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Breast CancerPhase 3NCT01998906

A Study of Herceptin (Trastuzumab) in Combination Chemotherapy in Women With Locally Advanced Breast Cancer

A Phase 3 study testing Trastuzumab, Doxorubicin and Paclitaxel in people with Breast Cancer, run by Hoffmann-La Roche at 36 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the efficacy and safety of adding Herceptin to a paclitaxel-containing regimen followed by cyclophosphamide/methotrexate/fluorouracil (CMF) chemotherapy in women with locally advanced breast cancer and HER2/c-erbB-2 gene amplification. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Trastuzumab, Doxorubicin and Paclitaxel
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
330 participants
Where
36 sitesin 6 countries
Study dates
May 2002to Jul 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • female patients, >=18 years of age, with locally advanced breast cancer.

Who cannot join

  • previous therapy for any invasive malignancy.

Trial locations and contacts

36 sites in 6 countries.

36 sites in 6 countries

Italy15 sites
  • Study site

    Bellunoi, Veneto, 32100

  • Study site

    Bologna, Emilia-Romagna, 40138

  • Study site

    Carpi, Emilia-Romagna, 41012

  • Study site

    Castelfranco Veneto, Veneto, 31033

  • Study site

    Milan, Lombardy, 20133

  • Study site

    Mirano, Veneto, 30035

  • Study site

    Pavia, Lombardy, 27100

  • Study site

    Pisa, Tuscany, 56100

  • Study site

    San Giovanni Rotondo, Apulia, 71013

  • Study site

    Santorso, Veneto, 36014

  • Study site

    Sassari, Sardinia, 07100

  • Study site

    Trento, Trentino-Alto Adige, 38100

  • Study site

    Udine, Friuli Venezia Giulia, 33100

  • Study site

    Varese, Lombardy, 21100

  • Study site

    Vicenza, Veneto, 36100

Other trials in Italy

Spain11 sites
  • Study site

    Barcelona, Barcelona, 08022

  • Study site

    Barcelona, Barcelona, 08035

  • Study site

    Barcelona, Barcelona, 08041

  • Study site

    Barcelona, Barcelona, 08907

  • Study site

    Donostia / San Sebastian, Guipuzcoa, 20080

  • Study site

    Jerez de la Frontera, Cadiz, 11407

  • Study site

    Madrid, Madrid, 28041

  • Study site

    Terrassa, Barcelona, 08221

  • Study site

    Valencia, Valencia, 46009

  • Study site

    Valencia, Valencia, 46010

  • Study site

    Zaragoza, Zaragoza, 50009

Other trials in Spain

Russia7 sites
  • Study site

    Kazan', 420029

  • Study site

    Moscow, 107005

  • Study site

    Moscow, 115478

  • Study site

    Moscow, 117837

  • Study site

    Moscow, 129128

  • Study site

    Saint Petersburg, 197022

  • Study site

    Saint Petersburg, 197758

Other trials in Russia

Austria1 site
  • Study site

    Vienna, 1090

Other trials in Austria

Germany1 site
  • Study site

    München, 80637

Other trials in Germany

Portugal1 site
  • Study site

    Lisbon, 1099-023

Other trials in Portugal

About this study

Official title: A Randomized, Open-label Study of the Effect of Paclitaxel, Doxorubicin, and CMF Neoadjuvant Chemotherapy, With and Without Herceptin, on Tumor Response in Women With HER2-positive Breast Cancer

This study will assess the efficacy and safety of adding Herceptin to a paclitaxel-containing regimen followed by cyclophosphamide/methotrexate/fluorouracil (CMF) chemotherapy in women with locally advanced breast cancer and HER2/c-erbB-2 gene amplification. In a parallel observational study patients with HER2-negative disease will receive the same chemotherapy without Herceptin.

Conditions
Breast Cancer
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TrastuzumabDrug

    Also called Herceptin

    8mg/kg IV on Day 1 of Cycle 1, followed by 6 mg/kg on Day 1 of Cycle 2 up a maximum of Cycle 17

  • DoxorubicinDrug

    60 mg/m2 IV on Day 1 of Cycles 1 through 3

  • PaclitaxelDrug

    150 mg/m2 IV on Day 1 of Cycles 1 through 3, followed by 175 mg/m2 IV on Day 1 of Cycles 4 through 7

  • CMFDrug

    CMF: Cyclophosphamide (600 mg/m2 IV bolus), methotrexate (40 mg/m2 IV bolus), 5-fluorouracil (600 mg/m2 IV bolus) on Day 1 of Cycles 8 through 10

