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HER 2 Positive Advanced Breast CancerPhase 2NCT07848633

HER2-positive Breast Cancer Without Intravenous Neoadjuvant Therapy

A Phase 2 study testing - Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cycles in people with HER 2 Positive Advanced Breast Cancer, run by The First Affiliated Hospital with Nanjing Medical University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

1. The primary goal of this clinical trial is to evaluate the pathological complete response (pCR) rate of oral paclitaxel solution combined with subcutaneous pertuzumab and trastuzumab in the neoadjuvant treatment of early or locally advanced HER2-positive breast cancer.This trial also aims to evaluate the safety… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
HER 2 Positive Advanced Breast Cancer
What is being tested?
- Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cycles
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
No sites listed yet
Study dates
1 Oct 2026to 31 Dec 2029
Phase
Phase 2
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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged ≥ 18 years. For premenopausal and perimenopausal patients, a negative pregnancy test is required, and reliable contraception must be used throughout the study treatment period.
  • Histopathologically confirmed invasive breast cancer, staged as stage II-III according to the 8th edition of the American Joint Committee on Cancer (AJCC) TNM staging system, with HER2 (3+) confirmed by immunohistochemistry.
  • Have at least one measurable lesion based on the Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1).
  • No prior history of breast cancer-related chemotherapy, immunotherapy, endocrine therapy, radical surgery, or radiotherapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Voluntarily sign and date the written informed consent form.
Show all 11Show fewer
  • Adequate organ function meeting the following laboratory criteria: hemoglobin ≥ 90 g/L, white blood cell count ≥ 3.5×10⁹/L, platelet count ≥ 100×10⁹/L, neutrophil count ≥ 1.5×10⁹/L; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3× upper limit of normal (ULN); total bilirubin ≤ 1.5× ULN; serum creatinine ≤ 1.5× ULN.
  • No myocardial ischemia on electrocardiogram (ECG); New York Heart Association (NYHA) cardiac function class I; left ventricular ejection fraction (LVEF) ≥ 55% on echocardiography; cardiac biomarkers including cardiac troponin I (cTnI) and B-type natriuretic peptide (BNP) within normal reference ranges.
  • Complete all required baseline laboratory and radiological examinations prior to neoadjuvant treatment initiation.
  • No difficulty in swallowing.
  • Complete and available clinical medical records.

Who cannot join

  • Male breast cancer or inflammatory breast cancer.
  • Metastatic breast cancer (Stage IV).
  • Concurrent malignancy or a history of any other malignant tumor within the past 5 years, except for adequately treated and controlled basal cell carcinoma, squamous cell carcinoma of the skin, or cervical carcinoma in situ.
  • Receiving concurrent anti-tumor therapy or participating in any other clinical trial.
  • Presence of severe non-malignant diseases that may affect patient compliance or pose potential safety risks.
  • Underwent major surgery within 4 weeks prior to study treatment initiation or planned to receive major surgery during the study period.
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  • Received breast cancer-related radiotherapy, chemotherapy, targeted therapy, endocrine therapy, or major breast surgery within 4 weeks before treatment initiation; have current or prior exposure to HER2-targeted monoclonal antibodies or tyrosine kinase inhibitors (TKIs), including trastuzumab, pertuzumab, pyrotinib, neratinib, and lapatinib.
  • History of allergic reactions or contraindications to any component of the study drugs.
  • Presence of chronic diarrhea, intestinal obstruction, or any other disease that may affect drug administration and absorption.
  • Uncontrolled cardiac diseases or clinical symptoms, including NYHA class II or higher heart failure, unstable angina pectoris, myocardial infarction within 1 year, and clinically significant supraventricular or ventricular arrhythmia requiring clinical intervention.
  • Dementia, cognitive impairment, or any psychiatric disorder that hinders the understanding and signing of informed consent.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Oral Paclitaxel Solution Combined With Subcutaneous Pertuzumab and Trastuzumab for Neoadjuvant Treatment of HER2-Positive Breast Cancer:A Multicenter, Single-Arm, Phase 2 Clinical Study

