Clinical trial • Phase II • Oncology
TRASTUZUMAB for HER2-positive locally advanced or metastatic breast cancer
Phase II trial of TRASTUZUMAB for HER2-positive locally advanced or metastatic breast cancer. 282 participants.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- HER2-positive locally advanced or metastatic breast cancer
- Trial Stage
- Phase II
- Drug Modality
- Monoclonal antibody|ADC
Key dates
- Initial CTIS Submission Date
- 10-07-2024
- First CTIS Authorization Date
- 17-10-2024
Trial design
Phase II trial across 41 sites in France.
- Biomarker Stratified
- True, biomarker: ctDNA (circulating tumor DNA); strata: ctDNA negative at baseline vs ctDNA positive at baseline
- Target Sample Size
- 282
- Trial Duration For Participant
- 1095
Eligibility
Recruits 282 Patients must sign written informed consent. When the patient is physically unable to give written consent, a trusted person of their choice, independent from the investigator or the sponsor, can sign the patient's consent. Persons deprived of their liberty or under protective custody or guardianship are excluded..
- Pregnancy Exclusion
- Pregnant women or women who are breast-feeding
- Vulnerable Population
- Patients must sign written informed consent. When the patient is physically unable to give written consent, a trusted person of their choice, independent from the investigator or the sponsor, can sign the patient's consent. Persons deprived of their liberty or under protective custody or guardianship are excluded.
Inclusion criteria
- {"criterion_text":"- Patient must have signed a written informed consent prior to any trial specific procedures. When the patient is physically unable to give their written consent, a trusted person of their choice, independent from the investigator or the sponsor, can confirm in signing the patient’s consent;\n- Adequate cardiac, renal, haematological and hepatic functions according to guidelines hospital;\n- Women of childbearing potential must have a negative serum or urine pregnancy test done within 28 days before inclusion;\n- Non post-menopausal women and fertile men must agree to use adequate contraception methods during the study. Hormonal contraceptives such as birth control pills, patches, implants, or injections are not allowed in patients who are hormone receptor positive\n- Patients must be willing and able to comply with the protocol for the duration of the study including scheduled visits, treatment plan and other study procedures including follow-up;\n- Patients must be affiliated to a Social Security System (or equivalent).\n- Men or women ≥ 18 years of age;\n- Documented diagnosis of locally advanced inoperable or metastatic histologically-proven HER2-positive breast cancer (HER2-positive is defined as HER2 3+ immunohistochemical overexpression, or the presence of HER2 amplification, according to ASCO-CAP guidelines);\n- Must have an adequate archival tumor tissue sample available for centralized WES analysis to design the ctDNA test. Requirements: • Sample age: Less than 10 years old. • Preferred sample types (in order of priority): a. Most recent resected tumor tissue sample b. Affected lymph node with adequate cellularity.\n- Patient with ECOG Performance Status (PS) ≤1;\n- Patient must have received continuous anti-HER2 targeted therapy (including Trastuzumab, Trastuzumab/Pertuzumab, Trastuzumab-Deruxtecan or T-DM1) treatment for at least 2 years in any line setting, for their locally advanced inoperable ormetastatic HER2 + breast cancer (prior treatment interruption of 3 months maximum is allowed), with complete response or partial response at last radiological assessment;\n- In case of bone disease only, complete metabolic response in 18-FDG pet-scanner is required at screening;\n- Patient with treated (surgery and/or radiation therapy) and controlled primary tumor;\n- Patients with ER-positive disease may or may not have received concomitant endocrine therapy (which must be continued if present). Concomitant ovarian blockade using LHRH agonists is authorised as well;"}
Exclusion criteria
- {"criterion_text":"- Any breast cancer progression over the past 2 years or at study entry;\n- Participation in another clinical study whose procedures interfere with those of the study (within 28 days prior to patient enrolment and for the duration of the study);\n- Persons deprived of their liberty or under protective custody or guardianship.