Breast CancerRIBANNANCT06311383
A Non-interventional Study for Women With HR-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer to Evaluate the Real-world Effectiveness of Treatment Algorithms Beginning With Ribociclib + AI/FUL, or With Endocrine Therapy or Chemotherapy as First Line Treatment
An observational study of Breast Cancer, run by Novartis Pharmaceuticals at 265 sites in Germany.
Trial summary
This is a non-interventional observational study conducted in Germany to evaluate the real-world effectiveness, tolerability, safety, and quality of life in patients with locally advanced/metastatic HR+/HER2- breast cancer treated with one of the following 1st line treatments: Ribociclib + AI/FUL, or endocrine… Read more about this study
- Who is it for?
- Ages 18 to 100 years, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- First-line Ribociclib + endocrine therapy, First-line endocrine therapy and First-line chemtherapy
- How many people
- 2,610 participants
- Where
- 265 sitesGermany
- Study dates
- 9 Oct 2017to 10 Mar 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 100 years
- Women only
- No healthy volunteers
- Adult, Older adult
Study population: Adult females with HR+/HER2- locally advanced/metastatic breast cancer (progressed following prior therapy or de novo). Hereby locally advanced is defined by the following criteria (at least one must apply): tumor size > 5 cm (T3), skin or chest wall infiltration (T4a, T4b), inflammatory breast cancer (T4c), fixed axilla-located lymph node conglomerate or intraclavicular lymph node metastasis (cN3; German S3 guideline for early detection, diagnosis, therapy and follow-up care of breast cancer; Version 4.1.2018). Patients are classified as therapy naïve for locally advanced/metastatic disease if they have not yet received a systemic therapy in the palliative setting. Patients with locally advanced breast cancer who have received therapy-(lines) in the adjuvant/curative setting are eligible after progression to e.g. a metastatic breast cancer. All patients who already received a palliative therapy for locally advanced/metastatic breast cancer are excluded from study participation.
Who may be able to join
- Patients with a histological diagnosis of locally advanced/metastatic HR+/HER2- breast cancer. Histological diagnosis does not necessarily origin from metastasis, but must reflect the most recent disease status
- No prior systemic treatment for locally advanced/metastatic disease in the palliative setting
- The treating physician has made the decision to treat the patient
- with ribociclib in combination with an aromatase inhibitor or fulvestrant as initial treatment in first line, or
- endocrine therapy as initial treatment in first line (e.g. letrozole, anastrozole, fulvestrant), or
- chemotherapy as initial treatment in first line (e.g. taxanes, capecitabine, with or without bevacizumab)
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- Written informed consent of the patient
- Patient who initiated treatment for first line no longer than 4 weeks (28 days) prior to written informed consent for this study
- Planned treatment is in line with the respective current German SmPC ("Summary of product characteristics")
- Patient is ≥18 years
Who cannot join
- Patients unable to provide written informed consent
- Contra-indication according to the respective current German SmPC ("Summary of product characteristics"), as judged by the treating physician
- The patient is currently under active treatment in an investigational study
Trial locations and contacts
265 sites in 1 country.
