Breast CancerPhase 3NCT01810393
A Study to Assess Preference for Subcutaneous Trastuzumab Treatment in Participants With Human Epidermal Growth Factor Receptor (HER)2-Positive Metastatic Breast Cancer Responding to First-Line Intravenous Trastuzumab for at Least 3 Years
A Phase 3 study testing Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 61 sites in France.
Trial summary
This open-label, randomized, multicenter study will evaluate participant preference for subcutaneous (SC) versus intravenous (IV) trastuzumab (Herceptin) in participants with HER2-positive metastatic breast cancer responding to first-line treatment with IV trastuzumab for at least 3 years. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Trastuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 114 participants
- Where
- 61 sitesFrance
- Study dates
- 11 Jun 2013to 17 Jul 2019
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed HER2-positive metastatic breast cancer
- On treatment with first-line trastuzumab IV and free of disease progression for at least 3 years
- Left ventricular ejection fraction (LVEF) of greater than or equal to (>/=) 50 percent (%)
- Hormonal therapy will be allowed
- Prior use of anti-HER2 therapy will be allowed
Who cannot join
- History of other malignancy, except for curatively treated carcinoma in situ of the cervix or basal cell carcinoma and participants with other curatively treated malignancies who have been disease-free for at least 5 years; participants with previous ductal carcinoma in situ of the breast are also eligible
- Participants with severe dyspnea at rest or requiring supplementary oxygen therapy
- Serious cardiac illness or medical conditions that would preclude the use of trastuzumab
- Hepatitis B, hepatitis C or human immunodeficiency virus infection
- Pregnant or lactating women
- Concurrent enrollment in an other clinical trial using an investigational anti-cancer treatment, including hormonal therapy, biphosphonate therapy and immunotherapy, within 28 days prior to the first dose of study treatment
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- Known hypersensitivity to trastuzumab, murine proteins, to any of the excipients of Herceptin including hyaluronidase or the adhesive of the subcutaneous device, or a history of severe allergic or immunological reactions, for example, difficult to control asthma
- Central nervous system metastases, unless they have been treated and have been stable for at least 3 years
- Inadequate organ function
Trial locations and contacts
61 sites in 1 country.
61 sites in 1 country
France61 sites
Clinique Du Docteur Calabet; Cromg
Agen, 47000
Clinique De L Europe; Radiotherapie Chimiotherapie
Amiens, 80090
ICO Paul Papin; Oncologie Medicale.
Angers, 49055
HOP Prive Arras Les Bonnettes; Chimiotherapie
Arras, 62012
Institut Sainte-Catherine; Oncologie
Avignon, 84082
Centre Hospitalier de La Cote Basque; Oncologie
Bayonne, 64109
HOPITAL JEAN MINJOZ; Oncologie
Besançon, 25030
Institut Bergonie
Bordeaux, 33076
Centre Hospitalier Fleyriat; Oncologie/Hematologie
Bourg-en-Bresse, 01012
Hopital Morvan
Brest, 29200
Clinique Pasteur Lanroze; Chimiotherapie Radiotherapie
Brest, 29220
Centre Francois Baclesse; Oncologie
Caen, 14076
Centre Jean Perrin; Oncologie
Clermont-Ferrand, 63011
Pole Sante Republique;Oncologie Hematologie
Clermont-Ferrand, 63050
Chi De Creteil; Radiotherapie Oncologie
Créteil, 94010
