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NCT00545688

A Study of Pertuzumab in Combination With Herceptin in Patients With HER2 Positive Breast Cancer.

Completed Phase 2 Results posted Last updated 15 August 2017
What this trial tests

Phase 2 trial testing Herceptin in Breast Cancer in 417 participants. Completed in 22 September 2014.

Timeline
26 June 2006
Primary endpoint
22 September 2014
22 September 2014

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment417
Start date26 June 2006
Primary completion22 September 2014
Estimated completion22 September 2014
Sites77 locations across Italy, Russia, Peru, Austria, Sweden, Taiwan, United Kingdom, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, female only, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Achieving Pathological Complete Response (pCR) Primary · Approximately 4 months from randomization following surgery or early withdrawal, whichever occurred first (Surgery was performed within 2 weeks after Cycle 4)

pCR was defined as an absence of invasive neoplastic cells at microscopic examination of the tumor remnants after surgery following primary systemic therapy. Participants with invalid/missing pCR assessments were defined as non-responders

GroupValue95% CI
Trastuzumab+Docetaxel29.020.6 – 38.5
Trastuzumab+Pertuzumab+Docetaxel45.836.1 – 55.7
Trastuzumab+Pertuzumab16.810.3 – 25.3
Pertuzumab+Docetaxel24.015.8 – 33.7
Percentage of Participants Achieving Best Primary Tumor Response (Complete Response [CR], Partial Response [PR], Stable Disease [SD] or Disease Progression [PD]) During Neo-Adjuvant Treatment by X-Ray/Mammography Secondary · Baseline up to Cycle 4 (assessed at, Baseline and Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Tumor assessments were made based upon the Response Evaluation Criteria in Solid Tumors (RECIST) criteria - version 1.0. The clinical response at each cycle up to the last assessment prior to surgery was derived for primary breast tumor using the following algorithm: CR: if measurement of '0' is noted at a given cycle as compared to baseline measurement which is greater than (\>)0 at screening or cycle 1 Day 1; PR: if measurement is at least a 30 percent (%) decreased compared to baseline levels . (Reference= baseline size or sum of sizes); SD: if measurement at a given cycle is not sufficient

CR
GroupValue95% CI
Trastuzumab+Docetaxel18.3
Trastuzumab+Pertuzumab+Docetaxel19.0
Trastuzumab+Pertuzumab13.1
Pertuzumab+Docetaxel19.1
PR
GroupValue95% CI
Trastuzumab+Docetaxel49.3
Trastuzumab+Pertuzumab+Docetaxel46.6
Trastuzumab+Pertuzumab36.1
Pertuzumab+Docetaxel46.8
SD
GroupValue95% CI
Trastuzumab+Docetaxel31.0
Trastuzumab+Pertuzumab+Docetaxel32.8
Trastuzumab+Pertuzumab44.3
Pertuzumab+Docetaxel34.0
PD
GroupValue95% CI
Trastuzumab+Docetaxel1.4
Trastuzumab+Pertuzumab+Docetaxel1.7
Trastuzumab+Pertuzumab6.6
Pertuzumab+Docetaxel0.0
Percentage of Participants Achieving pCR by Breast Cancer Type Primary · Approximately 4 months from randomization following surgery or early withdrawal, whichever occurred first (Surgery was performed within 2 weeks after Cycle 4)

pCR was defined as an absence of invasive neoplastic cells at microscopic examination of the tumor remnants after surgery following primary systemic therapy. Based on the type of breast cancer participants were categorized as those with 1. Operable breast cancer, 2. Inflammatory breast cancer and 3. Locally advanced breast cancer. Participants with invalid/missing pCR assessments were defined as non-responders.

