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Treatment of Breast Cancer With Trastuzumab + HS627/ Pertuzumab + Docetaxel

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
HS627
Pertuzumab
Sponsored by
BioRay Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically confirmed invasive breast carcinoma with a primary tumor size of more than (>) 2 centimeters (cm) by standard local assessment technique;
  • Breast cancer stage at presentation: early-stage (T2-3, N0-1, M0), locally advanced (T2-3, N2-3,M0 or T4a-c, any N, M0), or infl ammatory (T4d, any N,M0);
  • Known hormone receptor status (estrogen receptor and/or progesterone receptor);
  • HER2 positive (HER2+++ by IHC or ISH+).
  • Baseline left ventricular ejection fracture >= 55% measured by echocardiography (preferred) or multiple gated acquisition scan;
  • Normalities in liver, kidney or hematologic function laboratory tests immediately prior to randomization;
  • Absolute value of neutrophils ≥ 1.5 × 109 / L;
  • Platelet ≥ 90×109 / L;
  • Hemoglobin ≥ 90g / L;
  • Serum creatinine≤ 1.5 times the upper limit of normal (ULN);
  • Serum total bilirubin≤1.5 times ULN (except for Gilbert syndrome);
  • Aspartate aminotransferase (AST) and / or alanine aminotransferase (ALT) ≤ 1.5-fold ULN;
  • International normalized ratio (INR), activated partial prothrombin time (APTT) ≤ 1.5 times ULN.
  • ECOG≤1;

Exclusion Criteria:

  • Stage IV metastatic ;
  • Bilateral breast cancer;
  • Previous anti-cancer therapy or radiotherapy for any malignancy;
  • History of other malignancy within 5 years, except for appropriately-treated carcinoma in Cervical carcinoma in situ, basal cell carcinoma or squamous cell skin cancer;
  • Serious cardiac illness or medical condition;
  • HIV antibody positive; HCV antibody positive and HCV RNA positive; HBcAb or HBsAg positive, and HBV DNA positive;
  • Sensitivity to any of the study medications, any of the ingredients or excipients of these medications;
  • Known mental history had poor compliance;
  • Known to have drug abusers;
  • Concurrent anti-cancer treatment in another investigational trial, including hormone therapy, bisphosphonate therapy, or immunotherapy;
  • Needed intravenous antibiotic treatment due to infection within 7 days before random enrollment;
  • Major surgical procedure unrelated to breast cancer within 4 weeks prior to randomization or expected to perform major surgery during the trial period;
  • Premenopausal women (menopause is defined as non treatment induced menopause≥12 months) or without surgical sterilization (e.g., ovariectomy and / or uterus): refuse to take one or more effective contraceptive measures during treatment and at least 6 months after the last study treatment; blood pregnancy test is positive; pregnant or lactating women; Considered unsuitable for the study or may not be able to complete the trial due to other reasons.

Sites / Locations

  • The Affiliated Hospital of Qingdao UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Trastuzumab + HS627 + Docetaxel

Trastuzumab + Pertuzumab + Docetaxel

Arm Description

Trastuzumab HS627 Docetaxel

Trastuzumab Pertuzumab Docetaxel

Outcomes

Primary Outcome Measures

Percentage of participants achieving Pathological Complete Response (pCR) as Assessed by the Independent Review Committee (IRC)
pCR was defined as ypT0/is According to the American Joint Committee on Cancer Staging System as Assessed by the IRC

Secondary Outcome Measures

Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Independent Review Committee (IRC)
tpCR was defined as ypT0/is, ypN0 as assessed by an Independent Review Committee (IRC)
Percentage of Participants With pCR as Assessed by the Local Pathologist
pCR was defined as ypT0/is as assessed by Local Pathologist
Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Local Pathologist
tpCR was defined as ypT0/is, ypN0 as assessed by Local Pathologist
Percentage of Participants With an Objective Response
An objective response was defined as the percentage of participants who achieved a complete response or partial response as the best tumor response during the treatment period (that is, during Cycles 1-4 prior to surgery), as determined by the investigator on the basis of Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Percentage of Participants with vital signs, physical examination, left ventricular ejection fraction (LVEF), laboratory examination, adverse events (AE) until last visit
The percentage of participants who experienced at least one vital sign, physical examination, left ventricular ejection fraction (LVEF), laboratory examination, adverse events (AE) during the study is reported here.

