Efficacy and Safety Study of ABP 980 Compared With Trastu... | NCT01901146 | Trialant
NCT01901146
Sponsor
Amgen
Status
Completed
Last Update Posted
Aug 7, 2019Actual
Enrollment
725Actual
Phase
Phase 3
Conditions
Breast Cancer
Interventions
ABP 980
Trastuzumab
Paclitaxel
Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
Countries
Belarus
Brazil
Bulgaria
Canada
Chile
Germany
Greece
Hungary
Italy
Mexico
Poland
Romania
Russia
Serbia
South Africa
Spain
Ukraine
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT01901146
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
20120283
Secondary IDs
ID
Type
Description
Link
2012-004319-29
EudraCT Number
Brief Title
Efficacy and Safety Study of ABP 980 Compared With Trastuzumab in Women With HER2-positive Early Breast Cancer
Official Title
A Randomized, Double-Blind, Phase 3 Study Evaluating the Efficacy and Safety of ABP 980 Compared With Trastuzumab in Subjects With HER2 Positive Early Breast Cancer
Acronym
Lilac
Organization
AmgenINDUSTRY
Status Module
Record Verification Date
Feb 2018
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Apr 29, 2013Actual
Primary Completion Date
May 5, 2016Actual
Completion Date
Jan 27, 2017Actual
First Submitted Date
May 20, 2013
First Submission Date that Met QC Criteria
Jul 15, 2013
First Posted Date
Jul 17, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Jun 18, 2019
Results First Submitted that Met QC Criteria
Jun 18, 2019
Results First Posted Date
Aug 7, 2019Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Apr 6, 2017
Certification/Extension First Submitted that Passed QC Review
Apr 6, 2017
Certification/Extension First Posted Date
Apr 10, 2017Actual
Last Update Submitted Date
Jun 18, 2019
Last Update Posted Date
Aug 7, 2019Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AmgenINDUSTRY
Collaborators
Name
Class
Actavis Inc.
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of this research study is to compare the effectiveness and safety of ABP 980 against trastuzumab in women with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer.
Detailed Description
Not provided
Conditions Module
Conditions
Breast Cancer
Keywords
Human Epidermal Growth Factor Receptor 2 (HER2)
Positive Early Breast Cancer
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
725Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
ABP 980
Experimental
Participants received ABP 980 at an initial dose of 8 mg/kg by intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles during the neoadjuvant phase.
Surgery (lumpectomy or mastectomy with sentinel lymph node dissection or axillary lymph node dissection) was completed 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase.
After surgery (adjuvant phase) participants continued receiving 6 mg/kg ABP 980 IV Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
Drug: ABP 980
Drug: Paclitaxel
Procedure: Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
Trastuzumab
Active Comparator
Participants received trastuzumab at an initial dose of 8 mg/kg IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles during the neoadjuvant phase.
Surgery (lumpectomy or mastectomy with sentinel lymph node dissection or axillary lymph node dissection) was completed 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase.
After surgery (adjuvant phase) participants were re-randomized to either continue receiving 6 mg/kg trastuzumab IV Q3W or transition to 6 mg/kg ABP 980 IV Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
Drug: Trastuzumab
Drug: Paclitaxel
Procedure: Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
Interventions
Name
Type
Description
Arm Group Labels
Other Names
ABP 980
Drug
ABP 980 was administered at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion Q3W for all subsequent cycles.
ABP 980
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Participants With a Pathologic Complete Response
Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue and in axillary lymph nodes, regardless of residual ductal carcinoma in situ (DCIS).
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants With a Pathologic Complete Response in Breast Tissue Only
Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue, regardless of residual ductal carcinoma in situ (DCIS).
