RT Journal Article T1 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. A1 Salvador-Bofill, Javier A1 Moreno-Anton, Fernando A1 Rodriguez-Sanchez, Cesar Augusto A1 Galve-Calvo, Elena A1 Hernando-Melia, Cristina A1 Ciruelos-Gil, Eva Maria A1 Vidal, Maria A1 Jimenez-Rodriguez, Begoña A1 De-la-Cruz-Merino, Luis A1 Martinez-Jañez, Noelia A1 Villanueva-Vazquez, Rafael A1 de-Toro-Salas, Ruben A1 Anton-Torres, Antonio A1 Alvarez-Lopez, Isabel Manuela A1 Gavila-Gregori, Joaquin A1 Quiroga-Garcia, Vanesa A1 Vicente-Rubio, Elena A1 De-la-Haba-Rodriguez, Juan A1 Gonzalez-Santiago, Santiago A1 Diaz-Fernandez, Nieves A1 Barnadas-Molins, Agusti A1 Cantos-Sanchez-de-Ibargüen, Blanca A1 Delgado-Mingorance, Juan Ignacio A1 Bellet-Ezquerra, Meritxell A1 de-Casa, Sonia A1 Gimeno, Asuncion A1 Martin, Miguel K1 Advanced breast cancer K1 CDK4/6 inhibitor K1 Postmenopausal K1 Premenopausal K1 Ribociclib K1 Área de Gestión Sanitaria de Jerez, Costa Noroeste y Sierra de Cádiz AB Breast cancer is the most common malignancy and the second leading cause of cancer-related mortality in Spanish women. Ribociclib in combination with endocrine therapy (ET) has shown superiority in prolonging survival in patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer (ABC) vs. ET alone. CompLEEment-1 is a single-arm, open-label phase 3b trial evaluating ribociclib plus letrozole in a broad population of patients with HR+, HER2- ABC. The primary endpoints were safety and tolerability. Here we report data for Spanish patients enrolled in CompLEEment-1. A total of 526 patients were evaluated (median follow-up: 26.97 months). Baseline characteristics showed a diverse population with a median age of 54 years. At study entry, 56.5% of patients had visceral metastases and 8.7% had received prior chemotherapy for advanced disease. Rates of all-grade and Grade ≥3 adverse events (AEs) were 99.0% and 76.2%, respectively; 21.3% of patients experienced a serious AE, and 15.8% of AEs led to treatment discontinuation. AEs of special interest of neutropenia, increased alanine aminotransferase, increased aspartate aminotransferase and QTcF prolongation occurred in 77.8%, 14.8%, 11.4% and 4.0% of patients, respectively. Patients aged >70 years experienced increased rates of all-grade and Grade ≥3 neutropenia and anemia. Efficacy results were consistent with the global study. Results from Spanish patients enrolled in CompLEEment-1 are consistent with global data showing efficacy and a manageable safety profile for ribociclib plus letrozole treatment in patients with HR+, HER2- ABC, including populations of interest. YR 2022 FD 2022-09-24 LK http://hdl.handle.net/10668/22065 UL http://hdl.handle.net/10668/22065 LA en NO Salvador Bofill J, Moreno Anton F, Rodriguez Sanchez CA, Galve Calvo E, Hernando Melia C, Ciruelos Gil EM, et al. 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. 2022 Dec;66:77-84 DS RISalud RD Sep 2, 2025