Study on Hormone Therapy with Ribociclib vs. Chemotherapy Followed by Hormone Therapy with Ribociclib for High Stage Breast Cancer with Low Recurrence Risk
Sponsor: National Cancer Institute (NCI)
ClinicalTrials ID:NCT07391774
This clinical trial is comparing two treatment approaches for patients with high stage breast cancer that has a low risk of coming back. It aims to find out if hormone therapy with ribociclib is as effective as chemotherapy followed by hormone therapy with ribociclib.
Patient Parameters
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Program Overview
This study is exploring whether hormone therapy combined with ribociclib can work as well as chemotherapy followed by hormone therapy with ribociclib for treating high stage breast cancer that has a low chance of returning. Ribociclib may help stop cancer cells from growing by blocking certain enzymes. Hormone therapy reduces estrogen levels, which can help stop the growth of cancer cells that need estrogen. Chemotherapy works by killing cancer cells or stopping them from spreading. The study will compare the effectiveness and safety of these treatments.
Description
The main goal of this study is to see if hormone therapy with ribociclib is just as effective as chemotherapy followed by hormone therapy with ribociclib in preventing breast cancer from returning. Researchers will look at how long patients remain free from invasive breast cancer and compare survival rates between the two groups. They will also examine the side effects of each treatment.
Participants will first undergo a test to determine their risk of cancer recurrence. Those with a low risk score will be randomly assigned to one of two groups:
- Group A: Patients will receive chemotherapy followed by hormone therapy with ribociclib. Hormone therapy will be taken daily for at least 5 years, and ribociclib will be taken for up to 3 years.
- Group B: Patients will receive hormone therapy with ribociclib without prior chemotherapy. The schedule for taking these medications is the same as in Group A.
Throughout the study, participants will have regular scans and may provide blood samples to monitor their health and the treatment's effectiveness. Follow-up visits will occur every 3 months for the first year, every 6 months for the next 4 years, and annually for up to 10 years.
Eligibility Criteria
Inclusion Criteria
- Must be 18 years or older.
- Must be a postmenopausal woman or a man.
- Must have a specific stage of breast cancer with certain lymph node involvement.
- Cancer must be estrogen receptor-positive and HER2-negative.
- Must have had surgery to remove the breast cancer.
- Must not have any signs of cancer spread beyond the breast and nearby lymph nodes.
- Must be able to have a specific test (Oncotype DX) to assess cancer recurrence risk.
- Must have good blood counts and organ function.
- Must not have had prior chemotherapy or certain hormone therapies for breast cancer.
- Must not be using hormone replacement therapy.
- Must not have any other serious health conditions that could interfere with the study.
- Must agree to use effective birth control methods if applicable.
- Must be able to understand and sign a consent form.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Illinois CancerCare-Bloomington | 61704 | Bloomington | Illinois |
| Illinois CancerCare-Canton | 61520 | Canton | Illinois |
| SIH Cancer Institute | 62918 | Carterville | Illinois |
| Illinois CancerCare-Carthage | 62321 | Carthage | Illinois |
| Cancer Care Specialists of Illinois - Decatur | 62526 | Decatur | Illinois |
| Decatur Memorial Hospital | 62526 | Decatur | Illinois |
| Illinois CancerCare-Eureka | 61530 | Eureka | Illinois |
| Illinois CancerCare-Galesburg | 61401 | Galesburg | Illinois |
| Illinois CancerCare-Kewanee Clinic | 61443 | Kewanee | Illinois |
| Illinois CancerCare-Macomb | 61455 | Macomb | Illinois |
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