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Fulvestrant + ribociclib is a combination therapy used primarily for the treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced or metastatic breast cancer, particularly in postmenopausal women. Fulvestrant is a selective estrogen receptor degrader (SERD) that binds to and accelerates the degradation of estrogen receptors, thereby inhibiting estrogen signaling in breast cancer cells. Ribociclib is a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor that blocks cell cycle progression by inhibiting CDK4 and CDK6, leading to reduced proliferation of cancer cells. The combination has demonstrated significant improvements in progression-free survival and overall survival compared to fulvestrant alone, as shown in the MONALEESA-3 phase 3 clinical trial[1][4][5]. This regimen is typically administered until disease progression or unacceptable toxicity occurs.
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