CClinicalTrials.gg
CompletedNCT06705504Updated Nov 26, 2024

A Real-world Study of Effectiveness and Safety in HR+/HER2- Breast Cancer Patients Treated With Ribociclib or Alpelisib

An observational study in Hormone Receptor Positive HER-2 Negative Breast Cancer, sponsored by Novartis. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-26.

Sponsored by Novartis · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
435
Ages
18 Years and older
Sex
All
01

Study summary

This study was a multinational and multicenter cohort study of patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced or metastatic breast cancer (aBC/mBC) treated with ribociclib or alpelisib between the period of 01 January 2018 and 30 September 2021. Patients who were receiving active treatment for malignancies other than BC or participating in a clinical trial were excluded. This study was conducted retrospectively with secondary use of data.

02

Conditions studied

  • Hormone Receptor Positive HER-2 Negative Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 435 is above the median of 184 across 2,642 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Novartis is the lead sponsor of 703 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

This was a retrospective, noninterventional cohort study.

Inclusion criteria

  • Confirmed diagnosis of locally advanced/metastatic not amenable to surgery HR+/HER2- BC (progressed following prior therapy or de novo) for whom the treating physician took the decision to initiate treatment with ribociclib or alpelisib.
  • Patients with at least one prescription for ribociclib or alpelisib during the index period (01 January 2018 to 30 September 2021).

Exclusion criteria

Exclusion criteria:

  • Patients who were participating in any interventional clinical trial that included investigational or marketed products at the time of index (ribociclib, alpelisib, and other); patients who were participating in other investigator-initiated research or non-interventional study (NIS) could be included as long as their standard of care was not altered by the study.
  • Patients on active treatment for malignancies other than HR+/HER2- aBC/mBC at the time of index.
  • IPO-Porto cohort only:

    • Patients who had participated or were participating in any interventional clinical trial that included investigational or marketed products at the time of index (ribociclib, alpelisib, and others).
    • Patients who underwent part of the treatment for locally advanced/metastatic not amenable to surgery HR+/HER2- BC outside the center.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
435 participants (actual)
Patient registry
No

Groups and cohorts

  • Institut de Cancérologie de l'Ouest (ICO) Cohort

    Patients with HR+/HER2- advanced or metastatic BC who were registered in IQVIA's oncology evidence network (OEN), ICO, and initiated treatment with ribociclib or alpelisib.

  • L'Institut Curie (Curie) Cohort

    Patients with HR+/HER2- advanced or metastatic BC who were registered in IQVIA's OEN, Curie, and initiated treatment with ribociclib or alpelisib.

  • Instituto Português de Oncologia do Porto (IPO-Porto) Cohort

    Patients with HR+/HER2- advanced or metastatic BC who were registered in IQVIA's OEN, IPO-Porto, and initiated treatment with ribociclib or alpelisib.

  • Czech Republic Cohort

    Patients with HR+/HER2- advanced or metastatic BC who were registered in Czech Republic local sites or clinics proposed by Novartis affiliates and initiated treatment with ribociclib or alpelisib.

06

What researchers measure

Primary outcomes

  1. Real-world Progression-free Survival (rwPFS)

    rwPFS was defined as the time from the index date to the date of the first documented progression or death due to any cause. If a patient did not have an event, rwPFS was censored at the date of the last adequate tumor assessment. The index date was defined as the date of the first treatment with ribociclib or alpelisib.

    Time frame: Up to 51 months

Secondary outcomes

  1. Age

    Time frame: Baseline

  2. Number of Patients by Age Group

    Age groups: * Younger than 65 years * 65 years or older

    Time frame: Baseline

  3. Gender

    Time frame: Baseline

  4. Number of Patients Categorized by Year of Index Date

    The index date was defined as the date of the first treatment with ribociclib or alpelisib.

    Time frame: Baseline

  5. Number of Patients With a History of Breast Cancer

    Time frame: Baseline

  6. Number of Patients by Comorbidity

    Comorbidities included: * Diabetes mellitus * Cardiovascular disease * Cerebrovascular disease * Chronic obstructive pulmonary disease (COPD) * Dementia * Depression * Heart Failure * Hypertension * Hypothyroidism * Ischemic heart disease * Liver disease * Myocardial infarction * Osteoporosis * Peripheral vascular disease * Renal Disease * Rheumatological disease * Ulcer disease * Other

    Time frame: Baseline

  7. Body Mass Index (BMI)

    Time frame: Baseline

  8. Number of Patients per BMI Category

    BMI Categories: * Underweight: below 18.5 kilograms per meter squared (kg/m\^2) * Healthy/normal weight: 18.5 to 24.9 kg/m\^2 * Pre-obesity: 25 to 29.9 kg/m\^2 * Obesity: 30 kg/m\^2 and higher

    Time frame: Baseline

  9. Number of Patients by Menopausal Status

    Menopausal status: * Pre- or peri-menopausal * Post-menopausal

    Time frame: Baseline

  10. Number of patients per Charlson Comorbidity Index (CCI) Score Category

    CCI predicts the ten-year mortality for a patient who may have a range of comorbid conditions. Comorbidity was assessed using the CCI, categorized as low (0-1) and high (≥2).