Full Information

First Posted
July 30, 2020
Last Updated
August 12, 2020
Sponsor
BioRay Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04514419
Brief Title
Treatment of Breast Cancer With Trastuzumab + HS627/ Pertuzumab + Docetaxel
Official Title
A Phase III Study to Compare HS627 vs. Pertuzumab on the Efficacy, Safety and Immunogenicity in Combination With Trastuzumab and Docetaxel as Neoadjuvant Therapy in Patients With Early-stage or Locally Advanced HER2 Positive Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Unknown status
Study Start Date
June 30, 2020 (Actual)
Primary Completion Date
November 20, 2021 (Anticipated)
Study Completion Date
November 20, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioRay Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The trial included screening period (4 weeks) and treatment period (4 treatment cycles, at least 12 weeks).
Detailed Description
A multicenter, randomized, double-blind, positive drug parallel control design was used. The trial included screening period (4 weeks) and treatment period (4 treatment cycles, at least 12 weeks). All eligible subjects were randomly divided into experimental group (hs627 treatment group) and control group (pertuzumab) treatment group. After 4 treatment cycles, the subjects arranged surgical treatment, and then conducted the last visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
408 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Trastuzumab + HS627 + Docetaxel
Arm Type
Experimental
Arm Description
Trastuzumab HS627 Docetaxel
Arm Title
Trastuzumab + Pertuzumab + Docetaxel
Arm Type
Experimental
Arm Description
Trastuzumab Pertuzumab Docetaxel
Intervention Type
Drug
Intervention Name(s)
HS627
Other Intervention Name(s)
Trastuzumab + HS627 + Docetaxel
Intervention Description
Prior to surgery: trastuzumab, HS627, and docetaxel for 4 cycles (1 cycle = 21 days).
Intervention Type
Drug
Intervention Name(s)
Pertuzumab
Other Intervention Name(s)
Trastuzumab Pertuzumab Docetaxel
Intervention Description
Prior to surgery: trastuzumab, Pertuzumab, and docetaxel for 4 cycles (1 cycle = 21 days).
Primary Outcome Measure Information:
Title
Percentage of participants achieving Pathological Complete Response (pCR) as Assessed by the Independent Review Committee (IRC)
Description
pCR was defined as ypT0/is According to the American Joint Committee on Cancer Staging System as Assessed by the IRC
Time Frame
After surgery (At surgery cycle 4 Days 22-35)(1 cycle = 21 days)
Secondary Outcome Measure Information:
Title
Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Independent Review Committee (IRC)
Description
tpCR was defined as ypT0/is, ypN0 as assessed by an Independent Review Committee (IRC)
Time Frame
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
Title
Percentage of Participants With pCR as Assessed by the Local Pathologist
Description
pCR was defined as ypT0/is as assessed by Local Pathologist
Time Frame
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
Title
Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Local Pathologist
Description
tpCR was defined as ypT0/is, ypN0 as assessed by Local Pathologist
Time Frame
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
Title
Percentage of Participants With an Objective Response
Description
An objective response was defined as the percentage of participants who achieved a complete response or partial response as the best tumor response during the treatment period (that is, during Cycles 1-4 prior to surgery), as determined by the investigator on the basis of Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
Prior to surgery (Cycle 4 Days 21) (1 cycle = 21 days)
Title
Percentage of Participants with vital signs, physical examination, left ventricular ejection fraction (LVEF), laboratory examination, adverse events (AE) until last visit
Description
The percentage of participants who experienced at least one vital sign, physical examination, left ventricular ejection fraction (LVEF), laboratory examination, adverse events (AE) during the study is reported here.
Time Frame
Last Visit (After surgery 8 days)(After 4 cycles treatment ,After surgery ) (1 cycle = 21 days)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed invasive breast carcinoma with a primary tumor size of more than (>) 2 centimeters (cm) by standard local assessment technique; Breast cancer stage at presentation: early-stage (T2-3, N0-1, M0), locally advanced (T2-3, N2-3,M0 or T4a-c, any N, M0), or infl ammatory (T4d, any N,M0); Known hormone receptor status (estrogen receptor and/or progesterone receptor); HER2 positive (HER2+++ by IHC or ISH+). Baseline left ventricular ejection fracture >= 55% measured by echocardiography (preferred) or multiple gated acquisition scan; Normalities in liver, kidney or hematologic function laboratory tests immediately prior to randomization; Absolute value of neutrophils ≥ 1.5 × 109 / L; Platelet ≥ 90×109 / L; Hemoglobin ≥ 90g / L; Serum creatinine≤ 1.5 times the upper limit of normal (ULN); Serum total bilirubin≤1.5 times ULN (except for Gilbert syndrome); Aspartate aminotransferase (AST) and / or alanine aminotransferase (ALT) ≤ 1.5-fold ULN; International normalized ratio (INR), activated partial prothrombin time (APTT) ≤ 1.5 times ULN. ECOG≤1; Exclusion Criteria: Stage IV metastatic ; Bilateral breast cancer; Previous anti-cancer therapy or radiotherapy for any malignancy; History of other malignancy within 5 years, except for appropriately-treated carcinoma in Cervical carcinoma in situ, basal cell carcinoma or squamous cell skin cancer; Serious cardiac illness or medical condition; HIV antibody positive; HCV antibody positive and HCV RNA positive; HBcAb or HBsAg positive, and HBV DNA positive; Sensitivity to any of the study medications, any of the ingredients or excipients of these medications; Known mental history had poor compliance; Known to have drug abusers; Concurrent anti-cancer treatment in another investigational trial, including hormone therapy, bisphosphonate therapy, or immunotherapy; Needed intravenous antibiotic treatment due to infection within 7 days before random enrollment; Major surgical procedure unrelated to breast cancer within 4 weeks prior to randomization or expected to perform major surgery during the trial period; Premenopausal women (menopause is defined as non treatment induced menopause≥12 months) or without surgical sterilization (e.g., ovariectomy and / or uterus): refuse to take one or more effective contraceptive measures during treatment and at least 6 months after the last study treatment; blood pregnancy test is positive; pregnant or lactating women; Considered unsuitable for the study or may not be able to complete the trial due to other reasons.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anhui Peng, master
Phone
18806555071
Email
anhui.peng@hisunbioray.com.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zefei Jiang, M.D
Organizational Affiliation
The Affiliated Hospital of Qingdao University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Haibo Wang, M.D
Organizational Affiliation
The Affiliated Hospital of Qingdao University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Affiliated Hospital of Qingdao University
City
Qingdao
State/Province
Shandong
ZIP/Postal Code
266000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Anhui Peng, Master
Phone
18806555071
Email
anhui.peng@hisunbioray.com.cn
First Name & Middle Initial & Last Name & Degree
Zefei Jiang, M.D
First Name & Middle Initial & Last Name & Degree
Haibo Wang, M.D

12. IPD Sharing Statement

Learn more about this trial

Treatment of Breast Cancer With Trastuzumab + HS627/ Pertuzumab + Docetaxel

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