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Early Breast CancerPhase 1NCT02738970

A Dose-Finding Study of Pertuzumab (Perjeta) in Combination With Trastuzumab (Herceptin) in Healthy Male Participants and Women With Early Breast Cancer (EBC)

A Phase 1 study testing Trastuzumab and Pertuzumab in people with Early Breast Cancer, run by Hoffmann-La Roche at 2 sites in New Zealand.

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 involves a two-part design. Part 1 is designed to determine the optimal dose of subcutaneous (SC) Perjeta, injected alone or mixed with Herceptin, that results in comparable exposure to intravenous (IV) Perjeta. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Early Breast Cancer
What is being tested?
Trastuzumab and Pertuzumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
88 participants
Where
2 sitesNew Zealand
Study dates
23 Jun 2016to 31 May 2018
Phase
Phase 1
Are there results?
None posted in the registry

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 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Part 1: Healthy male volunteers 18 to 45 years of age
  • Part 1: Left ventricular ejection fraction (LVEF) at least 55 percent (%)
  • Part 1: Body mass index (BMI) 18 to 32 kilograms per meter-squared (kg/m^2)
  • Part 1: Normal, intact skin without tattoos or lesions in the injection area
  • Part 2: Females at least 18 years of age
  • Part 2: Eastern Cooperative Oncology Group (ECOG) performance status of 0
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  • Part 2: Previously treated, non-metastatic carcinoma of the breast
  • Part 2: Baseline LVEF at least 55%
  • Part 2: Negative pregnancy test and use of adequate contraceptive measures among women of childbearing potential

Who cannot join

  • Part 1: Positive urine test for drugs of abuse
  • Part 1: History of exposure or active viral infection of Hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
  • Part 1: Cardiac disease including hypertension or hypotension
  • Part 1: Lower extremity edema
  • Part 1: Any clinically relevant history of systemic disease
  • Part 1: History of breast cancer
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  • Part 1: Chronic corticosteroid use
  • Part 1: Receipt of IV antibiotics within 7 days prior to enrollment
  • Part 2: Concurrent malignancy requiring therapy that may interfere with pharmacokinetic investigations, or history of other malignancy within 5 years prior to Screening
  • Part 2: Significant cumulative exposure to anthracyclines
  • Part 2: Serious cardiac disease including uncontrolled hypertension
  • Part 2: Poor hematologic, renal, or hepatic function
  • Part 2: Pregnant or lactating women
  • Part 2: History of exposure or active viral infection of Hepatitis B, hepatitis C, or HIV
  • Part 2: Chronic corticosteroid use
  • Part 2: Receipt of IV antibiotics within 7 days prior to enrollment

Trial locations and contacts

2 sites in 1 country.

New Zealand2 sites
  • Auckland Clinical Studies

    Auckland, 1142

  • Christchurch Clinical Studies Trust

    Christchurch, 8011

Other trials in New Zealand

About this study

Official title: A Phase I, Open-Label, Two-Part, Multicenter Perjeta® Subcutaneous Dose-Finding Study in Combination With Herceptin® in Healthy Male Volunteers and Female Patients With Early Breast Cancer

This study involves a two-part design. Part 1 is designed to determine the optimal dose of subcutaneous (SC) Perjeta, injected alone or mixed with Herceptin, that results in comparable exposure to intravenous (IV) Perjeta. Exposure between SC Perjeta and IV Perjeta will be compared using a compilation of pharmacokinetic (PK) parameters such as area under the concentration-time curve (AUC), maximum serum concentration (Cmax), time of maximum concentration (Tmax), and serum trough concentration (Ctrough). Part 2 is designed to confirm the dosing regimen in women with EBC on the basis of safety, tolerability, and PK assessments.

Being tested
Trastuzumab, Pertuzumab
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, RO0452317

    Participants will receive a single dose of trastuzumab 600 mg SC separately, co-mixed or co-formulated with pertuzumab.

