Can a common breast cancer drug work equally well in underrepresented groups?
NCT ID NCT07760714
First seen Aug 12, 2026 · Last updated Aug 14, 2026 · Updated 2 times
Summary
This study looks back at medical records to see how ribociclib, a CDK4/6 inhibitor used for hormone receptor-positive, HER2-negative metastatic breast cancer, is prescribed and tolerated in older adults (65 and over) and Black/African American patients. These groups are often underrepresented in clinical trials. The goal is to understand real-world treatment patterns, side effects, and effectiveness in these populations, using data from a large U.S. oncology database.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ribociclib (a CDK4/6 inhibitor)
- What this could lead to
- If successful, this could reveal whether ribociclib works as well in older and Black patients as in other groups, helping tailor breast cancer care.
- What could go wrong
- This is a retrospective, observational study, so it cannot prove cause and effect. Results may be limited by data quality and may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
945 people
The number who actually took part.
- Started
-
Feb 2025
- Finished
-
Aug 2025
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
HR+/HER2- recurrent or mBC cancer patients aged 65 years or older, and who self-identify as African American, and initiated 1L ribociclib plus ET on or after January 01, 2018.
- Ages
-
18 to 120 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Included in Flatiron's mBC Enhanced Data Model (EDM): 1. Had an International Classification of Diseases (ICD) diagnosis of breast cancer (ICD, 9th revision, clinical modification \[ICD-9-CM\] 174.x or 175.x or ICD, 10th revision, clinical modification \[ICD-10-CM\] C50x) 2. At least two documented clinical visits, on different days, occurring on or after January 1, 2011 3. Included in probabilistic sample of patients queued for review via abstraction 4. Had pathology consistent with breast cancer 5. Had evidence of stage IV or recurrent mBC with a metastatic diagnosis date on or after January 1, 2011, including patients diagnosed as stage IV at initial diagnosis, or diagnosed with earlier stage disease who then developed metastatic disease 2. Initiated treatment with first-line (1L) ribociclib (in combination with endocrine therapy \[ET\]) in the metastatic setting on or after January 1, 2018, and at least 6 months prior to the study data cutoff date (October 31, 2024) to ensure adequate time to observe dose modifications and treatment discontinuations 3. Had evidence of HR+/HER2- test result prior to or up to 30 days after initiation of 1L ribociclib 4. Had 1L ribociclib on or before April 30, 2024, to allow for at least 6 months of potential follow-up time prior to the data cutoff date of October 31, 2024 Exclusion Criteria: 1. Use of any CDK4/6 inhibitor therapy in combination with tamoxifen 2. Use of any CDK4/6 inhibitor in the pre-metastatic setting
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Novartis
East Hanover, New Jersey, 07936, United States
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