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Breast CancerPhase 3LilacNCT01901146

Efficacy and Safety Study of ABP 980 Compared With Trastuzumab in Women With HER2-positive Early Breast Cancer

A Phase 3 study testing ABP 980, Trastuzumab and Paclitaxel in people with Breast Cancer, run by Amgen at 98 sites in 18 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this research study is to compare the effectiveness and safety of ABP 980 against trastuzumab in women with human epidermal growth factor receptor 2 (HER2)-positive early 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?
ABP 980, Trastuzumab and Paclitaxel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
725 participants
Where
98 sitesin 18 countries
Study dates
29 Apr 2013to 27 Jan 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

  • Females ≥ 18 years of age
  • Histologically confirmed invasive breast cancer
  • Planning for surgical resection of breast tumor and sentinel node or axillary lymph node resection
  • Planning neoadjuvant chemotherapy
  • HER2 positive disease
  • Measurable disease in the breast after diagnostic biopsy, defined as longest diameter ≥ 2.0 cm
Show all 13Show fewer
  • Known estrogen receptor (ER) and progesterone receptor (PR) hormone receptor status at study entry
  • Normal bone marrow function
  • Normal hepatic function
  • Normal renal function
  • Subjects must sign an Institutional Review Board/Ethics Committee (IRB/EC)-approved informed consent form before any study specific procedures
  • Left ventricular ejection fraction (LVEF) of ≥55% by 2D echocardiogram
  • Complete all 4 cycles of run-in chemotherapy

Who cannot join

  • Bilateral breast cancer
  • Presence of known metastases
  • Received prior treatment, including chemotherapy, biologic therapy, radiation or surgery with the exception of diagnostic biopsy for primary breast cancer
  • Other concomitant active malignancy or history of malignancy in the past 5 years except treated basal cell carcinoma of the skin or carcinoma in situ of the cervix
  • Pre-existing clinically significant (≥ grade 2) peripheral neuropathy
  • Any history of documented or current congestive heart failure, current high-risk uncontrolled arrhythmias, current angina pectoris requiring a medicinal product, current clinically significant valvular disease, current evidence of transmural infarction on electrocardiogram (ECG), or current poorly controlled hypertension
Show all 17Show fewer
  • Severe dyspnea at rest requiring supplementary oxygen therapy
  • History of positivity for hepatitis B surface antigen, hepatitis C virus, or human immunodeficiency virus (HIV)
  • Recent infection requiring a course of systemic anti-infectives that were completed ≤ 14 days before enrollment (with the exception of uncomplicated urinary tract infection)
  • Woman of childbearing potential who is pregnant or is breast feeding
  • Woman of childbearing potential who is not consenting to use highly effective methods of birth control (eg, true abstinence [periodic abstinence (eg calendar ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception], sterilization, or other non-hormonal forms of contraception) during treatment and for at least 7 months after the last administration of the protocol specified treatment
  • Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study
  • Other investigational procedures while participating in this study are excluded
  • Subject has known sensitivity to any of the products to be administered during the study, including mammalian cell derived drug products, trastuzumab, murine proteins, or to any of the excipients
  • Subject previously has enrolled and/or has been randomized in this study
  • Subject likely to not be available to complete all protocol required study visits or procedures
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the Investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion

Trial locations and contacts

98 sites in 18 countries.

