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Breast CancerPhase 3ChangHER-SCNCT01875367

Phase III to Evaluate Patient´s Preference of Subcutaneous Trastuzumab vs Intravenous in HER2+ Advanced Breast Cancer

A Phase 3 study testing Trastuzumab Injectable Solution, Trastuzumab Injectable Product and Trastuzumab Injection in people with Breast Cancer, run by Spanish Breast Cancer Research Group at 27 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

GEICAM/2012-07 is a study phase III, prospective, open, randomized, multicenter and national designed to assess patient preference for intravenous (IV) or subcutaneous (SC) of trastuzumab, and within the SC by the administration through the vial or device self-administration in patients with disseminated 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?
Trastuzumab Injectable Solution, Trastuzumab Injectable Product and Trastuzumab Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
166 participants
Where
27 sitesSpain
Study dates
18 Sep 2013to 30 Apr 2018
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

  • Woman, 18 years old or upper.
  • Patient with advanced breast cancer with human epidermal growth factor receptor 2 (HER 2) positive histologically confirmed. The criteria for positivity HER 2 are:
  • immuno-histochemistry (IHC) 3+ (>10% of tumor cells with complete and intense membrane staining)
  • IHC 2+ with fluorescent in situ hybridization (FISH) / Chromogenic in situ hybridization (CISH) / silver-enhanced in situ hybridization (SISH) + for HER 2 amplification (*)
  • FISH / CISH / SISH + for HER 2 amplification (*) (*) Defined as the ratio of copies of HER 2/neu and copies of centromere of chromosome 17 (CEP17)> 2.2, or a number of copies of HER 2/neu> 6, as per local laboratory criteria.
  • Patient receiving trastuzumab with or without chemotherapy or hormonal therapy for at least 4 months.
Show all 12Show fewer
  • No evidence of disease progression (clinical and / or radiological) for at least 4 months before inclusion in the study and with a life expectancy of at least 3 months.
  • Adequate performance status: Eastern Cooperative Oncology Group (ECOG) <2.
  • Adequate bone marrow function, liver and kidney
  • Proper cardiac function (LVEF within normal limits the center, measured by echocardiography or MUGA).
  • The patient must have been informed of the study and must sign and date informed consent document for entry into the trial.
  • The patient must be willing and able to comply with study procedures and be available to answer the study questionnaires.

Who cannot join

  • Patients with no advanced breast cancer.
  • Breast cancer patients with tumors HER 2-negative.
  • The patient has another active malignancy other than breast adenocarcinoma; are excluded the non-melanoma skin cancer or any other properly treated in situ neoplasia. Patients with a history of malignancy, if they bear> 5 years without evidence of disease could be included.
  • The patient has uncontrolled brain metastases.
  • Concomitant administration, or in the 4 weeks prior to study entry, of other experimental treatment.
  • Known hypersensitivity to trastuzumab or to any of its components.
Show all 10Show fewer
  • Patients with severe dyspnea at rest or requiring supplemental oxygen.
  • Heart disease or serious medical pathological prevent trastuzumab administration: documented history of congestive cardiac insufficiency (CCI), high-risk arrhythmias uncontrolled angina requiring medication, clinically significant valvular disease, history of myocardial infarction or evidence of transmural infarction on ECG or hypertension poorly controlled.
  • Presence of any concomitant serious systemic disease that is incompatible with the study (at the discretion of the investigator).
  • The patient is pregnant or lactating. Women of childbearing potential should undergo pregnancy testing blood or urine within 14 days prior to inclusion as institutional rules and use a non-hormonal contraceptive suitable: intrauterine device, barrier method (condom or diaphragm) also used in conjunction with spermicidal cream, total abstinence or surgical sterilization, during treatment with the study drugs and for 6 months following the end of treatment.

