Ribociclib

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Kisqali, Ribociclib succinate

NOVARTIS AG NVS NVSEF · Breast Cancer; Advanced Metastatic Breast Cancer; Early Breast Cancer; Advanced Breast Cancer; Advanced, Metastatic Breast Cancer

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    10

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA209092,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Breast Cancer; Advanced Metastatic Breast Cancer; Early Breast Cancer; Advanced Breast Cancer; Advanced, Metastatic Breast Cancer Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 17 Dec 201310 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 13 Mar 2017

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Ribociclib. Editors add each one with its source.

Filed application

No filed application is on record for Ribociclib. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Ribociclib.

Clinical trials

Trials linked to Ribociclib
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT05827081ClinicalTrials.gov record for NCT05827081 (opens in a new tab)Adjuvant WIDERPhase IIIb Study of Ribociclib + ET in Early Breast CancerPhase 3Active, not recruiting1,464 (actual)7 Sep 2029 (estimated) No
NCT03701334ClinicalTrials.gov record for NCT03701334 (opens in a new tab)NATALEEA Trial to Evaluate Efficacy and Safety of Ribociclib With Endocrine Therapy as Adjuvant Treatment in Patients With HR+/HER2- Early Breast CancerPhase 3Active, not recruiting5,101 (actual)29 May 2030 (estimated) No

Publications listing NATALEE (5), newest first

  1. Overall survival with adjuvant ribociclib plus nonsteroidal aromatase inhibitor in patients with high-risk HR+/HER2- early breast cancer: Six-year follow-up of the NATALEE trial.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2026 Oct 23

  2. Quantitative Pharmacology Justifying Ribociclib Dose in Early Breast Cancer.

    Clinical pharmacokinetics · 2026 Aug

  3. Ribociclib Plus Endocrine Therapy in Hormone Receptor-Positive/ERBB2-Negative Early Breast Cancer: 4-Year Outcomes From the NATALEE Randomized Clinical Trial.

    JAMA oncology · 2025 Nov 1

  4. Ribociclib plus Endocrine Therapy in Early Breast Cancer.

    The New England journal of medicine · 2024 Mar 21

  5. Rationale and trial design of NATALEE: a Phase III trial of adjuvant ribociclib + endocrine therapy versus endocrine therapy alone in patients with HR+/HER2- early breast cancer.

    Therapeutic advances in medical oncology · 2023

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT03081234ClinicalTrials.gov record for NCT03081234 (opens in a new tab)EarLEE-2Adjuvant Ribociclib With Endocrine Therapy in Hormone Receptor+/HER2- Intermediate Risk Early Breast CancerPhase 3Withdrawn0 (actual)17 Nov 2025 (estimated) No
NCT03439046ClinicalTrials.gov record for NCT03439046 (opens in a new tab)BioItaLEEStudy of the Molecular Features of Postmenopausal Women With HR+ HER2-negative aBC on First-line Treatment With Ribociclib and Letrozole and, in Patients With a PIK3CA Mutation, on Second-line Treatment With Alpelisib Plus FulvestrantPhase 3Terminated287 (actual)11 Dec 2023 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03439046 (opens in a new tab)

Posted results on ClinicalTrials.gov for BioItaLEE

Serious adverse events (Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 5.8 years in the core phase and 1.7 years in the extension phase.): Ribociclib+Letrozole (Core Phase) 79 of 287; Alpelisib+Fulvestrant (Extension Phase) 6 of 21

Source: ClinicalTrials.gov results for NCT03439046 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT03050398ClinicalTrials.gov record for NCT03050398 (opens in a new tab)A Companion Sample Collection Protocol to Support the Discovery of Breast Cancer Aberrations With Treatment of CDK4/6 Therapy/LEE011/RibociclibPhase 3Terminated8 (actual)8 Mar 2019 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03050398 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03050398

Serious adverse events (First biomarker sample collected up to approximately 21 months biomarker collection procedure SAEs were to have been collected in CORE study (CLEE011A2404)): Ribociclib + Letrozole 0 of 8

