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Metastatic Breast CancerPhase 3NCT05283837

A Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Immunogenicity of Test Pertuzumab (ZRC-3277, Cadila Healthcare Ltd.,)

A Phase 3 study testing Pertuzumab (ZRC-3277) and Pertuzumab (Perjeta®) in people with Metastatic Breast Cancer, run by Zydus Lifesciences Limited at 1 site in India.

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

The purpose of this study is to compare the efficacy, safety, pharmacokinetic, and immunogenicity of Pertuzumab (Test, Cadila Healthcare Ltd.,) plus Trastuzumab and Docetaxel versus Pertuzumab (Reference, Genentech Inc.,) plus Trastuzumab and Docetaxel treatment in previously untreated patients with HER2 positive MBC. Read more about this study

Who is it for?
Ages 18 to 65 years, women only
Conditions the study is for
Metastatic Breast Cancer
What is being tested?
Pertuzumab (ZRC-3277) and Pertuzumab (Perjeta®)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
268 participants
Where
1 siteIndia
Study dates
26 Sep 2022to 6 Sep 2023
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

  • Female patients 18 to 65 years of age (both inclusive).
  • Patient with pathologically (histologically or cytologically) confirmed, adenocarcino-ma metastatic breast cancer and candidate for chemotherapy. Note: Patients with de-novo Stage IV disease are eligible.
  • With at least one measurable metastatic target lesion (based on RECIST criteria, ver-sion 1.1).
  • Documentation of following prior to randomization:
  • Documentation of HER2 gene amplification by fluorescent in situ hybridiza-tion (FISH); as defined by a ratio >2.0) OR documentation of HER2-overexpression by immunohistochemistry (IHC) (defined as IHC3+, or IHC2+ with FISH confirmation) (estrogen receptor/progesterone receptor positive subjects may be enrolled if they are HER2 positive) prior to randomization, see Section 6.4 for detailed criteria)
  • Eastern Co-operative Oncology Group (ECOG) performance status of 0 or 1.
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  • Left ventricular ejection fraction (LVEF) of ≥ 50% at baseline (within 42 days of ran-domization) as measured by echocardiography (ECHO) or multiple gated acquisition (MUGA). Note: ECHO is the preferred method. If the patient is randomized, the same method of LVEF assessment (i.e., ECHO or MUGA) must be used throughout the study and it should preferably be obtained at the same institution and preferably by the same assessor)
  • Patient able to understand and willing to give the informed consent and able to com-ply with the requirements of the study protocol.
  • A woman of childbearing potential must have a negative highly sensitive serum (β-human chorionic gonadotropin [β-hCG]) at screening and urine β-hCG test at random-ization.
  • Woman of child-bearing potential must agree to use adequate contraceptive methods that is highly effective (with a failure rate of <1% per year), with low user dependen-cy when used consistently and correctly, during the intervention period and for at least 7 months after the last dose of study intervention and agrees not to donate eggs (ova, oocytes) for the purpose of reproduction during the study and for a period of 7 months. The investigator should evaluate the effectiveness of the contraceptive meth-od in relationship to the first dose of study intervention.

