Treatment of Breast Cancer With Trastuzumab + HS627/ Pertuzumab + Docetaxel
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 Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Anhui Peng, master
- Phone Number: 18806555071
- Email: anhui.peng@hisunbioray.com.cn
Study Locations
-
-
Shandong
-
Qingdao, Shandong, China, 266000
- The Affiliated Hospital of Qingdao University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Trastuzumab + HS627 + Docetaxel
Trastuzumab HS627 Docetaxel
|
Prior to surgery: trastuzumab, HS627, and docetaxel for 4 cycles (1 cycle = 21 days).
Other Names:
|
|
Experimental: Trastuzumab + Pertuzumab + Docetaxel
Trastuzumab Pertuzumab Docetaxel
|
Prior to surgery: trastuzumab, Pertuzumab, and docetaxel for 4 cycles (1 cycle = 21 days).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of participants achieving Pathological Complete Response (pCR) as Assessed by the Independent Review Committee (IRC)
Time Frame: After surgery (At surgery cycle 4 Days 22-35)(1 cycle = 21 days)
|
pCR was defined as ypT0/is According to the American Joint Committee on Cancer Staging System as Assessed by the IRC
|
After surgery (At surgery cycle 4 Days 22-35)(1 cycle = 21 days)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Independent Review Committee (IRC)
Time Frame: After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
tpCR was defined as ypT0/is, ypN0 as assessed by an Independent Review Committee (IRC)
|
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
|
Percentage of Participants With pCR as Assessed by the Local Pathologist
Time Frame: After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
pCR was defined as ypT0/is as assessed by Local Pathologist
|
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
|
Percentage of Participants With Total Pathologic Complete Response (tpCR) as Assessed by the Local Pathologist
Time Frame: After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
tpCR was defined as ypT0/is, ypN0 as assessed by Local Pathologist
|
After surgery (At surgery cycle 4 Days 22-35) (1 cycle = 21 days)
|
|
Percentage of Participants With an Objective Response
Time Frame: Prior to surgery (Cycle 4 Days 21) (1 cycle = 21 days)
|
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.
|
Prior to surgery (Cycle 4 Days 21) (1 cycle = 21 days)
|
|
Percentage of Participants with vital signs, physical examination, left ventricular ejection fraction (LVEF), laboratory examination, adverse events (AE) until last visit
Time Frame: Last Visit (After surgery 8 days)(After 4 cycles treatment ,After surgery ) (1 cycle = 21 days)
|
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.
|
Last Visit (After surgery 8 days)(After 4 cycles treatment ,After surgery ) (1 cycle = 21 days)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Zefei Jiang, M.D, The Affiliated Hospital of Qingdao University
- Principal Investigator: Haibo Wang, M.D, The Affiliated Hospital of Qingdao University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Skin Diseases
- Breast Diseases
- Skin and Connective Tissue Diseases
- Breast Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Taxoids
- Cyclodecanes
- Diterpenes
- Docetaxel
- Trastuzumab
- pertuzumab
Other Study ID Numbers
Other Study ID Numbers
- HS627-III
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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