    Time frame: Baseline

  11. Number of Patients Categorized by Duration of Disease Recurrence

    Disease recurrence categories: * 12 months or less * More than 12 months

    Time frame: Baseline

  12. Number of Patients by Smoking Status

    Smoking status: * Current smoker * Former smoker * Never smoked

    Time frame: Baseline

  13. Number of Patients Categorized by Primary Tumor Type

    Tumor types: * Invasive ductal * Lobular carcinoma * Other

    Time frame: Baseline

  14. Number of Patients Categorized by Disease Site

    Disease site categories: * Non-visceral * Visceral * Multiple

    Time frame: Baseline

  15. Number of Patients With Primary Metastatic Disease

    Time frame: Baseline

  16. Number of Patients Categorized by Number of Metastatic Sites

    Categories for number of metastatic sites: 0, 1, 2, 3, 4 or more.

    Time frame: Baseline

  17. Number of Patients Categorized by Type of Metastases

    Metastases: * Local/breast metastases * Bone metastases * Lung metastases * Liver metastases * Central nervous system metastases * Lymph node metastases * Other metastases

    Time frame: Baseline

  18. Number of Patients Categorized by Time From Diagnosis to Metastasis

    Categories: * 24 months or less * More than 24 months * Metastatic BC at diagnosis

    Time frame: Baseline

  19. Number of Patients With Asymptomatic Disease

    Time frame: Baseline

  20. Number of Patients Categorized by Tumor Grade

    Tumor Grades: * Grade 1 * Grade 2 * Grade 3

    Time frame: Baseline

  21. Number of Patients Categorized by Stage of Cancer

    Cancer Stages: I, IIA, IIB, IIIA, IIIB, IIIC, and IV.

    Time frame: Baseline

  22. Number of Patients by Eastern Cooperative Oncology Group (ECOG) Performance Score

    ECOG performance score describes a patient's level of functioning in terms of their ability to care for themself, daily activity, and physical ability (walking, working, etc.). Scores ranged from a lower value of 0 (fully active, able to carry out all pre-disease performance without restriction) up to 4 (completely disabled; cannot carry out any selfcare; totally confined to bed or chair).

    Time frame: Baseline

  23. Number of Patients Categorized by Previous Types of Treatment

    Treatment categories: * Chemotherapy * Surgery * Radiotherapy * Adjuvant endocrine therapy * Everolimus treatment

    Time frame: Baseline

  24. Number of Patients Categorized by the Number of Prior Lines of Endocrine Therapy (ET)

    Categories for number of lines of ET: 0, 1, 2, and 3 or more.

    Time frame: Baseline

  25. Number of Patients Resistant to ET

    Time frame: Baseline

  26. Number of Patients Sensitive to Hormonal Therapy

    Time frame: Baseline

  27. Number of Patients Categorized by Line of Cyclin-dependent Kinase 4/6 Inhibitor (CDK4/6i) Treatment Received

    CDK4/6i lines of treatment: * Adjuvant * 1st metastatic line * 2nd metastatic line * 3rd metastatic line or later

    Time frame: Baseline

  28. Number of Patients Categorized by the Number of Previous Lines of Treatment

    Categories for number of lines of treatment: 0, 1, 2, and 3 or more.

    Time frame: Baseline

  29. Baseline Neutrophil-to-lymphocyte Ratio (NLr)

    Time frame: Baseline

  30. Baseline Platelet-to-lymphocyte Ratio (PLr)

    Time frame: Baseline

  31. Baseline Lymphocytes-to-monocytes Ratio (LMr)

    Time frame: Baseline

07

Study locations

1 site
  • Novartis
    East Hanover, New Jersey 07936, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06705504
Lead sponsor
Novartis
Responsible party
Sponsor
First posted
Nov 26, 2024
Start date
Jun 11, 2021
Primary completion
Nov 30, 2023
Completion
Nov 30, 2023
Last update
Nov 26, 2024

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion