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Ribociclib

Phase 3

Early Breast Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Jul 17, 2026

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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment6,501
FDA Designations
No designations recorded
Clinical trial landscape

Ribociclib · 12 trials · 13 indications

Phase 3 6Phase 2 2Phase 1 3Early Phase 1 1
NCT05827081Phase IIIb Study of Ribociclib + ET in Early Breast CancerEarly Breast Cancer
RECRUITING1,400 Analytics
NCT03701334A Trial to Evaluate Efficacy and Safety of Ribociclib With Endocrine Therapy as Adjuvant Treatment in Patients With HR+/HER2- Early Breast CancerEarly Breast Cancer
ACTIVE NOT_RECRUITING5,101 Analytics
NCT03096847Study for Women and Men With Hormone-receptor Positive Locally Advanced or Metastatic Breast CancerAdvanced Metastatic Breast Cancer
COMPLETED502 Analytics
NCT02422615Study of Efficacy and Safety of LEE011 in Men and Postmenopausal Women With Advanced Breast Cancer.Advanced Breast Cancer
COMPLETED726 Analytics
NCT02278120Study of Efficacy and Safety in Premenopausal Women With Hormone Receptor Positive, HER2-negative Advanced Breast CancerAdvanced Metastatic Breast Cancer
COMPLETED672 Analytics
NCT01958021Study of Efficacy and Safety of LEE011 in Postmenopausal Women With Advanced Breast CancerAdvanced, Metastatic Breast Cancer
COMPLETED668 Analytics
PHASE3RECRUITING
Phase IIIb Study of Ribociclib + ET in Early Breast Cancer
Early Breast CancerUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Trial to Evaluate Efficacy and Safety of Ribociclib With Endocrine Therapy as Adjuvant Treatment in Patients With HR+/HER2- Early Breast Cancer
Early Breast CancerUnlock trial analytics
PHASE3COMPLETED
Study for Women and Men With Hormone-receptor Positive Locally Advanced or Metastatic Breast Cancer
Advanced Metastatic Breast CancerUnlock trial analytics
PHASE3COMPLETED
Study of Efficacy and Safety of LEE011 in Men and Postmenopausal Women With Advanced Breast Cancer.
Advanced Breast CancerUnlock trial analytics
PHASE3COMPLETED
Study of Efficacy and Safety in Premenopausal Women With Hormone Receptor Positive, HER2-negative Advanced Breast Cancer
Advanced Metastatic Breast CancerUnlock trial analytics
PHASE3COMPLETED
Study of Efficacy and Safety of LEE011 in Postmenopausal Women With Advanced Breast Cancer
Advanced, Metastatic Breast CancerUnlock trial analytics
Study Endpoints
Primary Endpoints
Invasive Breast Cancer Free Survival (iBCFS) rate at 3 years
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.

Invasive Disease-Free Survival (iDFS)
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).

Clinical Benefit Rate (CBR) in Women and Men With Hormone Receptor Positiv, HER-2 Negative Breast Cancer Treated With Ribocilib and Letrozole
At 24 weeks after last patient enrolled in trial

Clinical Benefit Rate (CBR) after 24 weeks of treatment as defined by RECIST 1.1 as percentage of patients with Complete Response (CR), Partial response (PR) or Stable disease (SD) lasting 24 weeks or longer as well as patients with Non-complete response, nonprogressive disease (NCRNPD).

Progression Free Survival (PFS) Per Investigator Assessment
From randomization to first documented progression or death, assessed up to approximately 26 months

PFS was defined as the period starting from the date of randomization to the date of the first documented progression or death caused by any reason. In cases where patients did not experience an event, the PFS was censored at the date of the last adequate tumor assessment. Clinical deterioration without objective radiological evidence was not considered as documented disease progression. PFS was assessed via local radiology assessment according to RECIST 1.1. The Kaplan-Meier method was used to estimate PFS, and the median PFS, along with 95% confidence intervals, was reported for each treatment group. The distribution of PFS between the two arms was compared using a stratified log-rank test at a one-sided 2.5% level of significance. The PFS hazard ratio with two-sided 95% confidence interval was derived from the stratified Cox proportional hazards model.