98 sites in 18 countries

Russia14 sites
  • Research Site

    Arkhangelsk, Primorskiy (Maritime) Kray, 163045

  • Research Site

    Chelaybinsk, 454087

  • Research Site

    Moscow, 115478

  • Research Site

    Moscow Region, Moscow, 143423

  • Research Site

    Nizhny Novgorod, 603081

  • Research Site

    Obninsk, Kaluzhskaya, 249036

  • Research Site

    Pyatigorsk, 357502

  • Research Site

    Ryazan, 390011

  • Research Site

    Saint Petersburg, 195271

  • Research Site

    Saint Petersburg, 197089

  • Research Site

    Saint Petersburg, 197758

  • Research Site

    Saransk, Respublika Mordoviya, 430032

  • Research Site

    Sochi, 354057

  • Research Site

    Yaroslavl, Yaroslavlr, 150054

Other trials in Russia

Poland8 sites
  • Research Site

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-792

  • Research Site

    Gdansk, Pomeranian Voivodeship, 80-219

  • Research Site

    Poznan, Greater Poland Voivodeship, 60-569

  • Research Site

    Poznan, Greater Poland Voivodeship, 61-485

  • Research Site

    Rybnik, Silesian Voivodeship, 44-217

  • Research Site

    Warsaw, Masovian Voivodeship, 02-776

  • Research Site

    Warsaw, Masovian Voivodeship, 03-291

  • Research Site

    Warszawa, Lublin Voivodeship, 20-090

Other trials in Poland

Ukraine8 sites
  • Research Site

    Chernivtsi, 58013

  • Research Site

    Dnipropetrovsk, 49055

  • Research Site

    Kharkiv, 61070

  • Research Site

    Kyiv, Kyiv City, 03115

  • Research Site

    Lutsk, Volyn Oblast, 43018

  • Research Site

    Lviv, 79031

  • Research Site

    Uzhhorod, Zakarpattia Oblast, 88000

  • Research Site

    Zaporizhzhya, 69040

Other trials in Ukraine

Italy7 sites
  • Research Site

    Bari, 74124

  • Research Site

    Milan, 20141

  • Research Site

    Palermo, 90127

  • Research Site

    Parma, 43100

  • Research Site

    Piacenza, 29100

  • Research Site

    San Fermo della Battaglia, COMO, 22040

  • Research Site

    Varese, 21100

Other trials in Italy

Spain7 sites
  • Research Site

    A Coruña, LA Coruna, 15009

  • Research Site

    Alcorcón, Madrid, 28921

  • Research Site

    Barcelona, 08041

  • Research Site

    Lleida, Lleida, 25198

  • Research Site

    Madrid, 28050

  • Research Site

    Madrid, 28220

  • Research Site

    Sabadell, Barcelona, 08208

Other trials in Spain

Brazil6 sites
  • Research Site

    Ijuí, Rio Grande do Sul, 98700-000

  • Research Site

    Jaú, São Paulo, 17210-080

  • Research Site

    Porto Alegre, Rio Grande do Sul, 91350-200

  • Research Site

    Salvador, Estado de Bahia, 41820-021

  • Research Site

    Santo André, São Paulo, 09060-650

  • Research Site

    São Paulo, São Paulo, 04039-004

Other trials in Brazil

Germany6 sites
  • Research Site

    Berlin, 13353

  • Research Site

    Bonn, North Rhine-Westphalia, 53111

  • Research Site

    Bottrop, North Rhine-Westphalia, 46236

  • Research Site

    Frankfurt am Main, Hesse, 60389

  • Research Site

    Frankfurt am Main, Hesse, 60590

  • Research Site

    Fürstenwalde, Brandenburg, 15517

Other trials in Germany

Hungary6 sites
  • Research Site

    Budapest, 1083

  • Research Site

    Budapest, 1122

  • Research Site

    Debrecen, Hajdú-Bihar, 4032

  • Research Site

    Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400

  • Research Site

    Szekszárd, Tolna County, 7100

  • Research Site

    Szolnok, Jász-Nagykun-Szolnok, 5000

Other trials in Hungary

Romania5 sites
  • Research Site

    Brasov, 500091

  • Research Site

    Cluj-Napoca, Cluj, 400006

  • Research Site

    Cluj-Napoca, 400058

  • Research Site

    Ploieşti, Prahova, 100337

  • Research Site

    Timișoara, Timiș County, 300595

Other trials in Romania

Serbia5 sites
  • Research Site

    Belgrade, 11000

  • Research Site

    Belgrade, 11080

  • Research Site

    Kamenitz, 21204

  • Research Site

    Kragujevac, 34000

  • Research Site

    Niš, 18000

Other trials in Serbia

Belarus4 sites
  • Research Site

    Brest, 224027

  • Research Site

    Grodno, 230017

  • Research Site

    Minsk, 220013

  • Research Site

    Minsk, 223040

Other trials in Belarus

Bulgaria4 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Sofia, Sofia, 1756

  • Research Site

    Varna, 9010

  • Research Site

    Veliko Tarnovo, Veliko Tarnovo, 5000

Other trials in Bulgaria

Greece4 sites
  • Research Site

    Athens, Attica, 11527

  • Research Site

    Athens, Attica, 12462

  • Research Site

    Heraklion, Crete, 71110

  • Research Site

    Thessaloniki, Nea Efkarpia, 56429

Other trials in Greece

Mexico4 sites
  • Research Site

    Monterrey, Nuevo León, 64710

  • Research Site

    Querétaro, 76090

  • Research Site

    San Luis Potosí City, San Luis Potosí, 78200

  • Research Site

    Toluca, Estado de Mexico, Mexico, 50180

Other trials in Mexico

South Africa4 sites
  • Research Site

    Cape Town, Western Cape, 7405

  • Research Site

    Cape Town, Western Cape, 7700

  • Research Site

    Durban, KwaZulu-Natal, 4091

  • Research Site

    Johannesburg, Gauteng, 2193

Other trials in South Africa

Canada2 sites
  • Research Site

    Moncton, New Brunswick, E1C6Z8

  • Research Site

    Montreal, Quebec, H1T 2M4

Other trials in Canada

Chile2 sites
  • Research Site

    Santiago, 8360160

  • Research Site

    Temuco, Cautín, 4810469

Other trials in Chile

United Kingdom2 sites
  • Research Site

    Nottingham, England, NG5 1PB

  • Research Site

    Peterborough, England, PE3 9GZ

Other trials in United Kingdom

About this study

Official title: A Randomized, Double-Blind, Phase 3 Study Evaluating the Efficacy and Safety of ABP 980 Compared With Trastuzumab in Subjects With HER2 Positive Early Breast Cancer

The purpose of this research study is to compare the effectiveness and safety of ABP 980 against trastuzumab in women with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer.