Operable Breast Cancer (n=64,65,65,60)
GroupValue95% CI
Trastuzumab+Docetaxel23.413.8 – 35.7
Trastuzumab+Pertuzumab+Docetaxel47.735.1 – 60.5
Trastuzumab+Pertuzumab16.98.8 – 28.3
Pertuzumab+Docetaxel26.716.1 – 39.7
Inflammatory Breast Cancer (n=7,10,7,5)
GroupValue95% CI
Trastuzumab+Docetaxel14.30.4 – 57.9
Trastuzumab+Pertuzumab+Docetaxel40.012.2 – 73.8
Trastuzumab+Pertuzumab28.63.7 – 71.0
Pertuzumab+Docetaxel40.05.3 – 85.3
Locally Advance Breast Cancer (36,32,35,31)
GroupValue95% CI
Trastuzumab+Docetaxel41.725.5 – 59.2
Trastuzumab+Pertuzumab+Docetaxel43.826.4 – 62.3
Trastuzumab+Pertuzumab14.34.8 – 30.3
Pertuzumab+Docetaxel16.15.5 – 33.7
Percentage of Participants Achieving pCR by Hormone Receptor Status Primary · Approximately 4 months from randomization following surgery or early withdrawal, whichever occurred first (Surgery was performed within 2 weeks after Cycle 4)

pCR was defined as an absence of invasive neoplastic cells at microscopic examination of the tumor remnants after surgery following primary systemic therapy. Participants were classified as Estrogen and/or Progesterone positive (+ve), Estrogen and/or Progesterone negative (-ve) or receptor status unknown. Participants with invalid/missing pCR assessments were defined as non-responders.

Estrogen and/or Progesterone +ve (n=50,50,51,46)
GroupValue95% CI
Trastuzumab+Docetaxel20.010.0 – 33.7
Trastuzumab+Pertuzumab+Docetaxel26.014.6 – 40.3
Trastuzumab+Pertuzumab5.91.2 – 16.2
Pertuzumab+Docetaxel17.47.8 – 31.4
Estrogen and/or Progesterone -ve (n=57,57,55,50)
GroupValue95% CI
Trastuzumab+Docetaxel36.824.4 – 50.7
Trastuzumab+Pertuzumab+Docetaxel63.249.3 – 75.6
Trastuzumab+Pertuzumab27.316.1 – 41.0
Pertuzumab+Docetaxel30.017.9 – 44.6
Receptor Status Unknown (0,0,1,0)
GroupValue95% CI
Trastuzumab+DocetaxelNANA – NA
Trastuzumab+Pertuzumab+DocetaxelNANA – NA
Trastuzumab+Pertuzumab0.00.0 – 97.5
Pertuzumab+DocetaxelNANA – NA
Percentage of Participants Achieving pCR by Lymph Node Status Primary · Approximately 4 months from randomization following surgery or early withdrawal, whichever occurred first (Surgery was performed within 2 weeks after Cycle 4)

pCR was defined as an absence of invasive neoplastic cells at microscopic examination of the tumor remnants after surgery following primary systemic therapy. Lymph node status was defined as either negative lymph node at surgery or positive lymph node at surgery. Participants with invalid/missing pCR assessments were defined as non-responders.

pCR achieved and Negative Lymph Nodes at Surgery
GroupValue95% CI
Trastuzumab+Docetaxel21.5
Trastuzumab+Pertuzumab+Docetaxel39.3
Trastuzumab+Pertuzumab11.2
Pertuzumab+Docetaxel17.7
pCR achieved and Positive Lymph Nodes at Surgery
GroupValue95% CI
Trastuzumab+Docetaxel7.5
Trastuzumab+Pertuzumab+Docetaxel6.5
Trastuzumab+Pertuzumab5.6
Pertuzumab+Docetaxel6.3
Percentage of Participants Achieving pCR by Presence or Absence of Residual Intraductal Carcinoma (DCIS) / Intalobular Carcinoma (LCIS) Primary · Approximately 4 months from randomization following surgery or early withdrawal, whichever occurred first (Surgery was performed within 2 weeks after Cycle 4)

pCR was defined as an absence of invasive neoplastic cells at microscopic examination of the tumor remnants after surgery following primary systemic therapy. Participants with invalid/missing pCR assessments were defined as non-responders.

