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NCT05163106: NEOLETRIB

Neoadjuvant Treatment of Locally-advanced Breast Cancer Patients With Ribociclib and Letrozole

Completed Phase 2 Last updated 2 August 2024
What this trial tests

Phase 2 trial testing Letrozole 2.5mg oral tablet; Ribociclib 600mg oral tablet in Breast Cancer in 85 participants. Completed in 30 July 2024.

Timeline
1 December 2022
Primary endpoint
30 July 2024
30 July 2024

Quick facts

Lead sponsorUniversity Hospital, Akershus
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment85
Start date1 December 2022
Primary completion30 July 2024
Estimated completion30 July 2024
Sites1 location across Norway

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Akershus

Who can join

18 and older, female only, with Breast Cancer or HER2-negative Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Patients with locally advanced (stage III) breast cancer (LABC) are characterized by a significantly worse prognosis compared to patients with primarily operable breast cancer. While neoadjuvant chemotherapy has been the first choice in this situation for several decades, recent evidence suggests that some patients may experience an extraordinary effect from neoadjuvant endocrine treatments involving aromatase inhibitors as monotherapy or in modern drug combinations.Selected LABC patients admitted for treatment will be offered combination therapy including letrozole and ribociclib. The overall goal of the project is to improve understanding of tumor responses and resistance in patients suffering from ER-positive/HER-2 negative locally advanced breast cancer, focusing on the role of the immune system including the gut microbiome.

Publications & conference data

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

  1. Role of Gut Microbiota in Breast Cancer and Drug Resistance.
    Viswanathan S, Parida S, Lingipilli BT, Krishnan R, et al · · 2023 · cited 38× · PMID 36986390 · DOI 10.3390/pathogens12030468
  2. Role of HOXA9 in solid tumors: mechanistic insights and therapeutic potential.
    Tang L, Peng L, Tan C, Liu H, et al · · 2022 · cited 19× · PMID 36376832 · DOI 10.1186/s12935-022-02767-9
  3. Gut microbiota interact with breast cancer therapeutics to modulate efficacy.
    Arnone AA, Ansley K, Heeke AL, Howard-McNatt M, et al · · 2025 · cited 9× · PMID 39820166 · DOI 10.1038/s44321-024-00185-0
  4. Single-cell RNA sequencing: enhancing the predictive accuracy of tumor immunotherapy efficacy.
    Zhou W, Huang Z, Wu Z, Tang M, et al · · 2025 · cited 3× · PMID 40857744 · DOI 10.1042/ebc20253017
  5. The NEOLETRIB trial: neoadjuvant treatment with Letrozole and Ribociclib in ER-positive, HER2-negative breast cancer.
    Fjermeros K, Ghannoum S, Geisler SB, Bhargava S, et al · · 2024 · cited 3× · PMID 39073142 · DOI 10.1080/14796694.2024.2377531
  6. Microbiome-targeted nanoplatforms and engineering approaches in breast cancer therapy.
    Sabeel Z, Yang Z. · · 2025 · cited 2× · PMID 41168838 · DOI 10.1186/s12943-025-02456-x
  7. Efficacy and Predictability of Cyclin-Dependent Kinase 4/6 Inhibitors in HER2-Positive Breast Cancer.
    Abbasi MS, Afzal MZ, Sarwar T, Gamlen-Steves HA. · · 2025 · cited 1× · PMID 40940886 · DOI 10.3390/cancers17172788
  8. Case report: An ultrasound-based approach as an easy tool to evaluate hormone receptor-positive HER-2-negative breast cancer in advanced/metastatic settings: preliminary data of the Plus-ENDO study.
    Montella L, Di Marino L, Marino MA, Riccio V, et al · · 2024 · PMID 38690171 · DOI 10.3389/fonc.2024.1295772

Verify or expand the search:

Other recruiting trials for Breast Cancer

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