discontinuation of ET in the trial) will be administered according to the Investigator's clinical judgment and is not considered a trial treatment.

Randomization will be stratified by the following factors:

  • Menopausal status: premenopausal women and men vs. postmenopausal women
  • AJCC 8th edition Anatomic Stage Group: Anatomic Stage Group II vs. Anatomic Stage Group III
  • Prior neoadjuvant/adjuvant chemotherapy: yes vs. no
  • Geographical region: North America/Western Europe/Oceania vs. rest of the world

Enrollment of patients with Anatomic Stage Group II is capped at approximately 2,000 patients.

The trial will include screening, treatment, and follow up phases. The trial includes an exploratory component that requires collection of tumor and blood samples (except for patients enrolled in China).

Type d'étude

Interventionnel

Inscription (Réel)

5101

Phase

  • Phase 3

Accès étendu

Disponible en dehors de l'essai clinique. Voir enregistrement d'accès étendu.

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Allemagne
      • Augsburg, Allemagne, 86150
        • Novartis Investigative Site
      • Bad Liebenwerda, Allemagne, 04924
        • Novartis Investigative Site
      • Berlin, Allemagne, 13125
        • Novartis Investigative Site
      • Bonn, Allemagne, 53111
        • Novartis Investigative Site
      • Bottrop, Allemagne, 46236
        • Novartis Investigative Site
      • Erlangen, Allemagne, 91054
        • Novartis Investigative Site
      • Essen, Allemagne, 45147
        • Novartis Investigative Site
      • Hamburg, Allemagne, 20357
        • Novartis Investigative Site
      • Kiel, Allemagne, 24105
        • Novartis Investigative Site
      • Mainz, Allemagne, 55131
        • Novartis Investigative Site
      • Münster, Allemagne, 48149
        • Novartis Investigative Site
      • Regensburg, Allemagne, 93053
        • Novartis Investigative Site
      • Schweinfurt, Allemagne, 97422
        • Novartis Investigative Site
      • Tübingen, Allemagne, 72076
        • Novartis Investigative Site
      • Ulm, Allemagne, 89081
        • Novartis Investigative Site
    • Baden-Wurttemberg
      • Ravensburg, Baden-Wurttemberg, Allemagne, 88212
        • Novartis Investigative Site
    • Bavaria
      • Munich, Bavaria, Allemagne, 81377
        • Novartis Investigative Site
      • Munich, Bavaria, Allemagne, 80637
        • Novartis Investigative Site
      • Munich, Bavaria, Allemagne, 81675
        • Novartis Investigative Site
      • Würzburg, Bavaria, Allemagne, 97080
        • Novartis Investigative Site
    • Brandenburg
      • Cottbus, Brandenburg, Allemagne, 03048
        • Novartis Investigative Site
    • Hesse
      • Frankfurt am Main, Hesse, Allemagne, 60431
        • Novartis Investigative Site
    • Lower Saxony
      • Georgsmarienhütte, Lower Saxony, Allemagne, 49124
        • Novartis Investigative Site
      • Hanover, Lower Saxony, Allemagne, 30177
        • Novartis Investigative Site
    • North Rhine-Westphalia
      • Essen, North Rhine-Westphalia, Allemagne, 45136
        • Novartis Investigative Site
      • Mönchengladbach, North Rhine-Westphalia, Allemagne, 41061
        • Novartis Investigative Site
      • Velbert, North Rhine-Westphalia, Allemagne, 42551
        • Novartis Investigative Site
    • Saxony
      • Dresden, Saxony, Allemagne, 01307
        • Novartis Investigative Site
  • Argentine
      • CABA, Argentine, C1419AHN
        • Novartis Investigative Site
      • Córdoba, Argentine, X5004FHP
        • Novartis Investigative Site
      • La Rioja, Argentine, 5300
        • Novartis Investigative Site
      • San Salvador de Jujuy, Argentine, Y4600EHA
        • Novartis Investigative Site
    • Santa Fe Province
      • Rosario, Santa Fe Province, Argentine, S2000
        • Novartis Investigative Site
    • Sante Fe
      • Rosario, Sante Fe, Argentine, S200KZE
        • Novartis Investigative Site
    • Tucumán Province
      • San Miguel Tucuman, Tucumán Province, Argentine, T4000IAK
        • Novartis Investigative Site
    • Viedma
      • Rio Negro, Viedma, Argentine, 8500
        • Novartis Investigative Site
  • Australie
      • Liverpool, Australie, 2170
        • Novartis Investigative Site
    • New South Wales
      • Campbelltown, New South Wales, Australie, 2560
        • Novartis Investigative Site
      • Coffs Harbour, New South Wales, Australie, 2450
        • Novartis Investigative Site
      • Darlinghurst, New South Wales, Australie, 2010
        • Novartis Investigative Site
      • Kingswood, New South Wales, Australie, 2747
        • Novartis Investigative Site
      • Kogarah, New South Wales, Australie, 2217
        • Novartis Investigative Site
      • North Ryde, New South Wales, Australie, 2109
        • Novartis Investigative Site
      • St Leonards, New South Wales, Australie, 2065
        • Novartis Investigative Site
      • Wahroonga, New South Wales, Australie, 2076
        • Novartis Investigative Site
      • Westmead, New South Wales, Australie, 2145
        • Novartis Investigative Site
    • Queensland
      • Auchenflower, Queensland, Australie, 4066
        • Novartis Investigative Site
      • Birtinya, Queensland, Australie, 4575
        • Novartis Investigative Site
      • Wooloongabba, Queensland, Australie, 4102
        • Novartis Investigative Site
    • South Australia
      • Bedford Park, South Australia, Australie, 5041
        • Novartis Investigative Site
    • Victoria
      • Bendigo, Victoria, Australie, 3550
        • Novartis Investigative Site
      • East Melbourne, Victoria, Australie, 3002
        • Novartis Investigative Site
      • Epping, Victoria, Australie, 3076
        • Novartis Investigative Site
      • Fitzroy, Victoria, Australie, 3065
        • Novartis Investigative Site
      • Franston, Victoria, Australie, 3199
        • Novartis Investigative Site
      • Heidelberg, Victoria, Australie, 3084
        • Novartis Investigative Site
      • Melbourne, Victoria, Australie, 3000
        • Novartis Investigative Site
      • Shepparton, Victoria, Australie, 3630
        • Novartis Investigative Site
    • Western Australia
      • Murdoch, Western Australia, Australie, 6150
        • Novartis Investigative Site
      • Nedlands, Western Australia, Australie, 6009
        • Novartis Investigative Site
  • Belgique
      • Brussels, Belgique, 1200
        • Novartis Investigative Site
      • Brussels, Belgique, 1000
        • Novartis Investigative Site
      • Charleroi, Belgique, 6000
        • Novartis Investigative Site
      • Edegem, Belgique, 2650
        • Novartis Investigative Site
      • Jette, Belgique, 1090
        • Novartis Investigative Site
      • Libramont, Belgique, 6800
