HER2-positive Breast CancerNCT05769751
A Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients of China With HER2-positive Unresectable or Metastatic Breast Cancer
An observational study of HER2-positive Breast Cancer, run by Daiichi Sankyo at 5 sites in China.
Trial summary
This is a multicenter, non-interventional, retrospective, real-world study that enrolled patients diagnosed with HER2-positive unresectable or metastatic breast cancer. This study will be conducted to understand the treatment pattern and sequencing of therapies, survival outcomes, and associated burden of toxicities… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HER2-positive Breast Cancer
- What is being tested?
- Electronic medical record and hospital information system or other available resources
- How many people
- 865 participants
- Where
- 5 sitesChina
- Study dates
- 15 Mar 2023to 25 Jul 2023
- Phase
- Observational
- 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
Study population: The study population will be participants with a first diagnosis of HER2-positive unresectable or metastatic breast cancer or first recurrence between January 1, 2020 and August 31, 2022, who have at least one record of late systemic therapy, and were followed up until August 31, 2022. The study will be implemented at 4-6 top hospitals in Tier 1/2 cities spanning across China. Patient data will be retrospectively collected using the electronic medical record and hospital information system or other available resources, including laboratory test results, imaging, pathology reports, medical records, surgical records, prescription diagnoses, inpatient visits and hospitalizations.
Who may be able to join
- Male or female patients ≥ 18 years of age at the time of diagnosis of unresectable or metastatic breast cancer
- Participants with first diagnosis of unresectable or metastatic breast cancer, or first recurrence of HER2-positive breast cancer since January 1, 2020. Participants were eligible if they were HER2-positive in the early operable stage and HER2-negative in the advanced stage. HER2 positive was defined with the reference to the Chinese guidelines for HER2 positive breast cancer at the time of testing
- Participants have received at least one systemic therapy for advanced breast cancer
Who cannot join
- Participants with concomitant cancer at the time of diagnosis of HER2-positive unresectable or metastatic breast cancer, except for the non-metastatic non-melanoma skin cancers, or in situ or benign neoplasms; a cancer is considered concomitant if it occurs within 5 years of HER2-positive breast cancer diagnosis.
- Participants who are/were currently/previously enrolled in a clinical trial and have not been unblinded during the data collection interval of the study
- Participants with critical missing data from their medical records or other patients deemed by the investigator to be ineligible for inclusion
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
China5 sites
Sun Yat-sen University Cancer Center
Guangzhou, 510060
Zhejiang Cancer Hospital
Hangzhou, 31002
Affiliated Cancer Hospital of Shandong First Medical University
Jinan, 250117
Liaoning Cancer Hospital
Shenyang, 110042
Tianjin Medical University Cancer Institute & Hospital
Tianjin, 300060
About this study
Official title: A Multicenter, Non-interventional Retrospective Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients of China With HER2-positive Unresectable or Metastatic Breast Cancer
This is a multicenter, non-interventional, retrospective, real-world study that enrolled patients diagnosed with HER2-positive unresectable or metastatic breast cancer. This study will be conducted to understand the treatment pattern and sequencing of therapies, survival outcomes, and associated burden of toxicities with line of treatment in the real world.
Read the detailed description
The treatment landscape has changed dramatically with the lack of real-world evidence for usage and the efficacy of newly approved drugs in China. This multicenter, retrospective, non-interventional study will include patients newly diagnosed with HER2-positive unresectable or metastatic breast cancer, or first recurrent from early breast cancer.
The primary objective of this real-world study is to describe the treatment patterns of HER2-positive unresectable or metastatic breast cancer in China. Secondary objectives will include describing the demographic and clinicopathological characteristics of patients, efficacy of different treatment regimens, treatment options and efficacy of brain metastases, and safety and tolerability of different treatment regimens in patients with HER2-positive unresectable or metastatic breast cancer.
- Conditions
- HER2-positive Breast Cancer
- Being tested
- Electronic medical record and hospital information system or other available resources
- Keywords
- HER2-positive Breast Cancer, Real-world study, Treatment patterns
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Electronic medical record and hospital information system or other available resourcesOther
This is a non-interventional study. No study medication will be provided to the participants.
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Receiving Each Regimen in Each Treatment Line
Measured: Assessed over a 2 year, 8 month time period
Treatment Sequence Since the Time of Diagnosis of HER2-positive Unresectable or Metastatic Breast Cancer
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Endocrine Therapy if Breast Cancer is Hormone Receptor Positive
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Local and Regional Treatment for Metastasis (Radiotherapy and/or Surgery) and Osteoprotective Therapy
Measured: Assessed over a 2 year, 8 month time period
Secondary outcomes (14)
Percentage of Participants With HER2-positive Unresectable or Metastatic Breast Cancer, Based on Demographic and Clinicopathological Characteristics
Measured: Assessed over a 2 year, 8 month time period
Real-world Progression-free Survival (rwPFS) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Real-world progression-free survival (rwPFS) is defined as the time from initiation of treatment to disease progression or death due to any cause.
