Clinical trial • Phase IV • Oncology

TRASTUZUMAB EMTANSINE for HER2-positive breast cancer|Metastatic breast cancer

Phase IV trial of TRASTUZUMAB EMTANSINE for HER2-positive breast cancer|Metastatic breast cancer. open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
HER2-positive breast cancer|Metastatic breast cancer
Trial Stage
Phase IV
Drug Modality
ADC|Monoclonal antibody

Key dates

Initial CTIS Submission Date
26-01-2024
First CTIS Authorization Date
28-02-2024

Trial design

open-label, none/not specified-controlled Phase IV trial in Portugal, Belgium, Spain and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
279
Trial Duration For Participant
168

Eligibility

Recruits 279 No vulnerable populations selected (isVulnerablePopulationSelected: false). Subject information and informed consent form (L1_SIS and ICF) documents are listed in the trial documents; consent is obtained from adult participants. No assent process for minors is described..

Vulnerable Population
No vulnerable populations selected (isVulnerablePopulationSelected: false). Subject information and informed consent form (L1_SIS and ICF) documents are listed in the trial documents; consent is obtained from adult participants. No assent process for minors is described.

Inclusion criteria

  • {"criterion_text":"- Completed single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment in the parent study or who continue to receive single-agent trastuzumab emtansine or combination trastuzumab emtansine at the time of the parent study closure and received the last study drug dose within the 6 weeks (42 days) prior to the first dose of study therapy on the extension study or continue to receive treatment in the control arm of study BO21976/TDM4450g at the time of the study closure\n- Adequate organ function, evidenced by the following laboratory results within 7 days of the first study drug infusion for this study: Absolute neutrophil count > 1000 cells/mm3 Platelet count > 75,000 cells/mm3 Total bilirubin ≤ 1.5 x the upper limit of normal (ULN) SGOT (AST) and SGPT (ALT) ≤ 5 x the ULN Creatinine < 1.8 x the ULN\n- Expectation by the investigator that the patient may continue to benefit from additional study treatment.\n- LVEF ≥ 40% at baseline within 30 days prior to study entry as determined by either ECHO or MUGA Patients with an LVEF ≥ 40%-45% must have had an absolute change of <10% from baseline (using as reference the baseline LVEF from the parent study prior to the start of study therapy).\n- ECOG Performance Status of 0-2\n- For women of childbearing potential and men with partners of childbearing potential, must be willing to use a highly effective form of non-hormonal contraception or two effective forms of non-hormonal contraception by the patient and/or partner during the treatment period and for at least 5 months after the final dose of atezolizumab (if applicable) or 7 months after the final dose of trastuzumab, trastuzumab emtansine or pertuzumab, whichever is later. Women must refrain from donating eggs during this same period. For men, agreement to use an effective form of contraception and to continue its use for the duration of the study. Men must refrain from donating sperm during this same period."}

Exclusion criteria

  • {"criterion_text":"- Adverse events leading to single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment discontinuation in the parent study.\n- Ongoing serious adverse events from the parent study\n- Progressive disease (except for isolated CNS progression) on single agent trastuzumab emtansine or a trastuzumab emtansine-containing regimen during the parent study or before starting the extension study.\n- Peripheral neuropathy of Grade ≥ 3 per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version (V) 3.0, V4.0 or V5.0, as utilized in the parent study.\n- History of symptomatic congestive heart failure ([CHF]; New York Heart Association [NYHA] Classes II-IV), ventricular arrhythmia requiring treatment, or history of myocardial infarction within 6 months prior to study entry.\n- History of receiving any investigational treatment or other systemic therapy directed at controlling cancer (e.g., chemotherapy, trastuzumab, etc.) since the patient’s last study drug dose in the parent study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1. Incidence of adverse events leading to trastuzumab emtansine or combination treatment discontinuation or dose reduction.\n- 2. Incidence of all adverse events and all serious adverse events","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- N/A","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
279
Recruitment Window Months
218
Consent Approach
Informed consent obtained from adult participants using the listed Subject Information and Informed Consent Form documents (L1_SIS and ICF). ICF documents are included in the trial documentation. No assent procedures for minors are described.