\n- Patient concurrently using other approved or investigational antineoplastic agents than trastuzumab, pertuzumab, Trastuzumab-Deruxtecan, TDM-1 +/- endocrine therapy;\n- Had an history of tumoral meningitis or clinically active central nervous system metastases, defined as untreated or symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms; a. Subjects with curatively treated brain metastases (i.e., complete removal surgery or stereotactic radiotherapy) who are no longer symptomatic and do not require treatment with corticosteroids or anticonvulsants may be included in the study provided they have recovered from the acute toxicity of radiotherapy and there has been no progression of the brain metastases within the past 24 months. b. Subjects with brain metastases only or treated with whole brain radiotherapy will be excluded of the study\n- Major concurrent disease affecting cardiovascular system, liver, kidneys, haematopoietic system or else considered as clinically important by the investigator and that could be incompatible with patient’s participation in this trial or would likely interfere with study procedures or results;\n- History of any prior ipsi or contralateral breast cancer (except in case of DCIS) unless if both primary tumors were confirmed to be HER2-positive\n- Prior history of other malignancies other than study disease (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix) unless the patient has been free of the disease and treatment for at least 3 years;\n- Major surgery within 2 weeks prior to study entry\n- Pregnant women or women who are breast-feeding\n- Patients unwilling or unable to comply with the medical follow-up required by the trial because of geographic, familial, social, or psychological reasons;"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The progression-free rate (PFR) defined by radiological, and/or molecular progression. The PFR is defined as the time from the date of registration to the date of the first documented event among radiological progressions (RECIST 1.1), molecular progressions defined by ctDNA+, or death due to any cause, whichever occurs first. Patients alive without any of these events will be censored.","definition_or_measurement_approach":"PFR measured as time from date of registration to first documented radiological progression (RECIST 1.1), molecular progression defined by ctDNA positivity, or death; patients without events censored."}
Secondary endpoints
- {"endpoint_text":"- Efficacy : PFS will be defined as the time from the date of registration to the date of the first documented cancer progression measured by RECIST 1.1 or death due to any cause, whichever occurs first. Patients alive without progression will be censored.\n- Efficacy : The ctDNA dynamics is defined as changes in the level of ctDNA (from negative to positive) during the surveillance phase. Positivity rate is defined as the proportion of patients with positive ctDNA.\n- Efficacy : OS will be defined as the time from the date of registration to the date of death due to any cause.\n- Efficacy : Molecular response is defined as the percentage of patients who reached molecular remission (ctDNA clearance) 3 months after reintroduction of anti-HER2 treatment among patients with ctDNA positive without RECIST progression.\n- Efficacy : Objective Response Rate (ORR), defined as the number of patients with at least a confirmed complete response (CR) or partial response (PR) to reintroduction of anti-HER2 treatment, among patients with RECIST progression during the surveillance phase\n- Efficacy : Duration of Response (Dor) is defined, among patients with RECIST progression during the surveillance phase, as the time from the onset of response after reintroduction of anti-HER2 treatment, to progression or death due to any cause, whichever occurs first.\n- Quality of Life : QoL will be assessed using the EORTC QLQ-C30 and QLQ-BR45 questionnaire\n- Quality of life : Anxiety will be assessed by the STAI-state questionnaire\n- Quality of life : Decision regret will be assessed by the decision regret scale","definition_or_measurement_approach":"PFS: time from registration to documented progression by RECIST 1.1 or death (censored if alive without progression). ctDNA dynamics: change from ctDNA negative to positive during surveillance; positivity rate = proportion with positive ctDNA. OS: time from registration to death. Molecular response: proportion achieving ctDNA clearance 3 months after anti-HER2 reintroduction among ctDNA-positive without RECIST progression. ORR: confirmed CR or PR after reintroduction among those with RECIST progression. DoR: time from response onset after reintroduction to progression or death. QoL: measured with EORTC QLQ-C30 and QLQ-BR45. Anxiety: STAI-state questionnaire. Decision regret: decision regret scale."}
Recruitment
- Planned Sample Size
- 282
- Recruitment Window Months
- 60
- Consent Approach
- Patients must sign a written informed consent prior to any trial-specific procedures. When a patient is physically unable to provide written consent, a trusted person of their choice, independent from the investigator or sponsor, may sign the patient's consent. No paediatric assent procedures are described (inclusion requires age ≥ 18). Subject information and informed consent form documents are listed in the application.
