Phase 3
Completed N=726
Study of Efficacy and Safety of LEE011 in Men and Postmenopausal Women With Advanced Breast Cancer.
Source: ClinicalTrials.gov NCT02422615 ↗Enrolled (actual)
726
Serious AEs
31.8%
Results posted
Sep 2018
Primary outcomePrimary: Progression Free Survival (PFS) Per Investigator Assessment — 20.5; 12.8 Months — p=0.00000041
◆ Published Evidence
Established
89citations · ~30 / year
Pooled ctDNA analysis of MONALEESA phase III advanced breast cancer trials.
Summary
The main aim of this study was to evaluate the efficacy and safety of adding ribociclib to fulvestrant in men and postmenopausal women with hormone receptor positive (HR+), HER2-negative advanced breast cancer.
Linked Publications (5)
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Pooled ctDNA analysis of MONALEESA phase III advanced breast cancer trials.
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Safety and impact of dose reductions on efficacy in the randomised MONALEESA-2, -3 and -7 trials in hormone receptor-positive, HER2-negative advanced breast cancer.
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Updated overall survival from the MONALEESA-3 trial in postmenopausal women with HR+/HER2- advanced breast cancer receiving first-line ribociclib plus fulvestrant.
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Justifying Ribociclib Dose in Patients with Advanced Breast Cancer with Renal Impairment Based on PK, Safety, and Efficacy Data: An Innovative Approach Integrating Data from a Dedicated Renal Impairment Study and Oncology Clinical Trials.
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Efficacy, safety, and patient-reported outcomes across young to older age groups of patients with HR+/HER2- advanced breast cancer treated with ribociclib plus endocrine therapy in the randomized MONALEESA-2, -3, and -7 trials.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Progression Free Survival (PFS) Per Investigator Assessment |
20.5; 12.8 | 0.00000041 sig |
| SECONDARY Overall Survival (OS) |
NA; 40.0 | 0.00455 sig |
| SECONDARY Progression Free Survival (PFS) Per Blinded Independent Review Committee (BIRC) |
NA; 10.9 | — |
| SECONDARY Overall Response Rate (ORR) Per Investigator Assessment |
32.4; 21.5 | — |
| SECONDARY Clinical Benefit Rate (CBR) Per Investigator Assessment |
70.2; 62.8 | — |
| SECONDARY Time to Response (TTR) Per Investigator Assessment |
NA; NA | — |
| SECONDARY Duration of Response (DOR) Per Investigator Assessment |
NA; NA | — |
| SECONDARY Time to Definitive Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) in One Score Category |
NA; NA | — |
| SECONDARY Time to Definitive 10% Deterioration in the Global Health Status/Quality of Life (GHS/QoL) Scale Score of the European Organization for Research and Treatment of Cancer's Core Quality of Life Questionnaire (EORTC QLQ-C30) |
NA; 19.4 | — |
| SECONDARY Change From Baseline in the GHS/QoL Scale Score of the EORTC QLQ-C30 |
4.5; 2.7; 4.2; 3.2; 4.9; 4.3 | — |
| SECONDARY Ribociclib Plasma Concentrations |
627; 1670; 1690; 1420; 553; 220 | — |
| SECONDARY LEQ803 Plasma Concentrations |
75.6; 134; 137; 128; 72.7; 46.2 | — |
Eligibility Criteria
Key Inclusion Criteria
- Patients were adults, both male and female, aged ≥ 18 years at the time of providing informed consent. Female patients were required to be postmenopausal. Informed consent was obtained prior to any trial-related activities, following local guidelines.
- Patients had a confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer, determined through histological and/or cytological examination by a local laboratory. Patients also had HER2-negative breast cancer.
- Patients had either measurable disease as per RECIST 1.1 criteria or at least one predominantly lytic bone lesion.
- Patients had advanced breast cancer, which included locoregionally recurrent disease not amenable to curative therapies (such as surgery or radiotherapy) or metastatic breast cancer. Patients fell into one of the following categories:
- Newly diagnosed with advanced/metastatic breast cancer and treatment-naïve.
- Relapsed with documented evidence of relapse more than 12 months after completing (neo)adjuvant endocrine therapy, without any prior treatment for advanced/metastatic disease.
- Relapsed with documented evidence of relapse on or within 12 months from completing (neo)adjuvant endocrine therapy, without any prior treatment for advanced/metastatic disease.
- Relapsed with documented evidence of relapse more than 12 months after completing adjuvant endocrine therapy and subsequently progressed after receiving one line of endocrine therapy (antiestrogen or aromatase inhibitor) for advanced/metastatic disease.
- Newly diagnosed with advanced/metastatic breast cancer at diagnosis and progressed after receiving one line of endocrine therapy (antiestrogen or aromatase inhibitor), with documented evidence of progression.
- Patients had an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Patients had adequate bone marrow and organ function.
Key Exclusion Criteria
Patients with symptomatic visceral disease or disease burden that rendered them ineligible for endocrine therapy, based on the investigator's judgment.
- Patients who had received prior treatment with chemotherapy (except for neoadjuvant/adjuvant chemotherapy), fulvestrant, or any CDK4/6 inhibitor.
- Patients with inflammatory breast cancer at the screening stage. 4. Patients with central nervous system (CNS) involvement, unless they were at least 4 weeks from completing prior therapy before initiating the study treatment and had a stable CNS tumor at the time of screening. They were also required not to be receiving steroids and/or enzyme-inducing anti-epileptic medications for brain metastases.
- Patients with clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality.
- Patients who were currently receiving any of the following substances, which could not be discontinued 7 days prior to initiating treatment:
- Known strong inducers or inhibitors of CYP3A4/5.
- Substances with a known risk of prolonging the QT interval or inducing Torsades de Pointes.
- Substances with a narrow therapeutic window and predominantly metabolized through CYP3A4/5.
- Herbal preparations/medications, dietary supplements.
Data sourced from ClinicalTrials.gov (NCT02422615) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.