Neoadjuvant Study of Pyrotinib in Patients With HER2 Positive Breast Cancer

NCT ID: NCT03756064

Last Updated: 2019-08-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2021-07-31

Brief Summary

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This is a randomized, double-blind multicenter Phase III study for evaluating the efficacy and safety of neoadjuvant pyrotinib and trastuzumab plus docetaxel and Carboplatin versus placebo and trastuzumab plus docetaxel and Carboplatin given as neoadjuvant treatment in HER2 positive early stage or locally advanced breast cancer.

Detailed Description

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The investigators hypothesized that the experimental group (Pyrotinib+Trastuzumab+Docetaxel+ Carboplatin) could have a higher Pathological Complete Response (pCR) rate than the control group (Placebo +Trastuzumab+Docetaxel+ Carboplatin) in neoadjuvant chemotherapy.

It is proposed that 100 participants will be enrolled in this study. The target population is women with early breast cancer (stage of T1-4N0-3M0) who are eligible for primary systemic therapy.

The primary objective of the trial is to determine the pCR rate. The secondary objective of the trial is to determine the Event-free survival(EFS), Disease-free Survival (DFS), Distance Disease-free Survival (DDFS), Objective Response Rate (ORR) rate.

Conditions

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Breast Cancer Neoplasm, Breast Breast Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Experimental: Pyrotinib (400mg orally daily)+Trastuzumab (8mg/kg iv load followed by 6mg/kg iv 3-weekly)+Docetaxel (75mg/m2)+ Carboplatin(AUC=5), for a total of 6 cycles.

Placebo Comparator: Placebo Oral Tablet (400mg orally daily)+Trastuzumab (8mg/kg iv load followed by 6mg/kg iv 3-weekly)+Docetaxel (75mg/m2)+ Carboplatin(AUC=5), for a total of 6 cycles.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Experimental group

Pyrotinib+Trastuzumab+Docetaxel +Carboplatin

Group Type EXPERIMENTAL

Pyrotinib

Intervention Type DRUG

Pyrotinib: 400mg orally daily

Trastuzumab

Intervention Type DRUG

Trastuzumab:8mg/kg iv load followed by 6mg/kg iv 3-weekly for a total of 6 cycles;

Docetaxel

Intervention Type DRUG

Docetaxel: 75mg/m2 for a total of 6 cycles

Carboplatin

Intervention Type DRUG

Carboplatin: AUC=5 for a total of 6 cycles

Control group

Placebo Oral Tablet+Trastuzumab+Docetaxel +Carboplatin

Group Type PLACEBO_COMPARATOR

Trastuzumab

Intervention Type DRUG

Trastuzumab:8mg/kg iv load followed by 6mg/kg iv 3-weekly for a total of 6 cycles;

Docetaxel

Intervention Type DRUG

Docetaxel: 75mg/m2 for a total of 6 cycles

Carboplatin

Intervention Type DRUG

Carboplatin: AUC=5 for a total of 6 cycles

Placebo Oral Tablet

Intervention Type DRUG

Placebo Oral Tablet: 400mg orally daily

Interventions

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Pyrotinib

Pyrotinib: 400mg orally daily

Intervention Type DRUG

Trastuzumab

Trastuzumab:8mg/kg iv load followed by 6mg/kg iv 3-weekly for a total of 6 cycles;

Intervention Type DRUG

Docetaxel

Docetaxel: 75mg/m2 for a total of 6 cycles

Intervention Type DRUG

Carboplatin

Carboplatin: AUC=5 for a total of 6 cycles

Intervention Type DRUG

Placebo Oral Tablet

Placebo Oral Tablet: 400mg orally daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. female patients, 18 years ≤ age ≤ 80 years;
2. Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1
3. Histologically confirmed invasive breast cancer(early stage or locally advanced)
4. HER2 positive (HER2+++ by IHC or FISH+)
5. Known hormone receptor status.
6. Cardiovascular: Baseline left ventricular ejection fraction (LVEF)≥55% measured by ECHO
7. Signed informed consent form (ICF)

Exclusion Criteria

1. Metastatic disease (Stage IV) or inflammatory breast cancer
2. Previous or current history of malignant neoplasms, except for curatively treated: Basal and squamous cell carcinoma of the skin, Carcinoma in situ of the cervix.
3. Clinically relevant cardiovascular disease: Known history of uncontrolled or symptomatic angina, clinically significant arrhythmias, congestive heart failure, transmural myocardial infarction, uncontrolled hypertension ≥180/110);
4. Unable or unwilling to swallow tablets.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Zhejiang Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ding Xiaowen, DR.

Role: PRINCIPAL_INVESTIGATOR

Zhejiang Cancer Hospital

Locations

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Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ding Xiaowen, DR.

Role: CONTACT

+86 13588054604

Ding Yuqin

Role: CONTACT

+86 13588255651

Facility Contacts

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xiaowen ding, Dr.

Role: primary

+8613588054604

References

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Ding Y, Mo W, Xie X, Wang O, He X, Zhao S, Gu X, Liang C, Qin C, Ding K, Yang H, Ding X. Neoadjuvant Pyrotinib plus Trastuzumab, Docetaxel, and Carboplatin in Early or Locally Advanced Human Epidermal Receptor 2-Positive Breast Cancer in China: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 2 Trial. Oncol Res Treat. 2023;46(7-8):303-311. doi: 10.1159/000531492. Epub 2023 Jun 9.

Reference Type DERIVED
PMID: 37302393 (View on PubMed)

Other Identifiers

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TCHP

Identifier Type: -

Identifier Source: org_study_id

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