Measured: Assessed over a 2 year, 8 month time period
Time to Next Treatment (TTNT) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time to next treatment is defined as the time from initiation of a systemic therapy to the date of initiation of the first subsequent systemic therapy regimen or death.
Measured: Assessed over a 2 year, 8 month time period
Duration of Treatment (DoT) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Duration of treatment is defined as the length of time a patient is treated.
Measured: Assessed over a 2 year, 8 month time period
Real-world Objective Response Rate (rwORR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Real-world objective response rate is defined as the percentage of participants who have a partial response or complete response to treatment within a certain period of time.
Measured: Assessed over a 2 year, 8 month time period
Real-world Disease Control Rate (rwDCR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Real-world disease control rate is defined as the percentage of participants with advanced or metastatic cancer who have achieved complete response, partial response, and stable disease.
Measured: Assessed over a 2 year, 8 month time period
Real-world Duration of Response (rwDoR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Real-world duration of response is defined as the time from randomization to disease progression or death in participants who achieve complete or partial response.
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants With Brain Metastases Per Line of Treatment in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants With HER2-positive Unresectable or Metastatic Breast Cancer, Based on Clinical Characteristics of Brain Lesions
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Radiotherapy or Surgery in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Measured: Assessed over a 2 year, 8 month time period
Treatment Pattern After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Measured: Assessed over a 2 year, 8 month time period
Real-world Progression-free Survival (rwPFS) After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Real-world progression-free survival (rwPFS) is defined as the time from initiation of treatment to disease progression or death due to any cause.
Measured: Assessed over a 2 year, 8 month time period
Time to Next Treatment (TTNT) After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time to next treatment is defined as the time from initiation of a systemic therapy to the date of initiation of the first subsequent systemic therapy regimen or death.
Measured: Assessed over a 2 year, 8 month time period
Percentage of Participants With Adverse Events (AE) Leading to Treatment Discontinuation or Dose Modification
Measured: Assessed over a 2 year, 8 month time period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2023
- Study start15 Mar 2023
- Primary completion25 Jul 2023
- Study completion25 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER2-positive Breast CancerStudies of the same condition, open and under way.
- More trials run by Daiichi SankyoThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 865 participants (actual)
Sponsor and investigators
- Lead sponsor
- Daiichi Sankyo
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Team Leader, Study director, Daiichi Sankyo
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05769751
- Sponsor's protocol ID
- DSCN-EHT-NIS-BC001
- Status last verified
- Aug 2023
- First submitted
- 3 Mar 2023
- Last updated
- 16 Aug 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Non-interventional Retrospective Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients of China With HER2-positive Unresectable or Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT05769751
- Acronym / sponsor ID
- DSCN-EHT-NIS-BC001
- Conditions
- HER2-positive Breast Cancer
- Keywords
- HER2-positive Breast Cancer, Real-world study, Treatment patterns
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 865 participants (actual)
- Lead sponsor
- Daiichi SankyoIndustry (pharma, biotech, devices)
- Study start
- 15 Mar 2023 (actual)
- Primary completion
- 25 Jul 2023 (actual)
- Study completion
- 25 Jul 2023 (actual)
- First posted
- 15 Mar 2023 (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.
This is a multicenter, non-interventional, retrospective, real-world study that enrolled patients diagnosed with HER2-positive unresectable or metastatic breast cancer. This study will be conducted to understand the treatment pattern and sequencing of therapies, survival outcomes, and associated burden of toxicities with line of treatment in the real world.
Detailed description
The treatment landscape has changed dramatically with the lack of real-world evidence for usage and the efficacy of newly approved drugs in China. This multicenter, retrospective, non-interventional study will include patients newly diagnosed with HER2-positive unresectable or metastatic breast cancer, or first recurrent from early breast cancer.
The primary objective of this real-world study is to describe the treatment patterns of HER2-positive unresectable or metastatic breast cancer in China. Secondary objectives will include describing the demographic and clinicopathological characteristics of patients, efficacy of different treatment regimens, treatment options and efficacy of brain metastases, and safety and tolerability of different treatment regimens in patients with HER2-positive unresectable or metastatic breast cancer.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The study population will be participants with a first diagnosis of HER2-positive unresectable or metastatic breast cancer or first recurrence between January 1, 2020 and August 31, 2022, who have at least one record of late systemic therapy, and were followed up until August 31, 2022. The study will be implemented at 4-6 top hospitals in Tier 1/2 cities spanning across China. Patient data will be retrospectively collected using the electronic medical record and hospital information system or other available resources, including laboratory test results, imaging, pathology reports, medical records, surgical records, prescription diagnoses, inpatient visits and hospitalizations.
