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Continuous or Intermittent Extension of Adjuvant Pyrotinib for Invasive HER2-positive Breast Cancer (CORINNE-PI)

Primary Purpose

Breast Cancer Invasive

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
pyrotinib
Sponsored by
RenJi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer Invasive

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Aged ≥18 and ≤70 years; Histologically confirmed invasive HER2 positive breast cancer; Duration from random time to the last use of trastuzumab or T-DM1 ≤3 years; Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1; Adequate organ functions. Exclusion Criteria: Metastatic disease (Stage IV); Gross residual disease remaining after mastectomy or positive margins after breast-conserving surgery; Subjects that are unable to swallow tablets, or dysfunction of gastrointestinal absorption; Treated or treating with anti-HER2 tyrosine kinase inhibitor; Less than 4 weeks from the last clinical trial; History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation; Female patients who are pregnancy, lactation or women who are of childbearing potential tested positive in baseline pregnancy test; Female patients of childbearing age that are reluctant to take effective contraceptive measures throughout the trial period; Evidence of significant medical illness that in the investigator's judgment will substantially increase the risk associated with the subject's participation in and completion of the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    continuous pyrotinib

    intermittent pyrotinib

    Arm Description

    pyrotinib 400 mg, orally once daily for one year

    pyrotinib 400 mg, 14 days on and 7 days off, every 21 days for 17 cycles

    Outcomes

    Primary Outcome Measures

    Invasive Disease-free Survival (iDFS)
    Invasive disease-free survival time is defined as the time from date of randomization until the first invasive disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.

    Secondary Outcome Measures

    Disease-free Survival (DFS)
    Disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, non-breast primary invasive cancer, ductal carcinoma in situ (DCIS),or distant recurrence and death from any cause
    Overall Survival (OS)
    Overall survival is defined as the time from randomization to death from any cause.
    Adverse events
    Adverse events will be assessed according to the NCI CTCAE v5.0.

    Full Information

    First Posted
    June 9, 2023
    Last Updated
    June 18, 2023
    Sponsor
    RenJi Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05910398
    Brief Title
    Continuous or Intermittent Extension of Adjuvant Pyrotinib for Invasive HER2-positive Breast Cancer
    Acronym
    CORINNE-PI
    Official Title
    Continuous or Intermittent Extension of Adjuvant Pyrotinib for Invasive Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Breast Cancer: a Prospective, Randomised, Controlled, Multicentre Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    June 2023 (Anticipated)
    Primary Completion Date
    April 2030 (Anticipated)
    Study Completion Date
    August 2030 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    RenJi Hospital

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is a prospective, randomised, controlled, multicentre study to compare the efficacy and safety between continuous or intermittent extension of adjuvant pyrotinib in invasive human epidermal growth factor receptor 2 (HER2)-positive breast cancer.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    488 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    continuous pyrotinib
    Arm Type
    Active Comparator
    Arm Description
    pyrotinib 400 mg, orally once daily for one year
    Arm Title
    intermittent pyrotinib
    Arm Type
    Experimental
    Arm Description
    pyrotinib 400 mg, 14 days on and 7 days off, every 21 days for 17 cycles
    Intervention Type
    Drug
    Intervention Name(s)
    pyrotinib
    Intervention Description
    an irreversible anti-HER2 tyrosine kinase inhibitor
    Primary Outcome Measure Information:
    Title
    Invasive Disease-free Survival (iDFS)
    Description
    Invasive disease-free survival time is defined as the time from date of randomization until the first invasive disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.
    Time Frame
    From randomization until time of event up to 2 years.
    Secondary Outcome Measure Information:
    Title
    Disease-free Survival (DFS)
    Description
    Disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, non-breast primary invasive cancer, ductal carcinoma in situ (DCIS),or distant recurrence and death from any cause
    Time Frame
    From randomization until time of event up to 2 years
    Title
    Overall Survival (OS)
    Description
    Overall survival is defined as the time from randomization to death from any cause.
    Time Frame
    From randomization until time of event up to 2 years
    Title
    Adverse events
    Description
    Adverse events will be assessed according to the NCI CTCAE v5.0.
    Time Frame
    From the date of starting pyrotinib to the end of the treatment (up to approximately 1 year)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Aged ≥18 and ≤70 years; Histologically confirmed invasive HER2 positive breast cancer; Duration from random time to the last use of trastuzumab or T-DM1 ≤3 years; Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1; Adequate organ functions. Exclusion Criteria: Metastatic disease (Stage IV); Gross residual disease remaining after mastectomy or positive margins after breast-conserving surgery; Subjects that are unable to swallow tablets, or dysfunction of gastrointestinal absorption; Treated or treating with anti-HER2 tyrosine kinase inhibitor; Less than 4 weeks from the last clinical trial; History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation; Female patients who are pregnancy, lactation or women who are of childbearing potential tested positive in baseline pregnancy test; Female patients of childbearing age that are reluctant to take effective contraceptive measures throughout the trial period; Evidence of significant medical illness that in the investigator's judgment will substantially increase the risk associated with the subject's participation in and completion of the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Wenjin Yin, M.D.
    Phone
    86(21)58852345
    Email
    yinwenjin@renji.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Qi Lu
    Phone
    86(21)68383364
    Email
    rjllb3364@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Wenjin Yin, M.D.
    Organizational Affiliation
    Renji Hospital, School of Medicine, Shanghai Jiao Tong University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Continuous or Intermittent Extension of Adjuvant Pyrotinib for Invasive HER2-positive Breast Cancer

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