thanks Naiffer for the information,
most probably this is related to the below discussion
Giovanni has given a fine supposition on this
‘’ Ribociclib is currently authorized as anti-cancer drug, but a new study suggest the efficacy of Ribiciclib to prevent the risk of recurrence AFTER surgical removal:
Adding Ribociclib to Hormonal Therapy Reduces Risk of Recurrence for People With Most Common Subtype of Breast Cancer
In this case, because the cancer has been removed, such terapy cannot be strictly considered “for advanced cancer indications as defined in the scope of ICH S9”.
thanks
Christos