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临床试验/2023-503568-18-00
2023-503568-18-00进行中(未招募)3 期

A PHASE III, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED CLINICAL TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF ADJUVANT ATEZOLIZUMAB OR PLACEBO AND TRASTUZUMAB EMTANSINE FOR HER2-POSITIVE BREAST CANCER AT HIGH RISK OF RECURRENCE FOLLOWING PREOPERATIVE THERAPY

F. Hoffmann-La Roche AG107 个研究点 分布在 5 个国家目标入组 377 人开始时间: 2024年3月15日最近更新:

试验速览

阶段
3 期
状态
进行中(未招募)
入组人数
377
试验地点
107
主要终点
1. Invasive disease-free survival

研究概览

简要总结

To evaluate the efficacy of atezolizumab when given in combination with trastuzumab emtansine compared with placebo and trastuzumab emtansine in the Full Analysis Set (FAS).

研究设计

分配方式
Randomized
主要目的
Phase III, placebo controlled study for patients with HER2 positive breast cancer
盲法
Double (Monitor, Investigator, Subject, Analyst, Carer)

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Histologically confirmed invasive breast carcinoma
  • Pathologic evidence of residual invasive carcinoma in the breast and/or axillary lymph node(s) at surgery after completion of neoadjuvant therapy. Positive nodal residual disease, with or without residual invasive disease in the breast, is mandatory in patients with cT1-3/N0-1/M0 disease at presentation.
  • Diagnosis of HER2-positive breast cancer with assessment of hormone receptor and programmed death ligand 1 status , as documented through central testing of a representative tumor tissue specimen
  • Completion of preoperative systemic chemotherapy and HER2-directed treatment
  • Adequate excision: surgical removal of all clinically evident disease in the breast and lymph nodes
  • An interval of no more than 12 weeks between the date of primary surgery and the date of randomization

排除标准

  • Stage IV (metastatic) breast cancer
  • Inadequate excision
  • An overall response of disease progression according to the investigator at the conclusion of preoperative systemic therapy
  • Patients for whom radiotherapy would be recommended for breast cancer treatment but for whom it is contraindicated because of medical reasons
  • History of other malignancy within 5 years prior to screening
  • Prior treatment with atezolizumab

结局指标

主要结局

1. Invasive disease-free survival

1. Invasive disease-free survival

次要结局

  • 1. Invasive disease-free survival including second primary non breast invasive cancer
  • 2. IDFS, in the PD-L1-positive and the PD-L1-negative population (defined as all randomized patients from the ITT population with a centrally assessed PD-L1-positive [i.e., PD-L1 status of IC1/2/3] or PD-L1-negative status [i.e.,PD-L1 status of IC0] at randomization as per corresponding stratification factors recorded in the IWRS).
  • 3. Disease-free survival
  • 4 . Overall survival
  • 5 . Distant recurrence-free interval
  • 6. The proportion of patients in each arm with clinically meaningful deterioration in GHS/QoL physical, role, and cognitive function as measured by scales of the European Organisation for Research and Treatment of Cancer quality of life questionnaire for cancer (EORTC QLQ C30)
  • 7. Mean absolute scores and mean change from baseline scores in GHS/QoL, physical, role, and cognitive function, as assessed using the EORTC QLQ C30
  • 9. Maximum and minimum serum concentrations for atezolizumab and trastuzumab emtansine
  • 8. Incidence and severity of adverse events
  • 10. Incidence of antidrug antibodies (ADAs) to atezolizumab and to trastuzumab emtansine at specified timepoints

研究者

申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

Trial Information System - TISL

Scientific

F. Hoffmann-La Roche AG

研究点 (107)

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