265 sites in 1 country
Germany265 sites
Novartis Investigative Site
Altötting, Bavaria, 84503
Novartis Investigative Site
Altötting, 84503
Novartis Investigative Site
Amberg, Bavaria, 92224
Novartis Investigative Site
Ansbach, Bavaria, 91522
Novartis Investigative Site
Apolda, Thuringia, 99510
Novartis Investigative Site
Arnsberg, North Rhine-Westphalia, 59759
Novartis Investigative Site
Aschaffenburg, Bavaria, 63739
Novartis Investigative Site
Augsburg, Bavaria, 86152
Novartis Investigative Site
Augsburg, 86150
Novartis Investigative Site
Augsburg, 86179
Novartis Investigative Site
Bad Homburg, Hesse, 61352
Novartis Investigative Site
Bad Liebenwerda, 04924
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Bad Nauheim, Hesse, 61231
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Baden-Baden, Baden-Wurttemberg, 76532
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Bamberg, Bavaria, 96052
Novartis Investigative Site
Bamberg, 96049
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Bayreuth, Bavaria, 95445
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Bayreuth, 95445
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Bergisch Gladbach, North Rhine-Westphalia, 51465
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Berlin, State of Berlin, 10117
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Berlin, State of Berlin, 10317
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Berlin, State of Berlin, 13187
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Berlin, State of Berlin, 14197
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Berlin, 10715
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Berlin, 12487
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Berlin, 13353
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Berlin, 13581
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Berlin, 14169
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Bielefeld, North Rhine-Westphalia, 33611
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Bielefeld, North Rhine-Westphalia, 33615
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Böblingen, 71032
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Bochum, North Rhine-Westphalia, 44787
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Bochum, 44791
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Bonn, North Rhine-Westphalia, 53113
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Bonn, North Rhine-Westphalia, 53177
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Bonn, 53111
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Bonn, 53113
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Bottrop, 46236
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Brandenburg, 14770
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Brandenburg an der Havel, Brandenburg, 14770
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Braunschweig, Lower Saxony, 38100
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Bremen, Free Hanseatic City of Bremen, 28209
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Bremen, Free Hanseatic City of Bremen, 28239
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Bremen, 28205
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Bremerhaven, Free Hanseatic City of Bremen, 27576
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Bremerhaven, 27574
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Buchholz, Lower Saxony, 21244
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Celle, 29223
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Chemnitz, 09113
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Chemnitz, 09117
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Cologne, North Rhine-Westphalia, 50179
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Cologne, North Rhine-Westphalia, 50937
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Cologne, 50671
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Cologne, 50935
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Cologne, 51067
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Cottbus, Brandenburg, 03048
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Damme, Lower Saxony, 49401
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Darmstadt, Hesse, 64283
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Dessau, 06847
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Doberlug-Kirchhain, Brandenburg, 03253
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Donauwörth, Bavaria, 86609
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Dortmund, North Rhine-Westphalia, 44137
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Dortmund, North Rhine-Westphalia, 44309
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Dresden, Saxony, 01127
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Dresden, Saxony, 01307
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Dresden, 01307
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Düsseldorf, North Rhine-Westphalia, 40325
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Düsseldorf, North Rhine-Westphalia, 40625
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Ebersberg, Bavaria, 85560
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Eggenfelden, Bavaria, 84307
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Eisenach, Thuringia, 99817
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Erbach im Odenwald, Hesse, 64711
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Erfurt, Thuringia, 99084
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Erfurt, 99084
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Erlangen, 91054
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Essen, 45147
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Esslingen am Neckar, 73730
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Eutin, 23701
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Flensburg, Schleswig-Holstein, 24939
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Frankfurt am Main, Hesse, 60398
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Frankfurt am Main, Hesse, 60431
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Frankfurt am Main, Hesse, 65929
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Freiburg im Breisgau, Baden-Wurttemberg, 79106
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Freudenstadt, Baden-Wurttemberg, 72250
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Friedberg, 86316
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Friedrichshafen, 88045
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Fürstenwalde, Brandenburg, 15517
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Gelsenkirchen, North Rhine-Westphalia, 45879
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Georgsmarienhütte, Lower Saxony, 49124
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Gera, 07548
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Goch, 47574
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Goslar, 38642
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Göttingen, 37073
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Göttingen, 37075
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Greifswald, 17475
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Gummersbach, 51643
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Hagen, North Rhine-Westphalia, 58089
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Halberstadt, 38820
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Halle, Saxony-Anhalt, 06110
