{"id":329042,"date":"2024-09-16T08:15:00","date_gmt":"2024-09-16T08:15:00","guid":{"rendered":"https:\/\/dailybanglanewspapers.com\/news\/novartis-kisqali-shows-deepening-benefit-in-new-analysis-reducing-the-risk-of-recurrence-by-28-5-in-a-broad-population-of-patients-with-early-breast-cancer\/"},"modified":"2024-09-16T08:15:00","modified_gmt":"2024-09-16T08:15:00","slug":"novartis-kisqali-shows-deepening-benefit-in-new-analysis-reducing-the-risk-of-recurrence-by-28-5-in-a-broad-population-of-patients-with-early-breast-cancer","status":"publish","type":"post","link":"https:\/\/dailybanglanewspapers.com\/news\/novartis-kisqali-shows-deepening-benefit-in-new-analysis-reducing-the-risk-of-recurrence-by-28-5-in-a-broad-population-of-patients-with-early-breast-cancer\/","title":{"rendered":"Novartis Kisqali\u00ae shows deepening benefit in new analysis, reducing the risk of recurrence by 28.5% in a broad population of patients with early breast cancer"},"content":{"rendered":"<p><\/p>\n<div id=\"main-body-container\" itemprop=\"articleBody\">\n<ul type=\"disc\">\n<li style=\"margin-top:3pt; margin-bottom:3pt;\"><em>Invasive disease-free survival benefit continued to increase after completion of the three-year treatment period across all patient subgroups, including those with node-negative disease<\/em><sup><em>1<\/em><\/sup><\/li>\n<li style=\"margin-top:3pt; margin-bottom:3pt;\"><em>Results remain consistent across secondary endpoints, including distant disease-free survival, with a trend for improved overall survival*<\/em><sup><em>1<\/em><\/sup><\/li>\n<li style=\"margin-top:3pt; margin-bottom:3pt;\"><em>Safety is in line with previously reported results with generally low-grade symptomatic adverse events, reinforcing well-tolerated profile<\/em><sup><em>1<\/em><\/sup><\/li>\n<li style=\"margin-top:3pt; margin-bottom:3pt;\"><em>People diagnosed with stage II or III HR+\/HER2- early breast cancer, including those with node-negative disease, face a significant risk of recurrence despite being treated with adjuvant endocrine therapy<\/em><sup><em>2,3<\/em><\/sup><\/li>\n<li style=\"margin-top:3pt; margin-bottom:3pt;\"><em>Late-breaking results to be presented at ESMO; regulatory reviews underway with FDA action expected in Q3<\/em><\/li>\n<\/ul>\n<p><strong>Basel, September 16, 2024 <\/strong>\u2013 In an updated analysis from the pivotal Phase III NATALEE trial, investigational Kisqali<sup>\u00ae<\/sup> (ribociclib) added to endocrine therapy (ET) shows a deepening benefit beyond the three-year treatment period, reducing the risk of recurrence by 28.5% (HR=0.715; 95% CI 0.609\u20130.840; <em>P<\/em>&lt;0.0001), compared to ET alone, in patients with stage II and III hormone receptor-positive\/human epidermal growth factor receptor 2-negative (HR+\/HER2-) early breast cancer (EBC)<sup>1<\/sup>. This invasive disease-free survival (iDFS) benefit was also consistent across all pre-specified patient subgroups, including those with node-negative disease<sup>1<\/sup>. Late-breaking data from this four-year post-hoc analysis will be presented today at the European Society for Medical Oncology (ESMO) Congress 2024<sup>1<\/sup>.<\/p>\n<p><strong>iDFS benefit across pre-specified subgroups<\/strong><sup><strong>1<\/strong><\/sup><strong>:<\/strong><\/p>\n<table style=\"border-collapse: collapse; width:100%; border-collapse:collapse ;\">\n<tr>\n<td style=\"max-width:30%; width:30%; min-width:30%;;border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>Subgroup<\/strong> <\/td>\n<td style=\"max-width:40%; width:40%; min-width:40%;;border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>4-year iDFS rate, %<\/strong> <\/td>\n<td style=\"max-width:30%; width:30%; min-width:30%;;border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>4-year iDFS absolute benefit, %<\/strong> <\/td>\n<\/tr>\n<tr>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>Intention-To-Treat Population<\/strong> <\/td>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> Kisqali + ET: 88.5<br \/>ET alone: 83.6<br \/>(HR=0.715; 95% CI 0.609\u20130.840)   <\/td>\n<td style=\"text-align: center ;  vertical-align: middle; border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: middle ; \"> 4.9  <\/td>\n<\/tr>\n<tr>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>AJCC Tumor