Who cannot join

  • History of anticancer therapy for MBC, with the exception of single prior hormonal regimen for MBC, which must be stopped prior to randomization.
  • Note 1: Anticancer therapy for MBC includes any epidermal growth factor receptor or anti-HER2 agents or vaccines, cytotoxic chemotherapy, or more than one prior hormonal regimen for MBC Note 2: Single prior hormonal regimen for MBC may include more than one hormo-nal therapy. If a patient is switched to a different hormonal therapy because of dis-ease progression, this will be counted as two regimens, and the patient will not be eli-gible for the study. If a patient is switched to a different hormonal therapy for reasons other than disease progression (e.g., toxicity or local standard practice), this will be counted as single regimen.
  • History of systemic breast cancer treatment in the neo-adjuvant or adjuvant setting with a disease-free interval from completion of the systemic treatment (excluding hormonal therapy) to metastatic diagnosis of < 12 months.
  • History of approved or investigative tyrosine kinase/HER inhibitors for breast cancer in any treatment setting, except trastuzumab used in the neoadjuvant or adjuvant set-ting.
  • Patients with CNS metastases, except for treated asymptomatic CNS metastases, pro-vided all of the following criteria are met:
  • Only supra-tentorial metastases allowed (i.e., no metastases to midbrain, pons, medulla, or spinal cord)
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  • No evidence of interim progression or hemorrhage after completion of CNS-directed therapy
  • No ongoing requirement for corticosteroids as therapy for CNS disease (anti-convulsants at a stable dose are allowed)
  • No stereotactic radiation within 14 days or whole-brain radiation within 28 days prior to randomization
  • Leptomeningeal disease (i.e. carcinomatous meningitis)
  • History of persistent Grade ≥ 2 hematologic toxicity resulting from previous neoad-juvant or adjuvant therapy (all grades based on National Cancer Institute Common Toxicity Criteria for Adverse Events, Version 5.0 [NCI CTCAE v 5.0]).
  • Current peripheral neuropathy of NCI-CTCAE, Version 5.0, Grade ≥ 3 at randomiza-tion.
  • Have a history of congestive heart failure (CHF) of any New York Heart Association (NYHA) criterion, or serious cardiac arrhythmia requiring treatment (except for atrial fibrillation, paroxysmal supraventricular tachycardia).
  • History of myocardial infarction within 6 months before randomization.
  • Current uncontrolled hypertension (systolic blood pressure >150 mmHg and/or dias-tolic blood pressure >100 mmHg), or unstable angina.
  • Current dyspnea at rest due to complications of advanced malignancy or other diseas-es that require continuous oxygen therapy.
  • History of other malignancy within the previous 5 years, except for carcinoma in situ of the cervix or non-melanoma skin carcinoma that has been previously treated with curative intent.
  • History of exposure to the following cumulative doses of anthracyclines:
  • doxorubicin or liposomal doxorubicin > 360 mg/m2
  • epirubicin > 720 mg/m2
  • mitoxantrone > 120 mg/m2 and idarubicin > 90 mg/m2
  • Other (e.g., liposomal doxorubicin or other anthracycline > the equivalent of 360 mg/m2 of doxorubicin)
  • If more than 1 anthracycline has been used, then the cumulative dose must not exceed the equivalent of 360 mg/m2 of doxorubicin.
  • Have received stem-cell support for chemotherapy.
  • Have a history of hypersensitivity to the Pertuzumab or to drugs with similar chemical structures, or to any of the excipients, or to murine proteins.
  • Have a history of severe hypersensitivity reaction to Trastuzumab and Docetaxel, or to any of the excipients.
  • Inadequate organ function, evidenced by the following laboratory results within 28 days prior to randomization:
  • Hemoglobin level < 9 g/dL
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels > 3.0 x upper limit of normal (ULN) (>5 x ULN in patients with liver metasta-ses)
  • AST (SGOT) or ALT (SGPT) > 1.5 × ULN with concurrent serum alkaline phosphatase > 2.5 × ULN (unless bone metastases are present)
  • Absolute neutrophil count < 1,500 cells/mm3
  • Total serum bilirubin >1.5 x ULN
  • Serum creatinine > 2.0 mg/dL or 177 μmol/L
  • Have received treatment with any other investigational drug in the last 30 days before study entry, or within less than five half-lives after receiving the previous investiga-tional drug.
  • Receipt of IV antibiotics for infection within 14 days of randomization.
  • Current chronic daily treatment with corticosteroids (dose of > 10 mg/day methylprednisolone equivalent) (excluding inhaled steroids).
  • History of hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or other clinically active liver disease, or tests positive for HBsAg or anti-HCV at Screening.
  • History of human immunodeficiency virus (HIV) antibody positive, or tests positive for HIV at Screening.
  • Pregnant or a nursing mother.
  • Major surgical procedure or significant traumatic injury within 28 days prior to study treatment start or anticipation of the need for major surgery during the course of study treatment.
  • Current severe, uncontrolled systemic disease (e.g., clinically significant cardiovascu-lar, pulmonary, or metabolic disease; wound healing disorders; ulcers; or bone frac-tures).
  • Have a history or suspicion of unreliability, poor cooperation or non-compliance with medical treatment or any other medical or psychiatric condition that could compro-mise study participation.
  • History of drug or alcohol abuse according to Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-V) criteria within 1 year before Screening or positive test result(s) for alcohol or drugs of abuse (including barbiturates, opiates, cocaine, cannabinoids, amphetamines and benzodiazepines) at Screening.
  • Have any concurrent disease or condition that, in the opinion of the investigator, would make the patient unsuitable for participation in the study.

Trial locations and contacts

1 site in 1 country.

India1 site
  • Unique Hospital-Multispeciality & Resesarch Institute

    Sūrat

Other trials in India

About this study

Official title: A Prospective, Randomized, Multicenter, Comparative, Double-blind, Parallel Study to Evaluate the Efficacy and Safety of Test Pertuzumab (ZRC-3277, Cadila Healthcare Ltd.,) With Reference Pertuzumab (Perjeta®, Genentech Inc.,) in Patients With HER2 Positive Metastatic Breast Cancer

The purpose of this study is to compare the efficacy, safety, pharmacokinetic, and immunogenicity of Pertuzumab (Test, Cadila Healthcare Ltd.,) plus Trastuzumab and Docetaxel versus Pertuzumab (Reference, Genentech Inc.,) plus Trastuzumab and Docetaxel treatment in previously untreated patients with HER2 positive MBC.

