UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006838
Receipt number R000007281
Scientific Title Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer
Date of disclosure of the study information 2011/12/06
Last modified on 2020/03/15 13:37:22

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Basic information

Public title

Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer

Acronym

Combination therapy of abraxane and trastuzumab+- pertuzumab

Scientific Title

Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer

Scientific Title:Acronym

Combination therapy of abraxane and trastuzumab+- pertuzumab

Region

Japan


Condition

Condition

Locally advanced or metastatic breast cancer

Classification by specialty

Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of efficacy and safety of combination therapy with abraxane and trastuzumab +- pertuzumabfor HER2-positive locally advanced or metastatic breast cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

response rate

Key secondary outcomes

safety, progression-free survival, overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Treatment with Abraxane (260mg/m2, q3w) and trastuzumab (8mg/kg followed by 6mg/kg, q3w, or 4mg/kg followed by 2mg/kg weekly) +- pertuzumabu(840mg followed by 420mg). Continue to disease progression.
Treatment with parjet is permitted.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >

Gender

Female

Key inclusion criteria

1) Histologically or cytologically confirmed locally advanced breast cancer or metastatic breast cancer
2) With evaluable lesion
3) Female between 20 and 75 years old
4) Primary or metastatic region is HER 2 positive: either 3+ over-expression by IHC or positive by FISH
5) Patients who have passed the following periods from previous treatment
in case of operation or radiation therapy, 21 days are needed. in case of endocrine therapy, 14 days from the final administration are needed.
6) PS: 0-1 (ECOG)
7) Baseline left ventricular ejection fraction (LVEF) is >50% measured by echocardiography or MUGA scan.
8) Sufficient organ function meeting following criteria:
Leukocyte >=4000 mm3
Neutrophil >=2000 mm3
Platelet >=100000 mm3
Hemoglobin >=9.0g/dL
AST (GOT) <=2.5 x upper limit of normal (ULN)
ALT (GPT) <=2.5 x upper limit of normal (ULN)
Serum total bilirubin <=1.5 mg/dL
Serum creatinine <=1.5 mg/dL
9) Expected survival time more than 3 months
10) Signed written informed consent

Key exclusion criteria

1) With history of hypersensitivity reaction for paclitaxel, trastuzumab, and pertuzumab.
2) With serious drug allergy
3) Pregnant or nursing women
4) With active another cancer
5) With widespread liver metastases or pulmonary lymphangitis with dyspnea
6) With brain metastasis with symptom
7) With uncontrollable hypertension, angina pectoris, congestive heart failure, myocardial infection within 1 year, arrhythmia that need treat, valvular heart disease
8) Poorly controlled diabetes
9) With pulmonary fibrosis or pneumonitis
10) With dyspnea at rest (due to metastatic lung lesion and cardiovascular disease)
11) With pleural effusion, ascites, and pericardial effusion that need treat
12) Infection or possible infection associated with clinical symptoms such as fever
13) Patients have active hepatitis type B
14) Cases who physician judged improper to entry this trial

Target sample size

25


Research contact person

Name of lead principal investigator

1st name Yasuo
Middle name
Last name Miyoshi

Organization

Hyogo College of Medicine

Division name

Department of Breast and Endocrine Surgery

Zip code

663-8501

Address

Mukogawa 1-1, Nishinomiya, Hyogo

TEL

0798-45-6374

Email

ymiyoshi@hyo-med.ac.jp


Public contact

Name of contact person

1st name Yasuo
Middle name
Last name Miyoshi

Organization

Department of Breast and Endocrine Surgery

Division name

Surgery

Zip code

663-8501

Address

Mukogawa 1-1, Nishinomiya, Hyogo

TEL

0798-45-6374

Homepage URL


Email

ymiyoshi@hyo-med.ac.jp


Sponsor or person

Institute

Department of Breast and Endocrine Surgery, Hyogo College of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of breast and endocrine surgery, Hyogo College of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Hyogo College of Medicine

Address

Mukogawa 1-1, Nishinomiya City

Tel

0798456374

Email

rinri@hyo-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 12 Month 06 Day


Related information

URL releasing protocol

Unpublished

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/30326862

Number of participants that the trial has enrolled

21

Results

Retrospective-prospective study was conducted with eribulin or nab-paclitzxel + trastuzumab + pertuzumab. Progression-free survival was significantly improved in patients with baseline absolute lymphocyte count more than 1500 (p=0.0106).

Results date posted

2020 Year 03 Month 15 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2018 Year 10 Month 16 Day

Baseline Characteristics

HER2-positive breast cancer treated with trastuzumab and pertuzumab

Participant flow

Recruited by retrospectively

Adverse events

Adverse events grade 3 were decrease of white blood cells, neutrophils, anemia, febrile neutrophils, abnormal ALT, arthralgia, peripheral neuropathy.

Outcome measures

Response rate was 52%, clinical benefit rate was 67%, disease control rate was 86%.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 06 Month 27 Day

Date of IRB

2011 Year 07 Month 08 Day

Anticipated trial start date

2011 Year 09 Month 01 Day

Last follow-up date

2016 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 12 Month 05 Day

Last modified on

2020 Year 03 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007281


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name