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Females ≥ 18 years of age
Histologically confirmed invasive breast cancer
Planning for surgical resection of breast tumor and sentinel node or axillary lymph node resection
Planning neoadjuvant chemotherapy
HER2 positive disease
Measurable disease in the breast after diagnostic biopsy, defined as longest diameter ≥ 2.0 cm
Known estrogen receptor (ER) and progesterone receptor (PR) hormone receptor status at study entry
Normal bone marrow function
Normal hepatic function
Normal renal function
Subjects must sign an Institutional Review Board/Ethics Committee (IRB/EC)-approved informed consent form before any study specific procedures
Inclusion Criteria for Randomization:
Left ventricular ejection fraction (LVEF) of ≥55% by 2D echocardiogram
Complete all 4 cycles of run-in chemotherapy
Exclusion Criteria:
Bilateral breast cancer
Presence of known metastases
Received prior treatment, including chemotherapy, biologic therapy, radiation or surgery with the exception of diagnostic biopsy for primary breast cancer
Other concomitant active malignancy or history of malignancy in the past 5 years except treated basal cell carcinoma of the skin or carcinoma in situ of the cervix
Any history of documented or current congestive heart failure, current high-risk uncontrolled arrhythmias, current angina pectoris requiring a medicinal product, current clinically significant valvular disease, current evidence of transmural infarction on electrocardiogram (ECG), or current poorly controlled hypertension
Severe dyspnea at rest requiring supplementary oxygen therapy
History of positivity for hepatitis B surface antigen, hepatitis C virus, or human immunodeficiency virus (HIV)
Recent infection requiring a course of systemic anti-infectives that were completed ≤ 14 days before enrollment (with the exception of uncomplicated urinary tract infection)
Woman of childbearing potential who is pregnant or is breast feeding
Woman of childbearing potential who is not consenting to use highly effective methods of birth control (eg, true abstinence [periodic abstinence (eg calendar ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception], sterilization, or other non-hormonal forms of contraception) during treatment and for at least 7 months after the last administration of the protocol specified treatment
Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study
Other investigational procedures while participating in this study are excluded
Subject has known sensitivity to any of the products to be administered during the study, including mammalian cell derived drug products, trastuzumab, murine proteins, or to any of the excipients
Subject previously has enrolled and/or has been randomized in this study
Subject likely to not be available to complete all protocol required study visits or procedures
History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the Investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion
Kolberg HC, Colleoni M, Demetriou GS, Santi P, Tesch H, Fujiwara Y, Tomasevic Z, Hanes V. Cardiac Safety of the Trastuzumab Biosimilar ABP 980 in Women with HER2-Positive Early Breast Cancer in the Randomized, Double-Blind, Active-Controlled LILAC Study. Drug Saf. 2020 Mar;43(3):233-242. doi: 10.1007/s40264-019-00886-3.
Enrolled patients received run-in chemotherapy consisting of epirubicin and cyclophosphamide every 3 weeks for 4 cycles. After the run-in, participants with adequate cardiac function were randomized. Randomization was stratified by tumor stage, nodal status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Recruitment Details
This study was conducted at 123 sites in 20 countries from April 2013 to January 2017. The study consisted of a neoadjuvant treatment phase for 4 cycles, surgery, and adjuvant treatment for up to one year from the first day of study drug administration in the neoadjuvant phase.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
Trastuzumab was administered at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for all subsequent cycles.
Trastuzumab
Herceptin®
Paclitaxel
Drug
Paclitaxel, 175 mg/m² Q3W for 4 cycles (or 80 mg/m² QW for 12 cycles, if local standard of care).
ABP 980
Trastuzumab
Lumpectomy or Mastectomy with Sentinel Node or Axillary Node Dissection
Procedure
ABP 980
Trastuzumab
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
Percentage of Participants With a Pathologic Complete Response in Breast Tissue and Axillary Lymph Nodes and Absence of DCIS
Pathological complete response was defined as the absence of invasive tumor cells in the breast tissue and axillary lymph node(s) and absence of residual DCIS.
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
von Minckwitz G, Colleoni M, Kolberg HC, Morales S, Santi P, Tomasevic Z, Zhang N, Hanes V. Efficacy and safety of ABP 980 compared with reference trastuzumab in women with HER2-positive early breast cancer (LILAC study): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2018 Jul;19(7):987-998. doi: 10.1016/S1470-2045(18)30241-9. Epub 2018 Jun 4.
