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Trial Title: A Prospective NIS to Evaluate the Clinical Outcomes of Risarg® (Ribociclib) Combined With Endocrine Therapy or Chemotherapy in Patients With HR+HER2 - aBC in Routine Clinical Practice in the Russia

NCT ID: NCT06148506

Condition: HR+HER2- Advanced Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
HR+HER2- advanced breast cancer,
ribociclib+ET,
Chemotherapy
ribociclib
NIS

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Ribociclib
Description: There is no treatment allocation. Participants with HR+HER2- aBC that initiated treatment with ribociclib+ET by prescription within the study enrollment timeline will be recruited.
Arm group label: Ribociclib Arm

Other name: Risarg

Intervention type: Other
Intervention name: Combination chemotherapy
Description: There is no treatment allocation. Participants with HR+HER2- aBC that initiated treatment with CT by prescription within the study enrollment timeline will be recruited.
Arm group label: Combination chemotherapy

Summary: This is а prospective, non-interventional, primary data collection cohort study to evaluate the clinical outcomes of the combination of ribociclib + ET and combination chemotherapy in the real-life setting in Russia. This study is observational in nature; it does not impose a therapy, diagnostic/therapeutic interventions or a visit schedule.

Detailed description: Patients with HR+HER2- advanced breast cancer that initiated treatment with ribociclib+ET or combination CT will be enrolled. Approximately, 188 patients will be included into each treatment cohort of the study across different study sites in the Russian Federation and will be assigned to one of the below treatment arms: - Ribociclib arm: ribociclib (600 mg, 3 weeks on/1 week off)+ IA/FUL + goserilin for premenopausal patients (N = 188) - Combination chemotherapy arm: physician's choice (N = 188) The study will consist of pre-index period, index date and follow up period. Retrospective data will be collected as such: Medical history, previous treatment for Breast cancer (neoad'uvant and ad'uvant if applicable).In this study an index date is defined as a start of ribociclib+ET or chemotherapy treatment. Post-index follow-up period is 24 months or Progressive disease. Patients will attend the sites in accordance with routine clinical practice. It is assumed according to the clinical practice that visits will be conducted every 3-4 months. Patients will undergo standard procedures and tests according to clinical guidelines and physician's judgement. No additional diagnostic or monitoring procedures will be applied to the patients and epidemiological methods shall be used for the analysis of collected data. Available data from routine clinical management of the patients will be collected at patients' visits to the clinical site. Patients enrolled in the study will be followed up until death or study close whichever occurs first.

Criteria for eligibility:

Study pop:
Patients with HR+HER2- advanced breast cancer that initiated treatment with ribociclib+ET or combination CT will be enrolled

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Age ≥ 18 years at the moment of ribociclib+ET or CT initiation. 2. Female/Male gender. 3. Luminal A, Luminal B subtype. 4. Patients with ECOG performance status ≤ 2. 5. Confirmed diagnosis of locally advanced/metastatic not eligible to surgery HR+HER2- BC (de novo) for whom the treating physician took the decision to initiate treatment with ribociclib+IA/FUL or combination chemotherapy before entering the study in the first line of the treatment. 6. Multiple visceral metastases (including stable CNS mts). 7. Pre-/Pere /postmenopause. 8. Patient who initiated treatment with ribociclib+IA/FUL or combination chemotherapy no longer than 4 weeks (28 days) prior to written informed consent for this study. Exclusion Criteria: 1. Patients with a life expectancy of less than 3 months per the investigator's judgment. 2. Patients participating in any interventional clinical trial that includes investigational or marketed products at the time of enrollment. (Patients participating in other investigator initiated research or NIS can be included as long as their standard of care is not altered by the study). 3. Patients on active treatment for malignancies other than aBC at the time of enrollment. 4. Patients who are unable to understand the nature of the study and are unwilling to sign an informed consent. 5. Patients with visceral crisis (according to ABC5 definition*) *Visceral crisis is defined as severe organ dysfunction, as assessed by signs and symptoms, laboratory studies and rapid progression of disease. Visceral crisis is not the mere presence of visceral metastases but implies important organ compromise leading to a clinical indication for the most rapidly efficacious therapy [8]. Examples: Liver visceral crisis: rapidly increasing bilirubin >1.5 ULN in the absence of Gilbert's syndrome or biliary tract obstruction. Lung visceral crisis: rapidly increasing dyspnoea at rest, not alleviated by drainage of pleural effusion

Gender: All

Minimum age: 18 Years

Maximum age: 99 Years

Healthy volunteers: No

Locations:

Facility:
Name: Novartis Investigative Site

Address:
City: Barnaul
Zip: 656045
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Chelyabinsk
Zip: 454087
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Ekaterinburg
Zip: 620036
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Irkutsk
Zip: 664035
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Izhevsk
Zip: 426009
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Kaluga
Zip: 248007
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Krasnodar
Zip: 350040
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Krasnoyarsk
Zip: 660022
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Moscow Region Istra Village
Zip: 143423
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Moscow
Zip: 115304
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Moscow
Zip: 115478
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Nalchik
Zip: 360051
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Podolsk
Zip: 142110
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Saransk
Zip: 430032
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Tambov
Zip: 392000
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Tver
Zip: 170008
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Ufa
Zip: 450054
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Vladikavkaz
Zip: 362002
Country: Russian Federation

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Yaroslavl
Zip: 150054
Country: Russian Federation

Status: Recruiting

Start date: December 28, 2023

Completion date: June 30, 2027

Lead sponsor:
Agency: Novartis Pharmaceuticals
Agency class: Industry

Source: Novartis

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06148506

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