Clinical Insights on Hepatotoxicity Associated with Ribociclib in Breast Cancer Patients: A Multi-Center Analysis - Summary - MDSpire

Clinical Insights on Hepatotoxicity Associated with Ribociclib in Breast Cancer Patients: A Multi-Center Analysis

  • By

  • Onur Baş

  • Bediz Kurt İnci

  • İmdat Eroğlu

  • Safa Can Efil

  • Seher Kaya

  • Pınar Kubilay Tolunay

  • Taha Koray Şahin

  • Cengiz Karaçin

  • Ozan Yazıcı

  • Mehmet Ali Nahit Şendur

  • Berna Ömür Çakmak Öksüzoğlu

  • Sercan Aksoy

  • November 28, 2025

  • 0 min

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Objective:

To investigate ribociclib-induced hepatotoxicity and compare survival rates between patients with different grades of hepatotoxicity, specifically focusing on grade 1–2 versus grade 3–4.

Key Findings:
  • 9.2% of patients developed hepatotoxicity, with 6.4% having grade 4, 24.4% grade 3, and 69.2% grade 1 toxicity.
  • Patients with grade 3–4 hepatotoxicity had decreased overall survival (OS) compared to those with grade 1–2 (90% vs 76% at one year).
  • The median time to onset of hepatotoxicity was 13 weeks after ribociclib initiation.
Interpretation:

Ribociclib-induced hepatotoxicity is a significant concern, with higher grades of toxicity associated with poorer survival outcomes.

Limitations:
  • The study is retrospective and may have biases related to data collection, including selection bias and reporting bias.
  • The sample size of patients with hepatotoxicity is relatively small, which may limit the generalizability of the findings.
Conclusion:

Ribociclib-induced hepatotoxicity is clinically relevant, and its management is crucial for improving patient outcomes.

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