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
FG002
ABP 980/ABP 980
After surgery, participants initially randomized to ABP 980 continued to receive ABP 980 at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
FG003
Trastuzumab/Trastuzumab
After surgery, participants originally randomized to trastuzumab were re-randomized and continued to receive trastuzumab at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
FG004
Trastuzumab/ABP 980
After surgery, participants originally randomized to trastuzumab were re-randomized and switched to receive ABP 980 at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
FG000364 subjects
FG001361 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
COMPLETED
FG000358 subjectsIndicates participants who completed surgery
FG001347 subjectsIndicates participants who completed surgery
FG0020 subjects
FG0030 subjects
FG0040 subjects
NOT COMPLETED
FG0006 subjects
FG00114 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
Type
Comment
Reasons
Death
FG0001 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
Disease Progression or Recurrence
FG0002 subjects
FG0013 subjects
FG0020 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Physician Decision
FG0001 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG0002 subjects
FG0015 subjects
FG0020 subjects
FG0030 subjects
FG004
Requirement for Alternative Therapy
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Adjuvant Phase
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG0010 subjects
FG002349 subjectsNine participants discontinued the study after surgery but before entering adjuvant phase.
FG003171 subjectsTwo participants discontinued the study after surgery but before entering adjuvant phase.
FG004171 subjectsThree participants discontinued the study after surgery but before entering adjuvant phase.
COMPLETED
FG0000 subjects
FG0010 subjects
FG002323 subjects
FG003164 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG00226 subjects
FG0037 subjects
FG004
Type
Comment
Reasons
Other
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG003
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
BG001
Trastuzumab
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
BG002
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000364
BG001361
BG002725
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00052.8± 10.72
BG00152.7± 11.29
BG00252.7± 11.00
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
< 50 years
BG000140
BG001134
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG000364
BG001361
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
White
BG000331
BG001333
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG00032
BG00136
BG002
Tumor Stage
In the Tumor Node Metastasis (TNM) staging system, a "T" followed by a number shows the size of the tumor. Less than T4 indicates a tumor that is 5 cm or less. T4 indicates the tumor is any size, but has spread beyond the breast tissue to the chest wall and/or skin.
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
< T4
BG000282
BG001
Axilla Lymph Node Involvement
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Yes
BG000277
BG001266
BG002
Hormone Receptor Status
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Estrogen and/or progesterone receptor positive
BG000265
BG001268
BG002
Paclitaxel Dosing Schedule
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Every 3 weeks
BG000256
BG001258
BG002
Geographic Region
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Eastern Europe
BG000271
BG001273
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Percentage of Participants With a Pathologic Complete Response
Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue and in axillary lymph nodes, regardless of residual ductal carcinoma in situ (DCIS).
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
The pCR evaluable population, which included all randomized participants who received any amount of study drug, underwent the surgery, and had a non-missing evaluable pCR assessment from the local laboratory evaluation.
Posted
Number
percentage of participants
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
ID
Title
Description
OG000
ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
OG001
Trastuzumab
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
Units
Counts
Participants
OG000358
OG001338
Title
Denominators
Categories
Title
Measurements
OG00048.0
OG00140.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The clinical equivalence between ABP 980 and trastuzumab was first evaluated by comparing the 2-sided 90% confidence interval (CI) of the Risk Difference (RD; ABP 980 - Trastuzumab) of pCR between ABP 980 and trastuzumab with a fixed margin of (-13%, 13%), estimated using a generalized linear model adjusted for stratification factors tumor (T)-stage, nodal status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.0508
Risk Difference (RD)
7.3
2-Sided
90
1.2
13.4
Secondary
Percentage of Participants With a Pathologic Complete Response in Breast Tissue Only
Pathologic complete response (pCR) was defined as the absence of invasive tumor cells in the breast tissue, regardless of residual ductal carcinoma in situ (DCIS).
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
pCR evaluable population
Posted
Number
percentage of participants
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
ID
Title
Description
OG000
ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
OG001
Trastuzumab
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
Units
Secondary
Percentage of Participants With a Pathologic Complete Response in Breast Tissue and Axillary Lymph Nodes and Absence of DCIS
Pathological complete response was defined as the absence of invasive tumor cells in the breast tissue and axillary lymph node(s) and absence of residual DCIS.
