Overview
Sponsor-declared trial summary
HR+, HER2- advanced or metastatic breast cancer
To evaluate long-term safety as assessed by occurrence of adverse events of ribociclib as part of a combination regimen
Key facts
- Sponsor
- Novartis Pharma AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 19 Jul 2022 → ongoing
- Decision date (initial)
- 2024-08-22
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Novartis Pharma AG -OMS ID: ORG-100003908
External identifiers
- EU CT number
- 2024-514891-41-00
- EudraCT number
- 2021-005184-42
- ClinicalTrials.gov
- NCT05161195
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Efficacy, Safety
To evaluate long-term safety as assessed by occurrence of adverse events of ribociclib as part of a combination regimen
Secondary objectives 1
- To evaluate clinical benefit as assessed by the Investigator
Conditions and MedDRA coding
HR+, HER2- advanced or metastatic breast cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10006187 | Breast cancer | 100000004864 |
| 27.0 | PT | 10055113 | Breast cancer metastatic | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 4
- Participant is currently participating in a Novartis sponsored global study (parent study), receiving treatment with ribociclib in combination with other drugs, and the parent study has fulfilled its primary objective(s).
- Willingness and ability to comply with scheduled visits, treatment plans and any other study procedures.
- Participant must have been receiving treatment with ribociclib for at least 6 cycles in the parent study.
- Participant must have evidence of clinical benefit as determined by the Investigator.
Exclusion criteria 4
- Permanent discontinuation of ribociclib in the parent study due to toxicity or disease progression, non-compliance to study procedures, withdrawal of consent or any other reason as stipulated in parent protocol.
- Participants currently have unresolved toxicities for which ribociclib dosing has been interrupted in the parent study (participants meeting all other eligibility criteria may be enrolled once toxicities have resolved to allow ribociclib dosing to resume).
- Local access to commercially available ribociclib and reimbursed (except for US enrolled participants from parent protocol CLEE011A2404 meeting all other eligibility criteria).
- Women of child-bearing potential defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during the study treatment and for 21 days after stopping the treatment. Highly effective contraception methods include: a) Total abstinence b) Female sterilization c) Male partner sterilization d) Placement of an intrauterine device (IUD)
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Frequency and severity of AEs/SAEs
- Proportion of participants with clinical benefit as assessed by the Investigator
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
SUB180246 · Substance
- Active substance
- Ribociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 315000 mg milligram(s)
- Max treatment duration
- 21 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD198877 · Product
- Active substance
- Ribociclib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 315000 mg milligram(s)
- Max treatment duration
- 21 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVARTIS PHARMA AG
- Paediatric formulation
- No
- Orphan designation
- No
SUB10825MIG · Substance
- Active substance
- Tamoxifen
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 20 mg milligram(s)
- Max total dose
- 13860 mg milligram(s)
- Max treatment duration
- 21 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08444MIG · Substance
- Active substance
- Letrozole
- Pharmaceutical form
- FILM COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 2.5 mg milligram(s)
- Max total dose
- 1732.5 mg milligram(s)
- Max treatment duration
- 21 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB02400MIG · Substance
- Active substance
- Goserelin Acetate
- Pharmaceutical form
- IMPLANT
- Route of administration
- IMPLANTATION
- Max daily dose
- 3.6 mg milligram(s)
- Max total dose
- 90 mg milligram(s)
- Max treatment duration
- 21 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Novartis Pharma AG
- Sponsor organisation
- Novartis Pharma AG
- Address
- Lichtstrasse 35
- City
- Basel
- Postcode
- 4056
- Country
- Switzerland
Scientific contact point
- Organisation
- Novartis Pharma AG
- Contact name
- Novartis Pharma Arzneimittel GmbH
Public contact point
- Organisation
- Novartis Pharma AG
- Contact name
- Novartis Pharma Arzneimittel GmbH
Third parties 5
| Organisation | City, country | Duties |
|---|---|---|
| PRA Hellas CRO A.E. ORG-100048208
|
Nea Ionia, Greece | On site monitoring |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Interactive response technologies (IRT) |
| Syneos Health Inc. ORG-100008382
|
Morrisville, United States | On site monitoring |
| Opis S.r.l. ORG-100011127
|
Desio, Italy | Other |
| Parexel International (IRL) Limited ORG-100022780
|
Dublin 2, Ireland | Code 12 |
Locations
5 EU/EEA countries · 7 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Greece | Ended | 1 | 1 |