pCR Achieved and No residual DCIS/LCIS at Surgery
GroupValue95% CI
Trastuzumab+Docetaxel16.8
Trastuzumab+Pertuzumab+Docetaxel36.4
Trastuzumab+Pertuzumab9.3
Pertuzumab+Docetaxel17.7
pCR Achieved and Residual DCIS/LCIS at Surgery
GroupValue95% CI
Trastuzumab+Docetaxel12.1
Trastuzumab+Pertuzumab+Docetaxel9.3
Trastuzumab+Pertuzumab7.5
Pertuzumab+Docetaxel6.3
Percentage of Participants Achieving Best Overall Response (CR, PR, SD or PD) During Neo-Adjuvant Period by X-Ray/Mammography Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Tumor assessments were made based on the RECIST criteria - version 1.0 The overall response at each cycle up to the last assessment prior to surgery was derived for: i) the primary breast lesion; (ii) across secondary breast lesions, (iii) across all breast lesions (iv) across axillary nodes (v) across supraclavicular nodes and (vi) across all nodes (vii) across all lesions (overall) using the following algorithm: CR: if measurement of '0' is noted at a given cycle as compared to baseline measurement which is \>0 at screening or cycle 1 day 1; PR: if measurement is at least a 30% decreased com

CR
GroupValue95% CI
Trastuzumab+Docetaxel18.3
Trastuzumab+Pertuzumab+Docetaxel18.9
Trastuzumab+Pertuzumab12.7
Pertuzumab+Docetaxel18.6
PR
GroupValue95% CI
Trastuzumab+Docetaxel49.3
Trastuzumab+Pertuzumab+Docetaxel49.1
Trastuzumab+Pertuzumab34.5
Pertuzumab+Docetaxel46.5
SD
GroupValue95% CI
Trastuzumab+Docetaxel31.0
Trastuzumab+Pertuzumab+Docetaxel30.2
Trastuzumab+Pertuzumab45.5
Pertuzumab+Docetaxel34.9
PD
GroupValue95% CI
Trastuzumab+Docetaxel1.4
Trastuzumab+Pertuzumab+Docetaxel1.9
Trastuzumab+Pertuzumab7.3
Pertuzumab+Docetaxel0.0
Percentage of Participants Achieving Best Primary Breast Tumor Response (CR, PR, SD or PD) During Neo-Adjuvant Period by Clinical Examination Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Tumor assessments were made based on the RECIST criteria - version 1.0 The clinical response at each cycle up to the last assessment prior to surgery was derived for primary breast tumor using the following algorithm: CR: if measurement of '0' is noted at a given cycle as compared to baseline measurement which is \>0 at screening or cycle 1 day 1; PR: if measurement is at least a 30% decreased compared to baseline levels . (Reference= baseline size or sum of sizes); SD: if measurement at a given cycle is not sufficient shrinkage to qualify for neither PR nor sufficient increase to qualify for

CR
GroupValue95% CI
Trastuzumab+Docetaxel23.2
Trastuzumab+Pertuzumab+Docetaxel30.7
Trastuzumab+Pertuzumab16.7
Pertuzumab+Docetaxel20.9
PR
GroupValue95% CI
Trastuzumab+Docetaxel56.6
Trastuzumab+Pertuzumab+Docetaxel57.4
Trastuzumab+Pertuzumab51.0
Pertuzumab+Docetaxel50.5
SD
GroupValue95% CI
Trastuzumab+Docetaxel20.2
Trastuzumab+Pertuzumab+Docetaxel11.9
Trastuzumab+Pertuzumab30.4
Pertuzumab+Docetaxel28.6
PD
GroupValue95% CI
Trastuzumab+Docetaxel0.0
Trastuzumab+Pertuzumab+Docetaxel0.0
Trastuzumab+Pertuzumab2.0
Pertuzumab+Docetaxel0.0
Percentage of Participants Achieving Best Overall Response (CR, PR, SD or PD) During the Neo-Adjuvant Period by Clinical Examination Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Tumor assessments were made based on the RECIST criteria - version 1.0 The clinical response at each cycle up to the last assessment prior to surgery was derived for: i) the primary breast lesion; (ii) across secondary breast lesions, (iii) across all breast lesions (iv) across axillary nodes (v) across supraclavicular nodes and (vi) across all nodes (vii) across all lesions (overall) using the following algorithm: CR: if measurement of '0' is noted at a given cycle as compared to baseline measurement which is \>0 at screening or cycle 1 day 1; PR: if measurement is at least a 30% decreased co