Participants underwent a lumpectomy or mastectomy with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND) within 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase. The pathology evaluation of surgical specimens for pCR analysis was conducted by local laboratories at the study sites.
pCR evaluable population
Posted
Number
percentage of participants
3 to 7 weeks after the last dose of study drug in the neoadjuvant phase
ID
Title
Description
OG000
ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
OG001
Trastuzumab
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
Time Frame
Neoadjuvant phase: From the first dose of study drug until 30 days after last dose in the neoadjuvant phase or until the start of the adjuvant phase, up to 16 weeks. Adjuvant phase: From the first dose of study drug after surgery until 30 days after last dose; approximately 40 weeks.
Description
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Neoadjuvant Phase: ABP 980
Participants received ABP 980 at an initial dose of 8 mg/kg over a 90-minute intravenous (IV) infusion, then 6 mg/kg IV infusion every 3 weeks (Q3W) for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
18
364
227
364
EG001
Neoadjuvant Phase: Trastuzumab
Participants received trastuzumab at an initial dose of 8 mg/kg over a 90-minute IV infusion, then 6 mg/kg IV infusion Q3W for 3 additional cycles plus 175 mg/m² paclitaxel Q3W for 4 cycles.
5
361
220
361
EG002
Adjuvant Phase: ABP 980/ABP 980
After surgery, participants initially randomized to ABP 980 continued to receive ABP 980 at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
18
349
124
349
EG003
Adjuvant Phase: Trastuzumab/Trastuzumab
After surgery, participants originally randomized to trastuzumab were re-randomized and continued to receive trastuzumab at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
6
171
49
171
EG004
Adjuvant Phase: Trastuzumab/ABP 980
After surgery, participants originally randomized to trastuzumab were re-randomized and switched to receive ABP 980 at a dose of 6 mg/kg IV infusion Q3W for up to 1 year from the first day of study drug administration in the neoadjuvant phase.
6
171
60
171
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Febrile neutropenia
Blood and lymphatic system disorders
MedDRA 19.0
Systematic Assessment
EG0003 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG0030 affected171 at risk
EG0040 affected171 at risk
Atrial fibrillation
Cardiac disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Cardio-respiratory arrest
Cardiac disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Sinus bradycardia
Cardiac disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Ventricular extrasystoles
Cardiac disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Enterocolitis
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Faecaloma
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Gastric ulcer perforation
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Gastrointestinal toxicity
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Asthenia
General disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Chest pain
General disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Gait disturbance
General disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Cystitis
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Incision site infection
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Pneumocystis jirovecii pneumonia
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0002 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Pneumonia bacterial
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Sepsis
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Septic shock
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Soft tissue infection
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Wound sepsis
Infections and infestations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Drug dispensing error
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Humerus fracture
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Ligament sprain
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Radiation pneumonitis
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Radius fracture
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Subcutaneous haematoma
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Tibia fracture
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Upper limb fracture
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Wound
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Wound decomposition
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
White blood cell count decreased
Investigations
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Decreased appetite
