Chemotherapy-Free pCR-Guided Strategy With Trastuzumab-pertuzumab and T-DM1 in HER2-positive Early Breast Cancer

PHASE2Active, not recruitingINTERVENTIONAL
Enrollment

393

Participants

Timeline

Start Date

August 5, 2021

Primary Completion Date

September 30, 2025

Study Completion Date

March 31, 2028

Conditions
Early Breast Cancer
Interventions
DRUG

Trastuzumab and Pertuzumab (FDC SC) and T-DM1

"Patients will receive Trastuzumab and Pertuzumab as a subcutaneous fixed-dose combination (PH FDC SC) (± ET depending on HR status) for 8 3-week cycles, on day 1 only. ET will consist of letrozole for post-menopausal women or tamoxifen ± ovarian function suppression (OFS) for pre-menopausal women administered continuously. Men will receive tamoxifen.~After completing neoadjuvant therapy, a final breast MRI will be performed 2 weeks prior to surgery. Surgery will be performed within 4 weeks after completion of the last cycle of PH FDC SC.~Adjuvant systemic therapy will start within 4 weeks from surgery. There will be three different cohorts depending on pathological report:~* Cohort A: PH FDC SC ± ET for 10 additional 3-week cycles~* Cohort B: T-DM1 ± ET for 10 cycles~* Cohort C: T-DM1 ± ET for 10 cycles, with possibility of physician's choice chemotherapy before adjuvant T-DM1."

Trial Locations (41)

12002

Consorcio Hospitalario Provincial De Castelló, Castellon

14004

Hospital Universitario Reina Sofia, Córdoba

15009

Centro Oncológico de Galicia, A Coruña

28040

Hospital Clínico San Carlos, Madrid

46009

Instituto Valenciano de Oncología (IVO), Valencia

46026

Hospital La Fe, Valencia

48013

Hospital Universitario de Basurto, Bilbao

Unknown

UMHAT Sveti Ivan Rilski EAD Department of Medical Oncology, Sofia

Praxisnetzwerk Hämatologie und intern. Onkologie, Cologne

Evangelisches Krankenhaus Bethesda, Duisburg

Kliniken Essen Mitte, Essen

Universitätsklinikum Essen Frauenklinik, Essen

Universitätsklinikum Mannheim GmbH, Manheim

Klinikum Ernst von Bergmann, Potsdam

Békés county hospital, Békés

Tolna County Balassa János Hospital, Szekszárd

Azienda Ospedaliero Universitaria Di Bologna - Policlinico S.Orsola-Malpighi, Bologna

AO Ospedale Civile Legnano, Milan

Istituto Europeo di Oncologia - NC, Milan

Ospedale San Gerardo, Monza

Azienda Ospedaliero-Universitaria di Parma, Parma

Ospedale Guglielmo da Saliceto, Piacenza

Fondazione Policlinico Universitario Agostino Gemelli, Roma

Hospital Universitari San Joan de Reus, Reus

Hospital Universitario A Coruña, A Coruña

Hospital General Universitario de Alicante, Alicante

Institut Català d' Oncologia Badalona (ICO), Badalona

Hospital Universitari Dexeus - Grupo Quirónsalud, Barcelona

VHIO Vall d'Hebron Institute of Oncology, Barcelona

Hospital Universitario Clínico San Cecilio de Granada, Granada

Complejo Hospitalario de Jaen, Jaén

Complejo Asistencial Universitario de León, León

Hospital Universitari Arnau de Vilanova de Lleida, Lleida

Hospital Quirón San Camilo- Ruber Juan Bravo, Madrid

Hospital Ramón y Cajal, Madrid

Hospital Universitario Virgen del Rocio, Seville

Hospital Universitario de Torrejón, Torrejón

Consorcio Hospital General de Valencia, Valencia

Hospital Arnau de Vilanova de Valencia, Valencia

Hospital Clinico Universitario de Valencia, Valencia

08007

ICO L'Hospitalet - Instituto Catalán de Oncología, L'Hospitalet de Llobregat

All Listed Sponsors
collaborator

Hoffmann-La Roche

INDUSTRY

lead

MedSIR

OTHER