HER2 Positive Early Breast CancerPhase 3NCT05883852
EC-THP Versus TCbHP in HER2-positive Lymph Node Positive Early Breast Cancer
A Phase 3 study testing Docetaxel, carboplatin and Trastuzumab in people with HER2 Positive Early Breast Cancer, run by Fudan University at 1 site in China.
Trial summary
compare the efficacy and safety of TCbHP and EC-THP regimen in HER2-positive breast cancer patients Read more about this study
- Who is it for?
- Ages 18 to 70 years, women only
- Conditions the study is for
- HER2 Positive Early Breast Cancer
- What is being tested?
- Docetaxel, carboplatin and Trastuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,406 participants
- Where
- 1 siteChina
- Study dates
- 7 Jun 2023to 1 Jul 2031
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 70 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women aged 18-70;
- 0-1 for ECOG;
- Unilateral invasive carcinoma confirmed by histology (regardless of pathological type);
- No gross or microscopic tumor remains after surgical resection;
- Early breast cancer, pathologically confirmed as HER2 positive; HER2 positive definition: Immunohistochemical HER2 3+ or FISH/CISH test positive (with amplification) is defined as HER2 positive;
- Postoperative pathological stage pT1-4N1-3M0;
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- Did not receive neoadjuvant chemotherapy in the past;
- The longest period from surgery to randomization was not more than 8 weeks, and no adjuvant therapy had been received after surgery;
- No peripheral neuropathy;
- Good postoperative recovery, at least 1 week interval between operation;
- The major organs function normally, that is, meet the following criteria: (1) The standard of blood routine examination shall meet: HB ≥90 g/L (no blood transfusion within 14 days); ANC ≥1.5×109 /L; PLT ≥100×109 /L; (2) Biochemical examination should meet the following standards: TBIL ≤1.5×ULN (upper limit of normal value); ALT and AST ≤3 x ULN; Serum Cr ≤1.5×ULN;
- Contraception during treatment for women of reproductive age;
- Cardiac function: LVEF>50% for ultrasound examination;
- The subjects voluntarily joined the study, signed the informed consent, had good compliance, and cooperated with follow-up。
Who cannot join
- Bilateral breast cancer or carcinoma in situ DCIS/LCIS;
- Have received chemotherapy for advanced disease;
- Transfer of any part;
- If any tumor >T4a (accompanied by skin invasion, mass adhesion fixation, inflammatory breast cancer);
- Patients with clinical or imaging suspicion of malignancy on the opposite breast but not confirmed, requiring biopsy;
- Have received neoadjuvant therapy, including chemotherapy, radiotherapy and endocrine therapy;
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- Malignant neoplasms (other than basal cell carcinoma of the skin and carcinoma in situ of the cervix), including contralateral breast cancer, within the previous 5 years;
- The patient has been enrolled in other clinical trials;
- Patients with severe systemic disease and/or uncontrolled infection were unable to be enrolled in the study;
- LVEF<50% (cardiac ultrasound);
- Severe cardiovascular and cerebrovascular disease (e.g., unstable angina, chronic heart failure, uncontrolled hypertension >150/90mmgh, myocardial infarction or cerebrovascular accident) within 6 months prior to randomization;
- Known allergy to related drugs;
- Women of childbearing age refuse contraception during treatment and within 8 weeks after completion of treatment;
- Pregnant and lactating women;
- Those who tested positive for pregnancy before taking the drug after joining the trial;
- Mental illness, cognitive impairment, inability to understand the trial protocol and side effects, inability to complete the trial protocol and follow-up workers ;(systematic evaluation is required before trial enrollment);
- Persons without personal freedom and independent capacity for civil conduct。
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Fudan University Shanghai Cancer Center Shanghai, China, 200032
Shanghai, Shanghai Municipality, 200032
Zhimin Shao, M.D., +86-021-64175590 ext. 88807, zhimingshao@yahoo.com
Linxiaoxi Ma, M.D, +86-021-64175590 ext. 63169, mary2008white@126.com
About this study
Official title: A Randomized Controlled, Phase III Trial in HER2-positive Lymph Node Positive Early Breast Cancer to Compare the Efficacy and Safety of Epriubin Plus Cyclophosphamide Followed by Docetaxel Plus Trastuzumab and Pertuzumab (EC-THP) Versus Docetaxel and Carboplatin Plus Trastuzumab and Pertuzumab (TCbHP) in the Adjuvant Treatment
compare the efficacy and safety of TCbHP and EC-THP regimen in HER2-positive breast cancer patients
Read the detailed description
The objective of this study is to conduct a randomized controlled clinical study to compare the efficacy and safety of TCbHP and EC-THP regimen in HER2-positive breast cancer patients, so as to further optimize adjuvant chemotherapy regimen for breast cancer.