Metabolism and nutrition disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Metastases to adrenals
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Metastases to bone
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Metastases to central nervous system
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Metastases to liver
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Metastases to lung
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Autonomic nervous system imbalance
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Headache
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Ischaemic stroke
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Anxiety disorder
Psychiatric disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Bipolar disorder
Psychiatric disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Acute prerenal failure
Renal and urinary disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0011 affected361 at risk
EG0020 affected349 at risk
EG003
Breast haematoma
Reproductive system and breast disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Postmenopausal haemorrhage
Reproductive system and breast disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Hydrothorax
Respiratory, thoracic and mediastinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Pneumothorax
Respiratory, thoracic and mediastinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Hysterectomy
Surgical and medical procedures
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0021 affected349 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Vena cava thrombosis
Vascular disorders
MedDRA 19.0
Systematic Assessment
EG0001 affected364 at risk
EG0010 affected361 at risk
EG0020 affected349 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA 19.0
Systematic Assessment
EG00040 affected364 at risk
EG00138 affected361 at risk
EG00217 affected349 at risk
EG0037 affected171 at risk
EG00410 affected171 at risk
Leukopenia
Blood and lymphatic system disorders
MedDRA 19.0
Systematic Assessment
EG00021 affected364 at risk
EG00116 affected361 at risk
EG00215 affected349 at risk
EG003
Neutropenia
Blood and lymphatic system disorders
MedDRA 19.0
Systematic Assessment
EG00053 affected364 at risk
EG00145 affected361 at risk
EG00225 affected349 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG00023 affected364 at risk
EG00119 affected361 at risk
EG0029 affected349 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 19.0
Systematic Assessment
EG00021 affected364 at risk
EG00118 affected361 at risk
EG00211 affected349 at risk
EG003
Asthenia
General disorders
MedDRA 19.0
Systematic Assessment
EG00054 affected364 at risk
EG00159 affected361 at risk
EG00217 affected349 at risk
EG003
Radiation skin injury
Injury, poisoning and procedural complications
MedDRA 19.0
Systematic Assessment
EG0000 affected364 at risk
EG0010 affected361 at risk
EG00237 affected349 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 19.0
Systematic Assessment
EG00063 affected364 at risk
EG00155 affected361 at risk
EG00220 affected349 at risk
EG003
Bone pain
Musculoskeletal and connective tissue disorders
MedDRA 19.0
Systematic Assessment
EG00012 affected364 at risk
EG00129 affected361 at risk
EG0021 affected349 at risk
EG003
Myalgia
Musculoskeletal and connective tissue disorders
MedDRA 19.0
Systematic Assessment
EG00034 affected364 at risk
EG00131 affected361 at risk
EG0022 affected349 at risk
EG003
Neuropathy peripheral
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG00051 affected364 at risk
EG00143 affected361 at risk
EG0028 affected349 at risk
EG003
Paraesthesia
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG00017 affected364 at risk
EG00121 affected361 at risk
EG0026 affected349 at risk
EG003
Peripheral sensory neuropathy
Nervous system disorders
MedDRA 19.0
Systematic Assessment
EG00025 affected364 at risk
EG00122 affected361 at risk
EG0023 affected349 at risk
EG003
Alopecia
Skin and subcutaneous tissue disorders
MedDRA 19.0
Systematic Assessment
EG00019 affected364 at risk
EG00123 affected361 at risk
EG0023 affected349 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
Point of Contact
Title
Organization
Phone
Extension
Email
Study Director
Amgen Inc.
866-572-6436
ID
Term
D001943
Breast Neoplasms
Ancestor Terms
ID
Term
D009371
Neoplasms by Site
D009369
Neoplasms
D001941
Breast Diseases
D012871
Skin Diseases
D017437
Skin and Connective Tissue Diseases
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D000068878
Trastuzumab
D017239
Paclitaxel
D015412
Mastectomy, Segmental
D008408
Mastectomy
Ancestor Terms
ID
Term
D061067
Antibodies, Monoclonal, Humanized
D000911
Antibodies, Monoclonal
D000906
Antibodies
D007136
