Could a pill combo replace chemo for some breast cancers?
NCT ID NCT02712723
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests whether adding ribociclib to letrozole before surgery helps more women with ER-positive, HER2-negative early breast cancer achieve a low-risk score (PEPI 0) compared to letrozole alone. About 121 postmenopausal women with stage II or III breast cancer will take the drugs for 24 weeks before surgery. The goal is to see if this combo can improve outcomes and potentially spare patients from needing chemotherapy.
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 targeted drug) combined with letrozole (a hormone therapy)
- What this could lead to
- If it works, this combination could help more women with early breast cancer avoid chemotherapy and still have a good outcome.
- What could go wrong
- This is a small, early-phase trial, so results may not apply to all patients. The drug combination can cause side effects like low blood cell counts or liver issues.
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.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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121 people
The number who actually took part.
- Started
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Feb 2016
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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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.
Key Inclusion Criteria: * Pathologically confirmed invasive breast cancer by core needle biopsy * Female subjects, age ≥ 18 years * Only postmenopausal women will be eligible. * Performance Status: Eastern Cooperative Oncology Group (ECOG) score 0-2 * Invasive breast cancer must be ER+ in ≥66 % of the cells or ER Allred score 6-8 * Invasive breast cancer must be HER2 negative. * Clinical Stage II or III (by clinical measurement and/or breast imaging) Key Exclusion Criteria: * Subjects meeting any of the exclusion criteria at baseline will be excluded from study participation. * Current use of other investigational agents * Inflammatory breast cancer defined as clinically significant erythema of the breast and/or documented dermal lymphatic invasion (not direct skin invasion by tumor or peau d'orange without erythema) * An excisional biopsy of this breast cancer * Surgical axillary staging procedure prior to study entry * Hormone replacement therapy of any type, megestrol acetate, or raloxifene within four weeks prior to first study treatment * Clinical or radiographic evidence of metastatic disease * Clinically significant, uncontrolled heart disease * Herbal preparations/medications as listed in Appendix B of the protocol
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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
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Cancer Research Collaboration
Santa Ana, California, 92705, United States
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City of Hope National Medical Center
Duarte, California, 91010, United States
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Columbia University Medical Center
New York, New York, 10032, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064, United States
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University of Kansas Cancer Center - North
Kansas City, Missouri, 64154, United States
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University of Kansas Cancer Center - Overland Park
Overland Park, Kansas, 66210, United States
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University of Kansas Cancer Center - South
Kansas City, Missouri, 64131, United States
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University of Kansas Cancer Center - West
Kansas City, Kansas, 66112, United States
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University of Kansas Cancer Center - Westwood
Westwood, Kansas, 66205, United States
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University of Miami Sylvester Comprehensive Cancer Center
Deerfield Beach, Florida, 33442, United States
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University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53705, United States
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