Stage II<\/strong> <\/td>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> Kisqali + ET: 93.9<br \/>ET alone: 89.6<br \/>(HR=0.644; 95% CI 0.468\u20130.887)   <\/td>\n<td style=\"text-align: center ;  vertical-align: middle; border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: middle ; \"> 4.3  <\/td>\n<\/tr>\n<tr>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>AJCC Tumor Stage III<\/strong> <\/td>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> Kisqali + ET: 84.3<br \/>ET alone: 78.4<br \/>(HR=0.737; 95% CI 0.611\u20130.888)   <\/td>\n<td style=\"text-align: center ;  vertical-align: middle; border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: middle ; \"> 5.9 <\/td>\n<\/tr>\n<tr>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> <strong>Node-negative disease<\/strong> <\/td>\n<td style=\"border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: top ; \"> Kisqali + ET: 92.1<br \/>ET alone: 87.0<br \/>(HR=0.666; 95% CI 0.397\u20131.118)   <\/td>\n<td style=\"text-align: center ;  vertical-align: middle; border-top: solid black 1pt ; border-bottom: solid black 1pt ; vertical-align: middle ; \"> 5.1 <\/td>\n<\/tr>\n<\/table>\n<p>Results were also consistent across secondary efficacy endpoints, including distant disease-free survival (HR=0.715; 95% CI 0.604\u20130.847; <em>P<\/em>&lt;0.0001), with a trend for improvement in overall survival (HR=0.827; 95% CI 0.636\u20131.074; one-sided <em>P<\/em> value=0.0766)*<sup>1<\/sup>.<\/p>\n<p>\u201cClinicians are eager to address the substantial risk of cancer coming back as metastatic disease for patients diagnosed with HR+\/HER2- early-stage breast cancer,\u201d said Peter A. Fasching, M.D., Professor of Translational Medicine, University Hospital Erlangen and Comprehensive Cancer Center Erlangen-EMN and NATALEE trial investigator. \u201cWith longer follow-up, the clinically\u00a0relevant\u00a0benefit of adding ribociclib to endocrine therapy\u00a0continues to improve,\u00a0even after the end of ribociclib treatment,\u00a0for both node-positive and node-negative patients.\u00a0This is important because NATALEE includes a broad population of patients at risk of recurrence, including those diagnosed with high-risk, node-negative disease who deserve access to new treatment options to reduce that risk.\u201d\u00a0<\/p>\n<p>Safety remains consistent with previously reported results with no new safety signals identified<sup>1<\/sup>. Adverse events (AEs) of special interest (grade 3 or higher) were neutropenia (44.4%), liver-related AEs (e.g., elevated transaminases) (8.6%), and QT interval prolongation (1.0%)<sup>1<\/sup>.<\/p>\n<p>\u201cAs we anticipate regulatory action from health authorities worldwide, we are highly encouraged by these longer-term results from NATALEE showing a deepening efficacy benefit for Kisqali,\u201d said Shreeram Aradhye, M.D., President, Development and Chief Medical Officer, Novartis. \u201cA large number of people diagnosed with HR+\/HER2- early breast cancer remain at risk of recurrence, and these results add to the growing body of evidence supporting the potential of Kisqali to reduce this risk consistently across a broad population, including patients with node-negative disease who have few options beyond ET.\u201d<\/p>\n<p>Novartis submitted NATALEE data to the U.S. Food and Drug Administration (FDA) and European Medicines Agency (EMA) in 2023, and FDA regulatory action is expected in Q3.<\/p>\n<p><em>*Results based on overall survival analysis at time of 4-year post-hoc analysis; additional follow-up is planned to obtain more mature OS data.<\/em><\/p>\n<p><strong>About NATALEE<\/strong><br \/>NATALEE is a global Phase III multi-center, randomized, open-label trial to evaluate the efficacy and safety of Kisqali<sup>\u00ae<\/sup> (ribociclib) with ET as an investigational adjuvant treatment versus ET alone in patients with stage II and III HR+\/HER2- EBC, being conducted in collaboration with TRIO<sup>4<\/sup><sup>,5<\/sup>. The adjuvant ET in both treatment arms was a non-steroidal aromatase inhibitor (NSAI; anastrozole or letrozole) and goserelin if applicable<sup>4<\/sup><sup>,5<\/sup>. The primary endpoint of NATALEE is invasive disease-free survival (iDFS) as defined by the Standardized Definitions for Efficacy End Points (STEEP) criteria<sup>4<\/sup><sup>,5<\/sup>. A total of 5,101 adult patients with HR+\/HER2- EBC across 20 countries were randomized in the trial<sup>4<\/sup><sup>,5<\/sup>.