Read the detailed description

Breast cancer is the second most common cancer worldwide and the fifth cause of death from cancer overall (522,000 deaths) and it is the most frequent cause of cancer death in women in less developed regions.In developed countries between 6 and 10 % of women will have metastatic disease when diagnosed with breast cancer ; in developing countries this percentage can reach 60 %. Depending on initial stage, tumor biology, and type of treatment scheme received, between 30 and 50 % of women with early breast cancer will relapse. Pertuzumab targets the extracellular dimerization domain (Subdomain II) of the human epidermal growth factor receptor 2 protein (HER2) and, thereby, blocks ligand-dependent heterodimerization of HER2 with other HER family members, including EGFR, HER3, and HER4. As a result, Pertuzumab inhibits ligandinitiated intracellular signaling through two major signal pathways, mitogenactivated protein (MAP) kinase, and phosphoinositide 3-kinase (PI3K). Inhibition of these signaling pathways can result in cell growth arrest and apoptosis, respectively. In addition, Pertuzumab mediates antibody-dependent cellmediated cytotoxicity (ADCC). Pertuzumab is a recombinant humanized monoclonal antibody that targets the extracellular 286 dimerization domain (Subdomain II) of the human epidermal growth factor receptor 2 protein 287 (HER2). Pertuzumab inhibits ligandinitiated intracellular signaling through two 299 major signal pathways, mitogen-activated protein (MAP) kinase and phosphoinositide 3-kinase 300 (PI3K). Hence we have planned this study which is a Prospective, Randomized, Multicenter, Comparative, Double-blind, Parallel study to Evaluate the Efficacy and Safety of Test Pertuzumab (ZRC-3277, Cadila Healthcare Ltd.,) with Reference Pertuzumab (Perjeta®, Genentech Inc.,) in Previously Untreated Patients with HER2 Positive Metastatic Breast Cancer.

Being tested
Pertuzumab (ZRC-3277), Pertuzumab (Perjeta®)
Keywords
HER2 Positive, PERTUZUMAB, 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.

  • Pertuzumab (ZRC-3277)Biological

    Pertuzumab in combination with Trastuzumab and Docetaxel will be administered via intravenous (IV) infusion every 3 weeks for 06 cycles.

  • Pertuzumab (Perjeta®)Biological

    Pertuzumab in combination with Trastuzumab and Docetaxel will be administered via intravenous (IV) infusion every 3 weeks for 06 cycles.

Study groups in NCT05283837
Study groupRoleWhat they receive
Pertuzumab (ZRC-3277, Cadila Healthcare Ltd.,)ExperimentalPertuzumab (ZRC-3277) will be administered at a loading dose of 840 mg via IV infusion over 60 minutes (± 10 minutes) in Cycle 1 followed by 420 mg via IV infusion over 30 to 60 minutes in subsequent cycles then be given every 3 weeks, starting 3 weeks later till cycle 6.
Receives: Biological: Pertuzumab (ZRC-3277)
Pertuzumab (Perjeta®, a product of Genentech, Inc.,)Active comparatorPerjeta® will be administered at a loading dose of 840 mg via IV infusion over 60 minutes (± 10 minutes) in Cycle 1 followed by 420 mg via IV infusion over 30 to 60 minutes in subsequent cycles then be given every 3 weeks, starting 3 weeks later till cycle 6.
Receives: Biological: Pertuzumab (Perjeta®)

What is being measured

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

  1. Compare Overall Response Rate (ORR) (According to Response Evaluation Criteria in Solid Tumor [RECIST] 1.1 Criteria) at day 127 from baseline

    Measured: from time of First treatment to Day 127

Secondary outcomes (5)
  1. Area under the curve from the time of dosing to the last measurable concentration (AUC0-t)

    Blood samples will be withdrawn for the evaluation of pharmacokinetic parameter.

    Measured: During Cycle 1(each cycle is of 21 days)

  2. The area under the serum concentration versus time curve from time zero to infinity (AUC0-inf)

    Blood samples will be withdrawn for the evaluation of pharmacokinetic parameter.

    Measured: During Cycle 1(each cycle is 21 days)

  3. maximum measured serum concentration observed after a single dose at cycle 1 (Cmax)

    Blood samples will be withdrawn for the evaluation of pharmacokinetic parameter.

    Measured: During Cycle 1(each cycle is 21 days)

  4. Time of the maximum measured serum concentration (Tmax)

    Blood samples will be withdrawn for the evaluation of pharmacokinetic parameter.

    Measured: During Cycle 1(each cycle is 21 days)

  5. serum trough concentration of ZRC-3277 (Pre-Dose)

    Blood samples will be withdrawn for the evaluation of pharmacokinetic parameter.

    Measured: Pre-dose on Day 1 of Cycle 1,2,3,4,5 and 6. (each cycle is of 21 days)

Timeline

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

  1. First posted17 Mar 2022
  2. Study start26 Sep 2022
  3. Primary completion6 Sep 2023
  4. Study completion6 Sep 2023

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
Randomized, Multi-center, Comparative, Double-blind, Parallel study
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
268 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05283837
Sponsor's protocol ID
PERT.21.001
Status last verified
Feb 2022
First submitted
26 Feb 2022
Last updated
18 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pertuzumab (ZRC-3277) and Pertuzumab (Perjeta®) in people with Metastatic Breast Cancer, run by Zydus Lifesciences Limited at 1 site in India.

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 10 inclusion and 44 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 18 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in India. 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?

Compare Overall Response Rate (ORR) (According to Response Evaluation Criteria in Solid Tumor [RECIST] 1.1 Criteria) at day 127 from baseline (time frame: from time of First treatment to Day 127). 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 18 Jul 2024.

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