Study for Women and Men With Hormone-receptor Positive Locally Advanced or Metastatic Breast Cancer
A National Phase IIIb, Multi-center, Open Label Study for Women and Men With Hormone-receptor Positive, HER-2 Negative Locally Advanced or Metastatic Breast Cancer Treated With Ribociclib (LEE011) in Combination With Letrozole
This was a national, multi-center, open-label, phase IIIb trial to determine the efficacy and safety of treatment with ribociclib (LEE011) plus letrozole in patients with HR+, HER2-negative advanced (recurrent or metastatic) breast cancer. Patients were treated with daily doses of 600 mg ribociclib (3-weeks-on/1-week-off schedule) in combination with 2.5 mg letrozole daily (continuous dosing). Dose adjustments (dose reduction or interruption) according to safety findings were allowed.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
502 participants
Study completion date
February 6, 2020
Actual (reported)
Listed locations
1 countries · 84 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
ribociclibLEE011RIBECCAbreast cancerbreast carcinomaHR-positiveHER2-negativeadvanced breast cancerLetrozoleCDK4/6breast lumpHER2 positivemetastatic breast cancerbreast cancer positive for human epidermal growth factor receptor 2 (HER2) HER2 positive metastatic breast cancerbreast cancer progressionestrogen-receptor (ER) positive(+) breast cancerPaget's disease
Outcome Measures
Primary Outcomes (1)
Clinical Benefit Rate (CBR) in Women and Men With Hormone Receptor Positiv, HER-2 Negative Breast Cancer Treated With Ribocilib and Letrozole
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).
At 24 weeks after last patient enrolled in trial
Secondary Outcomes (10)
Progression Free Survival (PFS) for Different Populations - Kaplan-Meier Estimates (%, 95% CI)
At week 24 , week 48 and week 72
Progression Free Survival (PFS) for Different Populations - Median Time to Progression or Death With 95% CI [Months]
Study Arms (3)
ribociclib + letrozole cohort A
EXPERIMENTAL
ribociclib + letrozole cohort A - postmenopausal women, or men; naïve.
All patients received ribociclib 600mg p.o. daily + Letrozole 2.5 mg p.o. daily.
Drug: ribociclibDrug: letrozoleDrug: goserelin
ribociclib + letrozole cohort B1
EXPERIMENTAL
ribociclib + 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
Drug: ribociclibDrug: letrozoleDrug: goserelin
Interventions
ribociclibDrug
All patients with oestrogen receptor positive advanced or metastatic breast cancer were treated with oral ribociclib at a dose of 600mg daily and oral letrozole 2.5mg daily. The study treatment for an individual patient began on Study Day 1 and continued until 80 weeks after the last patient enrolled the study or until disease progression, unacceptable toxicity, death or early discontinuation from the study for any other reason, whichever occured first.
Patient is an adult, ≥ 18 years old at the time of informed consent and has signed informed consent before any trial related activities and according to local guidelines
Women and men with advanced (locoregionally recurrent or metastatic) breast cancer not amenable to curative therapy.
Recklinghausen, North Rhine-Westphalia, 45657, Germany
Novartis Investigative Site
Lübeck, Schleswig-Holstein, 23563, Germany
Novartis Investigative Site
Aachen, 52074, Germany
Novartis Investigative Site
Augsburg, 86150, Germany
Novartis Investigative Site
Berlin, 10117, Germany
Related Publications (1)
Peuker CA, Yaghobramzi S, Grunert C, Keilholz L, Gjerga E, Hennig S, Schaper S, Na IK, Keller U, Brucker S, Decker T, Fasching P, Fehm T, Janni W, Kummel S, Schneeweiss A, Schuler M, Luftner D, Busse A. Treatment with ribociclib shows favourable immunomodulatory effects in patients with hormone receptor-positive breast cancer-findings from the RIBECCA trial. Eur J Cancer. 2022 Feb;162:45-55. doi: 10.1016/j.ejca.2021.11.025. Epub 2021 Dec 23.
Overall Survival (OS) - Median Time to Progression or Death With 95% CI [Months]
Up to approximatley 38 months
Overall Survival (OS) - Number of Censored Participants and Number of Deaths
Up to approximatley 38 months
+5 more secondary outcomes
ribociclib + letrozole cohort B2
EXPERIMENTAL
ribociclib + 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
Drug: ribociclibDrug: letrozoleDrug: goserelin
Drug
All patients with oestrogen receptor positive advanced or metastatic breast cancer were treated with oral ribociclib at a dose of 600mg daily and oral letrozole 2.5mg daily. The study treatment for an individual patient began on Study Day 1 and continued until 80 weeks after the last patient enrolled the study or until disease progression, unacceptable toxicity, death or early discontinuation from the study for any other reason, whichever occured first.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Patient has a histologically and/or cytologically confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive and HER2-negative breast cancer by local laboratory. Local pathology is sufficient for assessment.