- Conditions
- HER2 Positive Early Breast Cancer
- Being tested
- Docetaxel, carboplatin, Trastuzumab, Pertuzumab, Epirubicin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DocetaxelDrug
Docetaxel is a taxoid antineoplastic agent used in the treatment of breast cancer
carboplatinDrug
Carboplatin is a DNA synthesis inhibitor which binds to DNA, inhibits replication and transcription and induces cell death.
TrastuzumabDrug
Trastuzumab is a humanized monoclonal antibody derived from recombinant DNA,
PertuzumabDrug
Pertuzumab is a recombinant humanized monoclonal antibody that specifically binds to the extracellular dimerization domain (subdomain Ⅱ) of epidermal growth factor receptor 2(HER2).
EpirubicinDrug
Epirubicin is an antineoplastic agent derived from doxorubicin.Epirubicin, like doxorubicin, exerts its antitumor effects by interference with the synthesis and function of DNA and is most active during the S phase of the cell cycle.
cyclophosphamideDrug
An anticancer (antitumor or cytotoxic) chemotherapy drug that is classified as an alkylating agent. Alkylating agents are compounds that prevent the normal connection of the double helix chain by adding an alkyl group to the guanine base of the DNA molecule. It causes breaks in DNA strands, affecting the ability of cancer cells to proliferate.
| Study group | Role | What they receive |
|---|---|---|
| Arm A:TCbHP | Experimental | Docetaxel 75mg/m2 ivgtt d1+ carboplatin AUC=6 ivgtt d1+ trastuzumab first dose 8mg/kg (maintain 6mg/kg) d1 ivgtt d1+ Pertuzumab first dose 840mg (maintain 420mg) ivgtt d1, 3 weeks of treatment, a total of 6 courses. After the completion of chemotherapy, the dual-target therapy was continued for one year. Receives: Drug: Docetaxel; Drug: carboplatin; Drug: Trastuzumab; Drug: Pertuzumab |
| Arm B:EC-THP | Active comparator | Epirubicin 90 mg/m2 ivgtt d1+ cyclophosphamide 600 mg/m2 iv d1, 3 weeks of treatment, a total of 4 courses; Docetaxel 100mg/m2 ivgtt d1+ trastuzumab first dose 8mg/kg (maintenance 6mg/kg) d1 ivgtt d1+ pertuzumab first dose 840mg (maintenance 420mg) ivgtt d1, 3 weeks of treatment, a total of 6 courses. After the completion of chemotherapy, the dual-target therapy was continued for one year. Receives: Drug: Docetaxel; Drug: Trastuzumab; Drug: Pertuzumab; Drug: Epirubicin; Drug: cyclophosphamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
iDFS
invasive Disease Free Survival
Measured: 5 years
Secondary outcomes (3)
DRFS
distant relapse free survival
Measured: 5 years
OS
overall survival
Measured: 5 years
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Incidence of treatment-emergent adverse events adverse events according to CTCAE 5.0
Measured: through study completion, an average of 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2023
- Study start7 Jun 2023
- Primary completion1 Jul 2031 (estimated)
- Study completion1 Jul 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER2 Positive Early Breast CancerStudies of the same condition, open and under way.
- More trials run by Fudan UniversityThe 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
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,406 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fudan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zhimin Shao, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05883852
- Sponsor's protocol ID
- SCHBCC-N055
- Status last verified
- Jun 2023
- First submitted
- 20 May 2023
- Last updated
- 27 Jun 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Controlled, Phase III Trial in HER2-positive Lymph Node Positive Early Breast Cancer to Compare the Efficacy and Safety of Epriubin Plus Cyclophosphamide Followed by Docetaxel Plus Trastuzumab and Pertuzumab (EC-THP) Versus Docetaxel and Carboplatin Plus Trastuzumab and Pertuzumab (TCbHP) in the Adjuvant Treatment
- ClinicalTrials.gov ID
- NCT05883852
- Acronym / sponsor ID
- SCHBCC-N055
- Conditions
- HER2 Positive Early Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,406 participants (estimated)
- Lead sponsor
- Fudan UniversityUniversity, hospital or other
- Study start
- 7 Jun 2023 (actual)
- Primary completion
- 1 Jul 2031 (estimated)
- Study completion
- 1 Jul 2031 (estimated)
- First posted
- 1 Jun 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.