Progression Free Survival (PFS) by Investigator Assessment
From randomization to first documented progression or death, assessed up to approximately 29 months

PFS was defined as the period starting from the date of randomization to the date of the first documented progression or death caused by any reason. In cases where patients did not experience an event, the PFS was censored at the date of the last adequate tumor assessment. Clinical deterioration without objective radiological evidence was not considered as documented disease progression. PFS was assessed via local radiology assessment according to RECIST 1.1. As per protocol, the final PFS analysis was conducted after approximately 392 PFS events were documented. The Kaplan-Meier method was used to estimate PFS, and the median PFS, along with 95% confidence intervals, was reported for each treatment group. A stratified Cox regression model was used to estimate the hazard ratio of PFS, along with 95% confidence interval

Recurrence Free Survival (RFS)
3 years

Estimate subsequent recurrence-free survival (RFS) at 3 years for ribociclib when administered with ET (AIs or fulvestrant). RFS is defined as interval from registration until invasive or DCIS recurrence in the ipsilateral breast or locoregionally, invasive recurrence at a distant site, or death from breast cancer or any other cause, whichever occurs first. The censoring time is the completion of study at 6 years (3 years of patient accrual and 3 years of follow up time). The RFS at 3 years will be also treated as the primary endpoint in the power and sample size calculation.

Distant metastasis-free survival (DMFS) in the ROR-low cohort (responder cohort)
Until recurrence (if it happens) for a maximum of 7.5 years of follow-up

DMFS is defined as the time from date of surgery to date of first event of distant metastatic recurrence or death (any cause).

Maximally Tolerated Dose (MTD) (Phase 1b)
Up to 2 years

Maximally tolerated dose (MTD) of ribociclib in combination with docetaxel and prednisone is based upon evaluation of dose-limiting toxicities (DLTs) and adverse events for all participants who received treatment in Phase Ib. If 1 of 3 participants in a cohort experiences a DLT, then the cohort will be expanded to treat an additional 3 participants. If only 1 of 6 participants experiences a DLT, the next cohort of participants will be treated at the next higher dose level. If 2 or more participants in a cohort experience a DLT, then MTD has been exceeded and the previous dose level will be considered the MTD. If more than 1 of 6 patients experience a DLT at dose level IA then the study will be terminated, as the MTD cannot be determined and de-escalation from dose level IA is not planned. Per Investigator discretion the Recommended Phase 2 Dose (RP2D) schedule of ribociclib and docetaxel may be established in the absence of reaching MTD.

RP2D of Docetaxel (Phase 1b)
Up to 2 years

The RP2D of docetaxel will be reported when used in combination with ribociclib and prednisone based upon evaluation of dose-limiting toxicities (DLTs) and adverse events for all participants in the Phase Ib group. Per Investigator discretion, the RP2D schedule of docetaxel and ribociclib may be established in the absence of reaching MTD, based on the cumulative safety data of the treatment regimen.

Percentage of Participants With Radiographic Progression-free Survival at 6 Months (Phase 1b/2 RP2D)
Up to 6 months

Radiographic progression-free survival will be assessed using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percent of participants has been estimated using the Kaplan-Meier product limit method. Duration will be measured from day 1 of study treatment to first date of radiographic progression or death, whichever occurs first, for all Phase 1b or Phase 2 participants receiving the RP2D. Participants who discontinue study therapy for toxicity, withdrawal from study, or prostate-specific antigen (PSA)-only progression, will be censored at the date of last radiographic tumor assessment for this analysis. Patients who discontinue therapy for evidence of clinical progression/clinical deterioration will be included in this analysis.

Phase I: Maximum Tolerated Dose
D1 of treatment to end of cohort cycle (assessed at 28 days)

Phase I: Maximum tolerated dose (MTD) for subjects receiving ribociclib and bicalutamide without experiencing dose-limiting toxicity(s) (DLT) per Common Terminology Criteria for Adverse Events (CTCAE) v4

Phase II: Clinical benefit rate (CBR) of treatment combination
D1 of treatment to end of 4 treatment cycles (assessed at 16 weeks)

Compare sum of confirmed complete plus partial responses plus stable disease per response evaluation criteria in solid tumors (RECIST) 1.1 criteria

Incidence rate of dose limiting toxicities (DLTs) during the first cycle of treatment (Phase Ib )
1 month

Maximum Tolerated Dose(s) (MTD(s)) and/or recommended phase 2 dose (RP2D(s)) and schedule of LEE011 in combination with ceritinib in ALK-positive non-small cell lung cancer (NSCLC) patients. Cycle = 28 days

