Evidence map›Paper›PMID 40019493›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Health-Related Quality of Life in Patients with HR+/HER2- Early Breast Cancer Treated with Ribociclib Plus a Nonsteroidal Aromatase Inhibitor: Results from the NATALEE Trial.

Peter A Fasching, Dennis Slamon, Zbigniew Nowecki, Bozena Kukielka-Budny, Daniil Stroyakovskiy, Denise A Yardley, Chiun-Sheng Huang, Arlene Chan, Stephen Chia, Miguel Martín and 10 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Cancers · 2026
    Review
  4. Observational
  5. Eligibility for adjuvant CDK4/6 inhibitors in HR+/HER2- early breast cancer: insights from a large cohort in central south China.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Article
  6. Review
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

20 authors.

Peter A FaschingUniversity Hospital Erlangen Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0003-4885-8471
Dennis SlamonDavid Geffen School of Medicine at UCLA, Los Angeles, California.ORCID 0000-0002-6330-498X
Zbigniew NoweckiThe Maria Sklodowska-Curie Centre, Warsaw, Poland.ORCID 0000-0001-7706-8191
Bozena Kukielka-BudnyCentrum Onkologii Ziemi Lubelskiej, Lublin, Poland.ORCID 0000-0002-2837-5870
Daniil StroyakovskiyMoscow City Oncology Hospital No. 62 of Moscow Healthcare Department, Moscow Oblast, Russia.ORCID 0000-0003-1973-1092
Denise A YardleySarah Cannon Research Institute, Nashville, Tennessee.ORCID 0009-0008-1720-6183
Chiun-Sheng HuangNational Taiwan University Hospital, National Taiwan University College of Medicine, Taipei City, Taiwan.ORCID 0000-0002-6557-211X
Arlene ChanBreast Cancer Research Centre Western Australia and School of Medicine, Curtin University, Perth, Australia.ORCID 0000-0003-2135-2286
Stephen ChiaBritish Columbia Cancer Agency, Vancouver, Canada.ORCID 0000-0001-7070-4386
Miguel MartínInstituto de Investigación Sanitaria Gregorio Marañon, Centro de Investigación Biomédica en Red de Cáncer, Grupo Español de Investigación en Cáncer de Mama, Universidad Complutense, Madrid, Spain.ORCID 0000-0001-9237-3231
Hope S RugoUCSF Comprehensive Cancer Center, San Francisco, California.ORCID 0000-0001-6710-4814
Sherene LoiPeter MacCallum Cancer Centre, Melbourne, Australia.ORCID 0000-0001-6137-9171
Sara HurvitzLos Angeles Jonsson Comprehensive Cancer Center, University of California, Los Angeles, California.ORCID 0000-0001-7808-7191
Michael UntchInterdisciplinary Breast Cancer Center, Helios Klinikum Berlin-Buch, Berlin, Germany.ORCID 0000-0002-1233-1267
Karen AfenjarTRIO - Translational Research in Oncology, Paris, France.ORCID 0009-0009-0355-7123
Rodrigo FrescoTRIO - Translational Research in Oncology, Montevideo, Uruguay.ORCID 0000-0001-5342-3486
Andriy DanylivNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0003-3382-5976
Ilia FerrusiNovartis Pharmaceuticals Corporation, East Hanover, New Jersey.ORCID 0000-0002-9177-9683
Zheng LiNovartis Pharmaceuticals Corporation, East Hanover, New Jersey.ORCID 0000-0002-7655-0290
Gabriel HortobagyiDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-4873-4412

Funding

Novartis Pharmaceuticals Corporation (NPC)
6 · The paper itself

Abstract

purposeThe phase III NATALEE trial reported a statistically significant invasive disease-free survival benefit with ribociclib plus nonsteroidal aromatase inhibitor (NSAI) versus an NSAI alone in stage II/III hormone receptor-positive, HER2-negative (HR+/HER2-) early breast cancer. In this study, we report health-related quality of life (HRQOL) data from NATALEE. PATIENTS AND

methodsPatients were randomized to receive ribociclib plus NSAI or NSAI alone. Patient-reported outcome scores [European Organisation for Research and Treatment of Cancer core quality of life questionnaire global health status and physical, social, and emotional functioning domains; the supplementary European Organisation for Research and Treatment of Cancer breast cancer-specific QOL questionnaire breast symptoms scale; health on a visual analog scale of the generic EuroQOL 5-level instrument; and the Hospital Anxiety and Depression Scale] were assessed. The prespecified primary HRQOL endpoint was physical functioning. Mean scores and time-categorical and prespecified linear-time repeated-measure models were used to evaluate HRQOL changes during treatment.

resultsHRQOL was evaluated in all patients in the ribociclib plus NSAI (n = 2,549) and NSAI alone (n = 2,552) arms. Compliance was high in both arms (≈93%-97%). Mean scores did not differ meaningfully from baseline for any analyzed domain. Likewise, neither a meaningful change from baseline (in either treatment arm) nor a difference between arms was observed during treatment in the time-categorical, model-adjusted mean scores for any HRQOL domains-using published thresholds for interpreting longitudinal and between-group differences, with all values being within 0.5 SD of their baseline values. Linear-time regression analysis confirmed these findings.

conclusionsThese analyses of NATALEE show that adding adjuvant ribociclib to an NSAI does not negatively affect HRQOL in patients with HR+/HER2- early breast cancer.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsQuality of LifeAdultAgedAminopyridinesAromatase InhibitorsErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoplasm StagingPatient Reported Outcome MeasuresPurinesReceptors, EstrogenReceptors, ProgesteroneAminopyridinesAromatase InhibitorsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesPurinesReceptors, EstrogenReceptors, Progesteroneribociclib

Identifiers

PMID40019493
PMCPMC12010963

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Registered trials

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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.