AzTrials
AzTrials

Early Breast CancerPhase 3Adjuvant WIDERNCT05827081

Phase IIIb Study of Ribociclib + ET in Early Breast Cancer

A Phase 3 study testing Ribociclib, Letrozole and Ansastrozole in people with Early Breast Cancer, run by Novartis Pharmaceuticals at 214 sites in 16 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

The purpose of this open-label, multicenter, phase IIIb, single-arm study is to characterize the efficacy and safety of the combination of ribociclib and standard adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a close to clinical practice patient population with HR-positive (HR+)… Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Early Breast Cancer
What is being tested?
Ribociclib, Letrozole and Ansastrozole
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,464 participants
Where
214 sitesin 16 countries
Study dates
28 Feb 2024to 20 Sep 2030
Phase
Phase 3

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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant is an adult, male or female ≥ 18 years of age at the time of informed consent form signature (IC).
  • Participant has a histologically and/or cytologically confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer (BC) based on the most recently analyzed tissue sample tested by a local laboratory prior to enrollment.
  • Participant has HER2- BC defined as a negative in situ hybridization test or an immunohistochemistry (IHC) status of 0, 1+ or 2+. If IHC is 2+, a negative in situ hybridization (FISH, CISH, or SISH) test is required by local laboratory testing based on the most recently analyzed tissue sample.
  • Participants may have already received any standard neoadjuvant and/or adjuvant ET, including tamoxifen or toremifene at the time of informed consent signature, but enrollment should occur within 36 months of prior ET start date and participants should have at least 3 years remaining of endocrine adjuvant therapy.
  • For participants with prior ET treatment > 12 months, restaging is highly recommended (unless contradictory to local regulations) to rule out disease recurrence prior to enrollment.
  • The number of participants with prior ET between 12 and 36 months will be capped at 30%. The cap will not apply to Black or African American participants.
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  • Participant has no contraindication to receive adjuvant ET in the study.
  • Participant after surgical resection where tumor was removed completely, with the final surgical specimen microscopic margins free from tumor, and belongs to one of the following categories:
  • Anatomic Stage Group III, or
  • Anatomic Stage Group IIB, or
  • A subset of Anatomic Stage Group IIA.
  • Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1 or 2.
  • Participant has adequate bone marrow and organ function.
  • ECG values assessed by KardiaMobile-6L device, or standard 12-lead ECG per local investigator where KardiaMobile-6L cannot be used, as:
  • QTcF interval at Screening < 450 msec (QT interval using Fridericia's correction).
  • Mean resting heart rate 50-99 beats per minute (determined from the ECG).

Who cannot join

  • Participant with distant metastases of BC beyond regional lymph nodes (Stage IV according to AJCC 8th edition) and/or evidence of recurrence after curative surgery.
  • Participant is concurrently using other antineoplastic therapy with the exception of adjuvant ET.
  • Participant has any other concurrent severe and/or uncontrolled medical condition that would, in the Investigator's judgment, cause unacceptable safety risks, contraindicate participant participation in the clinical study or compromise compliance with the protocol, or limit life expectancy to ≤5 years.
  • Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality.
  • Pregnant or breast-feeding (lactating) women or women who plan to become pregnant or breast-feed during the trial.
  • Women of child-bearing potential (CBP), defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for 21 days after stopping the treatment.
  • Other inclusion/exclusion criteria may apply

Trial locations and contacts

214 sites in 16 countries.

