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临床试验/NCT05255523
NCT05255523尚未招募2 期

A Single Arm,Multicenter,Real-world Observational Study of Pyrotinib Plus Trastuzumab After First-line TH (P) Treatment With HER-2 Positive Breast Cancer

Fujian Medical University Union Hospital0 个研究点目标入组 60 人开始时间: 2022年2月20日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
尚未招募
入组人数
60
主要终点
Incidence of first progression with brain metastases

研究概览

简要总结

The purpose of this study is to assess the effect of pyrotinib

详细描述

The purpose of this study is to assess the effect of pyrotinib combined with trastuzumab in the maintenance phase delay/reduction of brain metastases after first-line TH(P) therapy for HER-2-positive advanced breast cancer

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • age:18-75 years old, female;
  • HER2 positive advanced breast cancer diagnosed by pathology, cytology or radiology, including inoperable breast cancer with stage IV, or recurrent/metastatic breast cancer.HER-2 positivity was confirmed by histopathological test: immunohistochemistry(IHC) results of 3 + or in situ hybridization (ISH) results of amplification of HER2;
  • Disease progression occurs after treatment with trastuzumab (stopping the drug for more than 12 months) or newly diagnosed IV stage breast cancer patients;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
  • Life expectancy greater than or equal to 6 months;
  • The main organs function well, and the inspection indicators meet the following requirements:
  • For results of blood routine test HB≥90g/L; ANC≥1.5×109/L; PLT≥90×109/L; 2) For results of blood biochemical test ALT and AST≤2×ULN, but≤5×ULN if the transferanse elevation is due to liver metastases; TBIL≤1.5×ULN; Serum creatinine ≤1.5×ULN;
  • The researchers believed that the subjects were preference to benefit;
  • Participants were willing to join in this study, and written informed consent.

排除标准

  • Patients with brain metastases by CT or MRI;
  • More factors affecting of oral drugs (gastrointestinal surgery history, inability to swallow, chronic diarrhea, intestinal obstruction);
  • Study drug and excipient allergy;
  • History of psychiatric drugs abuse and can't quit or patients with mental disorders;
  • Pregnant or lactating female patients;
  • Less than 4 weeks from the last clinical trial;
  • The researchers think inappropriate.

研究组 & 干预措施

Arm 1

Experimental

Pyrotinib:400mg qd po continuous medication Capecitabine: 1000 mg/m2 bid po for 14 consecutive days with 7 days off, every 21 days as a cycle.

干预措施: pyrotinib (Drug)

结局指标

主要结局

Incidence of first progression with brain metastases

时间窗: 24 month

Incidence of first progression with brain metastases

次要结局

  • TTBM(24 month)
  • ORR without CNS(24 month)

研究者

申办方类型
Other
责任方
Sponsor

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