Breast CancerPhase 3NCT03433313
Efficacy and Safety Study of EG12014 Compared With Herceptin in Subjects With HER2 Positive Early Breast Cancer
A Phase 3 study testing EG12014 and Herceptin in people with Breast Cancer, run by EirGenix, Inc. at 91 sites in 11 countries.
Trial summary
The purpose of this research study is to compare the efficacy and safety of EG12014 with Herceptin as neoadjuvant treatment for 12 weeks, followed by surgery and subsequent EG12014 or Herceptin adjuvant treatment for up to 12 months. Read more about this study
- Who is it for?
- Ages 18 to 65 years, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- EG12014 and Herceptin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 807 participants
- Where
- 91 sitesin 11 countries
- Study dates
- 16 Oct 2018to 20 Jan 2022
- 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 to 65 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- Bilateral breast cancer.
- Pregnancy or lactation or considering becoming pregnant.
- Metastases, other than sentinel/axillary lymph nodes.
- Previous treatment (chemotherapy, biologic therapy, radiation, or surgery) for invasive malignant disease or other concomitant malignancy, other than basal cell carcinoma of the skin. Previous treatment for carcinoma in situ of the cervix is allowed.
- Previous treatment with Herceptin.
- Angina pectoris or arrhythmia requiring medication; poorly controlled hypertension; history of myocardial infarction or cardiac failure, New York Heart Association (NYHA) class II or higher; clinically significant cardiac valvular disease; hemodynamic effective pericardial effusion; other cardiomyopathies; LVEF of <55%.
Show all 11Show fewer
- Any investigational treatment less than 30 days prior to study entry, or within a time interval less than at least 5 half-lives of the investigational medicinal product, whichever is longer.
- Positive diagnostic test for hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV).
- History of hypersensitivity to drugs with similar chemical structures to trastuzumab.
- History of, or known current problems with, drug or alcohol abuse.
- Other serious illness, medical disorder or condition that, in the opinion of the Investigator, would make the patient unsuitable for participation in the study.
Trial locations and contacts
91 sites in 11 countries.
91 sites in 11 countries
Russia30 sites
Arkhangelsk Clinical Oncology Center
Arkhangelsk
Chelyabinsk Regional Clinical Oncology and Nuclear Medicine Center
Chelyabinsk
Evimed, LLC
Chelyabinsk
Ivanovo Regional Oncology Center
Ivanovo
Republican Clinical Oncology Center
Kazan'
Krasnoyarsk A.I. Kryzhanovsky Regional Oncology Center
Krasnoyarsk
Kursk Regional Clinical Oncology Center
Kursk
N.N. Blokhin National Medical Oncology Research Center
Moscow
National Medical Research Center for Radiology
Moscow
Vitamed" LLC
Moscow
A.F.Tsyb Medical Radiology Research Center
Obninsk
Clinical Oncology Center
Omsk
Pyatigorsk Interdistrict Oncology Center
Pyatigorsk
Rostov Oncology Research Institute
Rostov-on-Don
Regional Clinical Oncology Center
Ryazan
AV Medical Group
Saint Petersburg
City Clinical Oncology Center
Saint Petersburg
Clinic "Mart"
Saint Petersburg
I.I. Mechnikov North-Western State Medical University
Saint Petersburg
Leningrad Regional Oncology Center (Outpatient Department)
Saint Petersburg
Leningrad Regional Oncology Center (Surgery Department)
Saint Petersburg
N.N. Petrov National Medical Research Center of Oncology
Saint Petersburg
Oncology Center of Moskovskiy District
Saint Petersburg
Private Medical Institution "EVROMEDSERVIS", Department of Oncology
Saint Petersburg
St. Petersburg Clinical Research and Practical Center for Specialized Types of Medical Care (Oncology)
Saint Petersburg
Republican Oncology Center
Saransk
Oncology Center #2
Sochi
Tomsk National Research Medical Center
