Breast Cancer Clinical Trial
Official title:
A Phase II, Multicenter, Randomized, Open-label Study to Evaluate the Safety and Efficacy of 400 mg of Ribociclib in Combination With Non-steroidal Aromatase Inhibitors for the Treatment of Pre- and Postmenopausal Women With Hormone Receptor-positive, HER2-negative Advanced Breast Cancer Who Received no Prior Therapy for Advanced Disease
QT interval prolongation and neutropenia are considered to be important identified risks for
ribociclib (Kisqali® Prescribing Information, Investigator Brochure). The approved dosing
regimen of ribociclib is 600 mg daily (QD) on a 3 weeks on/1 week off schedule.
The purpose of the study is to explore whether a reduced dosing regimen of 400 mg ribociclib
orally QD 3 weeks on/1 week off may decrease the risk of QTc prolongation without
compromising the efficacy of ribociclib in combination with an NSAI in pre- and
postmenopausal women with HR-positive, HER2-negative aBC who have received no prior therapy
for advanced disease. The risks of other AEs of special interest, such as neutropenia and
hepatobiliary toxicity will be evaluated in this study as well.
Approximately 350 patients will be randomly assigned to one of the below treatment arms in a
1:1 ratio: Experimental arm (Arm 1) - Ribociclib 400 mg QD 3 weeks on/1 week off + NSAI (+
goserelin in premenopausal women): 175 patients Control arm (Arm 2) - Ribociclib 600 mg QD 3
weeks on/1 week off + NSAI (+ goserelin in premenopausal women): 175 patients Randomization
will be stratified by the presence of lung and/or liver metastases (yes versus no).
n/a
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