        • Novartis Investigative Site
      • Liège, Belgique, 4000
        • Novartis Investigative Site
      • Namur, Belgique, 5000
        • Novartis Investigative Site
      • Wilrijk, Belgique, 2610
        • Novartis Investigative Site
      • Yvoir, Belgique, 5530
        • Novartis Investigative Site
    • Limburg
      • Hasselt, Limburg, Belgique, 3500
        • Novartis Investigative Site
    • Vlaams Brabant
      • Leuven, Vlaams Brabant, Belgique, 3000
        • Novartis Investigative Site
  • Brésil
      • Caxias do Sul, Brésil, 95070-560
        • Novartis Investigative Site
      • Passo Fundo, Brésil, 99010-080
        • Novartis Investigative Site
      • Piracicaba, Brésil, 13419-155
        • Novartis Investigative Site
      • Recife, Brésil, 50040-000
        • Novartis Investigative Site
      • Rio de Janeiro, Brésil, 20560-120
        • Novartis Investigative Site
      • Salvador, Brésil, 41810-570
        • Novartis Investigative Site
      • São Paulo, Brésil, 01255-000
        • Novartis Investigative Site
    • Paraná
      • Londrina, Paraná, Brésil, 86015-520
        • Novartis Investigative Site
    • Rio Grande do Sul
      • Ijuí, Rio Grande do Sul, Brésil, 98700-000
        • Novartis Investigative Site
      • Porto Alegre, Rio Grande do Sul, Brésil, 90610-000
        • Novartis Investigative Site
      • Porto Alegre, Rio Grande do Sul, Brésil, 90880-480
        • Novartis Investigative Site
      • Porto Alegre, Rio Grande do Sul, Brésil, 90035-903
        • Novartis Investigative Site
      • Porto Alegre, Rio Grande do Sul, Brésil, 90050-170
        • Novartis Investigative Site
      • Porto Alegre, Rio Grande do Sul, Brésil, 90560-030
        • Novartis Investigative Site
    • São Paulo
      • Barretos, São Paulo, Brésil, 14784-400
        • Novartis Investigative Site
      • Santo André, São Paulo, Brésil, 09060-650
        • Novartis Investigative Site
      • São Paulo, São Paulo, Brésil, 04014-002
        • Novartis Investigative Site
      • São Paulo, São Paulo, Brésil, 01317-000
        • Novartis Investigative Site
  • Canada
    • Alberta
      • Calgary, Alberta, Canada, T2N 4N2
        • Novartis Investigative Site
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Novartis Investigative Site
    • British Columbia
      • Kelowna, British Columbia, Canada, V1Y 5L3
        • Novartis Investigative Site
      • North Vancouver, British Columbia, Canada, V7L 2L7
        • Novartis Investigative Site
      • Surrey, British Columbia, Canada, V3V 1Z2
        • Novartis Investigative Site
      • Vancouver, British Columbia, Canada, V5Z 4E6
        • Novartis Investigative Site
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3H 2Y9
        • Novartis Investigative Site
    • Ontario
      • Greater Sudbury, Ontario, Canada, P3E 5J1
        • Novartis Investigative Site
      • Kitchener, Ontario, Canada, N2G 1G3
        • Novartis Investigative Site
      • London, Ontario, Canada, N6A 5W9
        • Novartis Investigative Site
      • Newmarket, Ontario, Canada, J7Y 2P9
        • Novartis Investigative Site
      • Oshawa, Ontario, Canada, L1G 2B9
        • Novartis Investigative Site
      • Sault Ste. Marie, Ontario, Canada, P6B 0A8
        • Novartis Investigative Site
      • Toronto, Ontario, Canada, M4N 3M5
        • Novartis Investigative Site
      • Toronto, Ontario, Canada, M5G 2M9
        • Novartis Investigative Site
      • Windsor, Ontario, Canada, N8W 2X3
        • Novartis Investigative Site
    • Quebec
      • Fleurimont, Quebec, Canada, J1H 5N4
        • Novartis Investigative Site
      • Greenfield Park, Quebec, Canada, J4V 2H1
        • Novartis Investigative Site
      • Montreal, Quebec, Canada, H2W 1T8
        • Novartis Investigative Site
      • Montreal, Quebec, Canada, H4A 3J1
        • Novartis Investigative Site
      • Montreal, Quebec, Canada, H3T 1E2
        • Novartis Investigative Site
      • Québec, Quebec, Canada, G1S 4L8
        • Novartis Investigative Site
      • Saint-Jérôme, Quebec, Canada, J7Z 5T3
        • Novartis Investigative Site
  • Chine
      • Beijing, Chine, 100021
        • Novartis Investigative Site
      • Chongqing, Chine, 400016
        • Novartis Investigative Site
      • Shanghai, Chine, 200032
        • Novartis Investigative Site
      • Tianjin, Chine, 300480
        • Novartis Investigative Site
      • Zhenjiang, Chine, 310009
        • Novartis Investigative Site
    • Guangdong
      • Guangzhou, Guangdong, Chine, 510000
        • Novartis Investigative Site
    • Hebei
      • Shijiazhuang, Hebei, Chine, 050011
        • Novartis Investigative Site
    • Heilongjiang
      • Harbin, Heilongjiang, Chine, 150081
        • Novartis Investigative Site
    • Henan
      • Zhengzhou, Henan, Chine, 450008
        • Novartis Investigative Site
    • Hubei
      • Wuhan, Hubei, Chine, 430022
        • Novartis Investigative Site
    • Jiangsu
      • Nanjing, Jiangsu, Chine, 210029
        • Novartis Investigative Site
      • Suzhou, Jiangsu, Chine, 215004
        • Novartis Investigative Site
    • Jilin
      • Changchun, Jilin, Chine, 130021
        • Novartis Investigative Site
    • Sichuan
      • Chengdu, Sichuan, Chine, 610041
        • Novartis Investigative Site
    • Zhejiang
      • Hangzhou, Zhejiang, Chine, 310016
        • Novartis Investigative Site
  • Corée du Sud
      • Incheon, Corée du Sud, 22332
        • Novartis Investigative Site
      • Incheon, Corée du Sud, 21565
        • Novartis Investigative Site
      • Seongnam Gyeonggi, Corée du Sud, 13496
        • Novartis Investigative Site
      • Seoul, Corée du Sud, 03080
        • Novartis Investigative Site
      • Seoul, Corée du Sud, 05505
        • Novartis Investigative Site
      • Seoul, Corée du Sud, 03722
        • Novartis Investigative Site
      • Seoul, Corée du Sud, 06351
        • Novartis Investigative Site
      • Seoul, Corée du Sud, 06591
        • Novartis Investigative Site
      • Ulsan, Corée du Sud, 44033
        • Novartis Investigative Site
    • Daegu
      • Seoul, Daegu, Corée du Sud, 41404
        • Novartis Investigative Site
    • Gangwon-do
      • Wŏnju, Gangwon-do, Corée du Sud, 26426
        • Novartis Investigative Site
    • Gyeonggi-do
      • Bundang Gu, Gyeonggi-do, Corée du Sud, 13620
        • Novartis Investigative Site
      • Suwon, Gyeonggi-do, Corée du Sud, 16499
        • Novartis Investigative Site
    • Korea
      • Gyeonggi-do, Korea, Corée du Sud, 10408
        • Novartis Investigative Site
      • Seoul, Korea, Corée du Sud, 02841
        • Novartis Investigative Site
    • North Chungcheong
      • Cheongju-si, North Chungcheong, Corée du Sud, 28644
        • Novartis Investigative Site
    • Yangcheon Gu
      • Seoul, Yangcheon Gu, Corée du Sud, 07985
        • Novartis Investigative Site
  • Espagne
      • A Coruña, Espagne, 15009
        • Novartis Investigative Site
      • A Coruña, Espagne, 15006
        • Novartis Investigative Site
      • Barcelona, Espagne, 08035
        • Novartis Investigative Site
      • Barcelona, Espagne, 08036
        • Novartis Investigative Site
      • Burgos, Espagne, 09006
        • Novartis Investigative Site
      • Castellon, Espagne, 12002
        • Novartis Investigative Site
      • Córdoba, Espagne, 14004
        • Novartis Investigative Site
      • Girona, Espagne, 17007
        • Novartis Investigative Site
      • Granada, Espagne, 18016
        • Novartis Investigative Site
      • Las Palmas GC, Espagne, 35010
        • Novartis Investigative Site
      • Madrid, Espagne, 28034
        • Novartis Investigative Site
      • Madrid, Espagne, 28033
        • Novartis Investigative Site
      • Madrid, Espagne, 28040
        • Novartis Investigative Site
      • Madrid, Espagne, 28009
        • Novartis Investigative Site
      • Madrid, Espagne, 28222
        • Novartis Investigative Site
      • Murcia, Espagne, 30008
        • Novartis Investigative Site
      • Málaga, Espagne, 29010
        • Novartis Investigative Site
      • Salamanca, Espagne, 37007
        • Novartis Investigative Site
      • Seville, Espagne, 41009
        • Novartis Investigative Site
      • Seville, Espagne, 41013
        • Novartis Investigative Site
      • Valencia, Espagne, 46014
        • Novartis Investigative Site
      • Valencia, Espagne, 46010
        • Novartis Investigative Site
      • Zaragoza, Espagne, 50009
        • Novartis Investigative Site
    • Alicante
      • Elche, Alicante, Espagne, 03203
        • Novartis Investigative Site
    • Andalusia
      • Granada, Andalusia, Espagne, 18014
        • Novartis Investigative Site
      • Huelva, Andalusia, Espagne, 21005
        • Novartis Investigative Site
      • Jaén, Andalusia, Espagne, 23007
        • Novartis Investigative Site
    • Araba
      • Vitoria-Gasteiz, Araba, Espagne, 01009
        • Novartis Investigative Site
    • Barcelona
      • Badalona, Barcelona, Espagne, 08916
        • Novartis Investigative Site
      • L'Hospitalet de Llobregat, Barcelona, Espagne, 08907
        • Novartis Investigative Site
      • Manresa, Barcelona, Espagne, 08242
        • Novartis Investigative Site
      • Sabadell, Barcelona, Espagne, 08208
        • Novartis Investigative Site
    • Bizkaia
      • Bilbao, Bizkaia, Espagne, 48013
        • Novartis Investigative Site
    • Extremadura
      • Badajoz, Extremadura, Espagne, 06080
        • Novartis Investigative Site
      • Cáceres, Extremadura, Espagne, 10003
        • Novartis Investigative Site
    • Galicia
      • Lugo, Galicia, Espagne, 27003
        • Novartis Investigative Site
    • Gipuzkoa
      • Donostia / San Sebastian, Gipuzkoa, Espagne, 20014
        • Novartis Investigative Site
    • Madrid
      • Fuenlabrada, Madrid, Espagne, 28942
        • Novartis Investigative Site
    • Murcia
      • El Palmar, Murcia, Espagne, 30120
        • Novartis Investigative Site
    • Navarre
      • Pamplona, Navarre, Espagne, 31008
        • Novartis Investigative Site
    • Pontevedra
      • Vigo, Pontevedra, Espagne, 36212
        • Novartis Investigative Site
    • Santa Cruz De Tenerife
      • San Cristóbal de La Laguna, Santa Cruz De Tenerife, Espagne, 38320
        • Novartis Investigative Site
    • Valencia
      • Alicante, Valencia, Espagne, 03550
        • Novartis Investigative Site
      • Valencia, Valencia, Espagne, 46009
        • Novartis Investigative Site
  • France
      • Amiens, France, 80000
        • Novartis Investigative Site
      • Angers, France, 49055
        • Novartis Investigative Site
      • Argenteuil, France, 95107
        • Novartis Investigative Site
      • Avignon, France, 84082
        • Novartis Investigative Site
      • Besançon, France, 25030
        • Novartis Investigative Site
      • Bordeaux, France, 33076
        • Novartis Investigative Site
      • Bron, France, 69677
        • Novartis Investigative Site
      • Caen, France, 14021
        • Novartis Investigative Site
      • Le Mans, France, 72000
        • Novartis Investigative Site
      • Marseille, France, 13008
        • Novartis Investigative Site
      • Montpellier, France, 34070
        • Novartis Investigative Site
      • Montpellier, France, 34298
        • Novartis Investigative Site
      • Nantes, France, 44202
        • Novartis Investigative Site
      • Paris, France, 75231
        • Novartis Investigative Site
      • Paris, France, 75013
        • Novartis Investigative Site
      • Paris, France, 75970
        • Novartis Investigative Site
      • Paris, France, 75015
        • Novartis Investigative Site
      • Paris, France, 75475
        • Novartis Investigative Site
      • Pierre-Bénite, France, 69495
        • Novartis Investigative Site
      • Rouen, France, 76038
        • Novartis Investigative Site
      • Saint-Herblain, France, 44805
        • Novartis Investigative Site
      • Strasbourg, France, 67085
        • Novartis Investigative Site
      • Toulouse, France, 31059
        • Novartis Investigative Site
      • Vandœuvre-lès-Nancy, France, 54519
        • Novartis Investigative Site
      • Villejuif, France, 94800
        • Novartis Investigative Site
    • Alpes Maritimes
      • Nice, Alpes Maritimes, France, 06189
        • Novartis Investigative Site
    • Cote D Or
      • Dijon, Cote D Or, France, 21034
        • Novartis Investigative Site
    • Haute Vienne
      • Limoges, Haute Vienne, France, 87000
        • Novartis Investigative Site
    • Hauts De Seine
      • Saint-Cloud, Hauts De Seine, France, 92210
        • Novartis Investigative Site
    • Ille Et Vilaine
      • Rennes, Ille Et Vilaine, France, 35062
        • Novartis Investigative Site
    • Isere
      • Grenoble, Isere, France, 38028
        • Novartis Investigative Site
    • Rhone
      • Lyon, Rhone, France, 69004
        • Novartis Investigative Site
  • Hongrie
      • Budapest, Hongrie, 1032
        • Novartis Investigative Site
      • Budapest, Hongrie, 1145
        • Novartis Investigative Site
      • Budapest, Hongrie, 1083
        • Novartis Investigative Site
      • Kecskemét, Hongrie, 6001
        • Novartis Investigative Site
      • Szeged, Hongrie, 6725
        • Novartis Investigative Site
      • Szekszárd, Hongrie, 7100
        • Novartis Investigative Site
      • Szombathely, Hongrie, 9700
        • Novartis Investigative Site
      • Tatabánya, Hongrie, 2800
        • Novartis Investigative Site
    • Baranya
      • Pécs, Baranya, Hongrie, 7623
        • Novartis Investigative Site
