Screening Plasma HER2 Amplication by Digital PCR in Advanced Breast Cancer Patients Treated With Trastuzumab and Pyrotinib

NCT ID: NCT05020964

Last Updated: 2021-08-25

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE2
• Total Enrollment: 68 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-08-20
• Study Completion Date: 2023-09-01

Brief Summary

The hypothesis of this study is to discover the efficacy and safety of trastuzumab combined with pyrotinib in treating advanced breast cancer with HER2 positive, which is detected by digital PCR. It is a single-arm, multicenter phase II clinical study.

The purpose of this study is:

1. To explore the Response rate (RR) and progression-free survival(PFS) and safety of patients with recurrent metastatic breast cancer who received trastuzumab combined with pyrotinib in positive plasma HER2 amplification detected by digital PCR.

2. To explore the potential using of digital PCR in recurrent and metastatic breast cancer.

Detailed Description

The purpose of this study is:

1. To explore the Response rate (RR) and progression-free survival(PFS) and safety of patients with recurrent metastatic breast cancer who received trastuzumab combined with pyrotinib in positive plasma HER2 amplification detected by digital PCR.

2. To explore the potential using of digital PCR in recurrent and metastatic breast cancer.

Conditions

Advanced Breast Cancer

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Experimental Arm

Trastuzumab and Pyrotinib

Group Type: EXPERIMENTAL

Trastuzumab and Pyrotinib

Intervention Type: DRUG

Trastuzumab: 3-week dosing regimen, The initial load dose was 8 mg/kg. Pyrotinib: 400 mg orally once daily, take it continuously, every 21 days as a cycle.

Use until intolerable toxicity or disease progression occurs.

Interventions

Trastuzumab and Pyrotinib

Trastuzumab: 3-week dosing regimen, The initial load dose was 8 mg/kg. Pyrotinib: 400 mg orally once daily, take it continuously, every 21 days as a cycle.

Use until intolerable toxicity or disease progression occurs.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Patients with recurrent or distant metastatic breast cancer whose primary tissue was negative for HER2 amplification, and newly diagnosed patients with stage IV breast cancer who were negative for HER2 amplification; All enrolled patients had previously received ≥ second-line therapy; Note: ① negative expression of HER2 refers to the primary tissue tested by IHC/FISH (clinical report), and the cell immunohistochemical staining intensity is 0,1 + or 2+, but negative by fluorescence in situ hybridization (FISH).

2. Age range 18-75, female;

3. Good physical strength: ECOG score 0-1;

4. Expected survival of more than 3 months;

5. The patient had no major organ dysfunction;Include: Routine blood The ANC acuity 1.5 x 109 / L;PLT acuity 90 x 109 / L;Hb 90 g/L or higher; Blood biochemical 1.5 x ULN TBIL or less;ALT and AST 2 x ULN or less;ALT and AST≤5×ULN in patients with liver metastases;BUN and Cr≤1.5×ULN and creatinine clearance ≥50 mL/min (Cockcroft-Gault formula); Heart colour to exceed LVEF 50% or higher;Fridericia adjusted QT interval (QTcF) for 12-lead electrocardiogram in men < 450 ms and in women < 470 ms.

6. Evaluable tumor lesions according to RECIST 1.1 criteria;

7. Voluntarily join the group, agree and sign the written informed consent.

Exclusion Criteria

1. Patients who have previously received anti-HER2 therapy, or who have received a study drug or preparation/treatment (i.e., participating in another trial) within 4 weeks prior to enrollment;

2. Patients who are allergic to study drugs or unable to take them orally;Patients who refuse the medication regimen;

3. Serious dysfunction of vital organs (heart, liver, kidney);Clinically significant heart disease, i.e., New York Heart Association (NYHA) grade ⅲ - ⅳ heart failure or more severe congestive heart failure or severe arrhythmias requiring pharmacological intervention;Uncontrollable angina pectoris, uncontrolled arrhythmia or uncontrolled hypertension, myocardial infarction within 6 months as confirmed by electrocardiogram (ECG);Previous history of organ transplantation, splenectomy;

4. Patients with other malignancies, except for cured non-melanoma skin cancers, cervical carcinoma in situ and other tumors that have been cured for at least 5 years;

5. Pregnant and lactating women (women of childbearing age are subject to pregnancy tests), fertile women with positive baseline pregnancy tests, or women of childbearing age who are unwilling to use effective contraception throughout the study period.;

6. In the active period of other acute infectious diseases or chronic infectious diseases;

7. A history of uncontrolled epilepsy, central nervous system disease or mental disorder;

8. Persons with disabilities of consciousness and other legal capacity or legal capacity limited;

9. A known history of human immunodeficiency virus;

10. Other conditions that the investigator considers inappropriate for the patient to participate in the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Chinese Academy of Medical Sciences

OTHER

Sponsor Role: lead

Responsible Party

Peng Yuan

Screening plasma HER2 amplication by Digital PCR in Advanced Breast Cancer Patients Treated With Trastuzumab and Pyrotinib.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Yuan Peng

Role: STUDY_CHAIR

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Central Contacts

Yuan Peng

Role: CONTACT

yuanpeng01@hotmail.com

01087787245

Yi-Kun Kang

Role: CONTACT

345890335@qqq.com

18911611553

Other Identifiers

NCC1888

Identifier Type: -

Identifier Source: org_study_id