  1. The primary goal of this clinical trial is to evaluate the pathological complete response (pCR) rate of oral paclitaxel solution combined with subcutaneous pertuzumab and trastuzumab in the neoadjuvant treatment of early or locally advanced HER2-positive breast cancer.This trial also aims to evaluate the safety profile, breast-conserving surgery rate after neoadjuvant therapy, and long-term efficacy of this combination regimen.
  2. Study Interventions All enrolled patients will receive neoadjuvant combination treatment for 6 cycles (21 days per cycle) as follows:
  • Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, for a total of 6 cycles.
  • Subcutaneous pertuzumab and trastuzumab fixed-dose combination: Administered subcutaneously on Day 1 of each cycle for 6 cycles. The loading dose is 15 mL (1200 mg pertuzumab + 600 mg trastuzumab), and the maintenance dose is 10 mL (600 mg pertuzumab + 600 mg trastuzumab). After surgery, the subsequent adjuvant treatment will be determined by the investigator based on pathological response status and the latest clinical guidelines.
Read more
  1. Participant Procedures (Consistent with Provided Example Structure) The main questions this study aims to answer are:
  • Does oral paclitaxel solution combined with subcutaneous dual HER2 blockade improve the pCR rate in patients with HER2-positive early or locally advanced breast cancer?
  • What are the safety profiles and tolerability of this oral chemotherapy plus subcutaneous targeted combination regimen?
  • Can this regimen improve breast-conserving surgery rate and provide favorable long-term survival outcomes?
  1. Participants will:
  • Take oral paclitaxel solution and receive subcutaneous dual-target injection per study schedule for 6 neoadjuvant cycles
  • Complete regular on-site clinic visits, physical examinations, and laboratory tests throughout the treatment period
  • Undergo standardized pathological evaluation after neoadjuvant therapy and receive subsequent surgical treatment
  • Accept long-term follow-up for survival status and adverse event monitoring
Being tested
- Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cycles

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • - Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cyclesDrug

    All enrolled patients will receive neoadjuvant combination treatment for 6 cycles (21 days per cycle) as follows:

    • Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, for a total of 6 cycles.
    • Subcutaneous pertuzumab and trastuzumab fixed-dose combination: Administered subcutaneously on Day 1 of each cycle for 6 cycles. The loading dose is 15 mL (1200 mg pertuzumab + 600 mg trastuzumab), and the maintenance dose is 10 mL (600 mg pertuzumab + 600 mg trastuzumab).

    After surgery, the subsequent adjuvant treatment will be determined by the investigator based on pathological response status and the latest clinical guidelines.

Study groups in NCT07848633
Study groupRoleWhat they receive
Oral Paclitaxel Solution Plus Subcutaneous Pertuzumab and TrastuzumabExperimentalNot described
Receives: Drug: - Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cycles

What is being measured

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

  1. pathological complete response (pCR) rate

    Measured: The assessment time frame is the first 6 months after study initiation.

Secondary outcomes (1)
  1. safety profile, breast-conserving surgery rate

    1. Safety profile of the combination regimen
    2. Breast-conserving surgery rate in patients after neoadjuvant therapy
    3. Long-term efficacy of the combination regimen

    Measured: The assessment time frame is the first 6 months after study initiation.

Timeline

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

  1. First posted30 Sep 2026
  2. Study start1 Oct 2026 (estimated)
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
65 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07848633
Sponsor's protocol ID
NJMU-BC16
Status last verified
Sep 2026
First submitted
1 Aug 2026
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kang YK, Ryu MH, Park SH, Kim JG, Kim JW, Cho SH, Park YI, Park SR, Rha SY, Kang MJ, Cho JY, Kang SY, Roh SY, Ryoo BY, Nam BH, Jo YW, Yoon KE, Oh SC. Efficacy and safety findings from DREAM: a phase III study of DHP107 (oral paclitaxel) versus i.v. paclitaxel in patients with advanced gastric cancer after failure of first-line chemotherapy. Ann Oncol. 2018 May 1;29(5):1220-1226. doi: 10.1093/annonc/mdy055.

    PubMed 29438463
  • Hong JW, Lee IH, Kwak YH, Park YT, Sung HC, Kwon IC, Chung H. Efficacy and tissue distribution of DHP107, an oral paclitaxel formulation. Mol Cancer Ther. 2007 Dec;6(12 Pt 1):3239-47. doi: 10.1158/1535-7163.MCT-07-0261.