    • Hajdu Bihar Megye
      • Debrecen, Hajdu Bihar Megye, Hongrie, 4032
        • Novartis Investigative Site
    • Zala County
      • Zalaegerszeg, Zala County, Hongrie, 8900
        • Novartis Investigative Site
  • Irlande
      • County Limerick, Irlande, V94 F858
        • Novartis Investigative Site
      • Dublin, Irlande, D03 VX82
        • Novartis Investigative Site
      • Dublin, Irlande, D04 T6F4
        • Novartis Investigative Site
      • Dublin, Irlande, D07 R2WY
        • Novartis Investigative Site
      • Dublin, Irlande, D07 WKW8
        • Novartis Investigative Site
      • Dublin, Irlande, D09 T974
        • Novartis Investigative Site
      • Waterford, Irlande, X91 ER8E
        • Novartis Investigative Site
    • Cork
      • Wilton, Cork, Irlande, T12 DC4A
        • Novartis Investigative Site
  • Italie
      • Naples, Italie, 80131
        • Novartis Investigative Site
    • AN
      • Ancona, AN, Italie, 60020
        • Novartis Investigative Site
    • BG
      • Bergamo, BG, Italie, 24127
        • Novartis Investigative Site
    • BO
      • Bologna, BO, Italie, 40138
        • Novartis Investigative Site
    • CT
      • Misterbianco, CT, Italie, 95045
        • Novartis Investigative Site
    • MI
      • Milan, MI, Italie, 20133
        • Novartis Investigative Site
      • Rozzano, MI, Italie, 20089
        • Novartis Investigative Site
    • PA
      • Palermo, PA, Italie, 90146
        • Novartis Investigative Site
    • PN
      • Aviano, PN, Italie, 33081
        • Novartis Investigative Site
    • RM
      • Roma, RM, Italie, 00128
        • Novartis Investigative Site
    • TO
      • Candiolo, TO, Italie, 10060
        • Novartis Investigative Site
  • L'Autriche
      • Graz, L'Autriche, 8036
        • Novartis Investigative Site
      • Linz, L'Autriche, 4020
        • Novartis Investigative Site
      • Salzburg, L'Autriche, 5020
        • Novartis Investigative Site
      • Vienna, L'Autriche, 1090
        • Novartis Investigative Site
    • Tyrol
      • Innsbruck, Tyrol, L'Autriche, 6020
        • Novartis Investigative Site
  • Pologne
      • Bialystok, Pologne, 15-027
        • Novartis Investigative Site
      • Gdynia, Pologne, 81-519
        • Novartis Investigative Site
      • Gliwice, Pologne, 44-101
        • Novartis Investigative Site
      • Grudziądz, Pologne, 86-300
        • Novartis Investigative Site
      • Krakow, Pologne, 31-501
        • Novartis Investigative Site
      • Lodz, Pologne, 90-338
        • Novartis Investigative Site
      • Lublin, Pologne, 20-090
        • Novartis Investigative Site
      • Opole, Pologne, 45-054
        • Novartis Investigative Site
      • Ostrołęka, Pologne, 07-410
        • Novartis Investigative Site
      • Otwock, Pologne, 05-400
        • Novartis Investigative Site
      • Wieliszew, Pologne, 05-135
        • Novartis Investigative Site
      • Wroclaw, Pologne, 02-781
        • Novartis Investigative Site
    • Ul Roentgena 5
      • Warsaw, Ul Roentgena 5, Pologne, 02-781
        • Novartis Investigative Site
  • Roumanie
      • Bucharest, Roumanie, 011171
        • Novartis Investigative Site
      • Timișoara, Roumanie, 300425
        • Novartis Investigative Site
    • Cluj
      • Cluj-Napoca, Cluj, Roumanie, 400015
        • Novartis Investigative Site
    • Dolj
      • Craiova, Dolj, Roumanie, 200347
        • Novartis Investigative Site
      • Craiova, Dolj, Roumanie, 200535
        • Novartis Investigative Site
  • Royaume-Uni
      • Cardiff, Royaume-Uni, CF14 2TL
        • Novartis Investigative Site
      • London, Royaume-Uni, SE1 9RT
        • Novartis Investigative Site
      • London, Royaume-Uni, SW3 6JJ
        • Novartis Investigative Site
      • London, Royaume-Uni, NW1 2BU
        • Novartis Investigative Site
      • Nottingham, Royaume-Uni, NG5 1PB
        • Novartis Investigative Site
      • Oxford, Royaume-Uni, OX3 7LE
        • Novartis Investigative Site
      • Preston, Royaume-Uni, PR2 9HT
        • Novartis Investigative Site
      • Stoke-on-Trent, Royaume-Uni, ST4 6QG
        • Novartis Investigative Site
    • Cornwall
      • Truro, Cornwall, Royaume-Uni, TR1 3LJ
        • Novartis Investigative Site
    • Surrey
      • Sutton, Surrey, Royaume-Uni, SM2 5PT
        • Novartis Investigative Site
  • Russie
      • Chelyabinsk, Russie, 454087
        • Novartis Investigative Site
      • Kostroma, Russie, 156005
        • Novartis Investigative Site
      • Krasnoyarsk, Russie, 660022
        • Novartis Investigative Site
      • Moscow, Russie, 143423
        • Novartis Investigative Site
      • Moscow, Russie, 115522
        • Novartis Investigative Site
      • Moscow, Russie, 111123
        • Novartis Investigative Site
      • Nizhny Novgorod, Russie, 603137
        • Novartis Investigative Site
      • Novosibirsk, Russie, 630000
        • Novartis Investigative Site
      • Obninsk, Russie, 249036
        • Novartis Investigative Site
      • Omsk, Russie, 644013
        • Novartis Investigative Site
      • Orenburg, Russie, 460021
        • Novartis Investigative Site
      • Rostov-on-Don, Russie, 344037
        • Novartis Investigative Site
      • Ryazan, Russie, 390011
        • Novartis Investigative Site
      • Saint Petersburg, Russie, 197758
        • Novartis Investigative Site
      • Saint Petersburg, Russie, 198255
        • Novartis Investigative Site
      • Saint Petersburg, Russie, 191104
        • Novartis Investigative Site
      • Tyumen, Russie, 625041
        • Novartis Investigative Site
      • Ufa, Russie, 450054
        • Novartis Investigative Site
      • Yaroslavl, Russie, 150054
        • Novartis Investigative Site
    • Russian Federation
      • Kazan', Russian Federation, Russie, 420029
        • Novartis Investigative Site
    • Sankt-Peterburg
      • Saint Petersburg, Sankt-Peterburg, Russie, 195271
        • Novartis Investigative Site
  • Taïwan
      • Changhua, Taïwan, 50006
        • Novartis Investigative Site
      • Taichung, Taïwan, 40447
        • Novartis Investigative Site
      • Taichung, Taïwan, 407219
        • Novartis Investigative Site
      • Tainan, Taïwan, 704302
        • Novartis Investigative Site
      • Taipei, Taïwan, 10002
        • Novartis Investigative Site
      • Taipei, Taïwan, 11217
        • Novartis Investigative Site
      • Taipei, Taïwan, 10449
        • Novartis Investigative Site
      • Taipei, Taïwan, 103616
        • Novartis Investigative Site
      • Taoyuan, Taïwan, 33305
        • Novartis Investigative Site
  • États-Unis
    • Alabama
      • Birmingham, Alabama, États-Unis, 35294-0006
        • University of Alabama at Birmingham-Kirklin Clinic
    • Arizona
      • Goodyear, Arizona, États-Unis, 85338