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Hamburg, Free and Hanseatic City of Hamburg, 22087
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Hamburg, Free and Hanseatic City of Hamburg, 22291
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Hamburg, Free and Hanseatic City of Hamburg, 22457
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Hamburg, 20259
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Hamburg, 20357
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Hamburg, 22081
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Hamelin, Lower Saxony, 31785
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Hamelin, 31785
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Hanau, 63450
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Hanover, Lower Saxony, 30171
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Hanover, 30161
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Hanover, 30177
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Hanover, 30625
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Heidenheim, Baden-Wurttemberg, 89522
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Herdecke, North Rhine-Westphalia, 58313
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Herne, North Rhine-Westphalia, 44649
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Hilden, North Rhine-Westphalia, 40724
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Hildesheim, Lower Saxony, 31134
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Hof, 95028
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Homburg, 66421
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Ilsede, Lower Saxony, 31241
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Jena, Thuringia, 07740
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Kaiserslautern, 67655
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Karlsruhe, Baden-Wurttemberg, 76199
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Karlsruhe, 76133
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Karlsruhe, 76135
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Kassel, 34119
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Kempten (Allgäu), Bavaria, 87439
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Kiel, 24105
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Koblenz, 56068
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Krefeld, North Rhine-Westphalia, 47805
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Kronach, Bavaria, 96317
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Krumbach, Bavaria, 86381
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Kulmbach, 95326
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Landshut, Bavaria, 84036
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Langen, Hesse, 63225
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Lebach, Saarland, 66822
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Leipzig, Saxony, 04103
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Leipzig, Saxony, 04129
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Leipzig, 04277
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Lemgo, North Rhine-Westphalia, 32657
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Lich, Hesse, 35423
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Lingen, Lower Saxony, 49808
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Loerrach, 79539
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Lohsa-Weisskollm, Saxony, 02999
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Lübeck, Schleswig-Holstein, 23563
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Lübeck, 23538
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Ludwigsfelde, Brandenburg, 14974
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Magdeburg, Saxony-Anhalt, 39108
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Magdeburg, Saxony-Anhalt, 39130
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Mainz, 55131
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Mannheim, Baden-Wurttemberg, 68161
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Mannheim, Baden-Wurttemberg, 68165
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Mannheim, Beden Wuerttenberg, 68167
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Marburg, Hesse, 35043
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Marburg, 35037
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Marktredwitz, 95615
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Mayen, Rhineland-Palatinate, 56727
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Meiningen, Thuringia, 98617
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Memmingen, 87700
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Minden, 32429
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Moers, 47441
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Mönchengladbach, North Rhine-Westphalia, 41061
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Mühlhausen, Thuringia, 99974
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Munich, Bavaria, 80639
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Munich, Bavaria, 81241
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Munich, Bavaria, 81925
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Münster, 48145
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Mutlangen, Baden-Wurttemberg, 73557
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Naunhof, 04683
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Neubrandenburg, Mecklenburg-Vorpommern, 17036
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Neuruppin, 16816
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Neuss, 41462
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Neuss, 41464
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Neustadt an der Weinstraße, Rhineland-Palatinate, 67434
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Neustadt in Sachsen, Saxony, 01844
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Nordhausen, Thuringia, 99734
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Nuremberg, Bavaria, 90409
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Nuremberg, 90419
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Nuremberg, 90449
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Nürtingen, Baden-Wurttemberg, 72622
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Offenbach, 63069
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Offenburg, 77654
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Oldenburg, 26121
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Olpe, North Rhine-Westphalia, 57462
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Osnabrück, Lower Saxony, 49076
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Osnabrück, 49076
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Ostfildern, Baden-Wurttemberg, 73760
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Paderborn, North Rhine-Westphalia, 33098
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Passau, 94036
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Pforzheim, Baden-Wurttemberg, 75175
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Pirna, Saxony, 01796
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Plauen, Saxony, 08525
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Potsdam, 14467
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Quedlinburg, Saxony-Anhalt, 06484
