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
- Contact Person Email
- geral.investigacao.defi@chporto.min-saude.pt
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
- Contact Person Email
- sekretariat.onkologia@szpital.rybnik.pl
- Site Name
- Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej W Kielcach
- Department Name
- Klinika Onkologii Klinicznej
- Contact Person Name
- Jolanta Smok-Kalwat
- Contact Person Email
- badania.kliniczne@onkol.kielce.pl
- 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
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