<\/p>\n<p><strong>About Kisqali<\/strong><sup><strong>\u00ae<\/strong><\/sup><strong> (ribociclib) <\/strong><br \/>Kisqali<sup>\u00ae<\/sup> (ribociclib) is a selective cyclin-dependent kinase inhibitor, a class of drugs that help slow the progression of cancer by inhibiting two proteins called cyclin-dependent kinase 4 and 6 (CDK4\/6). These proteins, when over-activated, can enable cancer cells to grow and divide too quickly. Targeting CDK4\/6 with enhanced precision may play a role in ensuring that cancer cells do not continue to replicate uncontrollably. <\/p>\n<p>Regulatory reviews for Kisqali as an EBC treatment are ongoing worldwide, including in the U.S., EU and China.<\/p>\n<p>Kisqali has been approved as a treatment for metastatic breast cancer (MBC) patients in 99 countries worldwide, including by the U.S. FDA and the European Commission<sup>6<\/sup><sup>,7<\/sup>. In the U.S., Kisqali is indicated for the treatment of adults with HR+\/HER2- advanced or MBC in combination with an AI as initial ET or fulvestrant as initial ET or following disease progression on ET in post-menopausal women or in men<sup>6<\/sup>. In the EU, Kisqali is approved for the treatment of women with HR+\/HER2- advanced or MBC in combination with either an AI or fulvestrant as initial ET or following disease progression<sup>7<\/sup>. In pre- or peri-menopausal women, the ET should be combined with a luteinizing hormone-releasing hormone agonist<sup>6<\/sup><sup>,7<\/sup>.<\/p>\n<p>In MBC, Kisqali has consistently demonstrated statistically significant overall survival benefit across three Phase III trials<sup>8<\/sup><sup>&#8211;<\/sup><sup>18<\/sup>. The NCCN Guidelines<sup>\u00ae<\/sup> for breast cancer recommend ribociclib (Kisqali) as the only Category 1 preferred CDK4\/6 inhibitor for first-line treatment of people living with HR+\/HER2- when combined with an AI, making Kisqali the preferred first-line treatment of choice for US prescribers in HR+\/HER2- MBC<sup>1<\/sup><sup>9<\/sup>. Additionally, Kisqali has the highest rating of any CDK4\/6 inhibitor on the ESMO Magnitude of Clinical Benefit Scale, achieving a score of five out of five for first-line pre-menopausal patients with HR+\/HER2- advanced breast cancer<sup>20<\/sup>. Further, Kisqali in combination with either letrozole or fulvestrant has uniquely, among other CDK4\/6 inhibitors, received a score of four out of five for post-menopausal patients with HR+\/HER2- advanced breast cancer treated in the first line<sup>2<\/sup><sup>1<\/sup>.<\/p>\n<p>Kisqali was developed by Novartis under a research collaboration with Astex Pharmaceuticals.<\/p>\n<p>Please see full Prescribing Information for Kisqali, available at <a href=\"https:\/\/www.us.kisqali.com\/metastatic-breast-cancer\/\" rel=\"nofollow noopener\" target=\"_blank\" title=\"www.Kisqali.com\">www.Kisqali.com<\/a><\/p>\n<p><strong>About Novartis in Breast Cancer<\/strong><br \/>For more than 30 years, Novartis has been at the forefront of driving scientific advancements for people touched by breast cancer and improving clinical practice in collaboration with the global community. With one of the most comprehensive breast cancer portfolios and pipeline, Novartis leads the industry in discovery of new therapies and combinations in HR+\/HER2- breast cancer, the most common form of the disease.<\/p>\n<p><strong>Disclaimer<\/strong><br \/>This media update contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified by words such as \u201cpotential,\u201d \u201ccan,\u201d \u201cwill,\u201d \u201cplan,\u201d \u201cmay,\u201d \u201ccould,\u201d \u201cwould,\u201d \u201cexpect,\u201d \u201canticipate,\u201d \u201clook forward,\u201d \u201cbelieve,\u201d \u201ccommitted,\u201d \u201cinvestigational,\u201d \u201cpipeline,\u201d \u201claunch,\u201d or similar terms, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this media update, or regarding potential future revenues from such products. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this media update will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. In particular, our expectations regarding such products could be affected by, among other things, the uncertainties inherent in research and development, including clinical trial results and additional analysis of existing clinical data; regulatory actions or delays or government regulation generally; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; our ability to obtain or maintain proprietary intellectual property protection; the particular prescribing preferences of physicians and patients; general political, economic and business conditions, including the effects of and efforts to mitigate pandemic diseases; safety, quality, data integrity or manufacturing issues; potential or actual data security and data privacy breaches, or disruptions of our information technology systems, and other risks and factors referred to in Novartis AG\u2019s current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this media update as of this date and does not undertake any obligation to update any forward-looking statements contained in this media update as a result of new information, future events or otherwise.<\/p>\n<p><strong>About Novartis <\/strong><br \/>Novartis is an innovative medicines company. Every day, we work to reimagine medicine to improve and extend people\u2019s lives so that patients, healthcare professionals and societies are empowered in the face of serious disease. Our medicines reach more than 250 million people worldwide.<\/p>\n<p>Reimagine medicine with us: Visit us at <a href=\"https:\/\/www.novartis.com\/\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\"><strong>https:\/\/www.novartis.com<\/strong><\/a> and connect with us on <a href=\"https:\/\/www.linkedin.com\/company\/novartis\/\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\"><strong>LinkedIn<\/strong><\/a>, <a href=\"https:\/\/www.facebook.com\/novartis\/\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\"><strong>Facebook<\/strong><\/a>, <a href=\"https:\/\/twitter.com\/Novartis\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\"><strong>X\/Twitter<\/strong><\/a> and <a href=\"https:\/\/instagram.com\/novartis?igshid=MzRlODBiNWFlZA==__;!!N3hqHg43uw!pjp8z253J5NjaOYrW65UbAAlHeHRdQ-w0m4ezZxEQEl0ptafXN2M99VRIk39pf49PAc8NbK93Pxp3uaSBQkAf8oEnzWXG8Sk$\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\"><strong>Instagram<\/strong><\/a>.<\/p>\n<p><strong>References<\/strong><\/p>\n<ol style=\"list-style-type:decimal;\">\n<li>Fasching PA. Adjuvant Ribociclib (RIB) Plus Nonsteroidal Aromatase Inhibitor (NSAI) in Patients (Pts) With HR+\/HER2\u2212 Early Breast Cancer (EBC): 4-Year Outcomes From the NATALEE Trial. LBA13. Proffered Paper presented at the European Society for Medical Oncology Congress, September 16, 2024. Barcelona, Spain.<\/li>\n<li>Pan H, Gray R, Braybrooke J, et al. 20-Year Risks of Breast-Cancer Recurrence after Stopping Endocrine Therapy at 5 Years. <em>N Engl J Med<\/em>. 2017;377(19):1836-1846.<\/li>\n<li>Yardley D et al. Baseline (BL) characteristics and efficacy endpoints for patients (pts) with node-negative (N0) HR+\/HER2\u2212 early breast cancer (EBC) in NATALEE. Presented at the American Society of Clinical Oncology Annual Meeting, May 31, 2024. Chicago, USA.<\/li>\n<li>Slamon D, Lipatov O, Nowecki Z, et al. Ribociclib plus Endocrine Therapy in Early Breast Cancer. <em>N Engl J Med<\/em>. 2024;390(12):1080-1091. doi:10.1056\/NEJMoa2305488<\/li>\n<li>Clinicaltrials.gov. NCT03701334. A Trial to Evaluate Efficacy and Safety of Ribociclib With Endocrine Therapy as Adjuvant Treatment in Patients With HR+\/ HER2- Early Breast Cancer (NATALEE). Available from: <a href=\"https:\/\/clinicaltrials.gov\/study\/NCT03701334\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\">https:\/\/clinicaltrials.gov\/study\/NCT03701334<\/a>. Accessed August 2024.<\/li>\n<li>Kisqali. Prescribing Information (US FDA). Novartis Pharmaceuticals Corporation; 2017. Accessed July 2024. <a href=\"https:\/\/www.novartis.com\/us-en\/sites\/novartis_us\/files\/kisqali.pdf\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\">https:\/\/www.novartis.com\/us-en\/sites\/novartis_us\/files\/kisqali.pdf<\/a>\u00a0<\/li>\n<li>Kisqali. Summary of product characteristics (SmPC). Novartis Europharm Limited; 2017. Accessed August 2024. <a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/product-information\/kisqali-epar-product-information_en.pdf\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\">https:\/\/www.ema.europa.eu\/en\/documents\/product-information\/kisqali-epar-product-information_en.pdf<\/a>\u00a0<\/li>\n<li>Yardley DA et al. Pooled exploratory analysis of survival in patients (pts) with HR+\/HER2- advanced breast cancer (ABC) and visceral metastases (mets) treated with ribociclib (RIB) + endocrine therapy (ET) in the MONALEESA (ML) trials. Poster presented at the European Society of Medical Oncology Congress. September 9-13, 2022. Paris, France.