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This is a prospective, Phase IV, multi-center, single arm, open-label, interventional study to evaluate the safety of trastuzumab for the treatment of human epidermal growth factor receptor 2 protein (HER2)-positive node positive or high risk node negative breast cancer participants with regimen consisting of doxorubicin and cyclophosphamide followed by either paclitaxel or docetaxel (AC-TH Regimen) or a regimen consisting of docetaxel and carboplatin (TCH Regimen) in Indian population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trastuzumab | Experimental | Participants will receive trastuzumab as a part of either AC-TH or TCH treatment regimen. The choice of the regimen will be based on investigator's discretion referring the local prescribing document of trastuzumab. AC-TH consists of doxorubicin and cyclophosphamide followed by either paclitaxel or docetaxel. TCH consists of docetaxel and carboplatin. Trastuzumab will be common in both treatment regimens and could be administered weekly or every 3 weeks, as per investigator discretion. Each cycle will be of 3 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carboplatin | Drug | TCH regimen: Carboplatin dose = Target Area Under Curve (AUC) (6 milligrams*milliliter/minute [mg*mL/min]) multiplied by (Glomerular Filtration Rate [GFR] + 25). Carboplatin will be administered as IV bolus every 3 weeks for 6 cycles (Cycles 1 to 6). |
| Measure | Description | Time Frame |
|---|---|---|
| Clinically Significant Changes in Cardiac Function As Determined by Left Ventricular Ejection Fraction (LVEF) Measurements Using Echocardiography | LVEF assessments were performed every three months (four cycles) using echocardiogram | Baseline to every 4 cycles up to Cycle 21 (AC-TH), every 4 cycles up to Cycle 17 (TCH) (each cycle is 21 days), at study treatment completion (12 months post baseline) at 6 month (18 months post baseline) and 12 month follow-up (24 months post baseline) |
| Percentage of Participants With Adverse Events | An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with the treatment. An adverse event was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study were also considered as adverse events. | Baseline up to approximately 5 years and 10 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disease Free Survival (DFS) | DFS was defined as time from the date of first study treatment to the date of local, regional or distant recurrence, contra-lateral breast cancer or death due to any cause. Local, regional or distant recurrence, and contra-lateral breast cancer was assessed by combination of physical examination, mammography and pelvic examination. | The date of first study treatment to the date of local, regional or distant recurrence, contra-lateral breast cancer or death due to any cause within 12 months from the last dose of Trastuzumab for every participant |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anil Kukreja, MD | Roche Products (India) Pvt. Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yashoda Hospital | Hyderabad | Andhra Pradesh | 500082 | India | ||
| Manipal Hospital; Department of Oncology |
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Of the 110 participants enrolled, 108 received at least one dose of trastuzumab and were included in the safety population.
The study was conducted at 6 investigational sites in India.
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| ID | Title | Description |
|---|---|---|
| FG000 | Trastuzumab With AC-TH Regimen | Participants received trastuzumab with AC-TH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. AC-TH regimen consisted of doxorubicin and cyclophosphamide followed by either paclitaxel or docetaxel. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
| FG001 | Trastuzumab With TCH Regimen | Participants received trastuzumab with TCH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. TCH consisted of docetaxel and carboplatin. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Intent-to-treat (ITT) population included all participants enrolled in the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Trastuzumab With AC-TH Regimen | Participants received trastuzumab with AC-TH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. AC-TH regimen consisted of doxorubicin and cyclophosphamide followed by either paclitaxel or docetaxel. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Clinically Significant Changes in Cardiac Function As Determined by Left Ventricular Ejection Fraction (LVEF) Measurements Using Echocardiography | LVEF assessments were performed every three months (four cycles) using echocardiogram | Safety Population included all enrolled participants who received at least one dose of study medication. | Posted | Mean | Standard Deviation | Percentage of LVEF | Baseline to every 4 cycles up to Cycle 21 (AC-TH), every 4 cycles up to Cycle 17 (TCH) (each cycle is 21 days), at study treatment completion (12 months post baseline) at 6 month (18 months post baseline) and 12 month follow-up (24 months post baseline) |
|
Baseline up to approximately 5 years and 10 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Trastuzumab With AC-TH Regimen | Participants received trastuzumab with AC-TH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. AC-TH regimen consisted of doxorubicin and cyclophosphamide followed by either paclitaxel or docetaxel. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Leukopenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Communications | Hoffmann-La Roche | 800-821-8590 | genentech@druginfo.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 29, 2013 | Jun 10, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 18, 2021 | Jun 10, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D016190 | Carboplatin |
| D003520 | Cyclophosphamide |
| D000077143 | Docetaxel |
| D004317 | Doxorubicin |
| D017239 | Paclitaxel |
| D000068878 | Trastuzumab |
| ID | Term |
|---|---|
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
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| Cyclophosphamide | Drug | AC-TH regimen: Cyclophosphamide 600 mg/m^2 IV bolus every 3 weeks for 4 cycles (Cycles 1 to 4). |
|
| Docetaxel | Drug | AC-TH regimen: Docetaxel 100 mg/m^2 IV infusion every 3 weeks for 4 cycles (Cycles 5 to 8). TCH regimen: Docetaxel 75 mg/m^2 IV bolus every 3 weeks for 6 cycles (Cycles 1 to 6). |