Study groups in NCT01998906
Study groupRoleWhat they receive
HER-2+ Trastuzumab, Doxorubicin/Paclitaxel/CMFExperimentalParticipants with HER2 proto-oncogene positive breast cancer (HER2+) were treated with trastuzumab 8 milligrams per kilogram (mg/kg), intravenous (IV), on Day 1 of Cycle 1, followed by 6 mg/kg, IV, on Day 1 of Cycle 2 to up a maximum of Cycle 17. Participants also received doxorubicin 60 mg/ square meter (m^2), IV, and paclitaxel 150 mg/m^2, IV, on Day 1 of Cycles 1 through 3. Followed by paclitaxel 175 mg/m^2, IV, alone on Day 1 of Cycles 4 through 7. Participants also received CMF: cyclophosphamide 600 mg/m^2, IV; methotrexate 40 mg/m^2, IV; and 5-fluorouracil 600 mg/m^2, IV, on Day 1 of Cycles 8 through 10.
Receives: Drug: Trastuzumab; Drug: Doxorubicin; Drug: Paclitaxel; Drug: CMF
HER-2+ Doxorubicin/Paclitaxel/CMFActive comparatorParticipants with HER2 proto-oncogene positive breast cancer were treated with doxorubicin 60 mg/m^2, IV, and paclitaxel 150 mg/m^2, IV, on Day 1 of Cycles 1 through 3. Followed by paclitaxel 175 mg/m^2, IV, alone on Day 1 of Cycles 4 through 7. Participants also received CMF on Day 1 of Cycle 8 through 10.
Receives: Drug: Doxorubicin; Drug: Paclitaxel; Drug: CMF
HER-2- Doxorubicin/Paclitaxel/CMFActive comparatorParticipants with HER2 proto-oncogene negative breast cancer were treated with doxorubicin 60 mg/m^2, IV, and paclitaxel 150 mg/m^2, IV, on Day 1 of Cycles 1 through 3. Followed by paclitaxel 175 mg/m^2, IV, alone on Day 1 of Cycles 4 through 7. Participants also received CMF on Day 1 of Cycle 8 through 10.
Receives: Drug: Doxorubicin; Drug: Paclitaxel; Drug: CMF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event-Free Survival (EFS) - Percentage of Participants With an Event

    EFS was defined as the time between randomization and date of documented occurrence of disease recurrence or progression (local, regional, distant or contralateral) or death due to any cause.

    Measured: Baseline (BL), Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  2. Event-Free Survival

    The median time, in months, between randomization and date of documented occurrence of an EFS event.

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  3. Percentage of Participants Event Free at 1 Year

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  4. Percentage of Participants Event Free at 2 Years

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  5. Percentage of Participants Event Free at 3 Years

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

Secondary outcomes (8)
  1. Percentage of Participants With Breast Pathological Complete Response (bpCR)

    bpCR was defined as an absence of any invasive cancer cell of the primary tumor at the time of major surgery after neoadjuvant chemotherapy with and without trastuzumab.

    Measured: BL, Day 1 of Cycles 1-10 (pre-surgery)

  2. Percentage of Participants With Total Pathological Complete Response (tpCR)

    tpCR was defined as a determination of bpCR and an absence of positive axillary nodes on pathology.

    Measured: BL, Day 1 of Cycles 1-10 (pre-surgery)

  3. Percentage of Participants Achieving Either Complete Response (CR) or Partial Response (PR) According to Modified Response Evaluation Criteria in Solid Tumors (RECIST) Criteria

    Assessments were made based on objective tumor measurements of the lesions as recorded in the case report form. In inflammatory cancer, progressive disease (PD) was defined as progression of any of the 2 signs of breast edema and erythema. In non-inflammatory cancer, PD was concluded if either the investigator judged the participant as having progressed at any time prior to surgery, or there was at least a 20% increase in the sum of target lesions (TLs), any new lesion, or clear progression of any nontarget lesion (NTLs). Clear progression of any NTL was defined as at least a 20% increase in the sum of NTLs compared to BL. PR was defined as at least a 30% decrease from BL in the sum of the longest diameter of TLs. CR was defined as no PD as assessed by the investigator and complete disappearance of all lesions.

    Measured: BL, Presurgery: Day 1 of Cycles 1-10

  4. Overall Survival (OS) - Percentage of Participants With an Event

    OS was defined as the time from the date of randomization to the date of the death due to any cause.

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  5. Overall Survival

    OS was defined as the time from the date of randomization to the date of the death due to any cause.

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  6. Percentage of Participants Surviving at 1 Year

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  7. Percentage of Participants Surviving at 2 Years

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

  8. Percentage of Participants Surviving at 3 Years

    Measured: BL, Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Dec 2013 (estimated)
  2. Study startMay 2002
  3. Primary completionJul 2012
  4. Study completionJul 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
330 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01998906
Sponsor's protocol ID
MO16432
Status last verified
Oct 2014
First submitted
25 Nov 2013
Last updated
28 Oct 2014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Trastuzumab, Doxorubicin and Paclitaxel in people with Breast Cancer, run by Hoffmann-La Roche at 36 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Italy, Spain, Russia, Austria, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Oct 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event-Free Survival (EFS) - Percentage of Participants With an Event (time frame: Baseline (BL), Presurgery: Day 1 (Cycles 1-7) and Days 1 and 8 (Cycles 8-10); Postsurgery: Day 1 (Cycles 1-17); every 6 months up to 60 months after last dose of study drug; yearly thereafter). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2014.

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