- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05802225
Clinical Study of the Efficacy and Safety of BCD-178 and Perjeta® as Neoadjuvant Therapy of HER2-Positive Breast Cancer (PREFER)
A Double-Blind, Randomized Clinical Study of the Efficacy and Safety of BCD-178 and Perjeta® as Neoadjuvant Therapy of HER2-Positive Breast Cancer
The goal of this study is to compare the efficacy and safety of BCD-178 and Perjeta as neoadjuvant therapy for HER2-positive breast cancer.
Subjects with histologically confirmed diagnosis of HER2-positive invasive breast cancer (stage II-III, tumor size > 2 cm), with no estrogen (ER) and progesterone (PR) receptors will be randomized to one of two treatment groups (BCD-178 group or Perjeta group) in a 1:1 ratio.
Study Overview
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Vladimir Chistiakov
- Phone Number: +7 (812) 380 49 34
- Email: chistiakov@biocad.ru
Study Locations
-
-
-
Moscow, Russian Federation, 111123
- Recruiting
- The Loginov Moscow Clinical Scientific Center MHD
-
Contact:
- Lyudmila Zhukova, DMSc
-
Omsk, Russian Federation
- Recruiting
- Budgetary healthcare institution of the Omsk region "Clinical Oncological Dispensary"
-
Contact:
- Anastasiia V Zimina
- Phone Number: +7 (3812) 60 16 95
- Email: omonkol_mail@minzdrav.omskportal.ru
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Saint Petersburg, Russian Federation, 190013
- Recruiting
- JSC "Modern Medical Technologies"
-
Contact:
- Svetlana V Odintsova, MD
- Phone Number: +7-(812)-380-49-34
- Email: odin-svet@yandex.ru
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed informed consent ;
- Histologically confirmed diagnosis of invasive breast cancer;
- Disease stage cT2-cT4, cN0-cN3, cM0;
- Positive HER2 expression, negative estrogen and progesterone receptor expression;
- ECOG score 0-1;
- Adequate organ function;
- Baseline LVEF ≥ 55%, as measured with the standard procedure;
- Consent of women of childbearing potential to use highly effective methods of contraception, starting from the signing of the informed consent form, throughout the study and for 6 months after receiving the last dose of the product.
Exclusion Criteria:
- Stage IV (metastatic) breast cancer;
- A history of any systemic therapy for breast cancer;
- Concomitant diseases and/or conditions that significantly increase the risk of adverse events during the study;
- Pregnancy or breastfeeding, as well as pregnancy planning throughout the study and for 6 months after receiving the last dose of the product;
- Hypersensitivity or allergy to any of the components of BCD-178, Perjeta, trastuzumab, carboplatin, and docetaxel.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: BCD-178 group
Neoadjuvant therapy stage (6 cycles, 18 weeks): BCD-178, Trastuzumab, Docetaxel, Carboplatin; Surgical treatment; Adjuvant therapy stage (up to 12 months of HER2-targeted therapy in total): BCD-178, Trastuzumab
|
at an initial dose of 840 mg (1 cycle), then 420 mg
Other Names:
|
Active Comparator: Perjeta Group
Neoadjuvant therapy stage (6 cycles, 18 weeks): Perjeta, Trastuzumab, Docetaxel, Carboplatin; Surgical treatment; Adjuvant therapy stage (up to 12 months of HER2-targeted therapy in total): BCD-178, Trastuzumab
|
at an initial dose of 840 mg (1 cycle), then 420 mg
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To compare the efficacy of BCD-178 and Perjeta as neoadjuvant therapy by studying the total pathological complete response (tpCR) rate
Time Frame: immediately after the surgery
|
Proportion of subjects achieving tpCR
|
immediately after the surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
breast pathological complete response (bpCR) rate
Time Frame: immediately after the surgery
|
Proportion of subjects achieving bpCR;
|
immediately after the surgery
|
overall response rate (ORR)
Time Frame: at Week 18
|
the ORR according to RECIST 1.1 criteria
|
at Week 18
|
breast-conserving surgery rate
Time Frame: immediately after surgery
|
Proportion of subjects with breast-conserving surgery
|
immediately after surgery
|
safety assessment
Time Frame: up to 65 weeks
|
Proportion of subjects with adverse reactions; Proportion of subjects with CTCAE 5.0 grade 3 or higher adverse reactions; • Proportion of subjects with serious adverse reactions; • Proportion of subjects who prematurely discontinued neoadjuvant therapy due to adverse reactions
|
up to 65 weeks
|
immunogenicity assessment
Time Frame: pre-dose to week 52, 5 timepoints
|
Proportion of subjects with binding and neutralizing antibodies
|
pre-dose to week 52, 5 timepoints
|
Pharmacokinetics assessment
Time Frame: pre-dose to week 18, 12 timepoints
|
Cmin - minimum observed product concentration ; Ceoi - concentration at the end of each infusion
|
pre-dose to week 18, 12 timepoints
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BCD-178-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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