CR
GroupValue95% CI
Trastuzumab+Docetaxel21.6
Trastuzumab+Pertuzumab+Docetaxel25.0
Trastuzumab+Pertuzumab11.2
Pertuzumab+Docetaxel15.9
PR
GroupValue95% CI
Trastuzumab+Docetaxel59.8
Trastuzumab+Pertuzumab+Docetaxel63.0
Trastuzumab+Pertuzumab55.1
Pertuzumab+Docetaxel58.0
SD
GroupValue95% CI
Trastuzumab+Docetaxel17.5
Trastuzumab+Pertuzumab+Docetaxel12.0
Trastuzumab+Pertuzumab31.6
Pertuzumab+Docetaxel26.1
PD
GroupValue95% CI
Trastuzumab+Docetaxel1.0
Trastuzumab+Pertuzumab+Docetaxel0.0
Trastuzumab+Pertuzumab2.0
Pertuzumab+Docetaxel0.0
Percentage of Participants Achieving Clinical Response During Neo-Adjuvant Period by X-Ray/Mammography Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Clinical response was determined based on tumor measurements by sponsor in combination with tumor response assessment by investigator. Tumor assessments were made based on the RECIST criteria - version 1.0 The clinical response at each cycle up to the last assessment prior to surgery was derived for: i) the primary breast lesion; (ii) across secondary breast lesions, (iii) across all breast lesions (iv) across axillary nodes (v) across supraclavicular nodes and (vi) across all nodes (vii) across all lesions (overall) using the following algorithm: CR: if measurement of '0' is noted at a given

Primary Breast Tumor (n=71,58,61,47)
GroupValue95% CI
Trastuzumab+Docetaxel67.655.5 – 78.2
Trastuzumab+Pertuzumab+Docetaxel65.551.9 – 77.5
Trastuzumab+Pertuzumab49.236.1 – 62.3
Pertuzumab+Docetaxel66.050.7 – 79.1
Overall Response (n=71,53,55,43)
GroupValue95% CI
Trastuzumab+Docetaxel67.655.5 – 78.2
Trastuzumab+Pertuzumab+Docetaxel67.953.7 – 80.1
Trastuzumab+Pertuzumab47.333.7 – 61.2
Pertuzumab+Docetaxel65.149.1 – 79.0
Percentage of Participants Achieving Clinical Response During Neo-Adjuvant Period by Clinical Examination Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Tumor assessments were made based on the RECIST criteria - version 1.0 The clinical response at each cycle up to the last assessment prior to surgery was derived for: i) the primary breast lesion; (ii) across secondary breast lesions, (iii) across all breast lesions (iv) across axillary nodes (v) across supraclavicular nodes and (vi) across all nodes (vii) across all lesions (overall) using the following algorithm: CR: if measurement of '0' is noted at a given cycle as compared to baseline measurement which is \>0 at screening or cycle 1 day 1; PR: if measurement is at least a 30% decreased co

Primary Breast Tumor (n=99,101,102,91)
GroupValue95% CI
Trastuzumab+Docetaxel79.870.5 – 87.2
Trastuzumab+Pertuzumab+Docetaxel88.180.2 – 93.7
Trastuzumab+Pertuzumab67.657.7 – 76.6
Pertuzumab+Docetaxel71.461.0 – 80.4
Overall Response (n=97,100,98,88)
GroupValue95% CI
Trastuzumab+Docetaxel81.472.3 – 88.6
Trastuzumab+Pertuzumab+Docetaxel88.080.0 – 93.6
Trastuzumab+Pertuzumab66.356.1 – 75.6
Pertuzumab+Docetaxel73.963.4 – 82.7
Time to Clinical Response During Neo-Adjuvant Treatment Period Secondary · Baseline up to Cycle 4 (assessed at Baseline, Day 1 of Cycles 1-4 Pre-Surgery) Up to approximately 24 months

Time to clinical response was defined as the time from the date of first dose received to the date of assessment of clinical response. Time to Clinical response was determined by Kaplan-Meier estimates. Tumor assessments were made based on the RECIST criteria - version 1.0. The clinical response at each cycle up to the last assessment prior to surgery was derived for: i) the primary breast lesion; (ii) across secondary breast lesions, (iii) across all breast lesions (iv) across axillary nodes (v) across supraclavicular nodes and (vi) across all nodes (vii) across all lesions (overall) using th

