Breast CancerPhase 3NCT01026142
A Study of a Combination of Trastuzumab and Capecitabine With or Without Pertuzumab in Patients With HER2-positive Metastatic Breast Cancer (PHEREXA)
A Phase 3 study testing Capecitabine, Pertuzumab and Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 190 sites in 23 countries.
Trial summary
This randomized, two-arm study evaluated the efficacy and safety of a combination of trastuzumab and capecitabine with or without pertuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Capecitabine, Pertuzumab and Trastuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 452 participants
- Where
- 190 sitesin 23 countries
- Study dates
- 26 Jan 2010to 7 Aug 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult female patients >/=18 years of age
- Metastatic HER2 positive breast cancer
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Disease progression during or following trastuzumab-based therapy for 1st line metastatic breast cancer (trastuzumab must have been part of the last prior treatment regimen)
- Prior treatment with taxane-containing regimen
- Left ventricular ejection fraction (LVEF) >/=50 percent
- For women of childbearing potential agreement to use highly effective non-hormonal form of contraception or two effective forms of non-hormonal contraception by patient and/or partner. Contraception must continue for duration of study treatment and for at least 6 months after last dose of study drug treatment
Who cannot join
- Prior treatment with pertuzumab or capecitabine
- Concurrent treatment with other experimental drug
- Concurrent immunotherapy or anticancer hormonal therapy
- Serious concurrent disease (e.g. active infection, uncontrolled hypertension, cardiovascular disease)
- Central nervous system (CNS) metastases, which are not well controlled
- History of exposure to anthracycline cumulative dose equivalent to 360mg/m2
Show all 13Show fewer
- History of congestive heart failure of any New York Heart Association criteria, or serious cardiac arrhythmia requiring treatment
- History of myocardial infarction within 6 months prior to randomization
- History of LVEF decline to below 50% during or after prior trastuzumab therapy or other cardiac toxicity during previous trastuzumab treatment that necessitated discontinuation of trastuzumab
- History of another cancer which could affect compliance or result interpretation
- Inadequate organ function
- Pregnant or breastfeeding women
- life expectancy < 12 weeks
Trial locations and contacts
190 sites in 23 countries.
190 sites in 23 countries
Spain29 sites
Fundacion Hospital de Alcorcon; Servicio de Oncologia
Alcorcón, Madrid, 28922
Complejo Hospitalario Torrecardenas; Servicio de Oncologia
Almería, Almeria, 04009
Hospital Clinic i Provincial; Servicio de Farmacia
Barcelona, 08036
Institut Catala d Oncologia Hospital Duran i Reynals
Barcelona, 08908
Hospital Clinica Benidorm
Benidorm, Alicante, 03501
Hospital de Basurto; Servicio de Oncologia
Bilbao, Vizcaya, 48013
Hospital Provincial de Castellón
Castellon, Castellon, 12002
Hospital Juan Ramon Jimenez;Servicio de Oncologia
Huelva, 21005
Complejo Asistencial Universitario de Leon; Servicio de Oncologia
León, 24071
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28007
Hospital Ruber Internacional;Servicio de Oncologia
Madrid, 28034
Fundacion Jimenez Diaz; Servicio de Oncologia
Madrid, 28040
Hospital La Paz
Madrid, 28046
Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, 28222
Complejo Hospitalario de Pontevedra; Servicio de Oncologia
Pontevedra, 36002
Hospital de Sagunto; Servicio de Oncologia
Sagunto, Valencia, 46520
Hospital Clinico Universitario de Salamanca; Servicio de Oncologia
Salamanca, 37007
Hospital Universitario de Canarias;servicio de Oncologia
San Cristóbal de La Laguna, Tenerife, 38320
Complejo Hospitalario Nuestra Señora de la Candelaria; Servicio de Oncologia
Santa Cruz de Tenerife, Tenerife, 38010
Hospital Universitario Virgen Macarena; Servicio de Oncologia
Seville, 41009
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Univ. Nuestra Señora de Valme;
Seville, 41700
Hospital Sant Pau i Santa Tecla
Tarragona, 43003
Consorci Hospitalari de Terrassa
Terrassa, Barcelona, 08227
Complejo Hospitalario de Toledo- H. Virgen de la Salud; Servicio de Oncologia
Toledo, 45004
Instituto Valenciano Oncologia; Oncologia Medica
Valencia, 46009
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
Valencia, 46010
Hospital Universitario la Fe; Servicio de Oncologia
Valencia, 46026
Hospital Universitario Miguel Servet
Zaragoza, 50009
Germany25 sites
CAMPUS CHARITÉ MITTE; Tagesklinik für Onkologie u.Hämatologie
Berlin, 10117
Klinikum Sindelfinden Boblingen
Böblingen, 71032
Klinikum Bremen-Mitte gGmbH; Frauenklinik
Bremen, 28177
St. Elisabeth Krankenhaus Köln GmbH; Gynäkologie und Geburtshilfe
Cologne, 50935
Klinikum Darmstadt GmbH; Med. Klinik V; Onkologie & Hämatologie
Darmstadt, 64283
Klinikum Dortmund gGmbH Klinikzentrum Mitte
Dortmund, 44137
Universitätsklinikum Essen; Zentrum Für Frauenheilkunde
Essen, 45122
Klinikum Frankfurt Höchst GmbH; Klinik für Gynäkologie und Geburtshilfe
Frankfurt, 65929
Klinik Fulda, Medizinisches Versorgungszentrum Osthessen GmbH
Fulda, 36043
Universitätsklinikum Hamburg-Eppendorf; Zentrum für operative Medizin Klinik für Gynäkologie
Hamburg, 20246
HOPA MVZ GmbH
Hamburg, 22767
Diakovere Henriettenstift, Frauenklinik
Hanover, 30559
Medizinische Hochschule Zentrum Frauenheilkunde Abt.Gynäkologische Onkologie
Hanover, 30625
ViDia Christliche Kliniken Karlsruhe, Vincentius-Diakonissen-Kliniken gAG; Frauenklinik
Karlsruhe, 76135
Systemedic Frauenarzte Pruener Gang
Kiel, 24103
Institut für Versorgungsforschung in der Onkologie GbR Koblenz
Koblenz, 56068
Universitätsklinikum Schleswig-Holstein / Campus Lübeck; Klinik für Frauenheilkunde und Geburtshilfe
Lübeck, 23538
St. Vincenz-Elisabeth-Hospital; Katholisches Klinikum Mainz
Mainz, 55131
Klinikum rechts der Isar der TU München; Frauenklinik & Poliklinik
München, 81675
Universitätsklinikum Münster; Klinik für Frauenheilkunde und Geburtshilfe
Münster, 48149
St. Josefs Klinik; Medizinische Klinik
Offenburg, 77654
Praxis für Onkologie und Hämatologie
Recklinghausen, 45657
Johanniter Klinik
Stendal, 39576
Klinikum Mutterhaus der Borromaeerinnen gGmbH; Haematologie/Onkologie
Trier, 54290
GRN Klinik Weinheim
Weinheim, 69469
Italy21 sites
Asst Papa Giovanni XXIII; Oncologia Medica
Bergamo, Lombardy, 24128
Az. Osp. S. Orsola Malpighi; Istituto Di Oncologia Seragnoli
Bologna, Emilia-Romagna, 40138
Ospedale Cervesi di Cattolica ; Unità Operativa di Oncologia ed Oncoematologia
Cattalica, Emilia-Romagna, 47841
AUSL Cesena; Servizio di Oncologia
Cesena, Emilia-Romagna, 47521
ASST DI CREMONA; Dipartimento Aziendale Oncologico
Cremona, Lombardy, 26100
Ausl Ravenna-Osp.Infermi; Day Hospital Oncologia Medica
Faenza, Emilia-Romagna, 48018