        • Cancer Treatment Centers of America
    • Arkansas
      • Jonesboro, Arkansas, États-Unis, 72401
        • St Bernards Medical Center
    • California
      • Bakersfield, California, États-Unis, 93309
        • Comprehensive Blood and Cancer
      • Beverly Hills, California, États-Unis, 90212
        • UCLA Beverly Hills
      • Burbank, California, États-Unis, 91505
        • UCLA Burbank
      • Encino, California, États-Unis, 91436
        • Encino Research Center
      • Fullerton, California, États-Unis, 92835
        • St. Jude Heritage Medical Group
      • Laguna Hills, California, États-Unis, 92653
        • UCLA Hematology Oncology
      • Los Angeles, California, États-Unis, 90057
        • Southern CA Oncology Rsrch Alliance
      • Palo Alto, California, États-Unis, 94304-1509
        • Stanford University Medical Center
      • Pasadena, California, États-Unis, 91105
        • UCLA Pasadena HC Hemato Onco
      • Porter Ranch, California, États-Unis, 91326
        • UCLA Porter Ranch Hemato and Onco
      • Redondo Beach, California, États-Unis, 90277
        • Cancer Care Associates Medical Grp
      • San Diego, California, États-Unis, 92123
        • Sharp Memorial Hospital
      • San Francisco, California, États-Unis, 94115
        • UCSF
      • Santa Maria, California, États-Unis, 93454
        • Central Coast Medical Oncology Corporation
      • Santa Monica, California, États-Unis, 90404
        • UCLA Santa Monica Hematology Oncology
      • Torrance, California, États-Unis, 90509-2910
        • Lundquist Inst BioMed at Harbor
      • Valencia, California, États-Unis, 91355
        • UCLA Valencia
      • Van Nuys, California, États-Unis, 91405
        • Valley Breast Care
      • Westlake Village, California, États-Unis, 91361
        • UCLA Cancer Center Westlake Village
    • Colorado
      • Aurora, Colorado, États-Unis, 80045
        • University Of Colorado Hospital
      • Denver, Colorado, États-Unis, 80218
        • Rocky Mountain Cancer Centers
    • Connecticut
      • New Britain, Connecticut, États-Unis, 06052
        • Hospital of Central Connecticut
      • New Haven, Connecticut, États-Unis, 06520
        • Yale University School Of Medicine
      • Norwalk, Connecticut, États-Unis, 06856
        • Norwalk Hospital
      • Norwich, Connecticut, États-Unis, 06360
        • Eastern Connecticut Hematology and Oncology Associates
    • Florida
      • Fort Lauderdale, Florida, États-Unis, 33308
        • Holy Cross Hospital-Ft. Lauderdale
      • Fort Myers, Florida, États-Unis, 33901
        • Florida Cancer Specialists
      • Hollywood, Florida, États-Unis, 33021
        • Memorial Cancer Institute
      • Jacksonville, Florida, États-Unis, 32207
        • Baptist MD Anderson Cancer Center
      • Miami, Florida, États-Unis, 33136
        • University of Miami
      • Orlando, Florida, États-Unis, 32806
        • Orlando Health Clinical Trials
      • St. Petersburg, Florida, États-Unis, 33705
        • Florida Cancer Specialists-North
      • Tallahassee, Florida, États-Unis, 32308
        • Florida Cancer Specialists Pan
      • West Palm Beach, Florida, États-Unis, 33401
        • Florida Cancer Specialists
    • Georgia
      • Atlanta, Georgia, États-Unis, 30322
        • Winship Cancer Institute of Emory University
      • Newnan, Georgia, États-Unis, 30265
        • Southeastern Regional Medical Center
    • Illinois
      • Zion, Illinois, États-Unis, 60099
        • Cancer Treatment Centers of America
    • Indiana
      • New Albany, Indiana, États-Unis, 47150
        • Cancer Care Center
    • Kansas
      • Westwood, Kansas, États-Unis, 66205
        • University of Kansas Cancer Center
      • Wichita, Kansas, États-Unis, 67214-3728
        • Cancer Center of Kansas
    • Kentucky
      • Louisville, Kentucky, États-Unis, 40202
        • Norton Cancer Institute
    • Maryland
      • Baltimore, Maryland, États-Unis, 21202
        • Mercy Medical Center
    • Massachusetts
      • Boston, Massachusetts, États-Unis, 02114
        • Massachusetts General Hospital
    • Michigan
      • Ann Arbor, Michigan, États-Unis, 48109
        • University of Michigan Cancer Center
    • Minnesota
      • Maple Grove, Minnesota, États-Unis, 55369
        • Fairview Health Services
      • Saint Louis Park, Minnesota, États-Unis, 55416
        • Park Nicollet Institute
      • Saint Louis Park, Minnesota, États-Unis, 55416
        • Metro Minnesota CCOP
    • Missouri
      • Kansas City, Missouri, États-Unis, 64132
        • HCA Midwest Division
      • Kansas City, Missouri, États-Unis, 64111
        • Saint Lukes Hospital of Kansas City
      • St Louis, Missouri, États-Unis, 63141
        • David C Pratt Cancer Center
    • Montana
      • Billings, Montana, États-Unis, 59102
        • St Vincent Frontier Cancer Center
    • Nebraska
      • Grand Island, Nebraska, États-Unis, 68803
        • Saint Francis Medical Center
    • Nevada
      • Henderson, Nevada, États-Unis, 89052
        • Comprehensive Cancer Cntr Of Nevada
    • New Jersey
      • Livingston, New Jersey, États-Unis, 07039
        • Saint Barnabas Medical Center
    • New York
      • New York, New York, États-Unis, 10016
        • Perlmutter Cancer Centre
    • North Carolina
      • Asheboro, North Carolina, États-Unis, 27204
        • Randolph Medical Associates
      • Greensboro, North Carolina, États-Unis, 27403
        • Cone Health Cancer Center
    • Oregon
      • Clackamas, Oregon, États-Unis, 97015
        • Kaiser Permanente NW Region
    • Pennsylvania
      • Hershey, Pennsylvania, États-Unis, 17033
        • Penn State Hershey Cancer Institute
      • Philadelphia, Pennsylvania, États-Unis, 19124
        • Cancer Treatment Centers of America Eastern Regional Medical Center
    • Tennessee
      • Germantown, Tennessee, États-Unis, 38138
        • The West Clinic
      • Nashville, Tennessee, États-Unis, 37203
        • Sarah Cannon Research Institute
    • Texas
      • Dallas, Texas, États-Unis, 75246
        • Baylor Charles A Sammons Cancer Cnt
      • Fort Worth, Texas, États-Unis, 76104
        • Ctr For Cancer And Blood Disorders
      • Houston, Texas, États-Unis, 77030
        • MD Anderson Cancer Center University of Texas
    • Utah
      • Salt Lake City, Utah, États-Unis, 84106
        • Utah Cancer Specialists
    • Virginia
      • Fairfax, Virginia, États-Unis, 22031
        • Virginia Cancer Specialists
      • Richmond, Virginia, États-Unis, 23230
        • Virginia Cancer Institute
    • Washington
      • Seattle, Washington, États-Unis, 98109
        • Fred Hutchinson Cancer Center
    • Wisconsin
      • Madison, Wisconsin, États-Unis, 53792-6164
        • University of Wisconsin Paul P Carbone Comp Cancer Center