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Ravensburg, 88214
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Regensburg, Bavaria, 93053
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Regensburg, 93053
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Remscheid, North Rhine-Westphalia, 42853
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Remscheid, North Rhine-Westphalia, 42859
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Reutlingen, Baden-Wurttemberg, 72764
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Rheine, 48431
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Rodewisch, Saxony, 08228
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Rodgau, 63110
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Rosenheim, 83022
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Rostock, Mecklenburg-Vorpommern, 18057
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Rostock, 18059
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Rotenburg (Wümme), Lower Saxony, 27356
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Rottweil, Baden-Wurttemberg, 78628
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Rüsselsheim am Main, 65428
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Saarbrücken, 66113
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Saarlouis, 66740
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Salzgitter, 38226
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Scheibenberg, Saxony, 09481
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Schkeuditz, Saxony, 04435
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Schkeuditz, 04435
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Schorndorf, 73614
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Schwäbisch Hall, Baden-Wurttemberg, 74523
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Schwäbisch Hall, 74523
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Schweinfurt, 97422
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Schwerin, Mecklenburg-Vorpommern, 19059
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Schwerte, Germany, 58239
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Siegen, North Rhine-Westphalia, 57072
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Sigmaringen, Baden-Wurttemberg, 72488
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Simmern, Rhineland-Palatinate, 55469
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Soest, 59494
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Spremberg, Brandenburg, 03130
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Stade, 21680
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Stendal, 39576
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Stolberg, 52222
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Stralsund, Mecklenburg-Vorpommern, 18435
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Straubing, Bavaria, 94315
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Stuttgart, 70174
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Stuttgart, 70199
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Suhl, Thuringia, 98527
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Suhl, 98527
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Torgau, 04860
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Trier, 54290
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Troisdorf, North Rhine-Westphalia, 53840
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Tübingen, 72076
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Twistringen, Lower Saxony, 27239
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Ulm, 89073
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Ulm, 89081
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Vechta, 49377
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Velbert, North Rhine-Westphalia, 42551
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Völklingen, 66333
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Weiden, 92637
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Weinheim, 69469
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Wesel, North Rhine-Westphalia, 46483
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Wesel, North Rhine-Westphalia, 46485
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Westerstede, Lower Saxony, 26655
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Wetzlar, 35578
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Wiesbaden, Germany, 65191
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Wiesbaden, 65189
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Wilhelmshaven, 26389
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Winnenden, Baden-Wurttemberg, 71364
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Witten, North Rhine-Westphalia, 58455
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Wolfenbüttel, Lower Saxony, 38304
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Wolfsburg, 38440
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Worms, 67550
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Würselen, 52146
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Würzburg, Bavaria, 97070
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Würzburg, Bavaria, 97080
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Würzburg, 97080
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Zittau, Saxony, 02763
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Zxickau, Saxony, 08060
About this study
Official title: A Non-interventional Study for Women With HR-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer to Evaluate the Real-world Effectiveness of Treatment Algorithms Beginning With Kisqali (Ribociclib) in Combination With an Aromatase Inhibitor/Fulvestrant, or With Endocrine Therapy or Chemotherapy as First Line Treatment
This is a non-interventional observational study conducted in Germany to evaluate the real-world effectiveness, tolerability, safety, and quality of life in patients with locally advanced/metastatic HR+/HER2- breast cancer treated with one of the following 1st line treatments: Ribociclib + AI/FUL, or endocrine monotherapy, or chemotherapy
Read the detailed description
This non-interventional study collects data from clinical practice capturing on effectiveness, safety and tolerability, duration of therapy, and quality of life of ribociclib in combination with an aromatase inhibitor/fulvestrant in daily routine and in line with the respective current German summary of product characteristics. In order to put these results into perspective, data is also collected on patients treated with endocrine therapy or chemotherapy for first line locally advanced or metastatic breast cancer. To gain insight into algorithms and outcome of sequential therapy, up to three lines of treatment are documented within this study. The information gathered and evaluated in this NIS is helping to answer open questions for the treatment of locally advanced/metastatic breast cancer and provides first insights into the treatment reality with ribociclib in this setting. This includes, but is not limited to, the questions on baseline demographics leading to a specific treatment decision, as well as efficacy and clinical routine related to treatment sequencing. In addition, data on the mutation status (including PIK3CA and BRCA1/2) is collected at different time points to generate insights into the clinical routine of mutation testing and to understand its impact on therapy sequencing.