Source: ClinicalTrials.gov results for NCT03050398 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT02941926ClinicalTrials.gov record for NCT02941926 (opens in a new tab)COMPLEEMENT-1Study to Assess the Safety and Efficacy of Ribociclib (LEE011) in Combination With Letrozole for the Treatment of Men and Pre/Postmenopausal Women With HR+ HER2- aBCPhase 3Completed3,246 (actual)8 Nov 2019 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02941926 (opens in a new tab)

Posted results on ClinicalTrials.gov for COMPLEEMENT-1

Serious adverse events (On-treatment-Core phase: from first treatment to 30 days post-treatment or last treatment in the Core phase (for extension phase participants), up to 33 months; Extension phase: from first treatment in the Extension phase to 30 days post-treatment, up to approx. 37.6 months.Post-treatment survival-Core phase: from 31 days post-treatment in the Core phase to study end, up to 33 months; Extension phase: from 31 days post-treatment in the Extension phase up to study end, up to approx.. 37.6 months.): All Patients- On-treatment Core Phase 702 of 3246; All Patients- On-treatment Extension Phase 54 of 413; All-patients- Post-treatment Survival Follow-up Core Phase 0 of 0; All-patients- Post-treatment Survival Follow-up Extension Phase 0 of 0

Source: ClinicalTrials.gov results for NCT02941926 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing COMPLEEMENT-1 (5), newest first

  1. Safety and efficacy of ribociclib plus letrozole in patients with HR+, HER2- advanced breast cancer: Results from the Spanish sub-population of the phase 3b CompLEEment-1 trial.

    Breast (Edinburgh, Scotland) · 2022 Dec

  2. 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.

    Targeted oncology · 2022 Nov

  3. Ribociclib Plus Letrozole in Italian Male Patients with Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Case Studies of Phase 3b CompLEEment-1 Trial.

    Breast cancer (Dove Medical Press) · 2022

  4. Ribociclib plus letrozole in male patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer: subgroup analysis of the phase IIIb CompLEEment-1 trial.

    Breast cancer research and treatment · 2022 May

  5. Full population results from the core phase of CompLEEment-1, a phase 3b study of ribociclib plus letrozole as first-line therapy for advanced breast cancer in an expanded population.

    Breast cancer research and treatment · 2021 Oct

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT03096847ClinicalTrials.gov record for NCT03096847 (opens in a new tab)Study for Women and Men With Hormone-receptor Positive Locally Advanced or Metastatic Breast CancerPhase 3Completed502 (actual)11 Dec 2018 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03096847 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03096847

Serious adverse events (Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days, up to a maximum duration of 1150 days (approx. 3.15 years).(Treatment duration ranged from 2 days to 1120 days.)): Ribociclib + Letrozole Cohort A 97 of 319; Ribociclib + Letrozole Cohort B 50 of 183; Ribociclib + Letrozole Cohort B1 5 of 26; Ribociclib + Letrozole Cohort B2 45 of 157; Total 147 of 502

Source: ClinicalTrials.gov results for NCT03096847 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing NCT03096847 (1), newest first

  1. Treatment with ribociclib shows favourable immunomodulatory effects in patients with hormone receptor-positive breast cancer-findings from the RIBECCA trial.

    European journal of cancer (Oxford, England : 1990) · 2022 Feb

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02422615ClinicalTrials.gov record for NCT02422615 (opens in a new tab)MONALEESA-3Study of Efficacy and Safety of LEE011 in Men and Postmenopausal Women With Advanced Breast Cancer.Phase 3Completed726 (actual)3 Nov 2017 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02422615 (opens in a new tab)

Posted results on ClinicalTrials.gov for MONALEESA-3

  • Progression Free Survival (PFS) Per Investigator Assessment (Months)
    • Ribociclib + Fulvestrant vs Placebo + Fulvestrant: Cox Proportional Hazard 0.593 (95% CI 0.480 to 0.732), p-value 0.00000041, Log Rank, superiority