214 sites in 16 countries

United States79 sites
  • Presbyterian Medical Group

    Albuquerque, New Mexico, 87110

  • AdventHealth Altamonte Springs

    Altamonte Springs, Florida, 32701

  • Alaska Oncology and Hematology LLC

    Anchorage, Alaska, 99508

  • Mercy Medical Center

    Baltimore, Maryland, 21202

  • Beverly Hills Cancer Center

    Beverly Hills, California, 90211

  • Intermountain Healthcare

    Billings, Montana, 59102

  • Central Alabama Research

    Birmingham, Alabama, 35209

  • Boston Medical Center

    Boston, Massachusetts, 02215

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • MD Anderson Cancer Center At Cooper

    Camden, New Jersey, 08103

  • Onco Inst of Hope and Innovation

    Cerritos, California, 90703

  • Affiliated Oncologists IL

    Chicago, Illinois, 60415

  • Good Samaritan Regional Medical Center

    Corvallis, Oregon, 97330

  • Rocky Mountain Cancer Centers

    Denver, Colorado, 80218

  • Consultants In Med Onco And Hema

    Drexel Hill, Pennsylvania, 19026

  • City of Hope National Medical

    Duarte, California, 91010

  • Duke Cancer Network

    Durham, North Carolina, 27710

  • El Paso Texas Oncology

    El Paso, Texas, 79902

  • Oncology Associates of Oregon PC

    Eugene, Oregon, 97401-8122

  • Sanford Research USD Fargo

    Fargo, North Dakota, 58122

  • Summit Health

    Florham Park, New Jersey, 07932

  • Holy Cross Health

    Fort Lauderdale, Florida, 33308

  • Providence Medical Foundation

    Fullerton, California, 92835

  • Western Reg MC-COH Phoenix

    Goodyear, Arizona, 85338

  • Cone Health Cancer Center

    Greensboro, North Carolina, 27403

  • Bon Secours St Francis Cancer Center

    Greenville, South Carolina, 29607

  • Univ of Pittsburg Med Ctr Pinnacle

    Harrisburg, Pennsylvania, 17109

  • Hialeah Hospital

    Hialeah, Florida, 33013

  • Hope And Healing Care

    Hinsdale, Illinois, 60521

  • Memorial Cancer Institute

    Hollywood, Florida, 33021

  • Kelsey Seybold Clinic

    Houston, Texas, 77025

  • University of Texas

    Houston, Texas, 77030-4099

  • Investigative Clinical R of Indiana

    Indianapolis, Indiana, 46260

  • Jackson Oncology Associates

    Jackson, Mississippi, 39202

  • Queens Cancer Center of Queens Hospital

    Jamaica, New York, 11432

  • Jupiter Medical Center

    Jupiter, Florida, 33458

  • HCA Midwest Division

    Kansas City, Missouri, 64132

  • Kadlec Clinic Hematology and Onco

    Kennewick, Washington, 99336

  • Providence Regional Cancer System

    Lacey, Washington, 98503

  • Optum Health

    Lake Success, New York, 11042

  • CARTI Cancer Center

    Little Rock, Arkansas, 72205

  • Los Angeles Cancer Network Good Samaritan

    Los Angeles, California, 90017

  • Bon Secours Virginia Health System

    Midlothian, Virginia, 23114

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Minnesota Oncology Hematology P A

    Minneapolis, Minnesota, 55404

  • Allina Hlth Cancer Inst Minneapolis

    Minneapolis, Minnesota, 55407

  • El Camino Hospital

    Mountain View, California, 94040

  • Palo Alto Medical Foundation

    Mountain View, California, 94040

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Ocala Research Institute Inc

    Ocala, Florida, 34474

  • Nebraska Cancer Specialists

    Omaha, Nebraska, 68154

  • UC Irvine Medical Center

    Orange, California, 92868

  • Allegheny Health Network

    Pittsburgh, Pennsylvania, 15212

  • Texas Oncology P A Plano East

    Plano, Texas, 75075

  • Northwest Cancer Specialists

    Portland, Oregon, 97210

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Renown Regional Medical Center