Azienda ospedaliero-universitaria careggi, Sezione di radioterapia del dipartimento di fisiopatolo
Florence, Tuscany, 50134
Ospedale Mater Salutis; Dept of Oncology
Legnago, Lombardy, 37045
Ospedale Umberto I ASL di Ravenna Presidio Ospedaliero di Lugo
Lugo, Emilia-Romagna
ASST DI MONZA; Oncologia Medica
Monza, Lombardy, 20900
Istituto Tumori Fondazione Pascale; Endocrinologia Oncologica
Naples, Campania, 80131
ARNAS-Ospedale Civico Maurizio Ascoli; Unità Operativa di Oncologia Medica
Palermo, Sicily, 90127
IRCCS Fondazione Maugeri; Oncologia Medica II
Pavia, Lombardy, 27100
A.O. Universitaria Pisana; Oncologia
Pisa, Tuscany, 56100
Azienda USL di Ravenna; Unità Operativa di Oncologia Medica
Ravenna, Emilia-Romagna, 48100
Ospedale Infermi Di Rimini; Unità Operativa di Oncologia e Oncoematologia
Rimini, Emilia-Romagna, 47900
Istituto Regina Elena; Oncologia Medica A
Rome, Lazio, 00168
Uni Cattolica Policlinico Gemelli; Oncologia Medica Ist. Medicina Interna
Rome, Lazio, 00168
ASST LARIANA; Oncologia
S. Fermo Della Battaglia (CO), Lombardy, 22020
Ospedale Civile; Oncologia Medica
Sassari, Sardinia, 07100
A.O. Città della Salute e della Scienza - Presidio Molinette; divisione oncologia medica
Turin, Piedmont, 10126
France15 sites
C.H. Du Pays D'aix En Provence Service du Dr Blanc
Aix-en-Provence, 13616
Centre Oncologie Du Pays Basque
Bayonne, 64100
Centre Hospitalier Fleyriat; Oncologie/Hematologie
Bourg-en-Bresse, 01012
CHU Henri Mondor; Service d'Oncologie Medicale
Créteil, 94010
Centre Georges Francois Leclerc; Oncologie 3
Dijon, 21079
Centre Leon Berard; Oncologie Genetique
Lyon, 69373
Centre Antoine Lacassagne; Hopital De Jour A2
Nice, 06189
Institut Curie; Oncologie Medicale
Paris, 75231
Hopital Saint Antoine; Sce Oncologie
Paris, 75571
Institut Jean Godinot; Oncologie Medicale
Reims, 51056
Centre Henri Becquerel; Oncologie Medicale
Rouen, 76038
Centre Rene Huguenin; CONSULT SPECIALISEES
Saint-Cloud, 92210
Hopital Hautepierre; Hematologie Oncologie
Strasbourg, 67098
Institut Claudius Regaud; Departement Oncologie Medicale
Toulouse, 31059
Clinique Pasteur; Oncologie Medicale
Toulouse, 31076
Hungary15 sites
Ogyi, Orszagos Gyogyszereszeti Intezet
Budapest, 1051
Semmelweis Egyetem Onkologiai Központ
Budapest, 1083
Fövárosi Önkormányzat Bajcsy-Zsilinszky Kórház; Onkológiai Osztály
Budapest, 1106
Orszagos Onkologiai Intezet; B Belgyogyaszati Osztaly
Budapest, 1122
Semmelweis Egyetem Aok; Iii.Sz. Belgyogyaszati Klinika
Budapest, 1125
Municipal Hospital of Uzsoki Utca; Centre of Oncoradiology
Budapest, 1145
Hospital of Aladar Petz; Dept of Oncoradiology
Győr, 9023
Békés Megyei Pándy Kálmán Kórház; Onkologiai tanszek
Gyula, 5703
Kaposi Mor County Hospital; Dept. of Oncology
Kaposvár, 7400
Borsod-Abauj-Zemplen Megyei Korhaz Es Egyetemi Oktato Korhaz; Onkologiai Osztaly
Miskolc, 3501
Josa Andras Korhaz; Dept of Oncoradiology
Nyíregyháza, 4400
Pécsi Tudományegyetem Áok; Onkoterapias Intezet
Pécs, 7624
Szegedi Tudomanyegyetem, AOK, Szent-Gyorgyi Albert Klinikai Kozpont, Onkoterapias Klinika
Szeged, 6720
Fejér Megyei Szent György Kórház; Onkológiai Osztály
Székesfehérvár, 8000
Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház; Onkológiai Osztály
Szolnok, 5004
Belgium11 sites
Imeldaziekenhuis
Bonheiden, 2820
AZ KLINA
Brasschaat, 2930
UZ Brussel
Brussels, 1090
GHdC Site Notre Dame
Charleroi, 6000
CH Jolimont - Lobbes (Jolimont)
Haine-Saint-Paul, 7100