    PubMed 18089717
  • Tan AR, Im SA, Mattar A, Colomer R, Stroyakovskii D, Nowecki Z, De Laurentiis M, Pierga JY, Jung KH, Schem C, Hogea A, Badovinac Crnjevic T, Heeson S, Shivhare M, Kirschbrown WP, Restuccia E, Jackisch C; FeDeriCa study group. Fixed-dose combination of pertuzumab and trastuzumab for subcutaneous injection plus chemotherapy in HER2-positive early breast cancer (FeDeriCa): a randomised, open-label, multicentre, non-inferiority, phase 3 study. Lancet Oncol. 2021 Jan;22(1):85-97. doi: 10.1016/S1470-2045(20)30536-2. Epub 2020 Dec 21.

    PubMed 33357420
  • Yang ZJ, Xin F, Chen ZJ, Yu Y, Wang X, Cao XC. Real-world data on neoadjuvant chemotherapy with dual-anti HER2 therapy in HER2 positive breast cancer. BMC Cancer. 2024 Jan 25;24(1):134. doi: 10.1186/s12885-024-11871-0.

    PubMed 38273267
  • Gianni L, Pienkowski T, Im YH, Tseng LM, Liu MC, Lluch A, Staroslawska E, de la Haba-Rodriguez J, Im SA, Pedrini JL, Poirier B, Morandi P, Semiglazov V, Srimuninnimit V, Bianchi GV, Magazzu D, McNally V, Douthwaite H, Ross G, Valagussa P. 5-year analysis of neoadjuvant pertuzumab and trastuzumab in patients with locally advanced, inflammatory, or early-stage HER2-positive breast cancer (NeoSphere): a multicentre, open-label, phase 2 randomised trial. Lancet Oncol. 2016 Jun;17(6):791-800. doi: 10.1016/S1470-2045(16)00163-7. Epub 2016 May 11.

    PubMed 27179402
  • Gianni L, Pienkowski T, Im YH, Roman L, Tseng LM, Liu MC, Lluch A, Staroslawska E, de la Haba-Rodriguez J, Im SA, Pedrini JL, Poirier B, Morandi P, Semiglazov V, Srimuninnimit V, Bianchi G, Szado T, Ratnayake J, Ross G, Valagussa P. Efficacy and safety of neoadjuvant pertuzumab and trastuzumab in women with locally advanced, inflammatory, or early HER2-positive breast cancer (NeoSphere): a randomised multicentre, open-label, phase 2 trial. Lancet Oncol. 2012 Jan;13(1):25-32. doi: 10.1016/S1470-2045(11)70336-9. Epub 2011 Dec 6.

    PubMed 22153890
  • Wolff AC, Hammond ME, Hicks DG, Dowsett M, McShane LM, Allison KH, Allred DC, Bartlett JM, Bilous M, Fitzgibbons P, Hanna W, Jenkins RB, Mangu PB, Paik S, Perez EA, Press MF, Spears PA, Vance GH, Viale G, Hayes DF; American Society of Clinical Oncology; College of American Pathologists. Recommendations for human epidermal growth factor receptor 2 testing in breast cancer: American Society of Clinical Oncology/College of American Pathologists clinical practice guideline update. J Clin Oncol. 2013 Nov 1;31(31):3997-4013. doi: 10.1200/JCO.2013.50.9984. Epub 2013 Oct 7.

    PubMed 24101045
  • Siegel RL, Kratzer TB, Giaquinto AN, Sung H, Jemal A. Cancer statistics, 2025. CA Cancer J Clin. 2025 Jan-Feb;75(1):10-45. doi: 10.3322/caac.21871. Epub 2025 Jan 16.

    PubMed 39817679

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing - Oral paclitaxel solution: 200 mg/m² orally twice daily on Day 1 and Day 8 of each cycle, subcutaneous pertuzumab and trastuzumab fixed-dose combination for a total of 6 cycles in people with HER 2 Positive Advanced Breast Cancer, run by The First Affiliated Hospital with Nanjing Medical University.

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 11 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: opening soon, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Contact Wenbin Zhou, PHD (+86 025-68308162, zhouwenbin@njmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

pathological complete response (pCR) rate (time frame: The assessment time frame is the first 6 months after study initiation.). 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 NCT07848633, which also lists 8 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 30 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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