    Reno, Nevada, 89502

  • Cancer Care Specialists

    Reno, Nevada, 89511

  • Valley Medical Center Research

    Renton, Washington, 98055

  • The Valley Hospital

    Ridgewood, New Jersey, 07450

  • Sutter Inst Medical Research

    Sacramento, California, 95816-5199

  • School Of Medicine

    Sacramento, California, 95817

  • Oregon Oncology Specialists Salem

    Salem, Oregon, 97301

  • Sharp Rees Stealy Medical Group Inc

    San Diego, California, 92101

  • Summit Cancer Care PC

    Savannah, Georgia, 31405

  • Willis-Knighton Cancer Center

    Shreveport, Louisiana, 71103

  • Maryland Oncology Hematology P A

    Silver Spring, Maryland, 20904

  • Sanford USD Medical Center

    Sioux Falls, South Dakota, 57104

  • WA Uni School Of Med

    St Louis, Missouri, 63110

  • Northwest Medical Specialties

    Tacoma, Washington, 98405

  • Texas Oncology PA Tyler

    Tyler, Texas, 75702

  • Georgetown University Lombardi Cancer Center

    Washington D.C., District of Columbia, 20007-2197

  • Medstar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • University of Iowa Health Care

    Waukee, Iowa, 50263

  • University of Kansas Cancer Center

    Westwood, Kansas, 66205

  • Cancer Center of Kansas

    Wichita, Kansas, 67214-3728

  • Midwestern Reg MC COH Chicago

    Zion, Illinois, 60099

Other trials in United States

China24 sites
  • Novartis Investigative Site

    Beijing, Beijing Municipality, 100044

  • Novartis Investigative Site

    Beijing, 100039

  • Novartis Investigative Site

    Beijing, 100730

  • Novartis Investigative Site

    Changchun, Jilin, 130021

  • Novartis Investigative Site

    Chengdu, Sichuan, 610041

  • Novartis Investigative Site

    Chengdu, Sichuan, 610072

  • Novartis Investigative Site

    Guangzhou, Guangdong, 510080

  • Novartis Investigative Site

    Guangzhou, 510060

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310006

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310022

  • Novartis Investigative Site

    Harbin, Heilongjiang, 150081

  • Novartis Investigative Site

    Jinan, Shandong, 250021

  • Novartis Investigative Site

    Jinan, Shandong, 250117

  • Novartis Investigative Site

    Jining, Shandong, 272000

  • Novartis Investigative Site

    Nanchang, Jiangxi, 330009

  • Novartis Investigative Site

    Nanjing, Jiangsu, 210029

  • Novartis Investigative Site

    Qingdao, 266000

  • Novartis Investigative Site

    Shanghai, 200032

  • Novartis Investigative Site

    Shijiazhuang, 050035

  • Novartis Investigative Site

    Tianjin, 300480

  • Novartis Investigative Site

    Ürümqi, Xinjiang, 830000

  • Novartis Investigative Site

    Wenzhou, Zhejiang, 325000

  • Novartis Investigative Site

    Zhengzhou, Henan, 450003

  • Novartis Investigative Site

    Zhengzhou, Henan, 450008

Other trials in China

Germany21 sites
  • Novartis Investigative Site

    Augsburg, 86150

  • Novartis Investigative Site

    Augsburg, 86179

  • Novartis Investigative Site

    Bergisch Gladbach, North Rhine-Westphalia, 51465

  • Novartis Investigative Site

    Berlin, 10967

  • Novartis Investigative Site

    Bottrop, 46236

  • Novartis Investigative Site

    Dessau, 06847

  • Novartis Investigative Site

    Dresden, Saxony, 01307

  • Novartis Investigative Site

    Erlangen, 91054

  • Novartis Investigative Site

    Essen, North Rhine-Westphalia, 45136

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • Novartis Investigative Site