Patient must have either:
Measurable disease, i.e., at least one measurable lesion as per RECIST 1.1 criteria ).
Bone lesions: lytic or mixed (lytic + sclerotic) in the absence of measurable disease
Non-measurable disease
Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2
You may not qualify if:
Patient who received any CDK4/6 inhibitor or any mTOR inhibitor.
Patient has a known hypersensitivity to any of the excipients of ribociclib or letrozole
Patients with current inflammatory breast cancer.
Patient has received \> 1 chemotherapy for the treatment of advanced/metastatic breast cancer
Patient has received \> 2 endocrine therapies for the treatment of advanced/metastatic breast cancer
Patient has central nervous system (CNS) involvement. If patient is fulfilling the following 3 criteria she/he is eligible for the trial.
completed prior therapy (including radiation and/or surgery) for CNS metastases ≥ 28 days prior to the start of study and
CNS tumor is clinically stable at the time of screening and
Patient is not receiving steroids and enzyme inducing anti-epileptic medications for brain metastases
Patient has active cardiac disease or a history of cardiac dysfunction
Contact the study team to confirm eligibility.
Novartis Investigative Site
Berlin, 10367, Germany
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Berlin, 10713, Germany
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Berlin, 10967, Germany
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Berlin, 13353, Germany
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Berlin, 13581, Germany
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Berlin, 14195, Germany
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Bielefeld, 33604, Germany
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Bonn, 53111, Germany
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Bottrop, 46236, Germany
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Böblingen, 71032, Germany
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Chemnitz, 09113, Germany
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Cologne, 50935, Germany
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Dessau, 06847, Germany
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Dresden, 01307, Germany
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Düsseldorf, 40225, Germany
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Düsseldorf, 40479, Germany
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Erlangen, 91054, Germany
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Essen, 45136, Germany
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Essen, 45147, Germany
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Esslingen am Neckar, 73730, Germany
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Frankfurt, 60398, Germany
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Frankfurt, 60431, Germany
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Freiburg im Breisgau, 79106, Germany
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Fürstenwalde, 15517, Germany
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Fürth, 90766, Germany
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Georgsmarienhütte, 49124, Germany
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Goslar, 38642, Germany
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Göttingen, 37073, Germany
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Greifswald, 17475, Germany
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Hamburg, 20246, Germany
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Hamburg, 22081, Germany
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Hamburg, 22767, Germany
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Hanover, 30177, Germany
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Hanover, 30559, Germany
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Hanover, 30625, Germany
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Heidelberg, 69115, Germany
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Heidelberg, 69120, Germany
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Hildesheim, 31134, Germany
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Homburg, 66421, Germany
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Jena, 07740, Germany
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Kiel, 24103, Germany
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Kiel, 24105, Germany
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Kulmbach, 95326, Germany
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Landshut, 84028, Germany
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Leer, 26789, Germany
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Leipzig, 04103, Germany
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Leipzig, 04277, Germany
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Mannheim, 68165, Germany
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Marburg, 35037, Germany
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Minden, 32429, Germany
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Mönchengladbach, 41061, Germany
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München, 80637, Germany
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Münster, 48145, Germany
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Münster, 48149, Germany
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Neuruppin, 16816, Germany
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Nuremberg, 90419, Germany
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Offenbach, 63069, Germany
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Oldenburg, 26121, Germany
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Passau, 94032, Germany
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Potsdam, 14467, Germany
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Ravensburg, 88214, Germany
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Rotenburg (Wümme), 27356, Germany
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Saarbrücken, 66113, Germany
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Schweinfurt, 97422, Germany
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Stuttgart, 70199, Germany
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Suhl, 98527, Germany
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Torgau, 04860, Germany
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Trier, 54290, Germany
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Troisdorf, 53840, Germany
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Tübingen, 72076, Germany
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Ulm, 89081, Germany
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Velbert, 42551, Germany
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Völklingen, 66333, Germany
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Weinheim, 69469, Germany
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Wetzlar, 35578, Germany
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Wiesbaden, 65191, Germany
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Würzburg, 97080, Germany
Organic Chemicals
Triazoles
Azoles
Heterocyclic Compounds, 1-Ring
Heterocyclic Compounds
Gonadotropin-Releasing Hormone
Pituitary Hormone-Releasing Hormones
Hypothalamic Hormones
Peptide Hormones
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Neuropeptides
Peptides
Amino Acids, Peptides, and Proteins
Oligopeptides
Nerve Tissue Proteins
Proteins
December 11, 2018
Actual (reported)
Study Completion
February 6, 2020
Actual (reported)
Last Updated
October 11, 2021
Results First Posted
May 19, 2021
Record last verified: 2021-10
Data Sharing
IPD Sharing
Will share
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 https://www.clinicalstudydatarequest.com/.
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.