NICE TA: Ribociclib with an aromatase inhibitor can be used as an option for the adjuvant treatment of hormone receptor-positive, HER2-negative, early breast cancer at high risk of recurrence in adults.

BOPA have been involved with the following NICE TA: Ribociclib with an aromatase inhibitor can be used as an option for the adjuvant treatment of hormone receptor-positive, HER2-negative, early breast cancer at high risk of recurrence in adults.

NICE have recommended, in the draft guidance,  that adjuvant ribociclib can only be used if the cancer is lymph-node positive and present in:

  • at least 4 axillary lymph nodes, or
  • 1 to 3 axillary lymph nodes and the cancer:
    • is grade 3, defined as at least 8 points on the modified Bloom–Richardson grading system or equivalent, or
  • has a primary tumour size of at least 5 cm

See the NICE TA information and more relevant papers/response below:

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