Centre Leonard De Vinci;Chimiotherapie
Dechy, 59187
Centre Georges Francois Leclerc; Oncologie 3
Dijon, 21079
CHD Les Oudairies
La Roche-sur-Yon, 85925
Ch Louis Pasteur; Oncologie
Le Coudray, 28630
Clinique Victor Hugo; Radiotherapie
Le Mans, 72015
Polyclinique Du Bois; Oncologie
Lille, 59003
Centre Oscar Lambret; Unite de Recherche Clinique
Lille, 59020
Ch Bretagne Sud Site Scorff; Oncologie Medicale
Lorient, 56100
Centre Leon Berard
Lyon, 69008
Clinique De La Sauvegarde; Chimiotherapie
Lyon, 69337
Hopital Prive Jean Mermoz
Lyon, 69373
Institut Paoli Calmettes; Oncologie Medicale
Marseille, 13273
Hopital de Mercy ;ONCOLOGIE MEDICALE
Melz-sur-Seine, 57085
Hopital Belle Isle; Oncologie Hematologie
Metz, 57045
Clinique Clementville; Hopital De Jour
Montpellier, 34070
Polyclinique Gentilly; CHIMIOTHERAPIE AMBULATOIRE
Nancy, 54100
Centre Catherine de Sienne; Chimiotherapie
Nantes, 44202
Centre Antoine Lacassagne
Nice, 06189
Institut de cancerologie du Gard
Nîmes, 30029
HOPITAL DE LA SOURCE; Service de Cardiologie, Point Jaune
Orléans, 45100
APHP - Hopital de la Pitie Salpetriere
Paris, 75013
Groupe Hospitalier Diaconesses
Paris, 75020
Institut Curie; Oncologie Medicale
Paris, 75231
Hopital Saint Louis; Oncologie Medicale
Paris, 75475
HOPITAL TENON; Cancerologie Medicale
Paris, 75970
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Centre Hospitalier Universitaire de Poitiers
Poitiers, 86021
CH d'Annecy
Pringy, 74370
Chi De Cornouaille; Oncologie Hospitalisation
Quimper, 29107
Institut Jean Godinot; Oncologie Medicale
Reims, 51056
Institut du Cancer Coulancy Reims
Reims, 51100
Centre Eugene Marquis; Bureau D Etudes Cliniques
Rennes, 35042
Centre Henri Becquerel; Oncologie Medicale
Rouen, 76038
Chp Saint Gregoire; Cancerologie Radiotherapie
Saint-Grégoire, 35768
Centre Rene Gauducheau
Saint-Herblain, 44805
Polyclinique de la Cote Basque Sud; Oncologie
Saint-Jean-de-Luz, 64501
CMCO De La Cote D Opale; Auberge De Jour
Saint-Martin-Boulogne, 62280
Clinique Mutualiste L Estuaire
Saint-Nazaire, 44606
Institut de Cancérologie de Loire
Saint-Priest-en-Jarez, 42271
CH de Saint Quentin
Saint-Quentin, 2100
Hopital Prive Nord Parisien; Soins De Suite - Oncologie
Sarcelles, 95200
Clinique Ste Anne
Strasbourg, 67000
Centre Paul Strauss; Oncologie Medicale
Strasbourg, 67065
Hopital de Hautepierre
Strasbourg, 67091
Hôpital Rangueil - CHU de Toulouse
Toulouse, 31059
Clinique Pasteur; Oncologie Medicale
Toulouse, 31076
About this study
Official title: An Open-Label, Randomized, Multicenter Phase III Study in Patients With HER2-Positive Metastatic Breast Cancer Responding to First Line Treatment With Intravenous Trastuzumab for at Least 3 Years and Investigating Patient Preference for Subcutaneous Trastuzumab
This open-label, randomized, multicenter study will evaluate participant preference for subcutaneous (SC) versus intravenous (IV) trastuzumab (Herceptin) in participants with HER2-positive metastatic breast cancer responding to first-line treatment with IV trastuzumab for at least 3 years. Participants will be randomized to receive either 3 cycles (cycle length = 21 days) of trastuzumab SC followed by 3 cycles of trastuzumab IV or 3 cycles of trastuzumab IV followed by 3 cycles of trastuzumab SC. All participants will receive trastuzumab SC for Cycles 7 to 18. Anticipated time on study treatment is 1 year or until disease progression or inacceptable toxicity occurs, whichever comes first.