Jessa Zkh (Campus Virga Jesse)
Hasselt, 3500
AZ Groeninge
Kortrijk, 8500
CHU Sart-Tilman
Liège, 4000
Clinique Saint-Joseph
Liège, 4000
Clinique Ste-Elisabeth
Namur, 5000
AZ Nikolaas (Lodewijk)
Sint-Niklaas, 9100
United Kingdom10 sites
Royal Bournemouth General Hospital; Oncology
Bournemouth, BH7 7DW
Velindre Cancer Centre; Oncology Dept
Cardiff, CF14 2TL
Broomfield Hospital
Chelmsford, CM1 7ET
University Hospital of North Durham; Oncology
Durham, DH15TW
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
Christie Hospital; Breast Cancer Research Office
Manchester, M20 4QL
Nottingham City Hospital
Nottingham, NG5 1PB
Peterborough City Hospital, Edith Cavell Campus; Oncology Department
Peterborough, PE3 9GZ
Great Western Hospital; Clinical Oncology
Swindon, SN3 6BB
Royal Cornwall Hospital; Dept of Clinical Oncology
Truro, TR1 3LJ
Romania8 sites
Spitalul Clinic Sf. Maria; Departmental De Oncologie
Bucharest, 011172
Institut of Oncology Al. Trestioreanu Bucharest; Oncology Department
Bucharest, 022328
Institute Of Oncology Bucharest; Medical Oncology
Bucharest, 022338
Cluj Clinical County Hospital; Oncology Dept
Cluj-Napoca, 400006
Prof. Dr. I. Chiricuta Institute of Oncology
Cluj-Napoca, 400015
Medisprof SRL
Cluj-Napoca, 400058
Municipal Clinical Hospital Filantropia; Oncology
Craiova
Euroclinic Center of Oncology SRL
Iași, 700106
Russia7 sites
Regional Oncology Hospital of Krasnodar; Oncology
Krasnodar, 350040
Blokhin Cancer Research Center; Combined Treatment
Moscow, 115478
Semashko Central Clinical Hospital; Dept of Chemotherapy
Moscow, 129128
GUZ Perm Region Oncology Dispensary
Perm, 614 066
S.-Peterburg Pavlov State Medical University ; Haematology
Saint Petersburg, 197022
Saint-Petersburg City Clinical Oncology Dispensary
Saint Petersburg, 197022
SBI of Healthcare of Stavropol region Stavropol Regional Clinical Oncology Dispensary
Stavropol, 355045
Argentina6 sites
Fundación Investigar
Buenos Aires, 1025
Hospital Britanico; Oncologia
Buenos Aires, C1280AEB
Instituto FIDES
La Plata, B1900BAJ
Instituto de Investigaciones Clínicas Quilmes
Quilmes, 1878
Instituto de Oncología de Rosario
Rosario, S2000KZE
ISIS Clinica Especializada
Santa Fe, 03000
Brazil5 sites
Oncologia Sul Capixaba Servicos Medicos - Oncosul
Cachoeiro de Itapemirim, Espírito Santo, 29308-014
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital Perola Byington
São Paulo, São Paulo, 01317-000
Hospital A. C. Camargo; Oncologia
São Paulo, São Paulo, 01509-010
Centro Oncológico de Mogi das Cruzes
São Paulo- SP, São Paulo, 08730-500
Poland5 sites
Szpital Specjalistyczny Podkarpacki Ośrodek Onkologiczny
Brzozów, 36-200
Wojewodzki Szpital Zespolony; Oddzial Chemioterapii
Elblag, 82-300
Wojewodzkie Centrum Onkologii
Gdansk, 80-219
COZL Oddzial Onkologii Klinicznej z pododdzialem Chemioterapii Dziennej
Lublin, 20-090
Wojewodzki Sziptal Specjalistyczny Im. Janusza Korczaka; Oddzial Onkologiczny, Oddzial Chemioterapii
Słupsk, 76200
Thailand5 sites
Phramongkutklao Hospital;Dept Surgery/Surgical Oncology Unit
Bangkok, 10400
Ramathibodi Hospital; Department of Surgery/Breast and Endocrine Unit
Bangkok, 10400
Maharaj Nakorn Chiang Mai Hospital; Department of Surgery/Head Neck and Breast Unit; Clinical Trial
Chiang Mai, 50200
Srinagarind Hospital; Department of Surgery
Khon Kaen, 40002
Songklanagarind Hospital; Department of Surgery
Songkhla, 90110
Austria4 sites
A.Ö. Landesschwerpunktkrankenhaus Krems; Abtl. F. Innere Med.
