A Study Of PF-05280014 Or Trastuzumab Plus Taxotere® And Carboplatin In HER2 Positive Breast Cancer In The Neoadjuvant Setting (REFLECTIONS B327-04)

NCT ID: NCT02187744

Last Updated: 2019-01-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

226 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-23

Study Completion Date

2016-03-09

Brief Summary

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The current study will compare PK, efficacy, safety, and immunogenicity of PF-05280014 (Trastuzumab-Pfizer) in combination with Taxotere® and Carboplatin (Paraplatin) versus Herceptin® (Trastuzumab-EU) approved in the EU in combination with Taxotere® and Carboplatin (Paraplatin) in patients with operable HER2 positive, breast cancer in the neoadjuvant setting. The hypothesis to be tested in this study is the percentage of patients with steady state Cycle 5 Ctrough (Cycle 6 pre-dose) \>20 µg/mL of trastuzumab-Pfizer is similar to EU-approved trastuzumab, using a margin of -12.5%.

Detailed Description

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Conditions

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Early Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PF-05280014

Group Type EXPERIMENTAL

PF-05280014

Intervention Type BIOLOGICAL

Concentrate for solution for infusion, sterile vial 150 mg, Day 1 Cycle 1 will be a loading dose of 8 mg/kg infused over 90 minutes. Subsequent infusions will follow every 3 weeks (i.e., cycled every 21 days) with a dose of 6 mg/kg administered over 30 to 90 minutes depending on tolerability, maximum of 6 cycles.

Taxotere®

Intervention Type DRUG

Injection concentrate single-dose vials containing 20 mg (0.5 mL) or 80 mg (2 mL), each mL contains 40 mg docetaxel (anhydrous) and 1040 mg polysorbate 80, The starting dose of Taxotere® (docetaxel) will be 75 mg/m2 administered intravenously over 60 minutes every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Paraplatin®

Intervention Type DRUG

Lyophilized powder, single-dose vials containing 50 mg, 150 mg, and 450 mg of Carboplatin for administration by intravenous infusion (each vial contains equal parts by weight of Carboplatin and mannitol), starting dose 6 AUC, over 15 minutes or longer every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Herceptin®

Group Type ACTIVE_COMPARATOR

Trastuzumab-EU

Intervention Type BIOLOGICAL

Concentrate for solution for infusion, sterile vial 150 mg, Day 1 Cycle 1 will be a loading dose of 8 mg/kg infused over 90 minutes. Subsequent infusions will follow every 3 weeks (i.e., cycled every 21 days) with a dose of 6 mg/kg administered over 30 to 90 minutes depending on tolerability, maximum 6 cycles.

Taxotere®

Intervention Type DRUG

Injection concentrate single-dose vials containing 20 mg (0.5 mL) or 80 mg (2 mL), each mL contains 40 mg docetaxel (anhydrous) and 1040 mg polysorbate 80, The starting dose of Taxotere® (docetaxel) will be 75 mg/m2 administered intravenously over 60 minutes every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Paraplatin®

Intervention Type DRUG

Lyophilized powder, single-dose vials containing 50 mg, 150 mg, and 450 mg of Carboplatin for administration by intravenous infusion (each vial contains equal parts by weight of Carboplatin and mannitol), starting dose 6 AUC, over 15 minutes or longer every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Interventions

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PF-05280014

Concentrate for solution for infusion, sterile vial 150 mg, Day 1 Cycle 1 will be a loading dose of 8 mg/kg infused over 90 minutes. Subsequent infusions will follow every 3 weeks (i.e., cycled every 21 days) with a dose of 6 mg/kg administered over 30 to 90 minutes depending on tolerability, maximum of 6 cycles.

Intervention Type BIOLOGICAL

Taxotere®

Injection concentrate single-dose vials containing 20 mg (0.5 mL) or 80 mg (2 mL), each mL contains 40 mg docetaxel (anhydrous) and 1040 mg polysorbate 80, The starting dose of Taxotere® (docetaxel) will be 75 mg/m2 administered intravenously over 60 minutes every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Intervention Type DRUG

Paraplatin®

Lyophilized powder, single-dose vials containing 50 mg, 150 mg, and 450 mg of Carboplatin for administration by intravenous infusion (each vial contains equal parts by weight of Carboplatin and mannitol), starting dose 6 AUC, over 15 minutes or longer every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Intervention Type DRUG

Trastuzumab-EU

Concentrate for solution for infusion, sterile vial 150 mg, Day 1 Cycle 1 will be a loading dose of 8 mg/kg infused over 90 minutes. Subsequent infusions will follow every 3 weeks (i.e., cycled every 21 days) with a dose of 6 mg/kg administered over 30 to 90 minutes depending on tolerability, maximum 6 cycles.