    Kiel, 24105

  • Novartis Investigative Site

    Langen, Hesse, 63225

  • Novartis Investigative Site

    Leipzig, 04277

  • Novartis Investigative Site

    Mönchengladbach, North Rhine-Westphalia, 41061

  • Novartis Investigative Site

    München, 80637

  • Novartis Investigative Site

    Munich, Bavaria, 81377

  • Novartis Investigative Site

    Ravensburg, 88214

  • Novartis Investigative Site

    Regensburg, Bavaria, 93053

  • Novartis Investigative Site

    Velbert, North Rhine-Westphalia, 42551

  • Novartis Investigative Site

    Weiden in Der Oberpfalz, Bavaria, 92637

Other trials in Germany

Turkey (Türkiye)20 sites
  • Novartis Investigative Site

    Adana, Yuregir, 01230

  • Novartis Investigative Site

    Ankara, Bilkent Cankaya, 06800

  • Novartis Investigative Site

    Ankara, Sihhiye Altindag, 06230

  • Novartis Investigative Site

    Ankara, Yenimahalle, 06200

  • Novartis Investigative Site

    Ankara, Yenimahalle, 06500

  • Novartis Investigative Site

    Ankara, 06520

  • Novartis Investigative Site

    Antalya, Konyaalti, 07070

  • Novartis Investigative Site

    Denizli, Kinikli, 20070

  • Novartis Investigative Site

    Diyarbakır, Sur, 21280

  • Novartis Investigative Site

    Istanbul, Fatih, 34098

  • Novartis Investigative Site

    Istanbul, Kadikoy, 34722

  • Novartis Investigative Site

    Istanbul, Sariyer, 34457

  • Novartis Investigative Site

    Istanbul, Uskudar, 34662

  • Novartis Investigative Site

    Istanbul, 34147

  • Novartis Investigative Site

    Izmir, Karsiyaka, 35575

  • Novartis Investigative Site

    Izmir, 35100

  • Novartis Investigative Site

    Kecioren Ankara, 06010

  • Novartis Investigative Site

    Konya, 42080

  • Novartis Investigative Site

    Sakarya, Adapazari, 54290

  • Novartis Investigative Site

    Samsun, 55200

Other trials in Turkey (Türkiye)