- Conditions
- Breast Cancer
- Being tested
- First-line Ribociclib + endocrine therapy, First-line endocrine therapy, First-line chemtherapy
- Keywords
- Breast Cancer, NIS, Ribociclib, Metastatic Breast Cancer, HR+, HER2-, Real World Evidence
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
First-line Ribociclib + endocrine therapyDrug
Ribociclib + letrozole, or Ribociclib + anastrazole, or Ribociclib + exemestane, or Ribociclib + fulvestrant
First-line endocrine therapyDrug
As of physicians choice
First-line chemtherapyDrug
As of physicians choice
| Study group | Role | What they receive |
|---|---|---|
| First-line Ribociclib + endocrine therapy | Ribociclib + letrozole, or Ribociclib + anastrozole, or Ribociclib + exemestane, or Ribociclib + fulvestrant Receives: Drug: First-line Ribociclib + endocrine therapy | |
| First-line endocrine therapy | As of physicians choice Receives: Drug: First-line endocrine therapy | |
| First-line chemotherapy | As of physicians choice Receives: Drug: First-line chemtherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS)
Progression-free survival was defined as first intake of study medication in current-line therapy up to first documented progress or death from any cause in this treatment line. If a patient had not had an event, progression-free survival was censored at the end of the respective therapy line.
Measured: Up to 88 months
Secondary outcomes (13)
Sequential progression-free survival (PFS_S)
Sequential progression-free survival up to second-line therapy was defined as time between first intake of study medication in first-line therapy up to progress or death after second-line therapy. Sequential progression-free survival up to third-line therapy was defined as time between first intake of study medication in first-line therapy up to progress or death after third-line therapy. Sequential progression-free survival for all further therapy lines were analyzed according to the definitions above.
Measured: Up to 88 months
Time to treatment failure (TTF)
Time to treatment failure (TTF) from current-line therapy was defined as time between first intake of study medication in current-line therapy up to therapy discontinuation because of progress, adverse events leading to discontinuation or death.
Measured: Up to 88 months
Time to first chemotherapy
Time to first chemotherapy was defined as time between first intake of study medication in first-line therapy up to first application of chemotherapy for patients enrolled in 1st line option ribociclib + AI/FU or endocrine therapy.
Measured: Up to 88 months
Time to next treatment / therapy (TTNT) after 1st line treatment
Time to next treatment / therapy (TTNT) was defined as time between first intake of study medication in first-line therapy up to first intake of medication in the next therapy line.
Measured: Up to 88 months
Overall survival (OS)
Overall survival (OS) was defined as time between first intake of study medication in first-line therapy up to death from any cause. If a patient was not known to have died, survival was censored at the date of last contact.
Measured: Up to 88 months
Dose reduction
Dose reduction rates and reasons
Measured: Up to 88 months
Dose interruption
Dose interruption rates and reasons
Measured: Up to 88 months
Discontinuations
Discontinuations rates and reasons
Measured: Up to 88 months
Adherence - MMAS-8 questionnaire
Patient adherence for ribociclib was assessed using the MMAS-8 questionnaire. This questionnaire was only send to patients enrolled in the first-line option ribociclib + AI/FU. The score was analyzed using descriptive statistics and adherence categories low, medium and high were displayed by visit. Questionnaires were only included if all questionnaire items were answered.
The total scale has a range of 0 to 8.0 where:
- Low Adherence (< 6)
- Medium Adherence (6 to <8)
- High Adherence (= 8)
Measured: Up to 87 weeks
Number of participants with mutations
Number of participants with mutations will be collected
Measured: Up to 88 months
Quality of life for specific cohorts and treatment lines - EORTC QLQ-C30
Quality of life during documented therapy lines was assessed using the EORTC QLQ-C30. Scale and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
Measured: Up to 88 months
Quality of life for specific cohorts and treatment lines - EORTC QLQ-BR23
Quality of life during documented therapy lines was assessed using the EORTC QLQ-BR23. Scale and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
Measured: Up to 88 months
Quality of life for specific cohorts and treatment lines - HADS-D
Quality of life during documented therapy lines was assessed using the HADS-D. Scale ranges between 0 and 21, a high score means a high level of anxiety or depression.