Geography
- Total Number Of Sites
- 41
- Total Number Of Participants
- 282
France
- Earliest CTIS Part Ii Submission Date
- 18-09-2024
- Latest Decision Or Authorization Date
- 18-02-2026
- Processing Time Days
- 518
- Number Of Sites
- 41
- Number Of Participants
- 282
Sites
- Site Name
- Institut Curie
- Department Name
- Oncologie
- Principal Investigator Name
- Diana BELLO-ROUFAI
- Principal Investigator Email
- diana.belloroufai@curie.fr
- Contact Person Name
- Diana BELLO-ROUFAI
- Contact Person Email
- diana.belloroufai@curie.fr
- Site Name
- Polyclinique Saint-Come
- Department Name
- Oncologie
- Principal Investigator Name
- KaÏs ALDABBAGH
- Principal Investigator Email
- kais.aldabbagh@stcome.com
- Contact Person Name
- KaÏs ALDABBAGH
- Contact Person Email
- kais.aldabbagh@stcome.com
- Site Name
- Centre Jean Perrin
- Department Name
- Oncologie
- Principal Investigator Name
- Marie-Ange MOURET-REYNIER
- Principal Investigator Email
- Marie-Ange.MOURET-REYNIER@clermont.unicancer.fr
- Contact Person Name
- Marie-Ange MOURET-REYNIER
- Contact Person Email
- Marie-Ange.MOURET-REYNIER@clermont.unicancer.fr
- Site Name
- Centre Hospitalier Intercommunal De Frejus-Saint-Raphaeel
- Department Name
- Oncologie
- Principal Investigator Name
- Jean Francois PAITEL
- Principal Investigator Email
- marie-ange.mouret-reynier@clermont.unicancer.fr
- Contact Person Name
- Jean Francois PAITEL
- Contact Person Email
- marie-ange.mouret-reynier@clermont.unicancer.fr
- Site Name
- Sainte Catherine Institut Du Cancer Avignon-Provence
- Department Name
- Oncologie
- Principal Investigator Name
- Julien GRENIER
- Principal Investigator Email
- j.grenier@isc84.org
- Contact Person Name
- Julien GRENIER
- Contact Person Email
- j.grenier@isc84.org
- Site Name
- Institut Godinot
- Department Name
- Oncologie
- Principal Investigator Name
- Christelle JOUANNAUD
- Principal Investigator Email
- christelle.jouannaud@reims.unicancer.fr
- Contact Person Name
- Christelle JOUANNAUD
- Contact Person Email
- christelle.jouannaud@reims.unicancer.fr
- Site Name
- Centre Hospitalier De Bourg-En-Bresse
- Department Name
- Oncologie
- Principal Investigator Name
- Patrick ARNAUD-COFFIN
- Principal Investigator Email
- parnaudcoffin@ch-bourg01.fr
- Contact Person Name
- Patrick ARNAUD-COFFIN
- Contact Person Email
- parnaudcoffin@ch-bourg01.fr
- Site Name
- Institut Bergonie
- Department Name
- Oncologie
- Principal Investigator Name
- Monica ARNEDOS
- Principal Investigator Email
- m.arnedos@bordeaux.unicancer.fr
- Contact Person Name
- Monica ARNEDOS
- Contact Person Email
- m.arnedos@bordeaux.unicancer.fr
- Site Name
- Institut de Cancérologie du Gard
- Department Name
- Oncologie
- Principal Investigator Name
- Frederic FITENI
- Principal Investigator Email
- frederic.fiteni@chu-nimes.fr
- Contact Person Name
- Frederic FITENI
- Contact Person Email
- frederic.fiteni@chu-nimes.fr
- Site Name
- Pole Sante Republique
- Department Name
- Oncologie
- Principal Investigator Name
- Pierre DALLOZ
- Principal Investigator Email
- pdalloz@polesanterepublique.com
- Contact Person Name
- Pierre DALLOZ
- Contact Person Email
- pdalloz@polesanterepublique.com
- Site Name
- Hopital NOVO
- Department Name
- Oncologie
- Principal Investigator Name
- Rolande NGUEFACK
