Gene Expression Assays and 68 Ga-Affibody HER-2 Imaging PET in Predicting Response to Treatment With Trastuzumab and Pertuzumab Before Surgery in Chinese Patients With HER2 Positive Breast Cancer

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study is to explore the markers in early prediction of the efficacy of pre-operative pertuzumab plus trastuzumab (PH) combined with chemotherapy for early stage or locally advanced human epidermal growth factor receptor-2 (HER-2) positive primary breast cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
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• Female or male, presenting for the first time with operable breast cancer, who had not received any previous treatment for an invasive malignancy.

• Primary tumor greater than (\>) 2 cm in diameter.

• Age ≥ 18 years and \< 70 years.

• Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to (\</=) 1.

• Baseline left ventricular ejection fraction (LVEF) greater than or equal to (\>/=) 55%

• Availability of tumor tissue specimen after surgery.

• Participants agree to undergo a core needle biopsy for genomic testing and organoid drug sensitivity assay.

• Histologically proven diagnosis of breast cancer.

• Patients have HER2-positive disease. HER2-positive disease was defined as follows: disease which overexpresses HER-2 by immunohistochemistry (IHC) 3+ and/or has HER2 amplification according to fluorescence in situ hybridization (FISH).

⁃ Had hormonal receptors (ER and PgR) assessed.

⁃ Signed informed consent.

⁃ Able to comply with the protocol.

Locations
Other Locations
China
Shanghai Cancer Center, Fudan University
RECRUITING
Shanghai
Contact Information
Primary
Jiong Wu, MD
wujiong1122@vip.sina.com
+862164175590
Time Frame
Start Date: 2020-04-21
Estimated Completion Date: 2030-04-30
Participants
Target number of participants: 94
Treatments
Experimental: TCHP
Neoadjuvant Therapy (Cycles 1-7):~Cycle 1: Pertuzumab (840mg loading dose, 420mg maintenance dose) + Trastuzumab (8mg/kg loading dose, 6-mg/kg maintenance dose) Cycle 2-7: Pertuzumab (840mg loading dose, 420mg maintenance dose) + Trastuzumab (8mg/kg loading dose, 6-mg/kg maintenance dose) + followed by carboplatin at target area under the plasma concentration-time curve (AUC) 6 and docetaxel at a starting dose of 75 mg/m2 then to 60mg/m2 (q3w).~Adjuvant Therapy:patients would complete 1 year of PH-based regimen in the adjuvant setting.~Patients are assessed by \[18F\]Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) and 68Ga-Affibody HER-2 Imaging PET. Besides, the changes of biomarkers would be examined by gene sequencing and organoid drug sensitivity test.
Sponsors
Leads: Fudan University

This content was sourced from clinicaltrials.gov

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