Measured: Up to 88 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2024
- Study start9 Oct 2017
- Primary completion10 Mar 2025
- Study completion10 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,610 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06311383
- Sponsor's protocol ID
- CLEE011ADE03
- Acronym
- RIBANNA
- Status last verified
- Jan 2026
- First submitted
- 29 Dec 2023
- Last updated
- 27 Jan 2026
- Results posted
- No
- Individual data sharing
- No
Publications
Decker T, Brucker C, Engel A, Fasching PA, Gohler T, Jackisch C, Janssen J, Kohler A, Ludtke-Heckenkamp K, Luftner D, Marme F, van Mackelenbergh M, Rautenberg B, Schmidt M, Weide R, Wimberger P, Kisseleff E, Pfister C, Roos C, Wilhelm N, Wockel A. Conditional progression-free survival in patients with metastatic hormone receptor-positive, human epidermal growth factor receptor 2-negative breast cancer treated with first-line ribociclib and endocrine therapy: real-world data from the RIBANNA study. ESMO Open. 2025 Jun;10(6):105105. doi: 10.1016/j.esmoop.2025.105105. Epub 2025 May 16.
PubMed 40381382
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Non-interventional Study for Women With HR-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer to Evaluate the Real-world Effectiveness of Treatment Algorithms Beginning With Kisqali (Ribociclib) in Combination With an Aromatase Inhibitor/Fulvestrant, or With Endocrine Therapy or Chemotherapy as First Line Treatment
- ClinicalTrials.gov ID
- NCT06311383
- Acronym / sponsor ID
- RIBANNA / CLEE011ADE03
- Conditions
- Breast Cancer
- Keywords
- Breast Cancer, NIS, Ribociclib, Metastatic Breast Cancer, HR+, HER2-, Real World Evidence
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 2,610 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 9 Oct 2017 (actual)
- Primary completion
- 10 Mar 2025 (actual)
- Study completion
- 10 Mar 2025 (actual)
- First posted
- 15 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a non-interventional observational study conducted in Germany to evaluate the real-world effectiveness, tolerability, safety, and quality of life in patients with locally advanced/metastatic HR+/HER2- breast cancer treated with one of the following 1st line treatments: Ribociclib + AI/FUL, or endocrine monotherapy, or chemotherapy
Detailed description
This non-interventional study collects data from clinical practice capturing on effectiveness, safety and tolerability, duration of therapy, and quality of life of ribociclib in combination with an aromatase inhibitor/fulvestrant in daily routine and in line with the respective current German summary of product characteristics. In order to put these results into perspective, data is also collected on patients treated with endocrine therapy or chemotherapy for first line locally advanced or metastatic breast cancer. To gain insight into algorithms and outcome of sequential therapy, up to three lines of treatment are documented within this study. The information gathered and evaluated in this NIS is helping to answer open questions for the treatment of locally advanced/metastatic breast cancer and provides first insights into the treatment reality with ribociclib in this setting. This includes, but is not limited to, the questions on baseline demographics leading to a specific treatment decision, as well as efficacy and clinical routine related to treatment sequencing. In addition, data on the mutation status (including PIK3CA and BRCA1/2) is collected at different time points to generate insights into the clinical routine of mutation testing and to understand its impact on therapy sequencing.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| First-line Ribociclib + endocrine therapy | – | Drug: First-line Ribociclib + endocrine therapyRibociclib + letrozole, or Ribociclib + anastrozole, or Ribociclib + exemestane, or Ribociclib + fulvestrant |
| First-line endocrine therapy | – | Drug: First-line endocrine therapyAs of physicians choice |
| First-line chemotherapy | – | Drug: First-line chemtherapyAs of physicians choice |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult females with HR+/HER2- locally advanced/metastatic breast cancer (progressed following prior therapy or de novo). Hereby locally advanced is defined by the following criteria (at least one must apply): tumor size > 5 cm (T3), skin or chest wall infiltration (T4a, T4b), inflammatory breast cancer (T4c), fixed axilla-located lymph node conglomerate or intraclavicular lymph node metastasis (cN3; German S3 guideline for early detection, diagnosis, therapy and follow-up care of breast cancer; Version 4.1.2018). Patients are classified as therapy naïve for locally advanced/metastatic disease if they have not yet received a systemic therapy in the palliative setting. Patients with locally advanced breast cancer who have received therapy-(lines) in the adjuvant/curative setting are eligible after progression to e.g. a metastatic breast cancer. All patients who already received a palliative therapy for locally advanced/metastatic breast cancer are excluded from study participation.