Overall Response Rate (ORR) as per RECIST v1.1
Up to 24 months

Preliminary anti-tumor activity of the LEE011 and ceritinib combination

Exposure to LEE011 and ceritinib (Phase Ib )
Up to 6 months

Measurement of pharmacokinetics (PK) parameters (AUC0-24h at C1D15)

Plasma Exposure
0.5, 1, 2, 4, 6, 8, and 24 hours post-last 900 mg dosing
CSF Penetration
2-4, 6-8, and 23-25 hours post-last 900 mg dosing
Brain Accumulation of Ribociclib
Days 1, 22, 43, 64 (add 21 day intervals)...until disease returns or side effect preventing participation in study occurs

This is the Phase II portion, which assesses trough plasma concentrations of study drug on each clinical visit day, prior to administration of ribociclib on that day.

Secondary Endpoints
Incidence and severity of adverse events (AEs) using CTCAE v4.03
Up to approximately 6 years
Invasive Disease-Free Survival (iDFS)
Up to approximately 6 years
Distant Disease-Free Survival (DDFS)
Up to approximately 6 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ribociclib + endocrine therapyEXPERIMENTALParticipants will receive ribociclib 400 mg orally once daily on days 1 to 21 of a 28-day cycle, in combination with daily endocrine therapy (ET) for 36 months (approximately 39 cycles). ET consists of: * For postmenopausal women: letrozole 2.5 mg orally once daily continuously, anastrozole 1 mg orally once daily continuously, or exemestane 25 mg once daily continuously. * For pre/perimenopausal women, and men: letrozole 2.5 mg orally once daily continuously, anastrozole 1 mg orally once daily continuously, or exemestane 25 mg once daily continuously, combined with goserelin 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) or leuprolide 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)
Ribociclib + Endocrine Therapy (ET)EXPERIMENTALEligible 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.
Endocrine Therapy (ET)ACTIVE_COMPARATOREligible 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.
ribociclib + letrozole cohort AEXPERIMENTALribociclib + letrozole cohort A - postmenopausal women, or men; naïve. All patients received ribociclib 600mg p.o. daily + Letrozole 2.5 mg p.o. daily.
ribociclib + letrozole cohort B1EXPERIMENTALribociclib + letrozole cohort B1 - premenopausal women or perimenopausal women; naïve All patients received ribociclib 600mg p.o. daily + Letrozole 2.5 mg p.o. daily. Premenopausal patients additionally received goserelin 3.6 mg i.m. monthly
ribociclib + letrozole cohort B2EXPERIMENTALribociclib + letrozole cohort B2 - premenopausal women or perimenopausal women or postmenopausal women, or men; pre-treated. All patients received ribociclib 600mg p.o. daily + Letrozole 2.5 mg p.o. daily. Premenopausal patients additionally received goserelin 3.6 mg i.m. monthly
Ribociclib + fulvestrantEXPERIMENTALRibociclib was administered orally at a daily dose of 600mg for 21 consecutive days within a 28-day cycle. This treatment was combined with fulvestrant, which was administered via intramuscular injections of 500mg every 28 days starting on Day 1 of each cycle. Additionally, an extra dose of fulvestrant was given on Day 15 of Cycle 1. For participants who did not tolerate the protocol-specified dosing schedule, dose adjustments were permitted in order to allow the patient to continue the study treatment.
Placebo + fulvestrantPLACEBO_COMPARATORPlacebo was administered orally for 21 consecutive days within a 28-day cycle. This treatment was combined with fulvestrant, which was administered via intramuscular injections of 500mg every 28 days starting on Day 1 of each cycle. Additionally, an extra dose of fulvestrant was given on Day 15 of Cycle 1. For participants who did not tolerate the protocol-specified dosing schedule, dose adjustments were permitted in order to allow the patient to continue the study treatment. Participants were unblinded after the implementation of protocol amendment 4 (29-Jan-20) and were given the option to crossover to treatment with ribociclib and fulvestrant.