South Korea12 sites
  • Novartis Investigative Site

    Bundang Gu, Gyeonggi-do, 13620

  • Novartis Investigative Site

    Gyeonggi-do, Korea, 10408

  • Novartis Investigative Site

    Incheon, 21565

  • Novartis Investigative Site

    Seongnam Gyeonggi, 13496

  • Novartis Investigative Site

    Seoul, Korea, 02841

  • Novartis Investigative Site

    Seoul, Yangcheon Gu, 07985

  • Novartis Investigative Site

    Seoul, 03080

  • Novartis Investigative Site

    Seoul, 03722

  • Novartis Investigative Site

    Seoul, 05505

  • Novartis Investigative Site

    Seoul, 06273

  • Novartis Investigative Site

    Seoul, 06351

  • Novartis Investigative Site

    Seoul, 06591

Other trials in South Korea

Canada11 sites
  • Novartis Investigative Site

    Halifax, Nova Scotia, B3H 2Y9

  • Novartis Investigative Site

    Montreal, Quebec, H2X 0A9

  • Novartis Investigative Site

    Montreal, Quebec, H3T 1E2

  • Novartis Investigative Site

    Montreal, Quebec, H4A 3J1

  • Novartis Investigative Site

    Oakville, Ontario, L6M 1M1

  • Novartis Investigative Site

    Ottawa, Ontario, K1H 8L6

  • Novartis Investigative Site

    Québec, Quebec, G1S 4L8

  • Novartis Investigative Site

    Saskatoon, Saskatchewan, S7N 4H4

  • Novartis Investigative Site

    Toronto, Ontario, M4N 3M5

  • Novartis Investigative Site

    Toronto, Ontario, M5T 3L9

  • Novartis Investigative Site

    Victoria, British Columbia, V8R 6V5

Other trials in Canada

Brazil10 sites
  • Novartis Investigative Site

    Belo Horizonte, Minas Gerais, 30220-140

  • Novartis Investigative Site

    Porto Alegre, Rio Grande do Sul, 90470-340

  • Novartis Investigative Site

    Porto Alegre, Rio Grande do Sul, 90560-032

  • Novartis Investigative Site

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Novartis Investigative Site

    Rio de Janeiro, 22281-100

  • Novartis Investigative Site

    Rio de Janeiro, 22775-001

  • Novartis Investigative Site

    Salvador, Estado de Bahia, 40170-110

  • Novartis Investigative Site

    São Paulo, São Paulo, 04502-001

  • Novartis Investigative Site

    São Paulo, São Paulo, 05652-000

  • Novartis Investigative Site

    São Paulo, 01323-000

Other trials in Brazil

India9 sites
  • Novartis Investigative Site

    Ahmedabad, 380054

  • Novartis Investigative Site

    Bangalore, Karnataka, 560017

  • Novartis Investigative Site

    Bhubaneswar, Odisha, 751007

  • Novartis Investigative Site

    Chennai, Tamil Nadu, 600035

  • Novartis Investigative Site

    Hyderabad, Andhra Pradesh, 500034

  • Novartis Investigative Site

    Kolkata, West Bengal, 700054

  • Novartis Investigative Site

    Mumbai, Maharashtra, 400012

  • Novartis Investigative Site

    New Delhi, National Capital Territory of Delhi, 110029

  • Novartis Investigative Site

    Pune, Maharasthra, 411028

Other trials in India

Portugal6 sites
  • Novartis Investigative Site

    Coimbra, 3000-075

  • Novartis Investigative Site

    Lisbon, 1400-038

  • Novartis Investigative Site

    Lisbon, 1649-035

  • Novartis Investigative Site

    Porto, 4100-180

  • Novartis Investigative Site

    Porto, 4200-072

  • Novartis Investigative Site

    Porto, 4200-319

Other trials in Portugal

Taiwan5 sites
  • Novartis Investigative Site

    Hualien City, 970

  • Novartis Investigative Site

    Kaohsiung City, 80756

  • Novartis Investigative Site

    Tainan, 71004

  • Novartis Investigative Site

    Taipei, 10002

  • Novartis Investigative Site

    Taipei, 11490

Other trials in Taiwan

Australia4 sites
  • Novartis Investigative Site

    Clayton, Victoria, 3168

  • Novartis Investigative Site

    East Melbourne, Victoria, 3002

  • Novartis Investigative Site

    Gateshead, New South Wales, 2290

  • Novartis Investigative Site

    Tiwi, Northern Territory, 0810

Other trials in Australia

Israel4 sites
  • Novartis Investigative Site

    Beersheba, 8457108

  • Novartis Investigative Site

    Petah Tikva, 4941492

  • Novartis Investigative Site

    Ramat Gan, 5265601

  • Novartis Investigative Site

    Tel Aviv, 6423906

Other trials in Israel

Argentina3 sites
  • Novartis Investigative Site

    Caba, Buenos Aires, C1426ANZ

  • Novartis Investigative Site

    Córdoba, X5004BAL

  • Novartis Investigative Site

    La Plata, Buenos Aires, B1902CMV

Other trials in Argentina

Hong Kong3 sites
  • Novartis Investigative Site

    Hong Kong, 999077

  • Novartis Investigative Site

    Kowloon, 999077

  • Novartis Investigative Site

    Tuenmen, 999077

Other trials in Hong Kong

Mexico2 sites
  • Novartis Investigative Site

    Monterrey, Nuevo León, 64460

  • Novartis Investigative Site

    Tlalpan, Mexico City, 14080

Other trials in Mexico

Puerto Rico1 site
  • Pan Oncology

    Rio Piedras, 00935

Other trials in Puerto Rico

About this study

Official title: A Phase IIIb Study to Characterize the Efficacy and Safety of Adjuvant Ribociclib Plus Endocrine Therapy in a Close-to-clinical Practice Patient Population With HR+ HER2- Early Breast Cancer (Adjuvant WIDER)

The purpose of this open-label, multicenter, phase IIIb, single-arm study is to characterize the efficacy and safety of the combination of ribociclib and standard adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a close to clinical practice patient population with HR-positive (HR+), HER2-negative (HER2-), Anatomic Stage Group III, IIB, and a subset of Stage IIA Early Breast Cancer (EBC).