- Principal Investigator Email
- rolande.nguefack@ght-novo.fr
- Contact Person Name
- Rolande NGUEFACK
- Contact Person Email
- rolande.nguefack@ght-novo.fr
- Site Name
- Centre Antoine Lacassagne
- Department Name
- Oncologie
- Principal Investigator Name
- Caroline BAILLEUX
- Principal Investigator Email
- caroline.bailleux@nice.unicancer.fr
- Contact Person Name
- Caroline BAILLEUX
- Contact Person Email
- caroline.bailleux@nice.unicancer.fr
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Oncologie
- Principal Investigator Name
- Johanna WASSERMANN
- Principal Investigator Email
- johanna.wassermann@aphp.fr
- Contact Person Name
- Johanna WASSERMANN
- Contact Person Email
- johanna.wassermann@aphp.fr
- Site Name
- Institut De Cancerologie De Lorraine
- Department Name
- Oncologie
- Principal Investigator Name
- Camille SIMON
- Principal Investigator Email
- v.massard@nancy.unicancer.fr
- Contact Person Name
- Camille SIMON
- Contact Person Email
- v.massard@nancy.unicancer.fr
- Site Name
- Institut Paoli Calmettes
- Department Name
- Oncologie
- Principal Investigator Name
- Alexandre TASSIN DE NONNEVILLE
- Principal Investigator Email
- denonnevillea@pc.unicancer.fr
- Contact Person Name
- Alexandre TASSIN DE NONNEVILLE
- Contact Person Email
- denonnevillea@pc.unicancer.fr
- Site Name
- Centre Hospitalier De La Cote Basque
- Department Name
- Oncologie
- Principal Investigator Name
- Thomas GRELLETY
- Principal Investigator Email
- tgrellety@ch-cotebasque.fr
- Contact Person Name
- Thomas GRELLETY
- Contact Person Email
- tgrellety@ch-cotebasque.fr
- Site Name
- Institut De Cancerologie De L Ouest
- Department Name
- Oncologie
- Principal Investigator Name
- Anne PATSOURIS
- Principal Investigator Email
- anne.patsouris@ico.unicancer.fr
- Contact Person Name
- Anne PATSOURIS
- Contact Person Email
- anne.patsouris@ico.unicancer.fr
- Site Name
- Institut Régional Cancer Montpellier - ICM Val d'Aurelle
- Department Name
- Oncologie
- Principal Investigator Name
- Véronique D'HONDT
- Principal Investigator Email
- Veronique.Dhondt@icm.unicancer.fr
- Contact Person Name
- Véronique D'HONDT
- Contact Person Email
- Veronique.Dhondt@icm.unicancer.fr
- Site Name
- Centre Francois Baclesse
- Department Name
- Oncologie
- Principal Investigator Name
- George EMILE
- Principal Investigator Email
- g.emile@baclesse.unicancer.fr
- Contact Person Name
- George EMILE
- Contact Person Email
- g.emile@baclesse.unicancer.fr
- Site Name
- Oncopole Claudius Regaud
- Department Name
- Oncologie
- Principal Investigator Name
- Mony UNG
- Principal Investigator Email
- ung.mony@iuct-oncopole.fr
- Contact Person Name
- Mony UNG
- Contact Person Email
- ung.mony@iuct-oncopole.fr
- Site Name
- Clinique Tivoli Ducos
- Department Name
- Oncologie
- Principal Investigator Name
- Delphine GARBAY
- Principal Investigator Email
- d.garbay@tivoli-oncologie.fr
- Contact Person Name
- Delphine GARBAY
- Contact Person Email
- d.garbay@tivoli-oncologie.fr
- Site Name
- Centre Hospitalier Regional Universitaire De Tours
- Department Name
- Oncologie
- Principal Investigator Name
- Marie-Agnès BY
- Principal Investigator Email
- ma.by@chu-tours.fr
- Contact Person Name
- Marie-Agnès BY
- Contact Person Email
- ma.by@chu-tours.fr
- Site Name
- Centre Henri Becquerel
- Department Name
