New Indication: Ribociclib + Letrozole for Low-Grade Serous Ovarian Cancer

Ribociclib plus letrozole achieved a 30.6% overall response rate, with a median progression-free survival of 14.5 months and median overall survival of 44.5 months. The regimen demonstrated durable disease control and a manageable safety profile in recurrent low-grade serous carcinoma.

  • Study

    Open-label, single-arm, multicenter phase II study [GOG 3026]
    Recurrent low-grade serous carcinoma of the ovary, fallopian tube, or peritoneum
    Ribociclib (600 mg orally, days 1-21 of 28-day cycle) + letrozole (n=49)



  • Efficacy

    ORR: 30.6% (one CR, 14 PR)
    Median PFS: 14.5 months
    Median OS: 44.5 months



  • Safety

    Grade >=3 AEs: neutropenia (47%), small intestinal obstruction (12%), abdominal pain (12%)
    Treatment discontinuation due to AEs: 4%
    No dose-limiting toxicities observed


  • J Clin Oncol 2025;44:153-163

    Slomovitz BM, Weroha SJ, Deng W Phase II Trial of Ribociclib Plus Letrozole in Women With Recurrent Low-Grade Serous Carcinoma of the Ovary, Fallopian Tube, or Peritoneum: A GOG Partners Trial (GOG 3026)

    http://doi.org/10.1200/JCO-25-01348

    Reviewed by Ulas D. Bayraktar, MD on Jan 21, 2026

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