<\/li>\n<li>Neven P et al. Updated overall survival (OS) results from the first-line (1L) population in the Phase III MONALEESA-3 trial of postmenopausal patients with HR+\/HER2- advanced breast cancer (ABC) treated with ribociclib (RIB) + fulvestrant (FUL). Mini oral presented at the European Society for Medical Oncology Breast Cancer Congress. May 4, 2022. Paris, France.<\/li>\n<li>Hortobagyi GN, Stemmer SM, Burris HA, et al. Overall Survival with Ribociclib plus Letrozole in Advanced Breast Cancer. <em>N Engl J Med<\/em>. 2022;386(10):942-950. doi:10.1056\/NEJMoa2114663<\/li>\n<li>Hortobagyi GN et al. Overall survival (OS) results from the phase III MONALEESA (ML)-2 trial of postmenopausal patients with hormone receptor positive\/human epidermal growth factor receptor 2 negative (HR+\/HER2\u2212) advanced breast cancer (ABC) treated with endocrine therapy (ET) \u00b1 ribociclib. LBA 17. Proffered paper presented at the European Society of Medical Oncology Congress, September 16-21, 2021. Lugano, Switzerland.<\/li>\n<li>Im SA, Lu YS, Bardia A, et al. Overall survival with ribociclib plus endocrine therapy in breast cancer. <em>N Engl J Med<\/em>. 2019;381(4):307-316. doi:10.1056\/NEJMoa1903765<\/li>\n<li>Slamon DJ, Neven P, Chia S, et al. Overall Survival with Ribociclib plus Fulvestrant in Advanced Breast Cancer.<em> N Engl J Med<\/em>. 2020;382(6):514-524. doi:10.1056\/NEJMoa1911149<\/li>\n<li>Slamon DJ et al. Overall survival (OS) results of the Phase III MONALEESA-3 trial of postmenopausal patients (pts) with hormone receptor-positive (HR+), human epidermal growth factor 2-negative (HER2-) advanced breast cancer (ABC) treated with fulvestrant (FUL) \u00b1 ribociclib (RIB). LBA7_PR. Presented at the European Society of Medical Oncology Congress, September 29, 2019. Barcelona, Spain.<\/li>\n<li>Slamon DJ et al. Updated overall survival (OS) results from the Phase III MONALEESA-3 trial of postmenopausal patients (pts) with HR+\/HER2\u2212 advanced breast cancer (ABC) treated with fulvestrant (FUL) \u00b1 ribociclib (RIB). Presented at the American Society of Clinical Oncology Annual Meeting, June 5, 2021. Chicago, USA.<\/li>\n<li>Tripathy D et al. Updated overall survival (OS) results from the phase III MONALEESA-7 trial of pre- or perimenopausal patients with HR+\/HER2\u2212 advanced breast cancer (ABC) treated with endocrine therapy (ET) \u00b1 ribociclib. Presented at the San Antonio Breast Cancer Symposium, December 9, 2020. Texas, USA.<\/li>\n<li>Yardley D et al. Overall survival (OS) in patients (pts) with advanced breast cancer (ABC) with visceral metastases (mets), including those with liver mets, treated with ribociclib (RIB) plus endocrine therapy (ET) in the MONALEESA (ML) -3 and -7 trials. Presented at the American Society of Clinical Oncology Annual Meeting, June 2020. Chicago, USA.<\/li>\n<li>O\u2019Shaughnessy J et al. Overall survival subgroup analysis by metastatic site from the Phase III MONALEESA-2 study of first-line ribociclib + letrozole in postmenopausal patients with HR+\/HER2\u2212 advanced breast cancer. Presented at the San Antonio Breast Cancer Symposium, December 7-10, 2021. Texas, USA.<\/li>\n<li>NCCN Guidelines. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines<sup>\u00ae<\/sup>) &#8211; Breast Cancer. Accessed July 2024.