|
| Doxorubicin | Drug | Participants will receive Doxorubicin 60 mg/m^2 administered as I.V. bolus injection over 5 to 15 minute every 3 weeks for 4 cycles for AC-TH regimen. |
|
| Paclitaxel | Drug | AC-TH regimen: Paclitaxel 175 mg/m^2 IV infusion every 3 weeks for 4 cycles (Cycles 5 to 8). |
|
| Trastuzumab | Drug | AC-TH regimen: For weekly administration, 4 milligrams per kilograms (mg/kg) loading dose on Day 1 of Cycle 5, followed by 2 mg/kg on Day 8 of Cycle 5 and 2 mg/kg every week for 4 cycles (up to Cycle 8). For 3 weekly administration, 8 mg/kg loading dose on Day 1 of Cycle 5, followed by 6 mg/kg every 3 for 4 cycles (up to Cycle 8). From Day 1 of Cycle 9, 6 mg/kg will be administered every 3 weeks up to Cycle 22. TCH regimen: For weekly administration, 4 mg/kg loading dose followed by 2 mg/kg weekly from Cycles 1 to Cycle 6. For 3 weekly administration, 8 mg/kg loading dose followed 6 mg/kg every 3 weeks from Cycles 1 to 6. From Cycle 7, 6 mg/kg every 3 weeks up to Cycle 18. All administrations will be intravenous (IV) infusion. |
|
| Overall Survival (OS) | Overall survival was defined as time from the date of first study treatment until date of death, regardless of the cause of death. | Time from the date of first study treatment until date of death, regardless of the cause of death within 12 months from the last dose of Trastuzumab for every participant. The follow up period was 52 weeks from the last dose of treatment in both arms. |
| Bangalore |
| Karnataka |
| 560017 |
| India |
| Jehangir Clinical Development Centre Pvt. Ltd; Cancer Research Room | Pune | Maharashtra | 411001 | India |
| Rajiv Gandhi Cancer Institute & Research Center | New Delhi | National Capital Territory of Delhi | 110085 | India |
| MAX Balaji Hospital | Delhi | 110092 | India |
| Dr. GVN Cancer Institute; Medical Oncology | Trichy | 620008 | India |
| Withdrew Consent |
|
| Any other reason which the Investigator deemed participant unsuitable for enrollment into the study |
|
| BG001 | Trastuzumab With TCH Regimen | Participants received trastuzumab with TCH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. TCH consisted of docetaxel and carboplatin. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| OG001 | Trastuzumab With TCH Regimen | Participants received trastuzumab with TCH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. TCH consisted of docetaxel and carboplatin. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. |
|
|
| Primary | Percentage of Participants With Adverse Events | An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with the treatment. An adverse event was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study were also considered as adverse events. | Safety Population included all enrolled participants who received at least one dose of study medication. | Posted | Count of Participants | Participants | Baseline up to approximately 5 years and 10 months |
|
|
|
| Secondary | Disease Free Survival (DFS) | DFS was defined as time from the date of first study treatment to the date of local, regional or distant recurrence, contra-lateral breast cancer or death due to any cause. Local, regional or distant recurrence, and contra-lateral breast cancer was assessed by combination of physical examination, mammography and pelvic examination. | ITT population included all participants enrolled in the study. | Posted | Median | 95% Confidence Interval | Months | The date of first study treatment to the date of local, regional or distant recurrence, contra-lateral breast cancer or death due to any cause within 12 months from the last dose of Trastuzumab for every participant |
|
|
|
| Secondary | Overall Survival (OS) | Overall survival was defined as time from the date of first study treatment until date of death, regardless of the cause of death. | ITT population included all participants enrolled in the study. | Posted | Median | 95% Confidence Interval | Months | Time from the date of first study treatment until date of death, regardless of the cause of death within 12 months from the last dose of Trastuzumab for every participant. The follow up period was 52 weeks from the last dose of treatment in both arms. |
|
|
|
| 1 |
| 56 |
| 11 |
| 56 |
| 46 |
| 56 |
| EG001 | Trastuzumab With TCH Regimen | Participants received trastuzumab with TCH regimen. The choice of the regimen was based on the investigator's discretion referring the local prescribing document of trastuzumab. TCH consisted of docetaxel and carboplatin. Trastuzumab was common in both treatment regimens and was administered weekly or every 3 weeks, as per investigator discretion. Each cycle was 3 weeks. | 1 | 52 | 9 | 52 | 51 | 52 |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Angina pectoris | Cardiac disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Intestinal obstruction | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Disease progression | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Catheter site infection | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Rectal abscess | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Septic shock | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Ejection fraction decreased | Investigations | MedDRA version 24.0 | Systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Jugular vein thrombosis | Vascular disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Peripheral motor neuropathy | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Ejection fraction decreased | Investigations | MedDRA version 24.0 | Systematic Assessment |
|
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Pain | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA version 24.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Breast pain | Reproductive system and breast disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Skin reaction | Skin and subcutaneous tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Peripheral swelling | General disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA version 24.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 24.0 | Systematic Assessment |
|
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
| D017437 |
| Skin and Connective Tissue Diseases |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| 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 |