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NCT03078751: EarLEE-1

Adjuvant Ribociclib With Endocrine Therapy in Hormone Receptor+/HER2- High Risk Early Breast Cancer

Completed Phase 2 Results posted Last updated 11 October 2021
What this trial tests

Phase 2 trial testing Ribociclib in Breast Cancer in 54 participants. Completed in 9 March 2020.

Timeline
20 June 2017
Primary endpoint
9 March 2020
9 March 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment54
Start date20 June 2017
Primary completion9 March 2020
Estimated completion9 March 2020
Sites33 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events and Serious Adverse Events Primary · Up to 26 months

These are the number of participants who had adverse events or serious adverse events regardless of whether is was suspected to be drug-related or not

Adverse Events
GroupValue95% CI
Ribociclib + Adjuvant Endocrine Therapy (ET)25
Placebo + Adjuvant Endocrine Therapy (ET)21
Serious Adverse Events
GroupValue95% CI
Ribociclib + Adjuvant Endocrine Therapy (ET)4
Placebo + Adjuvant Endocrine Therapy (ET)2
Percentage of Participants With Adverse Events and Serious Adverse Events Primary · Up to 26 months

These are the percentage of participants that had adverse events or serious adverse events regardless of whether is was suspected to be drug-related or not

Adverse Events
GroupValue95% CI
Ribociclib + Adjuvant Endocrine Therapy (ET)96.2
Placebo + Adjuvant Endocrine Therapy (ET)87.5
Serious Adverse Events
GroupValue95% CI
Ribociclib + Adjuvant Endocrine Therapy (ET)15.4
Placebo + Adjuvant Endocrine Therapy (ET)8.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Time Frame: Adverse events were collected from first dose of study treatment until end of study treatment plus 28 days post treatment, up to maximum duration of approx. 26 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ribociclib + Adjuvant Endocrine Therapy (ET)
Serious: 4/26 (15%)
Deaths: 0/26
Placebo + Adjuvant Endocrine Therapy (ET)
Serious: 2/24 (8%)
Deaths: 0/24

Serious adverse events (7 terms)

ReactionSystemRibociclib + Adjuvant Endo…Placebo + Adjuvant Endocri…
Disseminated intravascular coagulationBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Breast cellulitisInfections and infestations
CellulitisInfections and infestations
Acute myeloid leukaemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
SeizureNervous system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (71 terms — click to expand)

ReactionSystemRibociclib + Adjuvant Endo…Placebo + Adjuvant Endocri…
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
White blood cell count decreasedInvestigations
Neutrophil count decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Abdominal painGastrointestinal disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
HeadacheNervous system disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Blood creatinine increasedInvestigations
Lymphocyte count decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
StomatitisGastrointestinal disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
Urinary tract infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Hot flushVascular disorders
LymphoedemaVascular disorders
LeukopeniaBlood and lymphatic system disorders
PalpitationsCardiac disorders
Vision blurredEye disorders

Most-reported serious reactions: Disseminated intravascular coagulation, Cardiac failure congestive, Breast cellulitis, Cellulitis, Acute myeloid leukaemia, Seizure, Pulmonary embolism.

Data from ClinicalTrials.gov NCT03078751 adverse events section.

Sponsor's own description

This was an open label, multi-center protocol for U.S. patients enrolled in the study of ribociclib with endocrine therapy as an adjuvant treatment in patients with hormone receptor-positive, HER2-negative, high risk early breast cancer

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. CDK4/6 inhibition in breast cancer: current practice and future directions.
    Pernas S, Tolaney SM, Winer EP, Goel S. · · 2018 · cited 212× · PMID 30038670 · DOI 10.1177/1758835918786451
  2. Estrogen Receptor-Positive Breast Cancer: Exploiting Signaling Pathways Implicated in Endocrine Resistance.
    Brufsky AM, Dickler MN. · · 2018 · cited 121× · PMID 29352052 · DOI 10.1634/theoncologist.2017-0423
  3. Mechanisms of resistance in estrogen receptor positive breast cancer: overcoming resistance to tamoxifen/aromatase inhibitors.
    Mills JN, Rutkovsky AC, Giordano A. · · 2018 · cited 99× · PMID 29719270 · DOI 10.1016/j.coph.2018.04.009
  4. CDK4/6 Inhibitors: Game Changers in the Management of Hormone Receptor–Positive Advanced Breast Cancer?
    Shah M, Nunes MR, Stearns V. · · 2018 · cited 96× · PMID 29847850
  5. Activation of the IFN Signaling Pathway is Associated with Resistance to CDK4/6 Inhibitors and Immune Checkpoint Activation in ER-Positive Breast Cancer.
    De Angelis C, Fu X, Cataldo ML, Nardone A, et al · · 2021 · cited 75× · PMID 33536276 · DOI 10.1158/1078-0432.ccr-19-4191
  6. Advances in the Prevention and Treatment of Obesity-Driven Effects in Breast Cancers.
    Chen K, Zhang J, Beeraka NM, Tang C, et al · · 2022 · cited 63× · PMID 35814391 · DOI 10.3389/fonc.2022.820968
  7. Unraveling the clinicopathological features driving the emergence of <i>ESR1</i> mutations in metastatic breast cancer.
    Kuang Y, Siddiqui B, Hu J, Pun M, et al · · 2018 · cited 41× · PMID 30083595 · DOI 10.1038/s41523-018-0075-5
  8. The evolution of cyclin dependent kinase inhibitors in the treatment of cancer.
    Jhaveri K, Burris Rd HA, Yap TA, Hamilton E, et al · · 2021 · cited 40× · PMID 34176404 · DOI 10.1080/14737140.2021.1944109

Verify or expand the search:

Other trials of Ribociclib

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Trials by the same sponsor.

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