Read the detailed description

The study consists of Screening, Treatment, and Follow-up periods.

  • Treatment Period: all participants who complete screening will receive ribociclib 400 mg orally once daily on days 1 to 21 of a 28-day cycle, in combination with daily ET for 36 months (approximately 39 cycles) from the date of first dose. The Treatment Period starts when the patient receives their first dose of ribociclib and ends at the time of the 30-day Safety Follow-up. All treated participants should have a Safety Follow-up call conducted 30 days after the last dose of study treatment.
  • Follow-up period: participants will be followed from 30 days after study treatment (i.e., ribociclib) completion/discontinuation (i.e. 30-day Safety Follow-up) until death, withdrawal of consent, lost to follow-up, or until 48 months after the last participant has received their first dose of study treatment (i.e. End of Study [EOS]), whichever occurs first.
Being tested
Ribociclib, Letrozole, Ansastrozole, Goserelin, Leuprolide
Keywords
Hormone receptor positive (HR+), Human epidermal growth factor receptor-2 negative (HER2-), Early breast cancer (EBC), premenopausal, postmenopausal, male breast cancer, ribociclib, LEE011, Endocrine therapy (ET)
Medical subject headings
Breast Neoplasms, Breast Neoplasms, Male

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RibociclibDrug

    Also called LEE011

    Ribociclib 400 mg orally once daily on days 1-21 of a 28 day cycle followed by 7 days rest

  • LetrozoleDrug

    Letrozole 2.5 mg orally once daily continuously

  • AnsastrozoleDrug

    Anastrozole 1 mg orally once daily continuously.

  • GoserelinDrug

    Goserelin administered subcutaneously at 3.6 mg once every 4 weeks if the one-month depot formulation is used or at 10.8 mg once every 3 months if the three-month depot formulation is used

  • LeuprolideDrug

    Leuprolide administered subcutaneously at 3.75 mg once every 4 weeks if the one-month depot formulation is used or at 11.25 mg once every 3 months if the three-month depot formulation is used

  • ExemestaneDrug

    Exemestane 25 mg once daily continuously

Study groups in NCT05827081
Study groupRoleWhat they receive
Ribociclib + endocrine therapyExperimentalParticipants will receive ribociclib 400 mg orally once daily on days 1 to 21 of a 28-day cycle, in combination with daily endocrine therapy (ET) for 36 months (approximately 39 cycles). ET consists of: * For postmenopausal women: letrozole 2.5 mg orally once daily continuously, anastrozole 1 mg orally once daily continuously, or exemestane 25 mg once daily continuously. * For pre/perimenopausal women, and men: letrozole 2.5 mg orally once daily continuously, anastrozole 1 mg orally once daily continuously, or exemestane 25 mg once daily continuously, combined with goserelin subcutaneously (at 3.6 mg once every 4 weeks if the one-month depot formulation is used or at 10.8 mg once every 3 months if the three-month depot formulation is used) or leuprolide subcutaneously (at 3.75 mg once every 4 weeks if the one-month depot formulation is used or at 11.25 mg once every 3 months if the three-month depot formulation is used)
Receives: Drug: Ribociclib; Drug: Letrozole; Drug: Ansastrozole; Drug: Goserelin; Drug: Leuprolide; Drug: Exemestane

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Invasive Breast Cancer Free Survival (iBCFS) rate at 3 years

    iBCFS is defined as the time from the date of first dose to the date of the first event of invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence, death (any cause), or contralateral invasive BC. iBCFS will be assessed using STEEP criteria version 2.0 (Standardized Definitions for Efficacy End Points in Adjuvant Breast Cancer Trials), as assessed by Investigator.

    The iBCFS rate at 3 years will be assessed.