Serious adverse events (On-treatment AEs: from 1st dose to 30 days post-treatment (or start of crossover treatment), up to 82 months. Post-treatment efficacy/survival follow-up deaths: from 31 days post-treatment to end of study, up to 82 months. Crossover on-treatment AEs: from 1st dose to 30 days post-crossover treatment, up to 3.5 months. Crossover post-treatment efficacy/survival follow-up deaths: from 31 days post-crossover treatment to end of study, up to 1 year): Ribociclib + Fulvestrant (On-treatment) 179 of 483; Ribociclib + Fulvestrant (Post-treatment Efficacy/Survival Follow-up) 0 of 0; Placebo + Fulvestrant (On-treatment) 51 of 241; Placebo + Fulvestrant (Post-treatment Efficacy/Survival Follow-up) 0 of 0; Crossover to Ribociclib + Fulvestrant (Crossover On-treatment) 1 of 3; Crossover to Ribociclib + Fulvestrant (Crossover Post-treatment Efficacy/Survival Follow-up) 0 of 0

Source: ClinicalTrials.gov results for NCT02422615 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing MONALEESA-3 (11), newest first

  1. Quantitative Pharmacology Justifying Ribociclib Dose in Early Breast Cancer.

    Clinical pharmacokinetics · 2026 Aug

  2. Efficacy, safety, and patient-reported outcomes across young to older age groups of patients with HR+/HER2- advanced breast cancer treated with ribociclib plus endocrine therapy in the randomized MONALEESA-2, -3, and -7 trials.

    European journal of cancer (Oxford, England : 1990) · 2025 Feb 25

  3. Pooled ctDNA analysis of MONALEESA phase III advanced breast cancer trials.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2023 Nov

  4. Updated overall survival from the MONALEESA-3 trial in postmenopausal women with HR+/HER2- advanced breast cancer receiving first-line ribociclib plus fulvestrant.

    Breast cancer research : BCR · 2023 Aug 31

  5. Justifying Ribociclib Dose in Patients with Advanced Breast Cancer with Renal Impairment Based on PK, Safety, and Efficacy Data: An Innovative Approach Integrating Data from a Dedicated Renal Impairment Study and Oncology Clinical Trials.

    Clinical pharmacokinetics · 2023 Mar

All 11 publications for NCT02422615

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02278120ClinicalTrials.gov record for NCT02278120 (opens in a new tab)MONALEESA-7Study of Efficacy and Safety in Premenopausal Women With Hormone Receptor Positive, HER2-negative Advanced Breast CancerPhase 3Completed672 (actual)21 Aug 2017 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02278120 (opens in a new tab)

Posted results on ClinicalTrials.gov for MONALEESA-7

  • Progression Free Survival (PFS) by Investigator Assessment (Months)
    • Ribociclib + NSAI/Tamoxifen + Goserelin vs Placebo + NSAI/Tamoxifen+ Goserelin: Hazard Ratio, log 0.553 (95% CI 0.441 to 0.694), p-value <0.0000001, Log Rank, superiority

Serious adverse events (On-treatment: from 1st dose to 30 days post-treatment or start of crossover treatment, up to 90 months Crossover on-treatment: from 1st dose of crossover treatment to 30 days post-crossover treatment, up to approximately 33 months. Post-treatment survival follow-up: from day 31 post-treatment to end of study or start of crossover treatment, up to 90 months. Crossover post-treatment survival follow-up period from day 31 post-crossover treatment to end of study, up to approximately 33 months.): Ribociclib + NSAI/Tamoxifen + Goserelin (On-treatment) 81 of 335; Placebo + NSAI/Tamoxifen+ Goserelin (On-treatment) 49 of 337; Placebo Crossover to Ribociclib (On-Treatment) 1 of 17; Ribociclib + NSAI/Tamoxifen + Goserelin (Post-treatment Survival Follow-up) 0 of 0; Placebo + NSAI/Tamoxifen+ Goserelin (Post-treatment Survival Follow-up) 0 of 0; Placebo Crossover to Ribociclib (Post-treatment Survival Follow-up) 0 of 0

Source: ClinicalTrials.gov results for NCT02278120 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing MONALEESA-7 (11), newest first

  1. Quantitative Pharmacology Justifying Ribociclib Dose in Early Breast Cancer.

    Clinical pharmacokinetics · 2026 Aug

  2. Efficacy, safety, and patient-reported outcomes across young to older age groups of patients with HR+/HER2- advanced breast cancer treated with ribociclib plus endocrine therapy in the randomized MONALEESA-2, -3, and -7 trials.