Geography

Total Number Of Sites
9
Total Number Of Participants
60

Portugal

Earliest CTIS Part Ii Submission Date
06-02-2024
Latest Decision Or Authorization Date
09-12-2025
Processing Time Days
672
Number Of Sites
2
Number Of Participants
6

Sites

Site Name
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E.
Department Name
Oncologia
Contact Person Name
Ines Pousa
Contact Person Email
inespousa@gmail.com
Site Name
Centro Hospitalar Universitario De Santo Antonio E.P.E.
Department Name
Oncologia Médica
Contact Person Name
Fernando Goncalves

Belgium

Earliest CTIS Part Ii Submission Date
06-02-2024
Latest Decision Or Authorization Date
04-12-2025
Processing Time Days
667
Number Of Sites
1
Number Of Participants
5

Sites

Site Name
Universitair Ziekenhuis Gent
Department Name
Medical oncology
Contact Person Name
Hannelore Denys
Contact Person Email
hannelore.denys@ugent.be

Spain

Earliest CTIS Part Ii Submission Date
06-02-2024
Latest Decision Or Authorization Date
10-12-2025
Processing Time Days
673
Number Of Sites
1
Number Of Participants
22

Sites

Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Oncologia
Contact Person Name
María Gión Cortes
Contact Person Email
mariagion@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
06-02-2024
Latest Decision Or Authorization Date
08-12-2025
Processing Time Days
671
Number Of Sites
3
Number Of Participants
14

Sites

Site Name
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Wojewodzki Szpital Specjalistyczny Nr 3 W Rybniku
Department Name
Oddzial Onkologii z Pododdzialem Hematologicznym
Contact Person Name
Jacek Kabut
Site Name
Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej W Kielcach
Department Name
Klinika Onkologii Klinicznej
Contact Person Name
Jolanta Smok-Kalwat
Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department Name
Klinika Nowotworów Piersi i Chirurgii Rekonstrukcyjnej
Contact Person Name
Zbigniew Nowecki
Contact Person Email
nowotworypiersi@nio.gov.pl

France

Earliest CTIS Part Ii Submission Date
14-03-2024
Latest Decision Or Authorization Date
09-12-2025
Processing Time Days
635
Number Of Sites
2
Number Of Participants
13

Sites

Site Name
Institut Curie
Department Name
Service Oncologie
Contact Person Name
Florence Lerebours
Contact Person Email
florence.lerebours@curie.fr
Site Name
Centr Georges Francois Leclerc
Department Name
Service Oncologie Médicale
Contact Person Name
Isabelle Desmoulins
Contact Person Email
IDesmoulins@cgfl.fr

Sponsor

Primary sponsor

Full Name
F. Hoffmann-La Roche AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Signant Health Global LLC
Responsibilities
sponsorDuties code: 3; contact: EU_ClinicalRegulation@signanthealth.com; phone: 12674221700
Name
IQVIA Limited
Responsibilities
sponsorDuties code: 1; contact: eu_clinical_trials_information@iqvia.com; phone: 441184508000

Third parties

  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"sponsorDuties code: 3; contact email: EU_ClinicalRegulation@signanthealth.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties code: 1; contact email: eu_clinical_trials_information@iqvia.com","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Kadcyla 160 mg powder for concentrate for solution for infusion.
Active Substance
TRASTUZUMAB EMTANSINE
Modality
ADC
Routes Of Administration
INTRAVENOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Authorised (marketing authorisation EU/1/13/885/002)
Maximum Dose
3.6 mg/Kg
Investigational Product Name
Tecentriq 1,200 mg concentrate for solution for infusion
Active Substance
ATEZOLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
IV INFUSION
Route
IV infusion
Authorisation Status
Authorised (marketing authorisation EU/1/17/1220/001)
Maximum Dose
1200 mg
Investigational Product Name
Perjeta 420 mg concentrate for solution for infusion
Active Substance
PERTUZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Authorised (marketing authorisation EU/1/13/813/001)
Maximum Dose
420 mg
Combination Treatment
Yes

Related trials

Other published trials that may interest you.