Long-term Outcome of HER2-amplified Metastatic Breast Cancer: A Retrospective Analysis

• Conditions: Breast Cancer; Metastatic Neoplasm; ERBB2
• Interventions: Other: observation

• Registration Number: NCT02560311
• Lead Sponsor: University of Zurich

Brief Summary

The aim of this study is to analyze cases of human epidermal growth factor receptor (HER) 2-positive metastatic breast cancer (MBC) of the last 10 years at the University Hospital of Zurich to assess the efficacy of the treatment with trastuzumab in HER2-positive MBC and to find out associations between different variables and the outcome. The aim is to find out probable prognostic factors and patterns of disease progression. Prognostic factors could optimize treatment approaches and result in a delay of disease progression.

Detailed Description

Human epidermal growth factor (HER2) is a receptor tyrosine kinase and regulates diverse functions in normal cells such as growth, differentiation and survival of cells. In 25-30 per cent of breast cancer HER2 gene is amplified, what result in abnormally high levels of encoded HER2 protein in malignant cells. Overexpression or amplification of HER2 is associated with an aggressive form of breast cancer seen by significantly shortened disease-free survival and overall survival.

Trastuzumab, a humanized monoclonal antibody against the extracellular domain of HER2, inhibits the growth of breast tumor cells by receptor internalization, inhibition of cell-cycle progression and recruitment of immune-effector cells. Trastuzumab, as the first anti-HER2 therapy, is approved since 1998 in the United States and since 2000 in European countries for the treatment of HER2-overexpressing metastatic breast cancer (MBC). Single therapy as well as combination with chemotherapy has significantly improved the outcome of these women. Shown by longer time to disease progression, longer duration of response, lower rate of death at 1 year, longer survival and a 20 per cent reduction in the risk of death.

But still is little known about the long-term outcome nor patterns of disease progression of HER2-positive MBC. A few case reports showed a prolonged complete remission in HER2-positive MBC under an anti-HER2 treatment (trastuzumab, T-DM1, pertuzumab). These cases had some common characteristics such as negative hormone receptor status and metastasis to the live. Another hypothesis is a worse prognosis for patients with early development of CNS metastases.

Study Timeline

• Study Start: 2014-12
• Status Verified: 2015-09
• Primary Completion: 2015-09
• Study First Submitted: 2015-09-02
• Study First Submitted QC: 2015-09-24
• Last Update Submitted: 2015-09-24
• Study First Posted: 2015-09-25
• Last Update Posted: 2015-09-25
• Study Completion: 2016-02

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• Received at least 1 dose of trastuzumab in metastatic setting at the University hospital of Zurich from 01/2004 to 12/2014.
• HER2+ status confirmed by immunohistochemistry (IHC) 3+ or fluorescence in situ hybridization (FISH) ≥ 2.

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Exclusion Criteria

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
HER2+ metastatic breast cancer	observation	-

Primary Outcome Measures

Name	Time	Method
Time to disease progression	up to 120 months	time from commencing trastuzumab (or other anti-HER2 therapy) to the time of disease progression or death

Secondary Outcome Measures

Name	Time	Method
Response duration	up to 120 months

Trial Locations

Locations (1)

UniversitätsSpital Zürich, Klinik für Gynäkologie; 🇨🇭 Zurich, Switzerland