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 100 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria

  1. Signed and dated Patient Informed Consent Form (PICF) obtained prior to any trial-specific screening procedure.

  2. Patient is ≥ 18 years-old at the time of PICF signature.

  3. Patient is female with known menopausal status at the time of randomization or initiation of adjuvant ET (whichever occurs earlier), or male.

    Postmenopausal status is defined as:

    • Patient underwent bilateral oophorectomy, or
    • Age ≥ 60 years, or
    • Age < 60 years and amenorrhea for 12 or more months (in the absence of chemotherapy, tamoxifen, toremifene or ovarian suppression) and Follicle-stimulating hormone (FSH) and plasma estradiol are in the postmenopausal ranges per local normal ranges.
    • If taking tamoxifen or toremifene and age <60 years, then FSH and plasma estradiol level in postmenopausal ranges.

    Notes

    • In women who are premenopausal at the beginning of adjuvant chemotherapy, amenorrhea is not a reliable indicator of menopausal status as ovarian function may still be intact or resume despite anovulation/amenorrhea. For these women with therapy-induced amenorrhea, serial measurements of FSH and/or estradiol per local clinical guidelines are required for determination of postmenopausal status.
    • All women who do not meet the criteria for postmenopausal status are considered premenopausal for the purpose of this trial.

  4. Patient with histologically confirmed unilateral primary invasive adenocarcinoma of the breast with a date of initial cytologic or histologic diagnosis (i.e. date of the pathology report that confirmed the BC diagnosis) within 18 months prior to randomization. Patient with a multicentric and/or multifocal tumor is eligible if all histopathologically examined lesions meet the pathologic criteria in inclusion criteria 5 and 6.

  5. Patient has breast cancer that is positive for ER and/or PgR according to the local laboratory as determined on the most recently analyzed tissue sample.

  6. Patient has HER2-negative breast cancer defined as a negative in situ hybridization test or an immunohistochemistry (IHC) status of 0 or 1+. If IHC is 2+, a negative in situ hybridization (FISH, CISH, or SISH) test is required to confirm the HER2-negative status (based on the most recently analyzed tissue sample tested by a local laboratory).

  7. Patient (except those enrolled in China) has available archival tumor tissue from the surgical specimen, for submission to a central laboratory (Note: in patients that underwent neoadjuvant systemic therapy and had a pathologic complete response, archival tumor tissue at the time of the initial diagnosis or before the administration of neoadjuvant therapy is mandatory).

  8. Patient, 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
    • Anatomic Stage Group IIA (subset)

    Notes:

    • For patients whose tumors are Anatomic Stage IIA, N0:
    • If Grade is 1 or unknown (Gx), patient is not eligible.
    • If Grade 2, the gene expression test results (by Oncotype DX, Prosigna/PAM50, MammaPrint or EndoPredict EPclin) or Ki67 levels should be used if obtained as per local practice (i.e. are not mandatory for the purpose of the trial). Results must be available at screening.
    • Patients that received neoadjuvant treatment must meet the above criteria (for stage, and if Stage IIA, N0, also for grade and Ki67 or gene expression test) in any presurgical staging/sample and/or in the surgical specimen.
    • Categorization into the AJCC 8th edition Anatomic Stage Groups requires determination of the T, N and M categories. ALND is the preferred method for axillary lymph node staging, however SLN dissection can be used to determine the N category in the following cases:
    • No metastasis in SLN (patient is considered as pN0).
    • Only micrometastasis in SLN (patient is considered as pN1mi).
    • Patients with T1-2 and no clinically-evident nodes prior to surgery, no neoadjuvant chemotherapy, at least one macrometastasis in 1 or 2 SLNs, no matted nodes or gross extranodal disease at the time of SLN dissection (patient is considered as pN1).

    In all other cases, ALND is required to determine the N category.