Tomsk
Regional Clinical Oncology Center
Velikiy Novgorod
Volgograd Regional Clinical Oncology Center
Volgograd
Ukraine23 sites
Chernihiv Regional Oncology Center
Chernihiv
Chernivtsi Regional Clinical Oncology Center
Chernivtsi
Clinical Oncology Center
Dnipro
Dnipropetrovsk City Multispecialty Clinical Hospital #4, Department of Chemotherapy
Dnipro
Prikarpattia Clinical Oncology Center
Ivano-Frankivsk
Communal Non-profit enterprise "Regional Center of Oncology"
Kharkiv
State Institution: S.P. Hryhoriev Institute of Medical Radiology under the Ukrainian Academy of Medical Sciences, Department of Clinical Oncology and Hematology
Kharkiv
Khmelnytskyi Regional Oncology Center
Khmelnytskyi
Kryvyi Rih Oncology Center, Department of Chemotherapy
Kryvyi Rih
Kyiv City clinical Hospital #2
Kyiv
Kyiv Regional Oncology Center, Department of Mastology
Kyiv
Medical Center "Verum"
Kyiv
Medical Center of First Private Clinic
Kyiv
Volyn Regional Oncology Center, Department of Chemotherapy
Lutsk
Public Institution under Lviv Regional Council: Lviv Regional Treatment and Diagnostics Oncology Center, Department of Chemotherapy
Lviv
Mariupol Oncology Center
Mariupol
Odesa Regional Clinical Hospital, Center for Mastology, Department of Thoracic Surgery
Odesa
Odesa Regional Oncology Center
Odesa
Ternopil Regional Clinical Oncology Center, Department of Chemotherapy
Ternopil
Central City Clinical Hospital, Department of Oncology and Radiology
Uzhhorod
Zakarpattia Regional Clinical Oncology Center, Department of Chemotherapy
Uzhhorod
Podillia Regional Oncology Center
Vinnytsia
Zhytomyr Regional Oncology Center
Zhytomyr
Georgia9 sites
LTD High-Tech Hospital MedCenter
Batumi
JSC "Evex Hospitals
Kutaisi
LTD Acad. F. Todua Medical Center - LTD Research Institute of Clinical Medicine
Tbilisi
LTD Aversi Clinic
Tbilisi
LTD Cancer Research Centre
Tbilisi
LTD Health House
Tbilisi
LTD Institute of Clinical Oncology
Tbilisi
LTD S.Khechinashvili University Hospital
Tbilisi
Malkhaz Katsiashvili Multiprofile Emergency Medicine Center
Tbilisi
Belarus6 sites
Brest Regional Oncology Center
Brest
Gomel Regional Clinical Oncology Center
Homyel
N.N. Aleksandrov Republican Research Oncology and Medical Radiology Center
Lesnoy
Minsk City Clinical Oncology Center
Minsk
Mogilev Regional Oncology Center
Mogilev
Vitebsk Regional Clinical Oncology Center
Vitebsk
Taiwan6 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City
China Medical University Hospital
Taichung
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Tri-Service General Hospital
Taipei
Linkou Chang Gung Memorial Hospital
Taoyuan
India5 sites
Cytecare Cancer Hospitals
Bengaluru
King George's Medical University, Department of Endocrine surgery, Shatabdi Phase II
Lucknow
Tata Memorial Centre
Mumbai
HCG NCHRI Cancer Centre
Nagpur
Christian Medical College, Department of Medical Oncology
Vellore
South Africa5 sites
GVI Oncology, Cape Gate Oncology Centre
Cape Town
The Oncology Centre
Durban
Medical Oncology Centre of Rosebank
Johannesburg
Little Company of Mary Medical Center, Department of Oncology
Pretoria
University of Pretoria, Department of Medical Oncology
Pretoria
United States2 sites
Aultman Hospital, Cancer Center
Canton, Ohio, 44718
Detroit Clinical Research Center
Farmington Hills, Michigan, 48334
Chile2 sites
Medical Research Limited Society
Temuco
Oncocentro Apys
Viña del Mar
About this study
Official title: A Phase III, Randomized, Multicenter, Double-blind Study to Compare Efficacy and Safety of EG12014 With Herceptin as Neoadjuvant Treatment in Combination With Anthracycline/Paclitaxel Systemic Therapy in HER2-Positive Early Breast Cancer
The purpose of this research study is to compare the efficacy and safety of EG12014 with Herceptin as neoadjuvant treatment for 12 weeks, followed by surgery and subsequent EG12014 or Herceptin adjuvant treatment for up to 12 months.
