Phase II, Open Label, Randomized, Biomarker Study of Immune-mediated Mechanism of Action of Neoadjuvant Subcutaneous (SC) Trastuzumab in Patients with Operable or Locally Advanced/Inflammatory HER2-positive Breast Cancer
- Conditions
- HER2-positive Breast CancerMedDRA version: 20.0Level: PTClassification code 10006187Term: Breast cancerSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2016-000435-41-IT
- Lead Sponsor
- GRUPPO ONCOLOGICO ITALIANO DI RICERCA CLINICA (GOIRC)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Female
- Target Recruitment
- 60
•Previously untreated, infiltrating primary breast cancer with locally advanced, inflammatory, or early stage tumor (either greater than 2 cm in diameter or node positive) with no evidence of metastatic disease.
•HER2 positivity (either immunohistochemistry 3+ or fluorescent in situ hybridization amplification).
•Age 18 or older.
•Eastern Cooperative Oncology Group performance status of 0 to 1.
•Availability of tumor tissue for biologic and molecular examination before starting primary treatment.
•Left ventricular ejection fraction within the institutional range of normal.
•Normal organ and marrow function.
•Adequate contraception methods for women of childbearing potential.
•Prior diagnosis of cancer is allowed as long as patient is free of disease and has been off treatment for the prior malignancy for a minimal interval of 3 years.
•Written informed consent.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 30
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 30
•Either stage I or IV breast cancer.
•Prior trastuzumab or pertuzumab.
•Any prior chemotherapy.
•Treatment with any other investigational agent, or participation in another clinical trial within 28 days prior to enrolment.
•Undergone major surgery (e.g., intra-thoracic, intra-abdominal or intra-pelvic) <= 4 weeks prior to starting study drug or who have not recovered from side effects of such surgery.
•Breast radiotherapy prior to starting study.
•Known hypersensitivity to the investigational drugs or any of their excipients.
•Evidence of any disease, neurological or metabolic dysfunction, physical examination finding or laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, or puts the patient at high risk for treatment-related complications.
•Moderate/severe hepatic impairment (Child-Pugh B/C).
•Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
•Concurrent malignancy or malignancy within 3 years prior to study enrollment, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma or other non-melanomatous skin cancer, or in-situ carcinoma of the uterine cervix.
•Pregnancy or breastfeeding (breast feeding should be discontinued to be enrolled in the study).
•Women of childbearing potential that refusal to adopt adequate contraceptive measures.
•Unwilling or unable to comply with the protocol.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method