<\/li>\n<li>European Society for Medical Oncology. Magnitude of Clinical Benefit Scale Scorecard. Accessed July 2024. <a href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-scorecards\/scorecard-158-1\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\">https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-scorecards\/scorecard-158-1<\/a>\u00a0<\/li>\n<li>European Society for Medical Oncology. Magnitude of Clinical Benefit Scale Scorecard. Accessed July 2024. <a href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-scorecards\/scorecard-9-1\" rel=\"nofollow noopener\" target=\"_blank\" title=\"\">https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-scorecards\/scorecard-9-1<\/a>\u00a0<\/li>\n<\/ol>\n<p align=\"center\"># # #<\/p>\n<table style=\"border-collapse: collapse; width:80%; border-collapse:collapse ;\">\n<tr>\n<td colspan=\"3\" style=\"vertical-align: top ; \"> <strong>Novartis Media Relations<\/strong><br \/>E-mail: <a href=\"https:\/\/www.globenewswire.com\/news-release\/2024\/09\/16\/2946395\/0\/en\/mailto:media.relations@novartis.com\" rel=\"nofollow noopener\" target=\"_blank\" title=\"media.relations@novartis.com\">media.relations@novartis.com<\/a>  <\/td>\n<td style=\"vertical-align: top ; \">\u00a0 <\/td>\n<td style=\"vertical-align: top ; \">\u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Central <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<td style=\"vertical-align: top ; \"> North America <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Anja von Treskow <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> +41 79 392 9697 <\/td>\n<td style=\"vertical-align: top ; \"> Michael Meo <\/td>\n<td style=\"vertical-align: top ; \"> +1 862 274 5414 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Anna Sch\u00e4fers <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> +41 79 801 7267 <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; vertical-align: bottom ; vertical-align: bottom ; vertical-align: bottom ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Switzerland<br \/>Satoshi Sugimoto  <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; vertical-align: bottom ; vertical-align: bottom ; vertical-align: bottom ; \"> \u00a0+41 79 619 2035 <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; vertical-align: bottom ; vertical-align: bottom ; vertical-align: bottom ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" style=\"vertical-align: top ; \"> <strong>Novartis Investor Relations<\/strong><br \/>Central investor relations line: +41 61 324 7944<br \/>E-mail: <a href=\"https:\/\/www.globenewswire.com\/news-release\/2024\/09\/16\/2946395\/0\/en\/mailto:investor.relations@novartis.com\" rel=\"nofollow noopener\" target=\"_blank\" title=\"investor.relations@novartis.com\">investor.relations@novartis.com<\/a>   <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<td style=\"vertical-align: top ; \">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Central <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<td style=\"vertical-align: top ; \"> North America <\/td>\n<td style=\"vertical-align: top ; \"> \u00a0 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Isabella Zinck <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> +41 61 324 7188 <\/td>\n<td style=\"vertical-align: top ; \"> Sloan Simpson <\/td>\n<td style=\"vertical-align: top ; \"> +1 862 345 4440 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Nicole Zinsli-Somm <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> +41 61 324 3809 <\/td>\n<td style=\"vertical-align: top ; \"> Jonathan Graham <\/td>\n<td style=\"vertical-align: top ; \"> +1 201 602 9921 <\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top ; \"> Imke Kappes <\/td>\n<td colspan=\"2\" style=\"vertical-align: top ; \"> +41 61 324 8269 <\/td>\n<td style=\"vertical-align: top ; \"> Parag Mahanti <\/td>\n<td style=\"vertical-align: top ; \"> +1 973 876 4912 <\/td>\n<\/tr>\n<\/table>\n<p><img decoding=\"async\" src=\"https:\/\/ml-eu.globenewswire.com\/media\/OWQyODRhNzQtZjI1YS00N2EwLWIwNmQtYzM0YWFkNTg2YWQ2LTEwMTQwMjQ=\/tiny\/Novartis-Pharma-AG.png\" referrerpolicy=\"no-referrer-when-downgrade\"\/>\n            <\/div>\n<p><script async src=\"\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Invasive disease-free survival benefit continued to increase after completion of the three-year treatment period across all patient subgroups, including those with node-negative disease1 Results remain consistent across secondary endpoints, including distant disease-free survival, with a trend for improved overall survival*1 Safety is in line with previously reported results with generally low-grade symptomatic adverse events, reinforcing 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