- Oncologie
- Principal Investigator Name
- Laetitia AUGUSTO
- Principal Investigator Email
- laetitia.augusto@chb.unicancer.fr
- Contact Person Name
- Laetitia AUGUSTO
- Contact Person Email
- laetitia.augusto@chb.unicancer.fr
- Site Name
- Centre De Lutte Contre Le Cancer Eugene Marquis
- Department Name
- Oncologie
- Principal Investigator Name
- Thibault DE LA MOTTE ROUGE
- Principal Investigator Email
- t.delamotterouge@rennes.unicancer.fr
- Contact Person Name
- Thibault DE LA MOTTE ROUGE
- Contact Person Email
- t.delamotterouge@rennes.unicancer.fr
- Site Name
- Institut De Cancerologie Strasbourg Europe
- Department Name
- Oncologie
- Principal Investigator Name
- Carole PFLUMIO
- Principal Investigator Email
- c.pflumio@icans.eu
- Contact Person Name
- Carole PFLUMIO
- Contact Person Email
- c.pflumio@icans.eu
- Site Name
- Centre Hospitalier Simone Veil De Beauvais
- Department Name
- Oncologie
- Principal Investigator Name
- Hanifa AMMARGUELLAT
- Principal Investigator Email
- h.ammarguellat@ch-beauvais.fr
- Contact Person Name
- Hanifa AMMARGUELLAT
- Contact Person Email
- h.ammarguellat@ch-beauvais.fr
- Site Name
- Centre Hospitalier Annecy Genevois
- Department Name
- Oncologie
- Principal Investigator Name
- Charlotte BATAILLE-DEBUQUOY
- Principal Investigator Email
- cbatailledebuquoy@ch-annecygenevois.fr
- Contact Person Name
- Charlotte BATAILLE-DEBUQUOY
- Contact Person Email
- cbatailledebuquoy@ch-annecygenevois.fr
- Site Name
- L'Hopital Prive Du Confluent
- Department Name
- Oncologie
- Principal Investigator Name
- Dorothée CHOCTEAU
- Principal Investigator Email
- dorothee.chocteau@groupeconfluent.fr
- Contact Person Name
- Dorothée CHOCTEAU
- Contact Person Email
- dorothee.chocteau@groupeconfluent.fr
- Site Name
- CHP Sainte Marie Osny
- Department Name
- Oncologie
- Principal Investigator Name
- Antoine BRUNA
- Principal Investigator Email
- a.bruna@crom95.com
- Contact Person Name
- Antoine BRUNA
- Contact Person Email
- a.bruna@crom95.com
- Site Name
- Oncoradio Centre Oncogard
- Department Name
- Oncologie
- Principal Investigator Name
- Eric LEGOUFFE
- Principal Investigator Email
- e.legouffe@oncogard.com
- Contact Person Name
- Eric LEGOUFFE
- Contact Person Email
- e.legouffe@oncogard.com
- Site Name
- Institut Gustave Roussy
- Department Name
- Oncologie
- Principal Investigator Name
- Benjamin Verret
- Principal Investigator Email
- benjamin.verret@gustaveroussy.fr
- Contact Person Name
- Benjamin Verret
- Contact Person Email
- benjamin.verret@gustaveroussy.fr
- Site Name
- Clinique Pasteur Lanroze
- Department Name
- Oncologie
- Principal Investigator Name
- Matthieu CHASSERAY
- Principal Investigator Email
- m.chasseray@oncologie-brest.fr
- Contact Person Name
- Matthieu CHASSERAY
- Contact Person Email
- m.chasseray@oncologie-brest.fr
- Site Name
- Centre D'Oncologie Et De Radiotherapie 37
- Department Name
- Oncologie
- Principal Investigator Name
- Tévy SAN
- Principal Investigator Email
- t.san@cort37.fr
- Contact Person Name
- Tévy SAN
- Contact Person Email
- t.san@cort37.fr
- Site Name
- Institut De Cancerologie De L Ouest (Saint-Herblain Cedex)
- Department Name
- Oncologie
- Principal Investigator Name
- Marie ROBERT
- Principal Investigator Email
- marie.robert@ico.unicancer.fr