- Conditions
- Breast Cancer
- Being tested
- 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.
TrastuzumabDrug
Also called Herceptin
Trastuzumab will be administered at a dose of 6 milligrams per kilogram (mg/kg) IV or 600 milligrams per 5 milliliter (mg/5mL) SC in 21-day cycles as per schedule described in respective arm.
| Study group | Role | What they receive |
|---|---|---|
| Trastuzumab IV Then Trastuzumab SC | Experimental | Participants will receive treatment with Trastuzumab IV for the first 3 cycles (cycle length = 21 days) followed by Trastuzumab SC for the next 3 cycles. Participants will continue receiving treatment with trastuzumab SC for another 12 cycles (if SC treatment is well tolerated, otherwise participants will continue IV treatment) for a total of 18 cycles of treatment during the study. Receives: Drug: Trastuzumab |
| Trastuzumab SC Then Trastuzumab IV | Experimental | Participants will receive treatment with Trastuzumab SC for the first 3 cycles (cycle length = 21 days) followed by Trastuzumab IV for the next 3 cycles. Participants will continue receiving treatment with trastuzumab SC for another 12 cycles (if SC treatment is well tolerated, otherwise participants will continue IV treatment) for a total of 18 cycles of treatment during the study. Receives: Drug: Trastuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Preference for Either SC or IV Route of Administration According to Participant Preference Questionnaire (PPQ) Score
Measured: Baseline up to 6 cycles (cycle length = 21 days)
Secondary outcomes (2)
Percentage of Participants With Adverse Events
Measured: approximately 4 years
Percentage of Health Care Professionals With Preference for Either SC or IV Administration According to Health Care Professional Questionnaire (HCPQ) Score
Measured: Baseline up to 6 cycles (cycle length = 21 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Mar 2013 (estimated)
- Study start11 Jun 2013
- Primary completion17 Jul 2019
- Study completion17 Jul 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- 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
- Crossover
- Masking
- None (open label)
- Enrolment
- 114 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
- NCT01810393
- Sponsor's protocol ID
- ML28589
- Other IDs
- 2012-003442-32
- Status last verified
- Sep 2020
- First submitted
- 11 Mar 2013
- Last updated
- 4 Sep 2020
- Results posted
- No
Publications
Pivot X, Spano JP, Espie M, Cottu P, Jouannaud C, Pottier V, Moreau L, Extra JM, Lortholary A, Rivera P, Spaeth D, Attar-Rabia H, Benkanoun C, Dima-Martinez L, Esposito N, Gligorov J. Patients' preference of trastuzumab administration (subcutaneous versus intravenous) in HER2-positive metastatic breast cancer: Results of the randomised MetaspHer study. Eur J Cancer. 2017 Sep;82:230-236. doi: 10.1016/j.ejca.2017.05.009. Epub 2017 Jun 23.