Krems, 3500
Landeskrankenhaus Rankweil; Interne E
Rankweil, 6830
Lkh Salzburg - Univ. Klinikum Salzburg; Iii. Medizinische Abt.
Salzburg, 5020
Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Abt. für Onkologie
Vienna, 1090
Czechia4 sites
Masarykuv onkologicky ustav; Oncology II
Brno, 656 53
University Hospital; Oncology and Radiotherapy
Hradec Králové, 500 05
Fakultni Poliklinika Vseobecne Fakultni Niemocnice; Onkologicka Klinika
Prague, 128 08
Lekarske Fakulty Univerzity Karlovy Fakultni Nemocnice Na Bulovce; Ustav Radiacni Onkologie
Prague, 180 81
Peru4 sites
Hospital Nacional Carlos Alberto Seguin Escobedo-Essalud; Oncology & Haemathology
Arequipa, 04001
Hospital Nacional Edgardo Rebagliati Martins
Jesus Maria, Lima 11
Clinica Anglo Americana - Centro de Investigacion Oncologia CAA
Lima, L27
Unidad de Investigacion Oncologia Clinica - Piura; Unidad de Oncología Clínica
Piura, 20011
South Korea4 sites
Severance Hospital
Seoul, 03722
Seoul National University Hosp; Dept Internal Med Hem Onc
Seoul, 110-744
Asan Medical Center, Uni Ulsan Collegemedicine; Dept.Internal Medicine / Divisionhematology/Oncology
Seoul, 138-736
Korea University Guro Hospital; Oncology
Seoul, 152-703
Canada3 sites
Durham Regional Cancer Centre
Oshawa, Ontario, L1G 2B9
Humber River Hospital
Toronto, Ontario, M3M 0B2
University Health Network; Princess Margaret Hospital; Medical Oncology Dept
Toronto, Ontario, M5G 2M9
Hong Kong3 sites
Queen Mary Hospital; Surgery
Hong Kong, 852
Queen Elizabeth Hospital; Clinical Oncology
Hong Kong
Tuen Mun Hospital; Clinical Oncology
Hong Kong
Estonia2 sites
North Estonia Medical Centre Foundation; Oncology Centre
Tallinn, 13419
Tartu University Hospital; Clinic of Hematology and Oncology
Tartu, 50406
Mexico2 sites
Oaxaca Site Management Organization
Oaxaca City, 68000
Centro Oncológico Estatal; ISSSEMYM Oncología
Toluca, 50180
Croatia1 site
Uni Hospital For Tumours; Dept of Medical Oncology
Zagreb, 10000
Netherlands1 site
Vu Medisch Centrum; Afdeling Maag-, Darm- En Leverziekte
Amsterdam, 1081 HV
About this study
Official title: A Multicenter Randomized Phase III Study to Compare the Combination Trastuzumab and Capecitabine, With or Without Pertuzumab, in Patients With HER2-Positive Metastatic Breast Cancer That Have Progressed After One Line of Trastuzumab-Based Therapy in the Metastatic Setting (PHEREXA)
This randomized, two-arm study evaluated the efficacy and safety of a combination of trastuzumab and capecitabine with or without pertuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer. The study population consisted of female patients, whose disease had progressed during or following previous trastuzumab therapy for metastatic disease. All patients in Arm A and Arm B received trastuzumab (8 mg/kg iv as loading dose and then 6 mg/kg iv every 3 weeks thereafter) and capecitabine oral twice daily for 14 days every 3 weeks (1250 mg/m2 twice daily in Arm A and 1000 mg/m2 twice daily in Arm B). In addition, patients in Arm B received pertuzumab (840 mg iv as loading dose and then 420 mg iv thereafter) every 3 weeks. Study treatment continued until disease progression or unacceptable toxicity.