    Measured: At 3 years

Secondary outcomes (13)
  1. Incidence and severity of adverse events (AEs) using CTCAE v4.03

    To evaluate Safety of ribociclib + ET

    Measured: Up to approximately 6 years

  2. Invasive Disease-Free Survival (iDFS)

    iDFS is defined as the time from the date of first dose of study treatment to the date of the first event of invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence, death (any cause), contralateral invasive BC, or second primary non-breast invasive cancer (excluding basal and squamous cell carcinomas of the skin). iDFS will be assessed using STEEP 2.0 as assessed by the investigator.

    Measured: Up to approximately 6 years

  3. Distant Disease-Free Survival (DDFS)

    Distant Disease-Free Survival (DDFS) is defined as the time from the date of first dose of study treatment to the date of the first event of recurrence at a distant site, death (any cause), or second primary non-breast invasive cancer (excluding in situ/non-invasive cancers and basal and squamous cell carcinomas of the skin).

    DDFS will be assessed using STEEP 2.0 as assessed by the investigator.

    Measured: Up to approximately 6 years

  4. Distant Relapse-Free Survival (DRFS)

    Distant Relapse Free Survival (DRFS) is defined as the time from the date of first dose of study treatment to the date of the first event of recurrence at a distant site or death (any cause). DRFS will be assessed using STEEP 2.0 as assessed by the investigator.

    Measured: Up to approximately 6 years

  5. Recurrence-Free Interval (RFI)

    RFI is defined as the time from date of first dose to date of first event of invasive recurrence in the ipsilateral breast or locoregionally, at a distant site, or death from breast cancer. RFI will be assessed using STEEP 2.0 as per investigator assessment.

    Measured: Up to approximately 6 years

  6. Relative dose intensity (RDI) of ribociclib

    RDI is defined as the ratio of the dose intensity delivered to the planned dose intensity.

    Measured: Up to 3 years

  7. Overall Survival (OS)

    OS is defined as time from the start of study treatment to date of death due to any cause.

    Measured: Up to approximately 6 years

  8. Time To Discontinuation (TTD) of ribociclib

    TTD is defined as the time from starting ribociclib to the time to treatment discontinuation due to any cause.

    Measured: Up to 3 years

  9. Changes from baseline in Functional Assessment of Cancer Therapy - Breast (FACT-B) score

    The FACT-B is a questionnaire that consists of 37 items with items from FACT-General (FACT-G) questionnaire (27 items) and from the Breast Cancer Subscale (BCS, 10 items). FACT-B consists of five subscales that address different aspects of the participant's quality of life: physical well-being (PWB), social/family well-being (SWB), emotional well-being (EWB), functional well-being (FWB), and BCS.

    Measured: Up to approximately 6 years

  10. Changes from baseline in Functional Assessment of Cancer Therapy - Endocrine Symptoms (FACT-ES) score

    The FACT-ES is a questionnaire that consists of 19 items which assesses endocrine complaints and adverse events.

    Measured: Up to approximately 6 years

  11. Changes from baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) score

    The FACIT-F is a 13-item questionnaire designed to assess self-reported fatigue and its impact on daily activities and functions.

    Measured: Up to approximately 6 years

  12. Changes from baseline in European Quality of Life-5 Dimensions (EQ-5D-5L) score

    EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D-5L health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.

    Measured: Up to approximately 6 years

  13. Changes from baseline in Work Productivity and Activity Impairment Questionnaire (WPAI-GH) score

    WPAI-GH measures the impact of health problems on the participant's productivity, in paid or unpaid activities, in the last 7 days. It is 6-item scale measuring absenteeism, presenteeism, and impairments in unpaid activity.

    Measured: Up to approximately 6 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2023
  2. Study start28 Feb 2024
  3. Primary completion7 Sep 2029 (estimated)
  4. Study completion20 Sep 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,464 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05827081
Sponsor's protocol ID
CLEE011O12001
Other IDs
2022-503001-38-00
Acronym
Adjuvant WIDER
Status last verified
Oct 2026
First submitted
12 Apr 2023
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Expanded access
Available

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