  • PertuzumabDrug

    Also called Perjeta, RO4368451

    Participants will receive pertuzumab as a single agent injection, co-mixed or formulated as FDC with trastuzumab depending upon cohort. The dose will range from 400 to 1200 mg.

Study groups in NCT02738970
Study groupRoleWhat they receive
Part 1-Cohort 1: Pertuzumab 420 Milligrams (mg) IVActive comparatorPart 1 includes healthy male participants. Participants will receive a single injection of pertuzumab 420 mg IV.
Receives: Drug: Pertuzumab
Part 1-Cohort 2: Pertuzumab 400 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of pertuzumab 400 mg SC.
Receives: Drug: Pertuzumab
Part 1-Cohort 3: Pertuzumab 600 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of pertuzumab 600 mg SC.
Receives: Drug: Pertuzumab
Part 1-Cohort 4: Pertuzumab 1200 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of pertuzumab 1200 mg SC.
Receives: Drug: Pertuzumab
Part 1-Cohort 5: Trastuzumab 600 mg SCActive comparatorPart 1 includes healthy male participants. Participants will receive a single injection of trastuzumab 600 mg SC.
Receives: Drug: Trastuzumab
Part 1-Cohort 6: Pertuzumab 400 mg SC + Trastuzumab 600 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of co-mixed pertuzumab 400 mg and trastuzumab 600 mg SC.
Receives: Drug: Trastuzumab; Drug: Pertuzumab
Part 1-Cohort 7: Pertuzumab 1200 mg SC + Trastuzumab 600 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of co-mixed pertuzumab 1200 mg and trastuzumab 600 mg SC.
Receives: Drug: Trastuzumab; Drug: Pertuzumab
Part 1-Cohort 8: Pertuzumab 1200 mg SC + Trastuzumab 600 mg SCExperimentalPart 1 includes healthy male participants. Participants will receive a single injection of co-mixed pertuzumab 1200 mg and trastuzumab 600 mg SC without recombinant human hyaluronidase (rHuPH20) excipient.
Receives: Drug: Trastuzumab; Drug: Pertuzumab
Part 2-Cohort A: Pertuzumab SC + Trastuzumab SCExperimentalPart 2 includes women with early breast cancer. Cohort A will be enrolled only if FDC of pertuzumab and trastuzumab is not feasible. Participants will receive pertuzumab and trastuzumab (600 mg) SC administered separately. The dose of pertuzumab will be identified during Part 1.
Receives: Drug: Trastuzumab; Drug: Pertuzumab
Part 2-Cohort B: Pertuzumab SC + Trastuzumab SCExperimentalPart 2 includes women with early breast cancer. Cohorts B and C will be enrolled if FDC of pertuzumab and trastuzumab is feasible. Participants will receive pertuzumab and trastuzumab (600 mg) SC; both agents administered in one injection (co-mixed). The dose of pertuzumab will be identified during Part 1.
Receives: Drug: Trastuzumab; Drug: Pertuzumab
Part 2-Cohort C: Pertuzumab SC + Trastuzumab SCExperimentalPart 2 includes women with early breast cancer. Cohorts B and C will be enrolled if FDC of pertuzumab and trastuzumab is feasible. Participants will receive pertuzumab and trastuzumab (600 mg) SC; both agents formulated together and administered in one injection (FDC). The dose of pertuzumab will be identified during Part 1.
Receives: Drug: Trastuzumab; Drug: Pertuzumab

What is being measured

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

  1. Area Under the Concentration from Time Zero to Time Infinity (AUC0-inf) of Pertuzumab SC

    Measured: Pre-dose (0 hours) and 6, 8, and 12 hours post-dose on Day 1; on Days 2, 3, 5, 8, 10, 15, 22, 43, 85; and at follow-up visit (up to approximately 24 months)

  2. Maximum Serum Concentration (Cmax) of Pertuzumab SC

    Measured: Pre-dose (0 hours) and 6, 8, and 12 hours post-dose on Day 1; on Days 2, 3, 5, 8, 10, 15, 22, 43, 85; and at follow-up visit (up to approximately 24 months)