Conditions
Breast Cancer
Being tested
ABP 980, Trastuzumab, Paclitaxel, Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
Keywords
Human Epidermal Growth Factor Receptor 2 (HER2), Positive Early 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.

  • ABP 980Drug

    ABP 980 was administered at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion Q3W for all subsequent cycles.

  • TrastuzumabDrug

    Also called Herceptin®

    Trastuzumab was administered at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for all subsequent cycles.

  • PaclitaxelDrug

    Paclitaxel, 175 mg/m² Q3W for 4 cycles (or 80 mg/m² QW for 12 cycles, if local standard of care).

  • Lumpectomy or Mastectomy with Sentinel Node or Axillary Node DissectionProcedure or surgery

Study groups in NCT01901146
Study groupRoleWhat they receive
ABP 980ExperimentalParticipants received ABP 980 at an initial dose of 8 mg/kg by intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles during the neoadjuvant phase. Surgery (lumpectomy or mastectomy with sentinel lymph node dissection or axillary lymph node dissection) was completed 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. After surgery (adjuvant phase) participants continued receiving 6 mg/kg ABP 980 IV Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
Receives: Drug: ABP 980; Drug: Paclitaxel; Procedure: Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
TrastuzumabActive comparatorParticipants received trastuzumab at an initial dose of 8 mg/kg IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles during the neoadjuvant phase. Surgery (lumpectomy or mastectomy with sentinel lymph node dissection or axillary lymph node dissection) was completed 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. After surgery (adjuvant phase) participants were re-randomized to either continue receiving 6 mg/kg trastuzumab IV Q3W or transition to 6 mg/kg ABP 980 IV Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
Receives: Drug: Trastuzumab; Drug: Paclitaxel; Procedure: Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection

What is being measured

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

  1. Percentage of Participants With a Pathologic Complete Response

    Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue and in axillary lymph nodes, regardless of residual ductal carcinoma in situ (DCIS).

    Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.

    Measured: 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

Secondary outcomes (2)
  1. Percentage of Participants With a Pathologic Complete Response in Breast Tissue Only

    Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue, regardless of residual ductal carcinoma in situ (DCIS).

    Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.

    Measured: 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

  2. Percentage of Participants With a Pathologic Complete Response in Breast Tissue and Axillary Lymph Nodes and Absence of DCIS

    Pathological complete response was defined as the absence of invasive tumor cells in the breast tissue and axillary lymph node(s) and absence of residual DCIS.

    Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.

    Measured: 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

Timeline

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

  1. First posted17 Jul 2013 (estimated)
  2. Study start29 Apr 2013
  3. Primary completion5 May 2016
  4. Study completion27 Jan 2017

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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
725 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01901146
Sponsor's protocol ID
20120283
Other IDs
2012-004319-29
Acronym
Lilac
Status last verified
Feb 2018
First submitted
20 May 2013
Last updated
7 Aug 2019
Data monitoring committee
Yes

Publications

  • Kolberg HC, Colleoni M, Demetriou GS, Santi P, Tesch H, Fujiwara Y, Tomasevic Z, Hanes V. Cardiac Safety of the Trastuzumab Biosimilar ABP 980 in Women with HER2-Positive Early Breast Cancer in the Randomized, Double-Blind, Active-Controlled LILAC Study. Drug Saf. 2020 Mar;43(3):233-242. doi: 10.1007/s40264-019-00886-3.

    PubMed 31927716
  • von Minckwitz G, Colleoni M, Kolberg HC, Morales S, Santi P, Tomasevic Z, Zhang N, Hanes V. Efficacy and safety of ABP 980 compared with reference trastuzumab in women with HER2-positive early breast cancer (LILAC study): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2018 Jul;19(7):987-998. doi: 10.1016/S1470-2045(18)30241-9. Epub 2018 Jun 4.

    PubMed 29880292

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ABP 980, Trastuzumab and Paclitaxel in people with Breast Cancer, run by Amgen at 98 sites in 18 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 13 inclusion and 17 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 7 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 98 sites in Russia, Poland, Ukraine, Italy, Spain and 13 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 7 Aug 2019). 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 a Pathologic Complete Response (time frame: 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase). 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 NCT01901146, which also lists 2 linked publications.

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 7 Aug 2019.

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