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KISQALI patient portrayal.

KISQALI + AI consistently improved iDFS across subgroups, regardless of stage, nodal or menopausal status, age, or grade

At 3 years, in patients with stage II/III HR+/HER2- eBC,

iDFS results favored KISQALI across prespecified subgroups, including grade 1 disease or no nodal involvement

NATALEE: KISQALI + AI vs AI alone1,2

iDFS subgroups table

Hazard ratios reported as KISQALI + AI vs AI alone. 
*Nodal status classification according to AJCC staging. Nodal status is from the worst stage derived per surgical specimen or at diagnosis.1 
At time of surgery.1

Grade 1 subgroup did not include patients with T2N0 disease. Results from the subgroup analysis included no prespecified statistical procedure controlling for type 1 error.3

iDFS was defined as the time from randomization to the date of the first event of local invasive breast cancer recurrence, regional invasive recurrence, distant recurrence, contralateral invasive breast cancer, second primary non-breast invasive cancer (excluding basal and squamous cell carcinomas of the skin), or death (any cause).3

NATALEE was a randomized, multicenter, open-label, phase III study of KISQALI + letrozole or anastrozole (n=2549) vs letrozole or anastrozole (n=2552) for the adjuvant treatment of men and women with stage II/III HR+/HER2- eBC. At a median follow-up of 33.3 months, with 509 iDFS (primary end point) events in the study (226 [8.9%] in the KISQALI arm and 283 [11.1%] in the NSAI-alone arm), iDFS at the 3-year landmark was 90.7% for KISQALI + NSAI vs 87.6% for NSAI alone (absolute difference 3.1%); there was a 25.1% relative reduction in the risk of an iDFS event; HR=0.749 (95% CI: 0.628-0.892).1,3,4

In the NATALEE trial, KISQALI was proven to consistently reduce the threat of recurrence in the broadest range of patients, including those with grade 1 disease or no nodal involvement
KISQALI patient portrayal.

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AI=aromatase inhibitor; AJCC=American Joint Committee on Cancer; eBC=early breast cancer; HR=hazard ratio; iDFS=invasive disease-free survival; NSAI=nonsteroidal aromatase inhibitor.
 
References: 1. Hortobagyi GN, Stroyakovskiy D, Yardley DA, et al. Ribociclib + nonsteroidal aromatase inhibitor as adjuvant treatment in patients with HR+/HER2- early breast cancer: final invasive disease-free survival analysis from the NATALEE trial. Presented at: San Antonio Breast Cancer Symposium; December 5-9, 2023; San Antonio, TX. 2. Data on file. CLEE011O12301C (NATALEE) final iDFS analysis results. Novartis Pharmaceuticals Corp; 2023. 3. Kisqali. Prescribing information. Novartis Pharmaceuticals Corp. 4. Slamon DJ, Fasching PA, Hurvitz S, et al. 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. Ther Adv Med Oncol. 2023;15:1-16. doi:10.1177/17588359231178125