Evidence map›Paper›PMID 36152144›Full record

Trial reportTargeted oncology2022

Safety and Efficacy of Ribociclib in Combination with Letrozole in Patients with HR+, HER2- Advanced Breast Cancer: Results from the Italian Subpopulation of Phase 3b CompLEEment-1 Study.

Michelino De Laurentiis, Roberta Caputo, Manuelita Mazza, Mauro Mansutti, Riccardo Masetti, Zelmira Ballatore, Rosalba Torrisi, Andrea Michelotti, Alberto Zambelli, Antonella Ferro and 11 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Targeted oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02941926 (COMPLEEMENT-1), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02941926 phase3completednot on this map

COMPLEEMENT-1: An Open-label, Multicenter, Phase IIIb Study to Assess the Safety and Efficacy of Ribociclib (LEE011) in Combination With Letrozole for the Treatment of Men and Pre/Postmenopausal Women With Hormone Receptor-positive (HR+) HER2-negative (HER2-) Advanced Breast Cancer (aBC) With no Prior Hormonal Therapy for Advanced Disease

TypeinterventionalSponsorNovartis PharmaceuticalsRan2016 to 2022Enrolled3,246ConditionsBreast CancerArmsRibociclib, Letrozole, Goserelin, Leuprolide
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 19 institutions in 1 country.

Michelino De LaurentiisBreast Oncology, Istituto Nazionale Tumori, IRCCS, Fondazione Pascale, Napoli, Italy. m.delaurentiis@breastunit.org.ORCID 0000-0001-9009-1572
Roberta CaputoIstituto Nazionale Tumori "Fondazione Pascale", Napoli, Italy.
Manuelita MazzaSenologia Medica, Istituto Europeo di Oncologia, Milano, Italy.
Mauro MansuttiDepartment of Oncology, Santa Maria della Misericordia hospital, Udine, Italy.
Riccardo MasettiDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Gemelli IRCSS, Roma, Italy.
Zelmira BallatoreClinica Oncologica e Centro Regionale di Genetica Oncologica, AOU Ospedali Riuniti Ancona Università Politecnica delle Marche, Ancona, Italy.
Rosalba TorrisiDepartment of Medical Oncology, IRCCS-Humanitas Clinical and Research Hospital, Rozzano, Italy.
Andrea MichelottiU.O. Oncologia Medica I, Azienda Ospedaliera Universitaria Pisana, Ospedale S. Chiara, Pisa, Italy.
Alberto ZambelliHumanitas University, IRCCS Research Hospital, Rozzano, Italy.
Antonella FerroMedical Oncology, Ospedale Santa Chiara, Trento, Italy.
Daniele GeneraliU.O.C. Multidisciplinare di Patologia Mammaria, Istituti Ospitalieri di Cremona, ASST di Cremona, Cremona, Italy.
Patrizia ViciUOSD Sperimentazioni di fase IV, IRCCS Regina Elena National Cancer Institute, Roma, Italy.
Luigi ColtelliU.O.C. di Oncologia Medica, Presidio Ospedaliero Livorno, Livorno, Italy.
Alessandra FabiDivision of Medical Oncology 1, IRCCS Regina Elena National Cancer Institute, Roma, Italy.
Paolo MarchettiUOC Oncologia Medica, Azienda Ospedaliera St. Andrea, Rome, Italy.
Alberto BallestreroDipartimento di Medicina Interna DIMI, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Simon SpazzapanS.O.C. Oncologia Medica e Prevenzione Oncologica, Centro di Riferimento Oncologico IRCCS, Aviano, Italy.
Antonio FrassoldatiU.O.C. Oncologia Clinica, Azienda Ospedaliero, Universitaria di Ferrara - Arcispedale Sant'Anna, Ferrara, Italy.
Maria Giuseppina SarobbaUOC Oncologia, Presidio Ospedaliero S. Francesco, ASL Nuoro, Nuoro, Italy.
Donatella GrassoOncology, Novartis Farma SpA, Origgio, Italy.
Claudio ZamagniAddarii Medical Oncology Unit IRCCS Azienda Ospedaliero-universitaria di Bologna, Bologna, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITAgostino Gemelli University Polyclinic · ITArcispedale Sant'Anna · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda USL di Bologna · ITCentro di Riferimento Oncologico · ITEuropean Institute of Oncology · ITHumanitas University · ITIRCCS Humanitas Research Hospital · ITIstituti Ospitalieri di Cremona · ITMarche Polytechnic University · ITNovartis (Italy) · ITOspedale di Livorno · ITOspedale Policlinico San Martino · ITOspedale Santa Chiara · ITOspedale Santa Maria della Misericordia di Udine · ITPresidio Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRibociclib plus letrozole demonstrated manageable safety and efficacy profiles in hormone receptor-positive (HR+), human epidermal growth factor receptor-2-negative (HER2-) advanced breast cancer (ABC) in the Phase 3b CompLEEment-1 trial.

objectiveTo evaluate the safety and efficacy of ribociclib plus letrozole in the Italian subpopulation with HR+, HER2- ABC from the CompLEEment-1 trial. PATIENTS AND

methodsPatients with HR+, HER2- ABC received ribociclib (600 mg/day, 3 weeks on/1 week off) plus letrozole (2.5 mg/day) while men and premenopausal women additionally received goserelin. Patients were allowed with ≤ 1 line of prior chemotherapy and an Eastern Cooperative Oncology Group performance status of ≤ 2. The primary outcome included safety and tolerability.

resultsOf the 554 Italian patients, 246 (44.4 %) patients completed treatment. The reasons for treatment discontinuation included progressive disease (PD; 36.6 %), adverse events (AEs; 11.9 %), and death (1.6 %). All-grade AEs and grade ≥ 3 AEs occurred in 98.9 % and 77.8 % patients, respectively. The most common treatment-related AEs were neutropenia (73.6 %), followed by leukopenia (32.1 %), and nausea (25.3 %). The overall response rate was 28.2 % (95 % confidence interval [CI], 24.4-32.1); clinical benefit rate was 71.7 % (95 % CI, 67.7-75.4); and median time to progression was 26.7 months (95 % CI, 24.8-non-estimable). Health-related quality of life scores were maintained during treatment.

conclusionThe safety and efficacy profiles of ribociclib plus letrozole in the Italian subpopulation was found to be consistent with the CompLEEment-1 global population result, MONALEESA-2, and MONALEESA-7 outcomes, which reaffirm ribociclib plus letrozole as the frontline treatment option in patients with HR+, HER2- ABC. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION: NCT02941926 (30 November 2016).

Indexed as

Breast NeoplasmsAminopyridinesAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansLetrozolePurinesQuality of LifeReceptors, EstrogenReceptors, ProgesteroneAminopyridinesErb-b2 Receptor Tyrosine KinasesLetrozolePurinesReceptors, EstrogenReceptors, Progesteroneribociclib

Identifiers

PMID36152144
PMCPMC9684264
OpenAlexW4297175747

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.