- Contact Person Name
- Marie ROBERT
- Contact Person Email
- marie.robert@ico.unicancer.fr
- Site Name
- Centre Leon Berard
- Department Name
- Oncologie
- Principal Investigator Name
- Benoite MERY
- Principal Investigator Email
- benoite.mery@lyon.unicancer.fr
- Contact Person Name
- Benoite MERY
- Contact Person Email
- benoite.mery@lyon.unicancer.fr
- Site Name
- Centre Hospitalier Et Universitaire De Limoges
- Department Name
- Oncologie
- Principal Investigator Name
- Laurence VENAT
- Principal Investigator Email
- laurence.venat@chu-limoges.fr
- Contact Person Name
- Laurence VENAT
- Contact Person Email
- laurence.venat@chu-limoges.fr
- Site Name
- CARIO Centre Armoricain de Radiotherapie D'Imagerie medicale et D'Oncologie
- Department Name
- Oncologie
- Principal Investigator Name
- Anne-Claire HARDY BESSARD
- Principal Investigator Email
- ac.hardy@cario-sante.fr
- Contact Person Name
- Anne-Claire HARDY BESSARD
- Contact Person Email
- ac.hardy@cario-sante.fr
- Site Name
- Institut Curie (26 Rue D Ulm)
- Department Name
- Oncologie
- Principal Investigator Name
- Nicolas KIAVUE
- Principal Investigator Email
- nicolas.kiavue@curie.fr
- Contact Person Name
- Nicolas KIAVUE
- Contact Person Email
- nicolas.kiavue@curie.fr
- Site Name
- Centre Regional Lutte Contre Le Cancer (Strasbourg)
- Department Name
- Oncologie Médicale
- Principal Investigator Name
- Carole PFLUMIO
- Principal Investigator Email
- c.pflumio@icans.eu
- Contact Person Name
- Carole PFLUMIO
- Contact Person Email
- c.pflumio@icans.eu
- Site Name
- Centr Georges Francois Leclerc
- Department Name
- Oncologie Médicale
- Principal Investigator Name
- Isabelle DESMOULIN
- Principal Investigator Email
- IDesmoulins@cgfl.fr
- Contact Person Name
- Isabelle DESMOULIN
- Contact Person Email
- IDesmoulins@cgfl.fr
- Site Name
- Assistance Publique Hopitaux De Paris (20 Rue Leblanc)
- Department Name
- Oncologie Médicale
- Principal Investigator Name
- Jacques MEDIONI
- Principal Investigator Email
- Jacques.medioni@aphp.fr
- Contact Person Name
- Jacques MEDIONI
- Contact Person Email
- Jacques.medioni@aphp.fr
- Site Name
- Centre Hospitalier Universitaire De Poitiers
- Department Name
- Oncologie Médicale
- Principal Investigator Name
- Nicolas ISAMBERT
- Principal Investigator Email
- nicolas.isambert@chu-poitiers.fr
- Contact Person Name
- Nicolas ISAMBERT
- Contact Person Email
- nicolas.isambert@chu-poitiers.fr
Sponsor
Primary sponsor
- Full Name
- Unicancer
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- TRASTUZUMAB
- Active Substance
- TRASTUZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- SOLUTION FOR INFUSION / SOLUTION FOR INJECTION
- Route
- Solution for infusion/injection
- Investigational Product Name
- TRASTUZUMAB EMTANSINE
- Active Substance
- TRASTUZUMAB EMTANSINE
- Modality
- ADC
- Routes Of Administration
- SOLUTION FOR INFUSION
- Route
- Solution for infusion
- Investigational Product Name
- TRASTUZUMAB DERUXTECAN
- Active Substance
- TRASTUZUMAB DERUXTECAN
- Modality
- ADC
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Solution for injection
- Investigational Product Name
- PERTUZUMAB
- Active Substance
- PERTUZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Solution for injection
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