TheraRadar
Data updated: May 26, 2026

KISQALI (ribociclib succinate)

Genetically Validated Trial Activity: Growth 55 active trials
Breakthrough Therapy Priority Review
Oncology Approved 2017-03-13

Kisqali helps adults with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer. It treats patients with stage II and III early breast cancer who face a high risk of recurrence, as well as those with advanced or metastatic disease. This medication is used in combination with other endocrine-based therapies, such as aromatase inhibitors or fulvestrant, to help manage the cancer's progression.

Source: FDA Label • Novartis

How KISQALI Works

This drug works by blocking specific proteins called cyclin-dependent kinases (CDK) 4 and 6, which are involved in the signaling pathways that drive cell growth and division. By inhibiting these kinases, the medication prevents the phosphorylation of the retinoblastoma protein, causing cancer cells to stop their growth cycle in the G1 phase. This process reduces the proliferation of tumor cells and is often more effective when combined with antiestrogen therapies.

Development Insights

Novartis Pharmaceuticals conducting 26 trials (26%)
263 indications explored (Broad Platform)
breast cancer (35 trials)
metastatic breast cancer (11 trials)
her2-negative breast cancer (6 trials)
7
Indications
--
Phase 3 Trials
3
Priority Reviews
9
Years on Market

Details

Status
Prescription
First Approved
2017-03-13
Patent Cliff
2036
Revenue
$1.3B (Q4-2025)

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: RIBOCICLIB SUCCINATE

KISQALI Approval History

2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
15 FDA actions from 2017 to 2025 · 6 indication expansions
Sep 2025 SUPPL
Mfg · Manufacturing (CMC)
Jul 2025 SUPPL
Label · Labeling
Feb 2025 SUPPL
Label · Labeling

What KISQALI Treats

1 indications

KISQALI is approved for 1 conditions since its original approval in 2017. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Breast Cancer
Source: FDA Label

KISQALI Target & Pathway

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Target

CDK4 (Cyclin Dependent Kinase 4) Cell Cycle Kinase

KISQALI Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in KISQALI's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications KISQALI treats. First-in-class if their pivotal trials read out positive.

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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT07391774 NCI-2026-00634 NCI-2026-00634, EA1242 Ph 3 not yet recruiting Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

KISQALI FDA Label Details

Indications & Usage

FDA Label (PDF)

KISQALI is indicated for the treatment of Breast Cancer.

View full patent landscape →
12 OB patents · 5 families · 317 international docs across 55 countries

KISQALI Patents & Exclusivity

Latest Patent: Apr 2036
Exclusivity: Sep 2027

Patents (12 active)

US12064434 Expires Apr 14, 2036
US12419894 Expires Apr 14, 2036
US10799506 Expires Apr 14, 2036
US12544379 Expires Aug 7, 2034
US12544380 Expires Aug 7, 2034
US9868739 Expires Nov 9, 2031
US9193732 Expires Nov 9, 2031
US8415355 Expires Mar 13, 2031
US8685980 Expires May 25, 2030
US8962630 Expires Dec 9, 2029
US9416136 Expires Aug 20, 2029
US8324225 Expires Jun 17, 2028

Exclusivity

I-950 Until Sep 2027
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for KISQALI

Revenue Insights

  • Q4-2025: $1.3B
  • Historical trend analysis

Patent Timeline

  • Cliff: 2036
  • 31 active patents

Trial Analysis

  • 101 total trials
  • Stage: Growth

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment