A Study to Evaluate the Efficacy and Safety of HLX11 vs. EU-Perjeta® in the Neoadjuvant Therapy of HER2-Positive and HR-Negative Early-stage or Locally Advanced Breast Cancer
- Summary
- This is a phase III, double-blind, randomized, parallel-controlled, multicenter equivalence study to compare the efficacy and safety of pertuzumab biosimilar HLX11 vs. EU-Perjeta® on HER2-positive and HR-negative early-stage or locally advanced breast cancer with a primary tumor \> 2 cm. Patients are random assignment to 2 arms and treatment with either HLX11 or EU-Perjeta® , and received neoadjuvant THP regimen every 3- weeks 4 cycles,adjuvant AC every 3- weeks 4 cycles and pertuzumab+trastuzumab(HP) every 3- weeks 13cycles.
- Short title
- A Study to Evaluate the Efficacy and Safety of HLX11 vs. EU-Perjeta® in the Neoadjuvant Therapy of HER2-Positive and HR-Negative Early-stage or Locally Advanced Breast Cancer
- Official title
- A Multicenter, Randomized, Double-Blind, Parallel-Controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of Pertuzumab Biosimilar HLX11 vs. EU-Perjeta® in the Neoadjuvant Therapy of HER2-Positive and HR-Negative Early-stage or Locally Advanced Breast Cancer
- Control arm
- Active comparator
- Registry reports results
- Listing at source
- Listed
- Recruitment status
- Active, not recruiting
- Phase
- Phase 3
- Study type
- Interventional
- Completion date
- 2025-12-30
- First posted
- 2022-04-26
- Registry last updated
- 2025-06-10
- Primary completion date
- 2024-05-15
- Start date
- 2022-04-25
- Participants
- Participant count basis
- Estimated
- Planned participants
- Protocol amendments
- Randomisation ratio
- Number of sites
- Data monitoring committee
- Registry sponsor category
- Industry
- Lead sponsor
- Shanghai Henlius Biotech
- Source registry
- ClinicalTrials.gov
- Registry ID
- NCT05346224
- ClinicalTrials.gov ID
- NCT05346224
- Registry record
- Open registry record
- Allocation
- Randomised
- Model
- Parallel groups
- Purpose
- Treatment
- Masking
- Quadruple masking
- Masked roles
- Participants, Care providers, Investigators, Outcome assessors
The total pathological complete response (tpCR) rate assessed by the Independent Review Committee (IRC)
Timeframe: immediately after the surgery
tpCR is defined as the histological evidence of no malignancy of lymph nodes in the regions of primary lesion and metastasis of breast cancer (i.e., ypT0/is, ypN0 in accordance with the AJCC staging system)
Breast pathologic complete response (bpCR) rate
Timeframe: immediately after the surgery
bpCR is defined as the histological evidence of no malignancy in the primary lesion of breast cancer, or only carcinoma in situ (i.e., ypT0/Tis in the AJCC staging system, 8th edition)
- Sex
- All
- Age groups
- Adults, Older adults
- Minimum age
- 18 Years
- Healthy volunteers
- No
1. Primary breast cancer that is:
- Histologically confirmed invasive breast carcinoma with a primary tumor size of > 2 cm by standard local assessment technique;
- Breast cancer staging ( in accordance with the American Joint Commitee on Cancer(AJCC) staging system (8th edition)): early-stage (T2-3, N0-1, M0) or locally advanced (T2-3, N2 or N3, M0; T4, any N, M0);
- HER2 positive confirmed by central laboratory, defined as immunohistochemistry (IHC) 3 +, or IHC 2+ and In Situ Hybridization (ISH) positive;
- Hormone receptor (HR, including estrogen receptor [ER] and progestin receptor [PR]) negative by central laboratory; ER negative is defined as < 1% nuclear staining, and PR negative is defined as < 1% nuclear staining.
2. Left ventricular ejection fraction (LVEF) at baseline (within 42 days prior to randomization) ≥ 55% measured by echocardiography (ECHO) or multiple gated acquisition (MUGA) scan.
3. Adequate major organ function, meeting the following criteria: Hematology (neither blood transfusion nor correction with hematopoietic stimulating factors within 14 days prior to randomization): white blood cell count ≥ 3.0 × 109/L; absolute neutrophil count ≥ 1.5 × 109/L; hemoglobin ≥ 90 g/L; platelet count ≥ 100 × 109/L; Serum chemistry: Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN), total bilirubin ≤ 1.5 × ULN; for subjects with known Gilbert syndrome, total bilirubin ≤ 2 × ULN; alkaline phosphatase ≤ 2.5 × ULN, serum creatinine ≤ 1.5 × ULN.
4. Women of child-bearing potential have a negative result of serum pregnancy test at screening (within 7 days prior to randomization) and not in lactation, or are infertile. Male participants and women of childbearing potential use a "highly effective" contraceptive measures until 7 months after the last dose of investigational/reference product.
- Inflammatory breast cancer.
- Stage IV (metastatic) breast cancer, bilateral breast cancer, or multicentric (multiple tumors involving more than 1 quadrant) breast cancer.
- History of other malignancy within 5 years prior to screening (except for who have received radical treatment of carcinoma in situ of the cervix, basal cell carcinoma or squamous cell carcinoma of the skin ).
- With serious heart disease or medical history, including but not limited to the following conditions:
1) History of documented heart failure or systolic dysfunction with any NYHA classification(LVEF < 50%); 2) High-risk uncontrolled arrhythmia, such as atrial tachycardia with a heart rate> 100 bpm at rest, significant ventricular arrhythmia (e.g.,ventricular tachycardia), or higher-grade atrioventricular (AV) block (i.e.,Mobitz II second-degree AV block or third degree AV block); 3) Unstable angina pectoris, or angina pectoris requiring anti-angina medication; 4) Evidence of transmural myocardial infarction on ECG; 5) Clinically-significant valvular heart disease; 6) Poorly controlled hypertension (systolic blood pressure> 150 mmHg and/or diastolic blood pressure> 100 mmHg).
- the First Affiliated Hospital of Bengbu Medical CollegeBengbu, China
- The Second Hospital of Anhui Medical UniversityHefei, China
- The first affiliated hospital of Anhui Medical UniversityHefei, China
- The first affiliated hospital of USTC (Anhui Provincial Hospital)Hefei, China
- Lu'an people's hospital of Anhui ProvinceLuanLu'an, China
- Maanshan People's HospitalMa’anshan, China
- Yijishan Hospital of Wannan Medical CollegeWuhu, China
- Beijing Cancer HospitalBeijing, China
- Chongqing University Cancer HospitalChongqing, China
- he First Affiliated Hospital of Chongqing Medical UniversityChongqi, China
- Fujian Cancer HospitalFuzhou, China
- The First Affiliated Hospital of Xiamen UniversityXiamen, China
- Affiliated Cancer Hospital and Institute of Guangzhou Medical UniversityGuangzhou, China
- Sun Yat-Sun Yat-sen Hospital affiliated to Sun Yat-sen Universitysen Hospital affiliated to Sun Yat-sen UniversityGuanzhou, China
- Jieyang People's HospitalJieyang, China
- Meizhou People's HospitalMeizhou, China
- Cancer Hospital of Shantou University Medical CollegeShantou, China
- Shantou Central HospitalShantou, China
- Yue Bei People's HospitalShaoguan, China
- Affiliated Hospital of Guangdong Medical UniversityZhanjiang, China
- Zhongshan People's HospitalZhongshan, China
- Guangxi Medical University Affiliated Tumor HospitalNanning, China
- Affiliated Hospital of Guizhou Medical UniversityGuiyang, China
- Affiliated Hospital of Zunyi Medical UniversityZunyi, China
- Affiliated Tumor Hospital of Guizhou Medical UniversityGuiyang, China
And 54 more, listed on the interactive page.
- PubMed 35594017Results
- Related resource (www.ncbi.nlm.nih.gov)
Related records
Drugs (1)
Lead sponsors (1)
Conditions (3)
- Breast cancer Primary condition
- Breast neoplasm
- HER2 positive breast carcinoma