Key inclusion criteria (10 listed)
- Patients with a histological diagnosis of locally advanced/metastatic HR+/HER2- breast cancer. Histological diagnosis does not necessarily origin from metastasis, but must reflect the most recent disease status
- No prior systemic treatment for locally advanced/metastatic disease in the palliative setting
- The treating physician has made the decision to treat the patient
- with ribociclib in combination with an aromatase inhibitor or fulvestrant as initial treatment in first line, or
- endocrine therapy as initial treatment in first line (e.g. letrozole, anastrozole, fulvestrant), or
Key exclusion criteria (3 listed)
- Patients unable to provide written informed consent
- Contra-indication according to the respective current German SmPC ("Summary of product characteristics"), as judged by the treating physician
- The patient is currently under active treatment in an investigational study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| First-line Ribociclib + endocrine therapyRibociclib + letrozole, or Ribociclib + anastrazole, or Ribociclib + exemestane, or Ribociclib + fulvestrant | Drug | First-line Ribociclib + endocrine therapy |
| First-line endocrine therapyAs of physicians choice | Drug | First-line endocrine therapy |
| First-line chemtherapyAs of physicians choice | Drug | First-line chemotherapy |
Primary outcome
Progression-free survival (PFS)
Time frame: Up to 88 months
Progression-free survival was defined as first intake of study medication in current-line therapy up to first documented progress or death from any cause in this treatment line. If a patient had not had an event, progression-free survival was censored at the end of the respective therapy line.
13 secondary outcomes
Sequential progression-free survival (PFS_S)
Time frame: Up to 88 months
Time to treatment failure (TTF)
Time frame: Up to 88 months
Time to first chemotherapy
Time frame: Up to 88 months
Time to next treatment / therapy (TTNT) after 1st line treatment
Time frame: Up to 88 months
Overall survival (OS)
Time frame: Up to 88 months
Dose reduction
Time frame: Up to 88 months
Dose interruption
Time frame: Up to 88 months
Discontinuations
Time frame: Up to 88 months
Adherence - MMAS-8 questionnaire
Time frame: Up to 87 weeks
Number of participants with mutations
Time frame: Up to 88 months
Quality of life for specific cohorts and treatment lines - EORTC QLQ-C30
Time frame: Up to 88 months
Quality of life for specific cohorts and treatment lines - EORTC QLQ-BR23
Time frame: Up to 88 months
Quality of life for specific cohorts and treatment lines - HADS-D
Time frame: Up to 88 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2026.
- Results publication: PubMed 40381382Decker T, Brucker C, Engel A, Fasching PA, Gohler T, Jackisch C, Janssen J, Kohler A, Ludtke-Heckenkamp K, Luftner D, Marme F, van Mackelenbergh M, Rautenberg B, Schmidt M, Weide R, Wimberger P, Kisseleff E, Pfister C, Roos C, Wilhelm N, Wockel A. Conditional progression-free survival in patients with metastatic hormone receptor-positive, human epidermal growth factor receptor 2-negative breast cancer treated with first-line ribociclib and endocrine therapy: real-world data from the RIBANNA study. ESMO Open. 2025 Jun;10(6):105105. doi: 10.1016/j.esmoop.2025.105105. Epub 2025 May 16.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
265 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Breast Cancer, run by Novartis Pharmaceuticals at 265 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 265 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (PFS) (time frame: Up to 88 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06311383, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2026.