Ribociclib + NSAI/tamoxifen + goserelinEXPERIMENTALRibociclib 600 mg daily oral (3 weeks on/ 1 week off) in combination with NSAI or tamoxifen (tamoxifen 20 mg daily oral or letrozole 2.5 mg daily oral or anastrozole 1 mg daily oral) and goserelin 3.6 mg subcutaneous injection (once every 28 days)
Placebo + NSAI/tamoxifen + goserelinPLACEBO_COMPARATORPlacebo daily oral (3 weeks on/ 1 week off) in combination with NSAI or tamoxifen (tamoxifen 20 mg daily oral or letrozole 2.5 mg daily oral or anastrozole 1 mg daily oral) and goserelin 3.6 mg subcutaneous injection (once every 28 days). Participants were unblinded once the final OS analysis was conducted and after the implementation of protocol amendment 6 (16-Jul-2019) and were given the option to crossover to treatment with ribociclib +NSAI/tamoxifen + goserelin.
Ribociclib+ letrozoleEXPERIMENTALRibociclib 600 mg daily oral (3 weeks on/ 1 week off) in combination with letrozole 2.5 mg daily oral
Placebo + letrozolePLACEBO_COMPARATORPlacebo daily oral (3 weeks on/ 1 week off) in combination with letrozole 2.5 mg daily oral. Participants were unblinded once the final OS analysis was completed and after the implementation of protocol amendment 10 (30-Apr-21) and were given the option to crossover to treatment with ribociclib + letrozole
Investigational GroupEXPERIMENTALThe drug ribociclib will be taken orally at a dose of 400 mg daily for 21 days out of a 28-day cycle. Ribociclib will be used in combination with ET per physician choice. All new subjects enrolled under the 08JUL2024 protocol or after will receive ribociclib 400mg daily for 21 days out of a 28-day cycle. Subjects receiving 600mg ribociclib under a prior protocol version will be switched to 400mg. Physician's choice of endocrine therapy includes: * 500 mg of fulvestrant received intramuscularly. This will be taken on Day 1 and Day 15 of Cycle 1 and on Day 1 of Cycle 2 and beyond. * 1 mg of anastrozole taken orally daily of the 28 day cycle. * 2.5 mg of letrozole taken orally daily of the 28 day cycle. * 25 mg of exemestane taken orally daily of the 28 day cycle. * Concomitant use with tamoxifen is not allowed. Premenopausal subjects must also be treated with ovarian suppression according to institutional standards or have undergone bilateral oophorectomy.
Responder (ROR-low)EXPERIMENTALRibociclib (400 mg/day; 3 weeks ON and 1 week OFF) in the adjuvant setting for 33 cycles. Letrozole or other aromatase inhibitor treatment duration must be of at least 5 years
Non-responder (ROR-medium/high)OTHERAdjuvant chemotherapy. 3 regimens are permitted. Regimen 1: \- Doxorubicin 60 mg/m2 IV day 1 (or Epirubicin 75-100 mg/m2) and Cyclophosphamide 600-830 mg/m2 day 1 every 14/21 days for 4 cycles, followed by Paclitaxel 80 mg/m2 every week for 12 weeks or Docetaxel 75-100 mg/m2 every 3 weeks for 12 weeks. Regimen 2: \- Docetaxel 75-100 mg/m2 IV day 1 and Cyclophosphamide 600-830 mg/m2 day 1 every 21 days for 4-6 cycles. Regimen 3: \- Paclitaxel 80 mg/m2 every week for 12 weeks or Docetaxel 75-100 mg/m2 every 3 weeks for 12 weeks followed by Doxorubicin 60 mg/m2 IV day 1 (or Epirubicin 75-100 mg/m2) and Cyclophosphamide 600-830 mg/m2 day 1 every 14/21 days for 4 cycles. Then, patients will receive ribociclib (400 mg/day; 3 weeks ON and 1 week OFF) in the adjuvant setting for 33 cycles. Letrozole or other aromatase inhibitor treatment duration must be of at least 5 years
Treatment (Phase 1b)EXPERIMENTALThe starting cohort dose level (1) for docetaxel will be 75 mg/m2, administered on day 1 of each cycle. Prednisone will be fixed at 5 mg twice a day. The starting dose level and schedule for ribociclib will begin at 200 mg orally once daily, starting on day 1 of the 21-day cycle. If dose level 1 is not tolerated, then alternative dosing schedules of docetaxel will be evaluated, starting with dose level 1A of 60mg/m2 docetaxel.
Treatment (Phase 2)EXPERIMENTALParticipants in Phase 2 will receive the Recommended Phase 2 Dose for docetaxel and ribociclib
