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RecruitingLast updated: 16 December 2025

Adjuvant WIDER: This study is recruiting people with HR+, HER2- early breast cancer to investigate how safe and effective treatment with a combination of targeted and hormone therapy isA Phase IIIb Study to Characterize the Effectiveness and Safety of Adjuvant Ribociclib in a Wide Patient Population With HR+ HER2- Early Breast Cancer (Adjuvant WIDER)

Trial purpose

Medical clipboardCancer treatment

Tumor type

Breast Cancers Breast

Age

People18 - 100

Trial acronym

Adjuvant WIDER

Clinical summary

Summary

This study is recruiting people with HR-positive (HR+), HER2-negative (HER2-), anatomic stage group III, II (subset) or I (highrisk subset as exploratory cohort) early breast cancer. 

It is evaluating the safety and efficacy of the combination of Ribociclib targeted therapy and standard adjuvant endocrine therapy (also known as hormone therapy).

Eligible participants will receive Ribociclib, given orally once daily on Days 1-21 of a 28-day treatment cycle, in combination with daily endocrine therapy for 36 months. Endocrine therapy consists of:

  • For post-menopausal women: letrozole, anastrozole or exemestane (all given orally once daily, continuously).
  • For pre/peri-menopausal women and men: letrozole, anastrozole, or exemestane (all given orally once daily, continuously) combined with goserelin or leuprolide (both given as an injection under the skin either once every 4 weeks or once every 3 months).

Conditions

This trial is treating people with HR+, HER2- early breast cancer

Eligibility

Inclusion

  • Participant has a histologically and/or cytologically confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer
  • Participant has HER2-negative breast cancer
  • Participants may have already received any standard neoadjuvant and/or adjuvant ET, including tamoxifen or toremifene, at the time of informed consent signature, but enrollment should occur within 36 months of prior ET start date and the participant should have at least 3 years remaining of endocrine adjuvant therapy. For participants with prior ET treatment > 12 months, the investigator should rule out disease recurrence prior to enrollment. The number of participants with prior ET between 12 and 36 months will be capped at 1000.
  • Participant has no contraindication for the adjuvant ET in the study.
  • Participant after complete surgical resection with the final surgical specimen microscopic margins free from tumor and in one of below categories:

    • Anatomic Stage Group III
    • Anatomic Stage Group II (subset)
    • Anatomic Stage Group I (high-risk subset as exploratory cohort)
  • Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0,1 or 2.
  • Participant has adequate bone marrow and organ function.

Exclusion

  • Participant with distant metastases of breast cancer beyond regional lymph nodes (stage IV according to AJCC 8th edition) and/or evidence of recurrence after curative surgery.
  • Participant is concurrently using other anti-neoplastic therapy with the exception of adjuvant ET.
  • Participant has any other concurrent severe and/or uncontrolled medical condition
  • Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality.
  • Pregnant or breast-feeding (lactating) women or women who plan to become pregnant or breast-feed during the trial.

Other inlcusion/exclusion criteria may apply

Inclusion

  • Your cancer has not spread to other parts of the body (localised).
  • You have been diagnosed with cancer, but have not received any treatment.
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.
  • You are able to swallow medication by mouth.
  • You have had a certain type of treatment or surgical procedure.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov, EU Clinical Trials Register *. View further details about this trial on the registry via the links below:

Trial sponsor

Novartis Pharmaceuticals

Scientific Title

A Phase IIIb Study to Characterize the Effectiveness and Safety of Adjuvant Ribociclib in a Wide Patient Population With HR+ HER2- Early Breast Cancer (Adjuvant WIDER)

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