- Conditions
- Breast Cancer
- Being tested
- Capecitabine, Pertuzumab, Trastuzumab
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CapecitabineDrug
Also called Xeloda
1000 mg/m2 po twice daily for 14 days every 3 weeks
CapecitabineDrug
Also called Xeloda
1250 mg/m2 po twice daily for 14 days every 3 weeks
PertuzumabDrug
Also called Perjeta
840 mg iv loading, then 420 mg iv every 3 weeks
TrastuzumabDrug
Also called Herceptin
8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks
| Study group | Role | What they receive |
|---|---|---|
| A: Capecitabine + Trastuzumab | Active comparator | Not described Receives: Drug: Capecitabine; Drug: Trastuzumab |
| B: Capecitabine + Trastuzumab + Pertuzumab | Experimental | Not described Receives: Drug: Capecitabine; Drug: Pertuzumab; Drug: Trastuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (Independent Assessment)
Progression Free Survival (PFS) was defined as the time from randomization to first documented disease progression (PD), as determined by an Independent Review Facility (IRF) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. IRF review of tumor assessment ceased after the primary PFS analysis. The primary endpoint was analyzed after approximately 337 IRF-assessed PFS events were observed.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Secondary outcomes (8)
Overall Survival (OS)
Overall Survival (OS) was defined as the time from the date of randomization to the date of death from any cause. The results of the final OS analysis are presented here. Participants who were alive or lost to follow-up at the time of the analysis were censored at the last known alive date. Participants with no postbaseline information were censored at the time of randomization plus 1 day. Prior to the final data analysis cut-off, it was ensured that all participants who were in survival follow-up had been contacted as recently as possible within the last 3 months to confirm current survival status.
Measured: From randomization until death from any cause (up to 7.5 years).
Overall Survival (OS) Rate Based on a 2-year Truncated Analysis
The Overall Survival (OS) 2-year truncated analysis is the Kaplan-Meier estimate of the percentage of participants who were surviving at 2 years. OS is defined as the time from the date of randomization to the date of death from any cause, with censoring of all events and follow-up beyond the end of the second year.
Measured: From randomization until death from any cause (up to 2 years)
Investigator Assessment Progression-Free Survival (PFS)
Investigator Assessment Progression-Free Survival (PFS) was defined as the time from randomization to the first documented progressive disease, as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.0, or death from any cause, whichever occurred first. PD is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 7.5 years).
Time to Progression (TTP) Based Upon Independent Review Facility (IRF) Assessment
Time to Progression (TTP) was defined as time between randomization and the first occurrence of progressive disease (PD), based on IRF assessment.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Time to Treatment Failure (TTF) Based Upon Independent Review Facility (IRF) Assessment
Time to Treatment Failure (TTF) was defined as time between randomization and date of disease progression based on independent review, death, or withdrawal of treatment due to adverse events, withdrawn informed consent, refusal of treatment/failure to cooperate, or failure to return, whichever occurred first.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Overall Objective Response Rate (ORR)
Overall Objective Response Rate is based upon investigator and IRF assessments. Objective Response Rate (ORR) was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) among those who had measurable disease at baseline. CR was defined as the disappearance of all target lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Clinical Benefit Rate (CBR)
Clinical Benefit Rate is based upon Independent Review Facility (IRF) assessments; defined as the percentage of participants a complete response (CR), partial response (PR), or stable disease for at least 8 cycles or 6 months.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Duration of Objective Response
Duration of Objective Response was defined for the subpopulation of responders as time from first Independent Review Facility (IRF)-assessed complete response (CR) or partial response (PR) to subsequent first documented, IRF-confirmed evidence of disease progression. Only participants with an objective response were included in the analysis of duration of objective response.
