Implementation Study to Describe and Compare Retention Rate and Adherence to Adjuvant Therapy With Ribociclib With and Without Usage of Mobile Application in Patients With HR+ HER2-negative Stage II and III Breast Cancer in Real-world Practice
IMPULSE
1 other identifier
observational
240
1 country
7
Brief Summary
This study is designed to evaluate the effect of using the application on the adherence of patients with luminal HER2- breast cancer (BC) stage II-III to adjuvant therapy with ribociclib in combination with an aromatase inhibitor (AI). The purpose of the app is to increase adherence to treatment by informing patients about the risks of relapse and adverse event prevention and treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2026
Longer than P75 for all trials
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 25, 2025
CompletedFirst Posted
Study publicly available on registry
April 1, 2025
CompletedStudy Start
First participant enrolled
January 23, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2029
May 5, 2026
April 1, 2026
3.9 years
March 25, 2025
April 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number (%) of patients who remain on treatment with ribociclib + AI over the 12 months period
The difference between the two groups (App and non-App) in number (%) of patients who remain on treatment with ribociclib + AI over the 12 months period (excluding patients who discontinued treatment due to AE, disease relapse, or death)
12 months
Secondary Outcomes (12)
Number of sessions using the web application per month
Month 1 - Month 36
Total duration of sessions (in minutes) per month
Month 1 - Month 36
Number of questions to the chatbot per month
Month 1 - Month 36
Evaluation of patient satisfaction with the application on a 0-10 visual analog scale (VAS)
Month 1, 3, 6, 12, 24, 36
Evaluation of oncologist satisfaction with the application according to a 0-10 VAS
Month 1, 3, 6, 12, 24, 36
- +7 more secondary outcomes
Study Arms (2)
Using Application
HR + HER2- BC patients receiving adjuvant ribociclib + AI therapy in routine clinical practice that use the web application
Non using Application
HR + HER2- BC patients receiving adjuvant ribociclib + AI therapy in routine clinical practice that do not use the web application
Interventions
Eligibility Criteria
Patients with HR+ HER2- stage II-III breast cancer who have started treatment with ribociclib + AI (± GnRH agonist for premenopausal men and women) will be enrolled in the study
You may qualify if:
- Female and male patients with histologically verified and radically treated stage II-III hormone receptor positive HER2-negative breast cancer;
- Age ≥ 18 at the time of initiation of ribociclib therapy;
- Patients who were prescribed ribociclib + AI (±GnRH agonist for premenopausal men and women) not earlier than 28 days before signing the informed consent;
- It is allowed to start adjuvant hormone therapy with AI (±GnRH agonist) not earlier than 12 months before the start of ribociclib;
- Provision of written informed consent.
You may not qualify if:
- Patients participating in any interventional clinical study at the time of signing the informed consent;
- Patients receiving active treatment for malignant neoplasms other than BC at the time of enrollment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Novartis Investigative Site
Pskov, Russia, 180000, Russia
Novartis Investigative Site
Moscow, 115304, Russia
Novartis Investigative Site
Saint Petersburg, 194017, Russia
Novartis Investigative Site
Saint Petersburg, 194291, Russia
Novartis Investigative Site
Saint Petersburg, 197758, Russia
Novartis Investigative Site
Sestroretsk, 197706, Russia
Novartis Investigative Site
Ufa, 450054, Russia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Novartis Pharmaceuticals
CONTACT
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 25, 2025
First Posted
April 1, 2025
Study Start
January 23, 2026
Primary Completion (Estimated)
December 31, 2029
Study Completion (Estimated)
December 31, 2029
Last Updated
May 5, 2026
Record last verified: 2026-04