  9. If indicated, patient has completed adjuvant and/or neoadjuvant chemotherapy according to the institutional guidelines, prior to screening.

  10. If indicated, patient has completed adjuvant radiotherapy according to the institutional guidelines, prior to screening.

  11. Patient has no contraindication for the adjuvant ET in the trial and is planned to be treated with ET for 5 years (since randomization date) or more.

  12. Patient may have already received any standard neoadjuvant and/or adjuvant ET at the time of PICF signature, but randomization should occur within 12 months of the initial start date of ET. Ovarian suppression or short term ET for fertility preservation is not considered neoadjuvant/adjuvant ET. If patient was receiving tamoxifen or toremifene as adjuvant ET, a washout period of 5 half-lives (i.e. 35 days) prior to randomization is required (during that period patient can take AI).

  13. Patient has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

  14. Patient has adequate bone marrow and organ function as defined by the following local laboratory values:

    • Absolute neutrophil count (ANC) ≥ 1.5 × 109/L
    • Platelets ≥ 100 × 109/L
    • Hemoglobin ≥ 9.0 g/dL
    • Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m2 according to the Modification of Diet in Renal Disease (MDRD) formula
    • Alanine transaminase (ALT) < 2.5 × Upper Limit Normal (ULN)
    • Aspartate transaminase (AST) < 2.5 × ULN
    • Total serum bilirubin < ULN; or total bilirubin ≤ 3.0 × ULN or direct bilirubin ≤ 1.5 × ULN in patients with well documented Gilbert's Syndrome
    • International normalized ratio (INR) ≤ 1.5 (unless the patient is receiving anticoagulants and the INR is within the therapeutic range of intended use for that anticoagulant within 7 days prior to randomization)
    • Patient must have the following laboratory values within normal limits or corrected to within normal limits with supplements (the local laboratory value should be documented within normal limits after the correction) before randomization:
    • Potassium
    • Magnesium
    • Total Calcium (corrected for serum albumin)

  15. Standard 12-lead ECG values assessed by a central laboratory, as:

    • QTcF interval (QT interval using Fridericia's correction) at screening < 450 milliseconds (msec)
    • Resting heart rate 50-90 beats per minute (determined from the ECG)

  16. Patient must be willing and able to comply with scheduled visits, treatment plans, laboratory tests, and other trial procedures.

  17. Women of childbearing potential (CBP), defined as all women physiologically capable of becoming pregnant (see Inclusion Criterion #18 for additional information), must have confirmed negative serum pregnancy test (for β-hCG) within 14 days prior to randomization.

  18. Women of CBP must be willing to use highly effective methods of contraception. Contraception must continue during the trial treatment and for 21 days after stopping the treatment. Highly effective contraception methods include:

    • Total abstinence (when this is in line with the preferred and usual lifestyle of the patient). Periodic abstinence (e.g. calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
    • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy or tubal ligation at least 6 weeks before taking trial treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
    • Male partner sterilization (at least 6 months prior to randomization). For female patients on the trial the vasectomized male partner should be the sole partner for that patient. If vasectomy of the male partner is the highly effective method of contraception chosen, the success of the vasectomy should be medically confirmed according to local practice.
    • Placement of an intrauterine device (IUD).

Notes:

  • Use of oral (estrogen and progesterone), transdermal, injected, implanted, hormone containing intrauterine system or any other hormonal method of contraception is not allowed in this trial.
  • Women are considered of CBP unless: they have had ≥ 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (i.e. age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks prior to randomization. In the case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow-up hormone level assessment she is considered not of CBP.
  • After the end of trial treatment, patients should use effective contraception according to local guidelines.

Exclusion Criteria

  1. Patient has received any CDK4/6 inhibitor.

  2. Patient has received prior treatment with tamoxifen, raloxifene or AIs for reduction in risk ("chemoprevention") of breast cancer and/or treatment for osteoporosis within the last 2 years prior to randomization. Patient is concurrently using hormone replacement therapy.

  3. Patient has received prior treatment with anthracyclines at cumulative doses of 450 mg/m² or more for doxorubicin, or 900 mg/m² or more for epirubicin.

  4. Patient with a known hypersensitivity to any of the excipients of ribociclib and/or ET (e.g. rare hereditary problems of galactose intolerance, the Lapp lactase deficiency, glucose-galactose malabsorption, and soy allergy).

  5. Patient with distant metastases of breast cancer beyond regional lymph nodes (stage IV according to AJCC 8th edition) and/or evidence of recurrence after curative surgery.

  6. Patient is concurrently using other anti-neoplastic therapy with the exception of adjuvant ET (see Inclusion Criterion #12).

  7. Patient has had major surgery, chemotherapy or radiotherapy within 14 days prior to randomization.

  8. Patient has not recovered from clinical and laboratory acute toxicities related to prior anti-cancer therapies to a NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) version 4.03 Grade ≤1 at day of randomization. Exceptions to this criterion: patients with any grade of alopecia, amenorrhea, grade 2 neuropathy are allowed to enter the trial or other toxicities not considered a safety risk for the patient as per Investigator's discretion, are allowed to enter the trial.

  9. Patient has a concurrent invasive malignancy or a prior invasive malignancy whose treatment was completed within 2 years before randomization. Note: Patients with adequately treated, basal or squamous cell skin carcinoma or curatively resected cervical cancer in situ are eligible.

  10. Patient has known history of human immunodeficiency virus (HIV) infection (testing is not mandatory, unless required by local regulation).

  11. Patient has known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection (testing is not mandatory, unless required by local regulation).

  12. Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality, including any of the following:

    • History of documented myocardial infarction (MI), angina pectoris, symptomatic pericarditis, or coronary artery bypass graft within 6 months prior to trial entry.
    • Documented cardiomyopathy.
    • Left Ventricular Ejection Fraction (LVEF) < 50% as determined by Multiple Gated acquisition (MUGA) scan or echocardiogram (ECHO) (testing not mandatory)
    • Long QT syndrome or family history of idiopathic sudden death or congenital long QT syndrome, or any of the following:
    • Risk factors for Torsades de Pointes (TdP) including uncorrected hypocalcemia, hypokalemia or hypomagnesemia, history of cardiac failure, or history of clinically significant/symptomatic bradycardia.
    • Concomitant medication(s) with a known risk to prolong the QT interval and/or known to cause TdP that cannot be discontinued or replaced by safe alternative medication (e.g. within 5 half-lives or 7 days prior to starting trial treatment).
    • Inability to determine the QTcF interval.
    • Clinically significant cardiac arrhythmias (e.g. ventricular tachycardia), complete left bundle branch block, high-grade Atrioventricular (AV) block (e.g. bifascicular block, Mobitz type II and third degree AV block).
    • Uncontrolled arterial hypertension with systolic blood pressure > 160 mmHg.