Arm A - Phase IEXPERIMENTALDose Escalation Cohort 1 will consist of 3-6 patients who will receive bicalutamide 150mg PO daily on days 1-28 of a 28 day cycle and ribociclib 400mg PO daily on days 1-21 of a 28 day cycle. Cohort 2 will consist of 3-6 patients who will receive bicalutamide 150mg PO daily on days 1-28 of a 28 day cycle and ribociclib 400mg PO daily on days 1-28 of a 28 day cycle. Cohort 3 will consist of 3-6 patients who will receive bicalutamide 150mg PO daily on days 1-28 of a 28 day cycle and ribociclib 600mg PO daily on days 1-21 of a 28 day cycle. Experimental: Arm B - Phase II Investigational Treatment The maximum safe dose of ribociclib in combination with bicalutamide will be given to up to 25 patients.
Ribociclib 100 mg + Ceritinib 300 mgEXPERIMENTALLEE011 capsule for oral use (ribociclib) and Ceritinib for oral use
Ribociclib 100 mg + Ceritinib 450 mgEXPERIMENTALLEE011 capsule for oral use (ribociclib) and Ceritinib for oral use
Ribociclib 200 mg + Ceritinib 300 mgEXPERIMENTALLEE011 capsule for oral use (ribociclib) and Ceritinib for oral use
Ribociclib 200 mg + Ceritinib 450 mgEXPERIMENTALLEE011 capsule for oral use (ribociclib) and Ceritinib for oral use
Ribociclib 300 mg + Ceritinib 450 mgEXPERIMENTALLEE011 capsule for oral use (ribociclib) and Ceritinib for oral use
Administration of ribociclibEXPERIMENTALSubjects will be administered ribociclib prior to surgical resection of their tumor. All patients will be orally-administered 5 doses of LEE011 (900 mg/d) with the final dose occurring at one of 3 following intervals before brain tumor resection: Cohort 1: last ribociclib dose 2-4 hours prior to craniotomy for tumor resection Cohort 2: last ribociclib dose 6-8 hours prior to craniotomy for tumor resection Cohort 3: last ribociclib dose 23-25 hours prior to craniotomy for tumor resection
Interventions
NameTypeDescription
RibociclibDRUGRibociclib 400 mg orally once daily on days 1-21 of a 28 day cycle followed by 7 days rest
LetrozoleDRUGLetrozole 2.5 mg orally once daily continuously
AnsastrozoleDRUGAnastrozole 1 mg orally once daily continuously.
GoserelinDRUGGoserelin 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
LeuprolideDRUGLeuprolide 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
ExemestaneDRUGExemestane 25 mg once daily continuously
Endocrine Therapy (ET)OTHEREndocrine Therapy (ET) will be administered according to the local clinical guidelines and current local prescribing information
FulvestrantDRUGFulvestrant was administered via intramuscular injections at a dose of 500mg every 28 days, starting on Day 1 of each cycle. In Cycle 1, an additional dose of Fulvestrant was given on Day 15.
PlaceboDRUGPlacebo capsules were administered orally for 21 consecutive days within a 28-day cycle.
TamoxifenDRUGTamoxifen (20 mg, tablets) was administered orally on a continuous daily schedule (days 1-28 of each 28-day cycle)
AnastrozoleDRUGAnastrozole (1 mg, tablets) was administered orally once daily on a continuous daily schedule (days 1-28 of each 28-day cycle)
Ribociclib (neoadjuvant)DRUGRibociclib 600 mg/day + letrozole during neoadjuvant phase.
Chemotherapy (adjuvant)DRUGAdjuvant chemotherapy. 3 regimens are permitted.
Ribociclib (adjuvant)DRUGRibociclib 400 mg/day + letrozole (or other aromatase inhibitor) during adjuvant phase.
Docetaxel-PNPDRUGGiven IV
PrednisoneDRUGGiven Orally
FilgrastimDRUGGiven IV
BicalutamideDRUG150mg PO
CeritinibDRUGALK inhibitor
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Eligibility Criteria
Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites229

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)...

Countries:United StatesArgentinaAustraliaBrazilCanadaChinaGermanyHong KongIndiaIsraelMexicoPortugalPuerto RicoSouth KoreaTaiwanTurkey (Türkiye)AustriaBelgiumFranceHungaryIrelandItalyPolandRomaniaRussiaSpainUnited KingdomBulgariaColombiaCzechiaDenmarkJordanLebanonMalaysiaNetherlandsNorwaySingaporeSwedenSwitzerlandThailandGreeceSaudi ArabiaUnited Arab EmiratesFinlandSouth Africa
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