Intervention Type BIOLOGICAL

Taxotere®

Injection concentrate single-dose vials containing 20 mg (0.5 mL) or 80 mg (2 mL), each mL contains 40 mg docetaxel (anhydrous) and 1040 mg polysorbate 80, The starting dose of Taxotere® (docetaxel) will be 75 mg/m2 administered intravenously over 60 minutes every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Intervention Type DRUG

Paraplatin®

Lyophilized powder, single-dose vials containing 50 mg, 150 mg, and 450 mg of Carboplatin for administration by intravenous infusion (each vial contains equal parts by weight of Carboplatin and mannitol), starting dose 6 AUC, over 15 minutes or longer every three weeks on Day 1 of each cycle (i.e., every 21 days), maximum 6 cycles.

Intervention Type DRUG

Other Intervention Names

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docetaxel carboplatin docetaxel carboplatin

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed HER2 overexpressing invasive breast cancer.
* Plan for definitive surgical resection of breast tumor (i.e., lumpectomy or mastectomy, and sentinel node (SN) biopsy or axillary lymph node dissection (ALND).
* Plan for neoadjuvant chemotherapy.
* Measurable disease in the breast after diagnostic biopsy, defined as longest diameter ≥ 2.0 cm.

Exclusion Criteria

* Bilateral breast cancer.
* Inflammatory breast cancer.
* Presence of known distant metastases.
* Received prior treatment, including chemotherapy, endocrine therapy, biologic therapy, radiation or surgery with the exception of diagnostic biopsy for primary breast cancer.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Compassionate Cancer Care Medical Group, Inc.

Fountain Valley, California, United States

Site Status

Millennium Oncology (Imaging Facility)

Kingwood, Texas, United States

Site Status

Millennium Oncology (Imaging Facility)

Shenandoah, Texas, United States

Site Status

Millennium Oncology

Shenandoah, Texas, United States

Site Status

SI 'Republican Research and Practice Centre of Oncology and Medical Radiology n.a. N.N. Alexandrov'

Lyasny, Minsk Oblast, Belarus

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Bacs-Kiskun Megyei Korhaz

Kecskemét, Bács-Kiskun county, Hungary

Site Status

Semmelweis Egyetem Altalanos Orvostudomanyi Kar-I. sz. Belgyogyaszati Klinika Onkologiai Reszleg

Budapest, , Hungary

Site Status

Szent Imre Egyetemi Oktato Korhaz

Budapest, , Hungary

Site Status

Uzsoki Utcai Korhaz, Onkoradiologia, Sugarterapia Fovarosi Onkoradiologiai Kozpont

Budapest, , Hungary

Site Status

Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktatokorhaz,

Miskolc, , Hungary

Site Status

Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz - Rendelointezet

Szolnok, , Hungary

Site Status

Division of Medical Senology

Milan, MI, Italy

Site Status

Divisione di Oncologia Medica B

Roma, RM, Italy

Site Status

IRCCS Istituto Nazionale Tumori Regina Elena (IRE)

Roma, RM, Italy

Site Status

Dept. of Surgery

Roma, RM, Italy

Site Status

Szpitale Wojewodzkie w Gdyni Sp. z o.o., Oddzial Onkoligii i Radioterapii

Gdynia, , Poland

Site Status

Oddzial Chorob Rozrostowych

Lodz, , Poland

Site Status

SPZOZ MSW z Warminsko-Mazurskim Centrum Onkologii w Olsztynie

Olsztyn, , Poland

Site Status

State Budgetary Healthcare Institution "Leningrad Regional Oncological Dispensary"

Kuzmolovo, Leningradskaya Oblast', Russia

Site Status

"State Budgetary Healthcare Institution ""Republican Clinical Oncological Dispensary of the Ministry

Ufa, Republic Bashkortost, Russia

Site Status

Regional Budgetary Healthcare Institution "Kursk regional clinical oncological Dispensary"

Kislino Settlement, Ryshkovskiy Village Council, Russia

Site Status

"State Budgetary Healthcare Institution of Stavropol Region ""Pyatigorsk Oncological Dispensary"""

