Novartis Kisqali significantly reduced risk of recurrence by 25% across broad population of patients with early breast cancer: Novartis
Basel: Novartis has presented positive primary endpoint data from the pivotal Phase III NATALEE trial at the 2023 American Society of Clinical Oncology (ASCO) Annual Meeting. Data showed that Kisqali (ribociclib) plus endocrine therapy (ET), compared to ET alone, lowered the risk of cancer recurrence by 25.2% in patients with stage II and III hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) early breast cancer (HR=0.748; 95% CI: 0.618, 0.906; p=0.0014) along with a consistent, clinically meaningful invasive disease-free survival (iDFS) benefit across key pre-specified subgroups (see table below).
Kisqali iDFS benefit across key pre-specified subgroups:
Hazard Ratio | 95% CI | |
Intention-To-Treat Population | 0.748 | 0.618, 0.906 (p=0.0014) |
AJCC Tumor Stage II | 0.761 | 0.525, 1.103 |
AJCC Tumor Stage III | 0.740 | 0.592, 0.925 |
Node-positive disease | 0.771 | 0.630, 0.944 |
Node-negative disease | 0.630 | 0.341, 1.165 |
Pre-menopausal women and men | 0.722 | 0.530, 0.983 |
Post-menopausal women | 0.781 | 0.613, 0.997 |
Kisqali data across all secondary efficacy endpoints was also consistent, including distant disease-free survival (DDFS) (26% risk reduction) and recurrence-free survival (RFS) (28% risk reduction), with a trend for improvement in overall survival (OS) (HR=0.759; 95% CI: 0.539, 1.068)*1.
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