Unique ID issued by UMIN | UMIN000006838 |
---|---|
Receipt number | R000007281 |
Scientific Title | Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer |
Date of disclosure of the study information | 2011/12/06 |
Last modified on | 2020/03/15 13:37:22 |
Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer
Combination therapy of abraxane and trastuzumab+- pertuzumab
Multicenter pahse II tiral of combination therapy using abraxane and trastuzumab +-pertuzumab for HER2-positive locally advanced or metastatic breast cancer
Combination therapy of abraxane and trastuzumab+- pertuzumab
Japan |
Locally advanced or metastatic breast cancer
Hematology and clinical oncology | Breast surgery |
Malignancy
NO
Evaluation of efficacy and safety of combination therapy with abraxane and trastuzumab +- pertuzumabfor HER2-positive locally advanced or metastatic breast cancer
Efficacy
response rate
safety, progression-free survival, overall survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Treatment with Abraxane (260mg/m2, q3w) and trastuzumab (8mg/kg followed by 6mg/kg, q3w, or 4mg/kg followed by 2mg/kg weekly) +- pertuzumabu(840mg followed by 420mg). Continue to disease progression.
Treatment with parjet is permitted.
20 | years-old | <= |
75 | years-old | > |
Female
1) Histologically or cytologically confirmed locally advanced breast cancer or metastatic breast cancer
2) With evaluable lesion
3) Female between 20 and 75 years old
4) Primary or metastatic region is HER 2 positive: either 3+ over-expression by IHC or positive by FISH
5) Patients who have passed the following periods from previous treatment
in case of operation or radiation therapy, 21 days are needed. in case of endocrine therapy, 14 days from the final administration are needed.
6) PS: 0-1 (ECOG)
7) Baseline left ventricular ejection fraction (LVEF) is >50% measured by echocardiography or MUGA scan.
8) Sufficient organ function meeting following criteria:
Leukocyte >=4000 mm3
Neutrophil >=2000 mm3
Platelet >=100000 mm3
Hemoglobin >=9.0g/dL
AST (GOT) <=2.5 x upper limit of normal (ULN)
ALT (GPT) <=2.5 x upper limit of normal (ULN)
Serum total bilirubin <=1.5 mg/dL
Serum creatinine <=1.5 mg/dL
9) Expected survival time more than 3 months
10) Signed written informed consent
1) With history of hypersensitivity reaction for paclitaxel, trastuzumab, and pertuzumab.
2) With serious drug allergy
3) Pregnant or nursing women
4) With active another cancer
5) With widespread liver metastases or pulmonary lymphangitis with dyspnea
6) With brain metastasis with symptom
7) With uncontrollable hypertension, angina pectoris, congestive heart failure, myocardial infection within 1 year, arrhythmia that need treat, valvular heart disease
8) Poorly controlled diabetes
9) With pulmonary fibrosis or pneumonitis
10) With dyspnea at rest (due to metastatic lung lesion and cardiovascular disease)
11) With pleural effusion, ascites, and pericardial effusion that need treat
12) Infection or possible infection associated with clinical symptoms such as fever
13) Patients have active hepatitis type B
14) Cases who physician judged improper to entry this trial
25
1st name | Yasuo |
Middle name | |
Last name | Miyoshi |
Hyogo College of Medicine
Department of Breast and Endocrine Surgery
663-8501
Mukogawa 1-1, Nishinomiya, Hyogo
0798-45-6374
ymiyoshi@hyo-med.ac.jp
1st name | Yasuo |
Middle name | |
Last name | Miyoshi |
Department of Breast and Endocrine Surgery
Surgery
663-8501
Mukogawa 1-1, Nishinomiya, Hyogo
0798-45-6374
ymiyoshi@hyo-med.ac.jp
Department of Breast and Endocrine Surgery, Hyogo College of Medicine
Department of breast and endocrine surgery, Hyogo College of Medicine
Other
Institutional Review Board of Hyogo College of Medicine
Mukogawa 1-1, Nishinomiya City
0798456374
rinri@hyo-med.ac.jp
NO
2011 | Year | 12 | Month | 06 | Day |
Unpublished
Published
https://www.ncbi.nlm.nih.gov/pubmed/30326862
21
Retrospective-prospective study was conducted with eribulin or nab-paclitzxel + trastuzumab + pertuzumab. Progression-free survival was significantly improved in patients with baseline absolute lymphocyte count more than 1500 (p=0.0106).
2020 | Year | 03 | Month | 15 | Day |
2018 | Year | 10 | Month | 16 | Day |
HER2-positive breast cancer treated with trastuzumab and pertuzumab
Recruited by retrospectively
Adverse events grade 3 were decrease of white blood cells, neutrophils, anemia, febrile neutrophils, abnormal ALT, arthralgia, peripheral neuropathy.
Response rate was 52%, clinical benefit rate was 67%, disease control rate was 86%.
Completed
2011 | Year | 06 | Month | 27 | Day |
2011 | Year | 07 | Month | 08 | Day |
2011 | Year | 09 | Month | 01 | Day |
2016 | Year | 07 | Month | 31 | Day |
2011 | Year | 12 | Month | 05 | Day |
2020 | Year | 03 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007281