  13. Patient is currently receiving any of the following substances within 7 days before randomization:

    • Concomitant medications, herbal supplements, and/or fruits (e.g. grapefruit, pummellos, starfruit, Seville oranges) and their juices that are known as strong inhibitors or inducers of CYP3A4/5
    • Medications that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5

  14. Patient is currently receiving or has received systemic corticosteroids ≤ 2 weeks prior to starting trial treatment, or has not fully recovered from side effects of such treatment.

    Note: The following uses of corticosteroids are permitted: a short duration (<5 days) of systemic corticosteroids; any duration of topical applications (e.g. for rash), inhaled sprays (e.g. for obstructive airways diseases), eye drops or local injections (e.g. intra-articular).

  15. Patient has impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of the oral trial treatments (e.g. uncontrolled ulcerative diseases, uncontrolled nausea, vomiting or diarrhea, malabsorption syndrome, or small bowel resection).

  16. Patient has any other concurrent severe and/or uncontrolled medical condition that would, in the Investigator's judgment, cause unacceptable safety risks, contraindicate patient participation in the clinical trial or compromise compliance with the protocol (e.g. chronic pancreatitis, chronic active hepatitis, liver cirrhosis or any other significant liver disease, active untreated or uncontrolled fungal, bacterial or viral infections, active infection requiring systemic anti-bacterial therapy, etc.) or limit life expectancy to ≤5 years.

  17. Participation in other studies involving investigational drug(s) within 30 days prior to randomization or within 5 half-lives of the investigational drug(s) (whichever is longer), or participation in any other type of medical research judged not to be scientifically or medically compatible with this trial. If the patient is enrolled or planned to be enrolled in another study that does not involve an investigational drug, the agreement of the Medical Monitor is required to establish eligibility.

  18. Pregnant or breast-feeding (lactating) women or women who plan to become pregnant or breast-feed during the trial.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Ribociclib + Endocrine Therapy (ET)

Eligible participants will receive Ribociclib 400 mg once daily on days 1 to 21 of a 28-day cycle, followed by 7 days off ribociclib (Days 22 to 28).

And

Endocrine Therapy (ET) consisting of:

  • For postmenopausal women:

    - Letrozole 2.5 mg by mouth daily continuously or anastrozole 1 mg by mouth daily continuously.

  • For premenopausal women and men:

    • Letrozole 2.5 mg by mouth daily continuously or anastrozole 1 mg by mouth daily continuously, combined with:
    • Goserelin 3.6 mg subcutaneously once every 4 weeks.
Médicament: Ribociclib

Ribociclib orally taken at 400 mg on days 1 to 21 of a 28-day cycle

Autres noms:
  • LEE011
Autre: Endocrine Therapy (ET)

Endocrine Therapy (ET) will be administered according to the local clinical guidelines and current local prescribing information
Comparateur actif: Endocrine Therapy (ET)

Eligible participants will receive Endocrine Therapy (ET) consisting of:

  • For postmenopausal women:

    - Letrozole 2.5 mg by mouth daily continuously or anastrozole 1 mg by mouth daily continuously.

  • For premenopausal women and men:

    • Letrozole 2.5 mg by mouth daily continuously or anastrozole 1 mg by mouth daily continuously, combined with:
    • Goserelin 3.6 mg subcutaneously once every 4 weeks.
Autre: Endocrine Therapy (ET)

Endocrine Therapy (ET) will be administered according to the local clinical guidelines and current local prescribing information

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Invasive Disease-Free Survival (iDFS)
Délai: Up to approximately 139 months

Invasive Disease-Free Survival (iDFS) is defined as the time from the date of randomization to the date of the first event of local invasive breast recurrence, 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 locally using STEEP criteria (Standardized Definitions for Efficacy End Points in Adjuvant Breast Cancer Trials).
Up to approximately 139 months

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Recurrence-free survival (RFS)
Délai: Up to approximately 139 months

Recurrence-free survival (RFS) is defined as the time from date of randomization to date of first event of local invasive breast recurrence, regional invasive recurrence, distant recurrence, or death (any cause) and will be assessed using STEEP criteria (Standardized Definitions for Efficacy End Points in Adjuvant Breast Cancer Trials).
Up to approximately 139 months
Distant disease-free survival (DDFS)
Délai: Up to approximately 139 months

Distant disease-free survival (DDFS) is defined as the time from date of randomization to date of first event of distant recurrence, death (any cause), or second primary non-breast invasive cancer (excluding basal and squamous cell carcinomas of the skin) and will be assessed using STEEP criteria (Standardized Definitions for Efficacy End Points in Adjuvant Breast Cancer Trials).
Up to approximately 139 months
Overall Survival (OS)
Délai: Up to approximately 139 months

Overall Survival (OS) is defined as the time from date of randomization to date of death due to any cause.
Up to approximately 139 months
Change from baseline in the global health status Quality of life scale score as assessed by EORTC QLQ-C30
Délai: Up to approximately 139 months

The EORTC QLQ-C30 contains functional scales, symptom scales, single items scale and a global health status/QoL scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
Up to approximately 139 months
Change from baseline in the physical functioning sub-scale score as assessed by EORTC QLQ-C30
Délai: Up to approximately 139 months

The EORTC QLQ-C30 contains functional scales, symptom scales, single items scale and a global health status/QoL scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
Up to approximately 139 months
Trough Concentration on Day 15 (Ctrough,D1) of ribociclib
Délai: Cycle 1 Day 15 (0/Pre-dose, 2 and 4 hours post-dose)

Venous whole blood samples will be collected for activity-based pharmacokinetics characterization in a subset of participants. Ctrough,D15 of ribociclib will be listed and summarized using descriptive statistics.
Cycle 1 Day 15 (0/Pre-dose, 2 and 4 hours post-dose)

Collaborateurs et enquêteurs

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Novartis Pharmaceuticals

Collaborateurs

Translational Research in Oncology

Les enquêteurs

  • Directeur d'études: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

7 décembre 2018

Achèvement primaire (Estimé)

29 mai 2030

Achèvement de l'étude (Estimé)

29 mai 2030

Dates d'inscription aux études

Première soumission

21 septembre 2018

Première soumission répondant aux critères de contrôle qualité

7 octobre 2018

Première publication (Réel)

10 octobre 2018

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

9 octobre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

8 octobre 2026

Dernière vérification

1 octobre 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • CLEE011O12301C
  • 2023-510357-42-00 (Identificateur de registre: EU CT Number)
  • TRIO033 (Autre identifiant: Translational Research in Oncology)
  • 2023 (Subvention/contrat des NIH des États-Unis)

Plan pour les données individuelles des participants (IPD)

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Description du régime IPD

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Oui

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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