Immunoglobulins
D007162
Immunoproteins
D001798
Blood Proteins
D011506
Proteins
D000602
Amino Acids, Peptides, and Proteins
D012712
Serum Globulins
D005916
Globulins
D043823
Taxoids
D043822
Cyclodecanes
D003516
Cycloparaffins
D006840
Hydrocarbons, Alicyclic
D006844
Hydrocarbons, Cyclic
D006838
Hydrocarbons
D009930
Organic Chemicals
D004224
Diterpenes
D013729
Terpenes
D013514
Surgical Procedures, Operative
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
0 subjects
0 subjects
0 subjects
0 subjects
157 subjects
14 subjects
0 subjects
FG0040 subjects
Death
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0043 subjects
Disease Progression or Recurrence
FG0000 subjects
FG0010 subjects
FG00212 subjects
FG0034 subjects
FG0043 subjects
Physician Decision
FG0000 subjects
FG0010 subjects
FG0029 subjects
FG0032 subjects
FG0044 subjects
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0024 subjects
FG0031 subjects
FG0044 subjects
274
≥ 50 years
BG000224
BG001227
BG002451
725
Male
BG0000
BG0010
BG0020
664
Black or African American
BG00010
BG0014
BG00214
Asian
BG0002
BG0013
BG0025
American Indian or Alaska Native
BG0001
BG0010
BG0021
Native Hawaiian or other Pacific Islander
BG0000
BG0010
BG0020
Other
BG00020
BG00121
BG00241
68
Not Hispanic or Latino
BG000332
BG001324
BG002656
Not allowed to collect
BG0000
BG0011
BG0021
281
BG002563
T4
BG00082
BG00180
BG002162
543
No
BG00087
BG00195
BG002182
533
Estrogen and progesterone receptor negative
BG00099
BG00193
BG002192
514
Every week
BG000108
BG001103
BG002211
544
Western Europe
BG00043
BG00146
BG00289
Other
BG00050
BG00142
BG00292
Equivalence
The clinical equivalence between ABP 980 and trastuzumab was first evaluated by comparing the 2-sided 90% CI of the risk difference of pCR between ABP 980 and trastuzumab with a fixed margin of (-13%, 13%).
OG000
OG001
If the test of equivalence on the RD of pCR was successful, then equivalence was tested on the Risk Ratio (RR; ABP 980 / Trastuzumab) of pCR at a 2-sided significance level of 0.05 by comparing the 2-sided 90% CI of the RR of pCR between ABP 980 and trastuzumab, estimated using a generalized linear model adjusted for stratification factors: tumor (T)-stage, nodal status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.0430
Risk Ratio (RR)
1.1877
2-Sided
90
1.0327
1.3660
Equivalence
If the test of equivalence on the RD of pCR was successful, then equivalence was tested on the risk ratio of pCR at a 2-sided significance level of 0.05 by comparing the 2-sided 90% CI of the RR of pCR between ABP 980 and trastuzumab estimated using a generalized linear model adjusted for stratification factors, with the margin of (0.7586, 1/0.7586). If the test of equivalence on the RD was not successful, the RR of pCR and 90% CI were considered to be descriptive.
Counts
Participants
OG000358
OG001338
Title
Denominators
Categories
Title
Measurements
OG00051.1
OG00145.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The analysis of risk difference (ABP 980 - Trastuzumab) estimated using a generalized linear model adjusted for the randomization stratification factors T-stage, node status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.1086
Risk Difference (RD)
6.0
2-Sided
90
-0.2
12.2
Other
Analyses of secondary endpoints were prespecified to be considered descriptive only.
OG000
OG001
The analysis of risk ratio (ABP 980 / Trastuzumab) estimated using a generalized linear model adjusted for the randomization stratification factors T-stage, node status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.0807
Risk Ratio (RR)
1.1463
2-Sided
90
1.0080
1.3035
Other
Analyses of secondary endpoints were prespecified to be considered descriptive only.
Units
Counts
Participants
OG000358
OG001338
Title
Denominators
Categories
Title
Measurements
OG00037.7
OG00129.6
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The analysis of risk difference (ABP 980 - Trastuzumab) estimated using a generalized linear model adjusted for the randomization stratification factors T-stage, node status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.0253
Risk Difference (RD)
8.0
2-Sided
90
2.1
13.9
Other
Analyses of secondary endpoints were prespecified to be considered descriptive only.
OG000
OG001
The analysis of risk ratio (ABP 980 / Trastuzumab) estimated using a generalized linear model adjusted for the randomization stratification factors T-stage, node status, hormone receptor status, planned paclitaxel dosing schedule, and geographic region.
Generalized linear model
Generalized linear model adjusted for the randomization stratification factors.
0.0245
Risk Ratio (RR)
1.2746
2-Sided
90
1.0673
1.5222
Other
Analyses of secondary endpoints were prespecified to be considered descriptive only.