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

Spain27 sites
  • Hospital Nuestra Señora de Sonsoles

    Ávila, 05004

  • Hospital del Mar

    Barcelona, 08003

  • Hospital Clinic i Provincial

    Barcelona, 08036

  • Hospital Germans Trias i Pujol

    Barcelona, 08916

  • Hospital Universitario Santa Lucía

    Cartagena, Murcia, 30202

  • Hospital Universitario de Fuenlabrada

    Fuenlabrada, Madrid, 28924

  • Hospital Universitario Virgen de las Nieves

    Granada, 18014

  • Hospital General Universitario de Granollers

    Granollers, Barcelona, 08402

  • Hospital Universitario Severo Ochoa

    Leganés, Madrid, 28911

  • Hospital Universitario Arnau de Vilanova de Lleida

    Lleida, 25198

  • Hospital Universitario Lucus Augusti

    Lugo, 27004

  • Hospital Universitario La Princesa

    Madrid, 28006

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007

  • Hospital Universitario 12 de Octubre

    Madrid, 28021

  • Hospital de Manacor

    Manacor, Balearic Islands, 07500

  • Hospital Costa del Sol

    Marbella, Málaga, 29603

  • Hospital de Mataró

    Mataró, Barcelona, 08304

  • Hospital Virgen del Puerto de Plasencia

    Plasencia, Cáceres, 10600

  • Hospital Univesitario Quirón Madrid

    Pozuelo de Alarcón, Madrid, 28223

  • Hospital Universitario San Joan de Reus

    Reus, Tarragona, 43201

  • Hospital Universitario de Salamanca

    Salamanca, 37007

  • Hospital Sant Joan Despí Moises Broggi

    Sant Joan Despí, Barcelona, 08970

  • Hospital Universitario Virgen de la Macarena

    Seville, 41009

  • Hospital Universitario Virgen del Rocío

    Seville, 41013

  • Hospital Virgen de la Salud

    Toledo, 45004

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010

  • Hospital Universitario Miguel Servet

    Zaragoza, 50009

Other trials in Spain

About this study

Official title: Phase III Trial to Evaluate Patient´s Preference of Subcutaneous Trastuzumab vs Intravenous (IV) Administration in HER2 Positive Advanced Breast Cancer Who Have Received IV Trastuzumab at Least 4 Months and Without Disease Progression

GEICAM/2012-07 is a study phase III, prospective, open, randomized, multicenter and national designed to assess patient preference for intravenous (IV) or subcutaneous (SC) of trastuzumab, and within the SC by the administration through the vial or device self-administration in patients with disseminated breast cancer HER2.

Read the detailed description

Approximately 195 patients will be included to receive subcutaneous trastuzumab a fixed dose of 600 mg every 3 weeks for 4 cycles (2 administered from the injection of a vial with a syringe and 2 with the injection device). Following administration of these four cycles, the patient will decide whether or not to continue with the subcutaneous formulation of trastuzumab every 3 weeks until progression (out of the study). Since the randomization in the study until the start with subcutaneous trastuzumab, patients will receive a treatment cycle of intravenous trastuzumab as usual.

Main objective: Proportion of patients indicate a preference for the use of subcutaneous vs intravenous trastuzumab.

This principal primary objective will be analyzed with the answers to questionnaire of experiences and preferences of the patients (Principal endpoint) The duration of the study has been estimated after 34 months.

Conditions
Breast Cancer
Being tested
Trastuzumab Injectable Solution, Trastuzumab Injectable Product, Trastuzumab Injection
Keywords
Subcutaneous trastuzumab, Intravenous trastuzumab, HER2 positive, Advanced Breast Cancer
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Trastuzumab Injectable SolutionDrug

    Also called Herceptin

    Subcutaneous injection vial with a fixed dose of trastuzumab (600mg) and recombinant human hyaluronidase (10.000U) identical to that provided by the device. 3 weeks x 2 cycles.

  • Trastuzumab Injectable ProductDrug

    Also called Herceptin

    Single injection device is provided and loaded with the mixture of trastuzumab (600mg) and recombinant human hyaluronidase (10.000U) and is ready for use. 3 weeks x 2 cycles

  • Trastuzumab InjectionDrug

    Also called Herceptin

    Powder for concentrate for solution for infusion. 1 cycle

Study groups in NCT01875367
Study groupRoleWhat they receive
Arm A: T-IV + T-SC vial + T-SC deviceExperimentalTrastuzumab intravenous (T-IV) x 1 cycle (usual dose of Trastuzumab), followed by 600mg of Trastuzumab Subcutaneous (T-SC) with vial (Injectable Solution) x 2 cycles, followed by 600mg of T-SC with single injection device (SID) x 2 cycles.
Receives: Drug: Trastuzumab Injectable Solution; Drug: Trastuzumab Injectable Product; Drug: Trastuzumab Injection
Arm B: T-IV + T-SC device + T-SC vialExperimentalTrastuzumab intravenous (T-IV) x 1 cycle (usual dose of Trastuzumab), followed by 600mg of Trastuzumab Subcutaneous (T-SC) with single injection device (SID) x 2 cycles, followed by 600mg of T-SC with vial (Injectable Solution) x 2 cycles.
Receives: Drug: Trastuzumab Injectable Solution; Drug: Trastuzumab Injectable Product; Drug: Trastuzumab Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Subcutaneous vs. Intravenous Treatment Preference

    The percentage of patients who indicate a preference for the use of the intravenous vs subcutaneous administration of trastuzumab was analyzed with the answer to the questionnaire C2, question number 39 (All things considered, what method of administration do you prefer? Subcutaneous; Intravenous; No preference) of experiences and preferences of the patient.