    European journal of cancer (Oxford, England : 1990) · 2025 Feb 25

  3. Pooled ctDNA analysis of MONALEESA phase III advanced breast cancer trials.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2023 Nov

  4. Justifying Ribociclib Dose in Patients with Advanced Breast Cancer with Renal Impairment Based on PK, Safety, and Efficacy Data: An Innovative Approach Integrating Data from a Dedicated Renal Impairment Study and Oncology Clinical Trials.

    Clinical pharmacokinetics · 2023 Mar

  5. Updated Overall Survival of Ribociclib plus Endocrine Therapy versus Endocrine Therapy Alone in Pre- and Perimenopausal Patients with HR+/HER2- Advanced Breast Cancer in MONALEESA-7: A Phase III Randomized Clinical Trial.

    Clinical cancer research : an official journal of the American Association for Cancer Research · 2022 Mar 1

All 11 publications for NCT02278120

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT01958021ClinicalTrials.gov record for NCT01958021 (opens in a new tab)MONALEESA-2Study of Efficacy and Safety of LEE011 in Postmenopausal Women With Advanced Breast CancerPhase 3Completed668 (actual)29 Jan 2016 (actual) Yes First posted Results on ClinicalTrials.gov for NCT01958021 (opens in a new tab)

Posted results on ClinicalTrials.gov for MONALEESA-2

  • Progression Free Survival (PFS) by Investigator Assessment (months)
    • Ribociclib + Letrozole vs Placebo + Letrozole: Hazard Ratio (HR) 0.556 (95% CI 0.429 to 0.720), p-value 0.00000329, Log Rank, superiority or other

Serious adverse events (All-cause mortality (ACM): from randomization up to 99 months, including post-treatment survival follow-up (FU). If crossover, ACM also collected from start of crossover treatment to 12 months, including post-treatment survival FU. Serious and Other Adverse Events (AEs): from 1st dose of treatment to 30 days after last dose (or start of crossover treatment), up to 99 months. If crossover, AEs also collected from start of crossover treatment to 30 days post-crossover treatment, up to 12 months): Ribociclib + Letrozole 108 of 334; Placebo + Letrozole 62 of 330; Crossover to Ribociclib + Letrozole 1 of 4; Ribociclib + Letrozole (Post-treatment Survival Follow-up) 0 of 0; Placebo + Letrozole (Post-treatment Survival Follow-up) 0 of 0; Crossover to Ribociclib + Fulvestrant (Crossover Post-treatment Survival Follow-up) 0 of 0

Source: ClinicalTrials.gov results for NCT01958021 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing MONALEESA-2 (13), newest first

  1. Quantitative Pharmacology Justifying Ribociclib Dose in Early Breast Cancer.

    Clinical pharmacokinetics · 2026 Aug

  2. Matching-adjusted indirect comparison of PFS and OS comparing ribociclib plus letrozole versus palbociclib plus letrozole as first-line treatment of HR+/HER2- advanced breast cancer.

    Therapeutic advances in medical oncology · 2023

  3. Pooled ctDNA analysis of MONALEESA phase III advanced breast cancer trials.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2023 Nov

  4. Justifying Ribociclib Dose in Patients with Advanced Breast Cancer with Renal Impairment Based on PK, Safety, and Efficacy Data: An Innovative Approach Integrating Data from a Dedicated Renal Impairment Study and Oncology Clinical Trials.

    Clinical pharmacokinetics · 2023 Mar

  5. Quality of life with ribociclib versus abemaciclib as first-line treatment of HR+/HER2- advanced breast cancer: a matching-adjusted indirect comparison.

    Therapeutic advances in medical oncology · 2023

All 13 publications for NCT01958021

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

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FDA actions

Original approvals and new-indication supplements for Ribociclib, newest first
ApplicationActionDateOutcomeReviewSource
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 27 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 33 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 18 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 27 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 19 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 13 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 21 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 8 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 14 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 5 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 8 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Supplement 2 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Supplement 1 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA209935Action letter for NDA209935 (opens in a new tab) Original 1 Type 4 - New CombinationApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209092Action letter for NDA209092 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

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EU status (EMA)

Authorised

Kisqali (EMEA/H/C/004213)

Authorised
Therapeutic area
Breast Neoplasms
Marketing authorisation holder
Novartis Europharm Limited
Active substance (INN)
ribociclib
ATC code
L01EF02
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

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Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.