| Italy | Ongoing, recruitment ended | 1 | 1 |
| Poland | Ongoing, recruitment ended | 1 | 1 |
| Portugal | Ongoing, recruitment ended | 3 | 3 |
| Spain | Ongoing, recruitment ended | 1 | 1 |
| Rest of world
Mexico, Singapore, Brazil, Peru, Vietnam, Hong Kong, Japan, Turkey, Taiwan, United States, Korea, Republic of, Lebanon, South Africa, Costa Rica
|
— | 66 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Greece | 2023-03-21 | 2025-04-07 | 2023-03-21 | 2023-03-21 | |
| Italy | 2022-09-21 | 2022-09-21 | 2022-09-21 | ||
| Poland | 2022-07-19 | 2022-07-19 | 2022-07-19 | ||
| Portugal | 2022-12-05 | 2022-12-05 | 2024-07-29 | ||
| Spain | 2022-09-20 | 2022-09-20 | 2022-09-20 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 45 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol - Signature Page_2024-514891-41-00_1_English_Red | 03 |
| Protocol (for publication) | D1_Protocol_2024-51489-41-00_1_English_NonRed | 03 |
| Protocol (for publication) | D1_Protocol_2024-514891-41-00_1_Greek_NonRed | v02 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_ES_Spanish_NonRed | 13Nov2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_GR_English_Note to Assesor_NonRed | v00 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_IT_Italian_NonRed | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_PL_Polish_NonRed | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_PT_English_Note to Assesor_NonRed | 22/11/2024 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_ES_Spanish_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_GR_Greek_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_IT_Italian_NonRed | 00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_PL_Polish_NonRed | 00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_PT_Portuguese_NonRed | 01.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_ES_Spanish_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_GR_Greek_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_IT_Italian_NonRed | 01.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_PT_Portuguese_NonRed | 01.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Info Sheet Female Partner_1_ES_Spanish_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Info Sheet Female Partner_1_IT_Italian_NonRed | 01.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Info Sheet Female Partner_1_PT_Portuguese_NonRed | 01.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_ES_Spanish_NonRed | v03.03.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_GR_Greek_NonRed | 01.02.04 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_IT_Italian_Red | 03.03.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_PL_Polish_NonRed | 03.03.03 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_PT_Portuguese_NonRed | v03.00 |
| Subject information and informed consent form (for publication) | L1_Subject Info Sheet or Other Info_1_IT_Italian_NonRed | 01.02.01 |
| Subject information and informed consent form (for publication) | L2_ICF Procedure_1_ES_Spanish_NonRed | 13Dec2024 |
| Subject information and informed consent form (for publication) | L2_ICF Procedure_1_GR_English_Red | v1.0 |
| Subject information and informed consent form (for publication) | L2_ICF Procedure_1_PT_English_NonRed | 25nov2024 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Reference Label_1_Goserelin_English_NonRed | 15Sep2021 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Reference SmPC_1_Letrozole_English_Nonred | 33 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Reference SmPC_1_Tamoxifen_English_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_1_Goserelin_English_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_1_Goserelin_German_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_1_Goserelin_Hungarian_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_1_Tamoxife_German_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_2_Goserelin_English_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_2_Tamoxifen_English_NonRed | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_2_Tamoxifen_German_NonRed | 5 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_3_Tamoxifen_English_NonRed | 5 |
| Synopsis of the protocol (for publication) | D1_Protocol - Protocol Summary in Technical Language_2024-514891-41_1_Italian_NonRed | 01.00 |
| Synopsis of the protocol (for publication) | D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Greek_NonRed | v02 |
| Synopsis of the protocol (for publication) | D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Polish_NonRed | v02 |
| Synopsis of the protocol (for publication) | D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Portuguese_NonRed | V02.00 |
| Synopsis of the protocol (for publication) | D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Spanish_NonRed | v02 |
Application history
3 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-07-05 | Spain | Acceptable with conditions 2024-08-05
|
2024-08-05 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-02-24 | Spain | Acceptable 2025-05-29
|
2025-05-29 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2026-02-25 | Spain | Acceptable 2026-04-27
|
2026-04-29 |