Key inclusion criteria (3 listed)
- Male or female patients ≥ 18 years of age at the time of diagnosis of unresectable or metastatic breast cancer
- Participants with first diagnosis of unresectable or metastatic breast cancer, or first recurrence of HER2-positive breast cancer since January 1, 2020. Participants were eligible if they were HER2-positive in the early operable stage and HER2-negative in the advanced stage. HER2 positive was defined with the reference to the Chinese guidelines for HER2 positive breast cancer at the time of testing
- Participants have received at least one systemic therapy for advanced breast cancer
Key exclusion criteria (3 listed)
- Participants with concomitant cancer at the time of diagnosis of HER2-positive unresectable or metastatic breast cancer, except for the non-metastatic non-melanoma skin cancers, or in situ or benign neoplasms; a cancer is considered concomitant if it occurs within 5 years of HER2-positive breast cancer diagnosis.
- Participants who are/were currently/previously enrolled in a clinical trial and have not been unblinded during the data collection interval of the study
- Participants with critical missing data from their medical records or other patients deemed by the investigator to be ineligible for inclusion
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 |
|---|---|---|
| Electronic medical record and hospital information system or other available resourcesThis is a non-interventional study. No study medication will be provided to the participants. | Other | – |
Primary outcome
Percentage of Participants Receiving Each Regimen in Each Treatment Line
Time frame: Assessed over a 2 year, 8 month time period
Treatment Sequence Since the Time of Diagnosis of HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Endocrine Therapy if Breast Cancer is Hormone Receptor Positive
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Local and Regional Treatment for Metastasis (Radiotherapy and/or Surgery) and Osteoprotective Therapy
Time frame: Assessed over a 2 year, 8 month time period
14 secondary outcomes
Percentage of Participants With HER2-positive Unresectable or Metastatic Breast Cancer, Based on Demographic and Clinicopathological Characteristics
Time frame: Assessed over a 2 year, 8 month time period
Real-world Progression-free Survival (rwPFS) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Time to Next Treatment (TTNT) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Duration of Treatment (DoT) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Real-world Objective Response Rate (rwORR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Real-world Disease Control Rate (rwDCR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Real-world Duration of Response (rwDoR) in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants With Brain Metastases Per Line of Treatment in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants With HER2-positive Unresectable or Metastatic Breast Cancer, Based on Clinical Characteristics of Brain Lesions
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants Receiving Radiotherapy or Surgery in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Treatment Pattern After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Real-world Progression-free Survival (rwPFS) After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Time to Next Treatment (TTNT) After Diagnosis of Brain Metastases in Participants With HER2-positive Unresectable or Metastatic Breast Cancer
Time frame: Assessed over a 2 year, 8 month time period
Percentage of Participants With Adverse Events (AE) Leading to Treatment Discontinuation or Dose Modification
Time frame: Assessed over a 2 year, 8 month time period
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 16 Aug 2023.
- Individual participant dataSharing planned: No
Related trials for HER2-positive Breast Cancer
Not yet recruitingPhase 2
Low-Dose Apatinib Plus Chemotherapy in ADC-Pretreated HER2-Positive and HER2-Low Advanced Breast Cancer
Breast Neoplasms, Advanced Breast Cancer
RecruitingPhase 3
Saruparib (AZD5305) Plus Camizestrant or Plus Endocrine Therapy, Compared With CDK4/6 Inhibitor Plus Endocrine Therapy or Plus Camizestrant in HR-Positive, HER2-Negative (IHC 0, 1+, 2+/ ISH Non-amplified), BRCA1, BRCA2, or PALB2m Advanced Breast Cancer
Advanced Breast Cancer
RecruitingPhase 3
Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
Active, not recruitingPhase 3
A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast Cancer
HER2-positive Breast Cancer
RecruitingPhase 1/2
Study of GVV858 as a Single Agent or in Combination With Endocrine Therapy in Patients With HR+/HER2- Breast Cancer and Other Advanced Solid Tumors
Advanced HR+/HER2- Breast Cancer, Advanced CCNE1-amplified Solid Tumors
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 Team Leader study director
Daiichi Sankyo
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of HER2-positive Breast Cancer, run by Daiichi Sankyo at 5 sites in China.
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 3 inclusion and 3 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 16 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in China. 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.
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 Receiving Each Regimen in Each Treatment Line (time frame: Assessed over a 2 year, 8 month time period). The study lists 4 primary outcomes in all. 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 16 Aug 2023.