Pyatigorsk, Stavropol Kray, Russia

Site Status

State Budgetary Healthcare Institution "Volgograd Regional Oncological Dispensary #3"

Volzhsky, Volgograd Oblast, Russia

Site Status

SBHI "Regional Oncology Dispensary"

Irkutsk, , Russia

Site Status

Regional Budgetary Healthcare Institution

Kursk, , Russia

Site Status

FSBI "Russian Oncology Scientific center n.a. N. N. Blokhin" RAMS

Moscow, , Russia

Site Status

State Budgetary Institution Of Healthcare

Moscow, , Russia

Site Status

SBHI of NNR "Clinical diagnostic center"

Nizhny Novgorod, , Russia

Site Status

State Budgetary Healthcare Institution of NNR "Nizhniy Novgorod Regional Oncological Dispensary"

Nizhny Novgorod, , Russia

Site Status

Budgetary Institution of healthcare of Omsk region "Clinical oncological dispensary"

Omsk, , Russia

Site Status

State Budgetary Educational Institution of Higher Professional Education "North-Western State

Saint Petersburg, , Russia

Site Status

Saint-Peterbsurg Clinical Oncological dispensary of Moscow district

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Budgetary Healthcare Institution "Oncological Dispensary of Moscow District"

Saint Petersburg, , Russia

Site Status

LLC RAMSAY Diagnostic RUS

Saint Petersburg, , Russia

Site Status

"Federal State Institution ""Scientific Research Institute of Oncology n.a. N.N.Petrov""

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Budgetary Institution of healthcare "City Clinical Oncological Dispensary"

Saint Petersburg, , Russia

Site Status

SRBHI "Regional Clinical Oncology Dispensary"

Veliky Novgorod, , Russia

Site Status

Institute For Oncology And Radiology Of Serbia

Belgrade, , Serbia

Site Status

Onkologicky ustav sv. Alzbety, s.r.o.

Bratislava, , Slovakia

Site Status

Narodny Onkologicky ustav

Bratislava, , Slovakia

Site Status

Vychodoslovensky onkologicky ustav, a.s.

Košice, , Slovakia

Site Status

Municipal Healthcare Institution 'Chernihiv Regional Oncology Dispensary', Mamology Department

Chernihiv, , Ukraine

Site Status

MI 'City Dnipropetrovsk Multi-field Clin. Hospital #4 of DRC', Dep.-nt of Chemotherapy;

Dnipropetrovsk, , Ukraine

Site Status

SI "Institute of Medical Radiology n.a.S.P. Hrygoriev of National Academy

Kharkiv, , Ukraine

Site Status

Munincipal Healthcare Institution"Kharkiv Regional Clinical Oncologic Center

Kharkiv, , Ukraine

Site Status

Khmelnytskyi Regional Oncologic Dispensary

Khmelnytskyi, , Ukraine

Site Status

MI 'Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional Council'

Kryvyi Rih, , Ukraine

Site Status

Lviv State Oncologic Regional Treatment and Diagnostic Center

Lviv, , Ukraine

Site Status

Municipal Institution 'Odesa Regional Clinical Hospital', Mamology Center

Odesa, , Ukraine

Site Status

Regional Municipal Institution "Sumy Regional Clinical Oncology Dispensary", Thoracic Department

Sumy, , Ukraine

Site Status

Vinnytsia Regional Oncology Clinical Dispensary, Chemotherapy Department

Vinnytsia, , Ukraine

Site Status

Countries

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United States Belarus Czechia Hungary Italy Poland Russia Serbia Slovakia Ukraine

References

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Lammers PE, Dank M, Masetti R, Abbas R, Hilton F, Coppola J, Jacobs I. Neoadjuvant PF-05280014 (a potential trastuzumab biosimilar) versus trastuzumab for operable HER2+ breast cancer. Br J Cancer. 2018 Aug;119(3):266-273. doi: 10.1038/s41416-018-0147-1. Epub 2018 Jul 13.

Reference Type DERIVED
PMID: 30002437 (View on PubMed)

Other Identifiers

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REFLECTIONS B327-04

Identifier Type: -

Identifier Source: secondary_id

2013-004679-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

REFLECTIONS (B327-04)

Identifier Type: OTHER

Identifier Source: secondary_id

B3271004

Identifier Type: -

Identifier Source: org_study_id

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