- Conditions
- Breast Cancer
- Being tested
- EG12014, Herceptin
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EG12014Drug
EG12014 6mg/kg is ongoing to be administered after 8mg/kg loading dose.
HerceptinDrug
Herceptin 6mg/kg is ongoing to be administered after 8mg/kg loading dose.
| Study group | Role | What they receive |
|---|---|---|
| EG12014 | Experimental | Epirubicin and cyclophosphamide followed by EG12014 plus paclitaxel. All patients will be scheduled for surgery (breast and axillary lymph nodes) at 3 to 6 weeks after completion of neoadjuvant chemotherapy. Receives: Drug: EG12014 |
| Herceptin | Active comparator | Epirubicin and cyclophosphamide followed by Herceptin plus paclitaxel. All patients will be scheduled for surgery (breast and axillary lymph nodes) at 3 to 6 weeks after completion of neoadjuvant chemotherapy. Receives: Drug: Herceptin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determination of pathologic complete response (pCR) at time of surgery
pCR is defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled sentinel and/or axillary lymph nodes
Measured: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
Secondary outcomes (8)
pCR at the time of surgery
pCR is defined as the absence of residual invasive cancer and of DICS (ypT0 ypN0) from breast tissue and sentinel/axillary lymph nodes, as assessed by central laboratory
Measured: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
pCR at the time of surgery
pCR is defined as the absence of invasive cancer in breast tissue only (ypT0/is) as assessed by central laboratory
Measured: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
Event-free survival (EFS) up to end of study (EOS)
EFS is defined as time from initial randomization to the date when disease recurrence or progression (local, regional, distant or contralateral) is diagnosed according to institutional standard, or date of death of any cause, whichever is earlier
Measured: Randomization to date of progression or end of study (up to approximately 24 months or death)
Overall response (OR) prior to surgery
Objective response is defined as partial response (PR) or complete response (CR) according to RECIST v1.1
Measured: At screening and prior to surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
Overall survival (OS) up to End of Study (EOS)
OS up to EOS is defined as time from the date of initial randomization to the date of death
Measured: Randomization to end of study (up to approximately 24 months or death)
Incidence of AEs
Incidence of AEs (including severity, seriousness, and relationship to study drug) and laboratory abnormalities
Measured: From time of informed consent to end of study (up to approximately 25 months or death)
Evaluation of Immunogenicity of EG12014 and Herceptin
Titer of anti-drug antibodies (ADA)
Measured: Prior to 1st infusion of study drug, during neoadjuvant treatment, after the last dose of neoadjuvant treatment, during adjuvant treatment, and End of Treatment
Measure serum trastuzumab concentration
Measure serum trastuzumab concentration for EG12014 and Herceptin arms
Measured: Prior to 1st infusion of study drug, during neoadjuvant treatment after the last dose of neoadjuvant treatment, during adjuvant treatment, and End of Treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2018
- Study start16 Oct 2018
- Primary completion20 Jan 2022
- Study completion20 Jan 2022
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.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 807 participants (actual)
Sponsor and investigators
- Lead sponsor
- EirGenix, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03433313
- Sponsor's protocol ID
- EGC002
- Other IDs
- 2017-003973-33, 2017
- Status last verified
- Jan 2023
- First submitted
- 8 Feb 2018
- Last updated
- 20 Jan 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Huang CS, Dzagnidze G, Grohmann-Izay B, Liu LC, Llinas-Quintero N, Lin AN, Mishra AK, Pominchuk D, Prokharau A, Rapoport BL, Semiglazov V, Tseng LM, Ruiz EY, Loibl S. Efficacy and Safety of EG12014 (Biosimilar Trastuzumab) Compared to Reference Trastuzumab in HER2-Positive Early Breast Cancer: A Phase III Randomized Study. Adv Ther. 2026 Sep 24. doi: 10.1007/s12325-026-03781-3. Online ahead of print.
PubMed 42782448
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Multicenter, Double-blind Study to Compare Efficacy and Safety of EG12014 With Herceptin as Neoadjuvant Treatment in Combination With Anthracycline/Paclitaxel Systemic Therapy in HER2-Positive Early Breast Cancer
- ClinicalTrials.gov ID
- NCT03433313
- Acronym / sponsor ID
- EGC002
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 807 participants (actual)
- Lead sponsor
- EirGenix, Inc.Industry (pharma, biotech, devices)
- Study start
- 16 Oct 2018 (actual)
- Primary completion
- 20 Jan 2022 (actual)
- Study completion
- 20 Jan 2022 (actual)
- First posted
- 14 Feb 2018 (actual)
- 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.