PubMed 28648618
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Randomized, Multicenter Phase III Study in Patients With HER2-Positive Metastatic Breast Cancer Responding to First Line Treatment With Intravenous Trastuzumab for at Least 3 Years and Investigating Patient Preference for Subcutaneous Trastuzumab
- ClinicalTrials.gov ID
- NCT01810393
- Acronym / sponsor ID
- ML28589
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 114 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 11 Jun 2013 (actual)
- Primary completion
- 17 Jul 2019 (actual)
- Study completion
- 17 Jul 2019 (actual)
- First posted
- 13 Mar 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This open-label, randomized, multicenter study will evaluate participant preference for subcutaneous (SC) versus intravenous (IV) trastuzumab (Herceptin) in participants with HER2-positive metastatic breast cancer responding to first-line treatment with IV trastuzumab for at least 3 years. Participants will be randomized to receive either 3 cycles (cycle length = 21 days) of trastuzumab SC followed by 3 cycles of trastuzumab IV or 3 cycles of trastuzumab IV followed by 3 cycles of trastuzumab SC. All participants will receive trastuzumab SC for Cycles 7 to 18. Anticipated time on study treatment is 1 year or until disease progression or inacceptable toxicity occurs, whichever comes first.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Trastuzumab IV Then Trastuzumab SC | Experimental | Drug: TrastuzumabParticipants will receive treatment with Trastuzumab IV for the first 3 cycles (cycle length = 21 days) followed by Trastuzumab SC for the next 3 cycles. Participants will continue receiving treatment with trastuzumab SC for another 12 cycles (if SC treatment is well tolerated, otherwise participants will continue IV treatment) for a total of 18 cycles of treatment during the study. |
| Trastuzumab SC Then Trastuzumab IV | Experimental | Drug: TrastuzumabParticipants will receive treatment with Trastuzumab SC for the first 3 cycles (cycle length = 21 days) followed by Trastuzumab IV for the next 3 cycles. Participants will continue receiving treatment with trastuzumab SC for another 12 cycles (if SC treatment is well tolerated, otherwise participants will continue IV treatment) for a total of 18 cycles of treatment during the study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically or cytologically confirmed HER2-positive metastatic breast cancer
- On treatment with first-line trastuzumab IV and free of disease progression for at least 3 years
- Left ventricular ejection fraction (LVEF) of greater than or equal to (>/=) 50 percent (%)
- Hormonal therapy will be allowed
- Prior use of anti-HER2 therapy will be allowed
Key exclusion criteria (9 listed)
- History of other malignancy, except for curatively treated carcinoma in situ of the cervix or basal cell carcinoma and participants with other curatively treated malignancies who have been disease-free for at least 5 years; participants with previous ductal carcinoma in situ of the breast are also eligible
- Participants with severe dyspnea at rest or requiring supplementary oxygen therapy
- Serious cardiac illness or medical conditions that would preclude the use of trastuzumab
- Hepatitis B, hepatitis C or human immunodeficiency virus infection
- Pregnant or lactating women
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 |
|---|---|---|
| TrastuzumabAlso: HerceptinTrastuzumab will be administered at a dose of 6 milligrams per kilogram (mg/kg) IV or 600 milligrams per 5 milliliter (mg/5mL) SC in 21-day cycles as per schedule described in respective arm. | Drug | Trastuzumab IV Then Trastuzumab SC, Trastuzumab SC Then Trastuzumab IV |
Primary outcome
Percentage of Participants With Preference for Either SC or IV Route of Administration According to Participant Preference Questionnaire (PPQ) Score
Time frame: Baseline up to 6 cycles (cycle length = 21 days)
2 secondary outcomes
Percentage of Participants With Adverse Events
Time frame: approximately 4 years
Percentage of Health Care Professionals With Preference for Either SC or IV Administration According to Health Care Professional Questionnaire (HCPQ) Score
Time frame: Baseline up to 6 cycles (cycle length = 21 days)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2020.
- Derived from this study: PubMed 28648618Pivot X, Spano JP, Espie M, Cottu P, Jouannaud C, Pottier V, Moreau L, Extra JM, Lortholary A, Rivera P, Spaeth D, Attar-Rabia H, Benkanoun C, Dima-Martinez L, Esposito N, Gligorov J. Patients' preference of trastuzumab administration (subcutaneous versus intravenous) in HER2-positive metastatic breast cancer: Results of the randomised MetaspHer study. Eur J Cancer. 2017 Sep;82:230-236. doi: 10.1016/j.ejca.2017.05.009. Epub 2017 Jun 23.
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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
61 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 61 sites in France.
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 5 inclusion and 9 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 4 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 61 sites in France. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percentage of Participants With Preference for Either SC or IV Route of Administration According to Participant Preference Questionnaire (PPQ) Score (time frame: Baseline up to 6 cycles (cycle length = 21 days)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01810393, which also lists 1 linked publication.
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 4 Sep 2020.