    Measured: Up to 12 weeks

Secondary outcomes (5)
  1. Percentage of Participants With Subcutaneous Treatment (Vial vs Device Administration) Preference

    The percentage of patients who indicate a preference for the use of SC administration by vial or device was analyzed. This was discussed in the answer to questionaire C3, question number 28 (All things considered, what method of administration do you prefer? Subcutaneous; Intravenous; No preference) of the questionnaire of experiences and preferences of the patient.

    Measured: Up to 12 weeks

  2. Percentage of Medical Staff With Intravenous vs. Subcutaneous Preference

    The medical staff satisfaction was analyzed with the answers to question number 33a (Considering all aspects, with what method of administration were you more satisfied? Between Intravenous vs. Subcutaneous: Intravenous; Subcutaneous; No differences) of the questionnaire of experiences and preferences of the medical staff.

    Health care professionals were not considered enrolled, but did contribute to this assessment.

    Measured: Up to 12 weeks

  3. Percentage of Medical Staff Subcutaneous Device vs. Vial Preference

    The medical staff satisfaction was analyzed with the answers to question number 33b (Considering all aspects, with what method of administration were you more satisfied? Between Vial vs. Device: Preferred device; Preferred vial; No Preference) of the questionnaire of experiences and preferences of the medical staff. Health care professionals were not considered enrolled, but did contribute to this assessment.

    Measured: Up to 12 weeks

  4. Patient Time in Healthcare Unit and Sitting in Chair/Bed

    Time spent by patient in the healthcare unit: Time between entrance and exit from the healthcare unit.

    Time spent by patient sitting in the infusion/treatment chair/bed: Time between sitting and rising from the patient treatment chair/bed The data was collected by qualified observers from site staff that measured the time spent by healthcare professional using a chronometer, and write it down in the paper questionnaires or directly or after in the electronic case report form.

    Measured: An average of 4 months

  5. The Number of Participants Who Experienced Adverse Events (AE)

    Safety was assessed by standard clinical and laboratory tests (haematology, serum chemistry). AE grade were defined by the NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) version 4.03.

    Measured: Through study treatment, an average of 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jun 2013 (estimated)
  2. Study start18 Sep 2013
  3. Primary completion30 Nov 2016
  4. Study completion30 Apr 2018

Resources

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
Model description
Eligible patients, from the randomization and before starting subcutaneous trastuzumab (SC-t), received an additional intravenous (IV-t) cycle. After receiving this cycle, patients started the treatment with the study medication, SC-t at a fixed dose of 600 mg every 3 weeks (+3 days) for 4 cycles (2 administered from the injection of a vial in a syringe and 2 with the single-use injection device \[SID\]), being randomized 1:1 in two arms of treatment without washout period: * Arm A (1 cycle of IV-t followed by 2 cycles of SC-t with vial followed by 2 cycles of SC-t with SID) * Arm B (1 cycle of IV-t followed by 2 cycles of SC-t with SID followed by 2 cycles of SC-t with vial) This is not a cross-over study.
Masking
None (open label)
Enrolment
166 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01875367
Sponsor's protocol ID
GEICAM/2012-07
Other IDs
2012-004928-38
Acronym
ChangHER-SC
Status last verified
Apr 2023
First submitted
7 Jun 2013
Last updated
5 Apr 2023
Data monitoring committee
No

Publications

  • Ciruelos EM, Montano A, Rodriguez CA, Gonzalez-Flores E, Lluch A, Garrigos L, Quiroga V, Anton A, Malon D, Chacon JI, Velasco M, Gonzalez-Cortijo L, Jolis L, Echarri MJ, Munoz M, Pascual T, Amigo Y, Casas M, Carrasco E, Casas A. Phase III study to evaluate patient's preference of subcutaneous versus intravenous trastuzumab in HER2-positive metastatic breast cancer patients: Results from the ChangHER study (GEICAM/2012-07). Eur J Cancer Care (Engl). 2020 Jul;29(4):e13253. doi: 10.1111/ecc.13253. Epub 2020 Jun 23.

    PubMed 32578279

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Trastuzumab Injectable Solution, Trastuzumab Injectable Product and Trastuzumab Injection in people with Breast Cancer, run by Spanish Breast Cancer Research Group at 27 sites in Spain.

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 12 inclusion and 10 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 5 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in Spain. 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 1 Feb 2021). 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?

Percentage of Participants With Subcutaneous vs. Intravenous Treatment Preference (time frame: Up to 12 weeks). 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 NCT01875367, 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 5 Apr 2023.

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