The purpose of this research study is to compare the efficacy and safety of EG12014 with Herceptin as neoadjuvant treatment for 12 weeks, followed by surgery and subsequent EG12014 or Herceptin adjuvant treatment for up to 12 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| EG12014 | Experimental | Drug: EG12014Epirubicin and cyclophosphamide followed by EG12014 plus paclitaxel. All patients will be scheduled for surgery (breast and axillary lymph nodes) at 3 to 6 weeks after completion of neoadjuvant chemotherapy. |
| Herceptin | Active comparator | Drug: HerceptinEpirubicin and cyclophosphamide followed by Herceptin plus paclitaxel. All patients will be scheduled for surgery (breast and axillary lymph nodes) at 3 to 6 weeks after completion of neoadjuvant chemotherapy. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (11 listed)
- Bilateral breast cancer.
- Pregnancy or lactation or considering becoming pregnant.
- Metastases, other than sentinel/axillary lymph nodes.
- Previous treatment (chemotherapy, biologic therapy, radiation, or surgery) for invasive malignant disease or other concomitant malignancy, other than basal cell carcinoma of the skin. Previous treatment for carcinoma in situ of the cervix is allowed.
- Previous treatment with Herceptin.
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 |
|---|---|---|
| EG12014EG12014 6mg/kg is ongoing to be administered after 8mg/kg loading dose. | Drug | EG12014 |
| HerceptinHerceptin 6mg/kg is ongoing to be administered after 8mg/kg loading dose. | Drug | Herceptin |
Primary outcome
Determination of pathologic complete response (pCR) at time of surgery
Time frame: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
pCR is defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled sentinel and/or axillary lymph nodes
8 secondary outcomes
pCR at the time of surgery
Time frame: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
pCR at the time of surgery
Time frame: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
Event-free survival (EFS) up to end of study (EOS)
Time frame: Randomization to date of progression or end of study (up to approximately 24 months or death)
Overall response (OR) prior to surgery
Time frame: At screening and prior to surgery (3-6 weeks after completion of neoadjuvant chemotherapy)
Overall survival (OS) up to End of Study (EOS)
Time frame: Randomization to end of study (up to approximately 24 months or death)
Incidence of AEs
Time frame: From time of informed consent to end of study (up to approximately 25 months or death)
Evaluation of Immunogenicity of EG12014 and Herceptin
Time frame: Prior to 1st infusion of study drug, during neoadjuvant treatment, after the last dose of neoadjuvant treatment, during adjuvant treatment, and End of Treatment
Measure serum trastuzumab concentration
Time frame: Prior to 1st infusion of study drug, during neoadjuvant treatment after the last dose of neoadjuvant treatment, during adjuvant treatment, and End of Treatment
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 20 Jan 2023.
- Derived from this study: PubMed 42782448Huang CS, Dzagnidze G, Grohmann-Izay B, Liu LC, Llinas-Quintero N, Lin AN, Mishra AK, Pominchuk D, Prokharau A, Rapoport BL, Semiglazov V, Tseng LM, Ruiz EY, Loibl S. Efficacy and Safety of EG12014 (Biosimilar Trastuzumab) Compared to Reference Trastuzumab in HER2-Positive Early Breast Cancer: A Phase III Randomized Study. Adv Ther. 2026 Sep 24. doi: 10.1007/s12325-026-03781-3. Online ahead of print.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
91 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing EG12014 and Herceptin in people with Breast Cancer, run by EirGenix, Inc. at 91 sites in 11 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 0 inclusion and 11 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 20 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 91 sites in Russia, Ukraine, Georgia, Belarus, Taiwan and 6 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?
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?
Determination of pathologic complete response (pCR) at time of surgery (time frame: At the time of surgery (3-6 weeks after completion of neoadjuvant chemotherapy)). 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 NCT03433313, 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 20 Jan 2023; AzTrials last refreshed its copy on 7 Nov 2026.