compare the efficacy and safety of TCbHP and EC-THP regimen in HER2-positive breast cancer patients
Detailed description
The objective of this study is to conduct a randomized controlled clinical study to compare the efficacy and safety of TCbHP and EC-THP regimen in HER2-positive breast cancer patients, so as to further optimize adjuvant chemotherapy regimen for breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A:TCbHP | Experimental | Drug: Docetaxel, Drug: carboplatin, Drug: Trastuzumab, Drug: PertuzumabDocetaxel 75mg/m2 ivgtt d1+ carboplatin AUC=6 ivgtt d1+ trastuzumab first dose 8mg/kg (maintain 6mg/kg) d1 ivgtt d1+ Pertuzumab first dose 840mg (maintain 420mg) ivgtt d1, 3 weeks of treatment, a total of 6 courses. After the completion of chemotherapy, the dual-target therapy was continued for one year. |
| Arm B:EC-THP | Active comparator | Drug: Docetaxel, Drug: Trastuzumab, Drug: Pertuzumab, Drug: Epirubicin, Drug: cyclophosphamideEpirubicin 90 mg/m2 ivgtt d1+ cyclophosphamide 600 mg/m2 iv d1, 3 weeks of treatment, a total of 4 courses; Docetaxel 100mg/m2 ivgtt d1+ trastuzumab first dose 8mg/kg (maintenance 6mg/kg) d1 ivgtt d1+ pertuzumab first dose 840mg (maintenance 420mg) ivgtt d1, 3 weeks of treatment, a total of 6 courses. After the completion of chemotherapy, the dual-target therapy was continued for one year. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Women aged 18-70;
- 0-1 for ECOG;
- Unilateral invasive carcinoma confirmed by histology (regardless of pathological type);
- No gross or microscopic tumor remains after surgical resection;
- Early breast cancer, pathologically confirmed as HER2 positive; HER2 positive definition: Immunohistochemical HER2 3+ or FISH/CISH test positive (with amplification) is defined as HER2 positive;
Key exclusion criteria (17 listed)
- Bilateral breast cancer or carcinoma in situ DCIS/LCIS;
- Have received chemotherapy for advanced disease;
- Transfer of any part;
- If any tumor >T4a (accompanied by skin invasion, mass adhesion fixation, inflammatory breast cancer);
- Patients with clinical or imaging suspicion of malignancy on the opposite breast but not confirmed, requiring biopsy;
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 |
|---|---|---|
| DocetaxelDocetaxel is a taxoid antineoplastic agent used in the treatment of breast cancer | Drug | Arm A:TCbHP, Arm B:EC-THP |
| carboplatinCarboplatin is a DNA synthesis inhibitor which binds to DNA, inhibits replication and transcription and induces cell death. | Drug | Arm A:TCbHP |
| TrastuzumabTrastuzumab is a humanized monoclonal antibody derived from recombinant DNA, | Drug | Arm A:TCbHP, Arm B:EC-THP |
| PertuzumabPertuzumab is a recombinant humanized monoclonal antibody that specifically binds to the extracellular dimerization domain (subdomain Ⅱ) of epidermal growth factor receptor 2(HER2). | Drug | Arm A:TCbHP, Arm B:EC-THP |
| EpirubicinEpirubicin is an antineoplastic agent derived from doxorubicin.Epirubicin, like doxorubicin, exerts its antitumor effects by interference with the synthesis and function of DNA and is most active during the S phase of the cell cycle. | Drug | Arm B:EC-THP |
| cyclophosphamideAn anticancer (antitumor or cytotoxic) chemotherapy drug that is classified as an alkylating agent. Alkylating agents are compounds that prevent the normal connection of the double helix chain by adding an alkyl group to the guanine base of the DNA molecule. It causes breaks in DNA strands, affecting the ability of cancer cells to proliferate. | Drug | Arm B:EC-THP |
Primary outcome
iDFS
Time frame: 5 years
invasive Disease Free Survival
3 secondary outcomes
DRFS
Time frame: 5 years
OS
Time frame: 5 years
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Time frame: through study completion, an average of 1 year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jun 2023.
Related trials for HER2 Positive Early Breast Cancer
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RecruitingPhase 3
A Study Evaluating Adherence, Tolerability, and Patient Reported Outcomes of Giredestrant in Participants With ER+/HER2- Early Breast Cancer Who Are Intolerant to Adjuvant Aromatase Inhibitor Therapy (novERA Breast Cancer)
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Active, not recruitingPhase 2
Pertuzumab and Trastuzumab as Neoadjuvant Treatment in Patients With HER2-Positive Breast Cancer
Breast Cancer
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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.
Fudan University Shanghai Cancer Center Shanghai, China, 200032
Shanghai, China
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Docetaxel, carboplatin and Trastuzumab in people with HER2 Positive Early Breast Cancer, run by Fudan University at 1 site 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 14 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: looking for participants now, as of the sponsor's last update on 27 Jun 2023. 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 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.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
iDFS (time frame: 5 years). 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 27 Jun 2023.