Measured: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2009 (estimated)
- Study start26 Jan 2010
- Primary completion29 May 2015
- Study completion7 Aug 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 452 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01026142
- Sponsor's protocol ID
- MO22324
- Other IDs
- 2008-006801-17, 2008
- Status last verified
- Jul 2018
- First submitted
- 27 Nov 2009
- Last updated
- 14 Aug 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Randomized Phase III Study to Compare the Combination Trastuzumab and Capecitabine, With or Without Pertuzumab, in Patients With HER2-Positive Metastatic Breast Cancer That Have Progressed After One Line of Trastuzumab-Based Therapy in the Metastatic Setting (PHEREXA)
- ClinicalTrials.gov ID
- NCT01026142
- Acronym / sponsor ID
- MO22324
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 452 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 26 Jan 2010 (actual)
- Primary completion
- 29 May 2015 (actual)
- Study completion
- 7 Aug 2017 (actual)
- First posted
- 4 Dec 2009 (estimated)
- Results
- Posted 13 Oct 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, two-arm study evaluated the efficacy and safety of a combination of trastuzumab and capecitabine with or without pertuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer. The study population consisted of female patients, whose disease had progressed during or following previous trastuzumab therapy for metastatic disease. All patients in Arm A and Arm B received trastuzumab (8 mg/kg iv as loading dose and then 6 mg/kg iv every 3 weeks thereafter) and capecitabine oral twice daily for 14 days every 3 weeks (1250 mg/m2 twice daily in Arm A and 1000 mg/m2 twice daily in Arm B). In addition, patients in Arm B received pertuzumab (840 mg iv as loading dose and then 420 mg iv thereafter) every 3 weeks. Study treatment continued until disease progression or unacceptable toxicity.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A: Capecitabine + Trastuzumab | Active comparator | Drug: Capecitabine, Drug: Trastuzumab |
| B: Capecitabine + Trastuzumab + Pertuzumab | Experimental | Drug: Capecitabine, Drug: Pertuzumab, Drug: Trastuzumab |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adult female patients >/=18 years of age
- Metastatic HER2 positive breast cancer
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Disease progression during or following trastuzumab-based therapy for 1st line metastatic breast cancer (trastuzumab must have been part of the last prior treatment regimen)
- Prior treatment with taxane-containing regimen
Key exclusion criteria (13 listed)
- Prior treatment with pertuzumab or capecitabine
- Concurrent treatment with other experimental drug
- Concurrent immunotherapy or anticancer hormonal therapy
- Serious concurrent disease (e.g. active infection, uncontrolled hypertension, cardiovascular disease)
- Central nervous system (CNS) metastases, which are not well controlled
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CapecitabineAlso: Xeloda1000 mg/m2 po twice daily for 14 days every 3 weeks | Drug | B: Capecitabine + Trastuzumab + Pertuzumab |
| CapecitabineAlso: Xeloda1250 mg/m2 po twice daily for 14 days every 3 weeks | Drug | A: Capecitabine + Trastuzumab |
| PertuzumabAlso: Perjeta840 mg iv loading, then 420 mg iv every 3 weeks | Drug | B: Capecitabine + Trastuzumab + Pertuzumab |
| TrastuzumabAlso: Herceptin8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks | Drug | A: Capecitabine + Trastuzumab, B: Capecitabine + Trastuzumab + Pertuzumab |
Primary outcome
Progression Free Survival (Independent Assessment)
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Progression Free Survival (PFS) was defined as the time from randomization to first documented disease progression (PD), as determined by an Independent Review Facility (IRF) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. IRF review of tumor assessment ceased after the primary PFS analysis. The primary endpoint was analyzed after approximately 337 IRF-assessed PFS events were observed.
8 secondary outcomes
Overall Survival (OS)
Time frame: From randomization until death from any cause (up to 7.5 years).
Overall Survival (OS) Rate Based on a 2-year Truncated Analysis
Time frame: From randomization until death from any cause (up to 2 years)
Investigator Assessment Progression-Free Survival (PFS)
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 7.5 years).
Time to Progression (TTP) Based Upon Independent Review Facility (IRF) Assessment
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Time to Treatment Failure (TTF) Based Upon Independent Review Facility (IRF) Assessment
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Overall Objective Response Rate (ORR)
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Clinical Benefit Rate (CBR)
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Duration of Objective Response
Time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
190 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Capecitabine, Pertuzumab and Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 190 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 190 sites in Spain, Germany, Italy, France, Hungary and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Oct 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (Independent Assessment) (time frame: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2018.