  3. Time to Reach Cmax (Tmax) of Pertuzumab SC

    Measured: Pre-dose (0 hours) and 6, 8, and 12 hours post-dose on Day 1; on Days 2, 3, 5, 8, 10, 15, 22, 43, 85; and at follow-up visit (up to approximately 24 months)

  4. Minimum Serum Concentration (Cmin) of Pertuzumab SC

    Measured: Pre-dose (0 hours) and 6, 8, and 12 hours post-dose on Day 1; on Days 2, 3, 5, 8, 10, 15, 22, 43, 85; and at follow-up visit (up to approximately 24 months)

  5. AUC0-inf of Pertuzumab IV

    Measured: Pre-dose (0 hours) and 1.5 and 3 hours post-dose on Day 1; on Days 2, 3, 5, 8, 15, 22, 35, 43, 85; and at follow-up visit (up to approximately 24 months)

  6. Cmax of Pertuzumab IV

    Measured: Pre-dose (0 hours) and 1.5 and 3 hours post-dose on Day 1; on Days 2, 3, 5, 8, 15, 22, 35, 43, 85; and at follow-up visit (up to approximately 24 months)

  7. Tmax of Pertuzumab IV

    Measured: Pre-dose (0 hours) and 1.5 and 3 hours post-dose on Day 1; on Days 2, 3, 5, 8, 15, 22, 35, 43, 85; and at follow-up visit (up to approximately 24 months)

  8. Cmin of Pertuzumab IV

    Measured: Pre-dose (0 hours) and 1.5 and 3 hours post-dose on Day 1; on Days 2, 3, 5, 8, 15, 22, 35, 43, 85; and at follow-up visit (up to approximately 24 months)

Secondary outcomes (4)
  1. Percentage of Participants with Adverse Events

    Measured: Baseline up to approximately 24 months

  2. Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) to Pertuzumab

    Measured: Baseline, Day 22, Day 85, and 7 months post-dose (up to approximately 24 months overall)

  3. Percentage of Participants with ATAs to Trastuzumab

    Measured: Baseline, Day 22, Day 85, and 7 months post-dose (up to approximately 24 months overall)

  4. Percentage of Participants with ATAs to rHuPH20

    Measured: Baseline, Day 22, Day 85, and 7 months post-dose (up to approximately 24 months overall)

Timeline

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

  1. First posted14 Apr 2016 (estimated)
  2. Study start23 Jun 2016
  3. Primary completion31 May 2018
  4. Study completion31 May 2018

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
88 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02738970
Sponsor's protocol ID
BO30185
Status last verified
Jun 2018
First submitted
29 Mar 2016
Last updated
12 Jun 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Kirschbrown WP, Wynne C, Kagedal M, Wada R, Li H, Wang B, Nijem I, Badovinac Crnjevic T, Gasser H, Heeson S, Eng-Wong J, Garg A. Development of a Subcutaneous Fixed-Dose Combination of Pertuzumab and Trastuzumab: Results From the Phase Ib Dose-Finding Study. J Clin Pharmacol. 2019 May;59(5):702-716. doi: 10.1002/jcph.1362. Epub 2018 Dec 19.

    PubMed 30570763

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Trastuzumab and Pertuzumab in people with Early Breast Cancer, run by Hoffmann-La Roche at 2 sites in New Zealand.

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 9 inclusion and 16 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 12 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in New Zealand. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Area Under the Concentration from Time Zero to Time Infinity (AUC0-inf) of Pertuzumab SC (time frame: Pre-dose (0 hours) and 6, 8, and 12 hours post-dose on Day 1; on Days 2, 3, 5, 8, 10, 15, 22, 43, 85; and at follow-up visit (up to approximately 24 months)). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02738970, which also lists 1 linked publication.

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 12 Jun 2018.

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