GroupValue95% CI
Trastuzumab+Docetaxel6.36.0 – 7.0
Trastuzumab+Pertuzumab+Docetaxel6.34.0 – 7.0
Trastuzumab+Pertuzumab6.96.0 – 9.0
Pertuzumab+Docetaxel7.36.0 – 9.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were recorded from the date of Screening until the clinical cut off date 20th October 2014 up to 7 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Trastuzumab+Docetaxel
Serious: 21/107 (20%)
Deaths:
Trastuzumab+Pertuzumab+Docetaxel
Serious: 22/107 (21%)
Deaths:
Trastuzumab+Pertuzumab
Serious: 19/108 (18%)
Deaths:
Pertuzumab+Docetaxel
Serious: 21/94 (22%)
Deaths:

Serious adverse events (43 terms)

ReactionSystemTrastuzumab+DocetaxelTrastuzumab+Pertuzumab+Doc…Trastuzumab+PertuzumabPertuzumab+Docetaxel
Febrile neutropeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Left ventricular dysfunctionCardiac disorders
Pyelonephritis acuteInfections and infestations
Wound infectionInfections and infestations
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
Neutropenic infectionInfections and infestations
AppendicitisInfections and infestations
Urinary tract infectionInfections and infestations
Breast abscessInfections and infestations
CellulitisInfections and infestations
Device related infectionInfections and infestations
H1N1 influenzaInfections and infestations
InfectionInfections and infestations
Neutropenic sepsisInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Septic shockInfections and infestations
Staphylococcal sepsisInfections and infestations
Imparied healingGeneral disorders
Abdominal strangulated herniaGastrointestinal disorders
Duodenal ulcer haemorrhageGastrointestinal disorders
Angina pectorisCardiac disorders
Cardiac failure congestiveCardiac disorders
Other adverse events (72 terms — click to expand)

ReactionSystemTrastuzumab+DocetaxelTrastuzumab+Pertuzumab+Doc…Trastuzumab+PertuzumabPertuzumab+Docetaxel
NeutropeniaBlood and lymphatic system disorders
AlopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Mucosal inflammationGeneral disorders
RashSkin and subcutaneous tissue disorders
AstheniaGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
General DisorderGeneral disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
LeukopeniaBlood and lymphatic system disorders
Radiation skin injuryInjury, poisoning and procedural complications
Decreased appetiteMetabolism and nutrition disorders
StomatitisGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Oedema peripheralGeneral disorders
Nail disorderSkin and subcutaneous tissue disorders
DysgeusiaNervous system disorders
Peripheral sensory neuropathyNervous system disorders
ConstipationGastrointestinal disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
Upper respiratory tract infectionInfections and infestations
Abdominal pain upperGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
NasopharyngitisInfections and infestations
Hot flushVascular disorders
LymphoedemaVascular disorders
Drug hypersensitivityImmune system disorders
Abdominal painGastrointestinal disorders
ErythemaSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Febrile neutropenia, Neutropenia, Left ventricular dysfunction, Pyelonephritis acute, Wound infection, Pyrexia, Diarrhoea, Neutropenic infection.

Data from ClinicalTrials.gov NCT00545688 adverse events section.

Sponsor's own description

This 4 arm study will evaluate the efficacy and safety of 4 neoadjuvant treatment regimens in female patients with locally advanced, inflammatory or early stage HER2 positive breast cancer. Before surgery, patients will be randomized to one of 4 treatment arms, to receive 4 cycles of a)Herceptin + docetaxel b)Herceptin + docetaxel + pertuzumab c)Herceptin + pertuzumab or 4)pertuzumab + docetaxel. Pertuzumab will be administered at a loading dose of 840mg iv, then 420mg iv 3-weekly, Herceptin at a loading dose of 8mg/kg iv then 6mg/kg 3-weekly, and docetaxel at a dose of 75mg/m2 escalating to 100mg/m2 3-weekly. During the entire pre- and post-surgery period all patients will receive adequate chemotherapy as per standard of care, as well as any surgery and/or radiotherapy as required. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. 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.
    Gianni L, Pienkowski T, Im YH, Roman L, et al · · 2012 · cited 1624× · PMID 22153890 · DOI 10.1016/s1470-2045(11)70336-9
  2. 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.
    Gianni L, Pienkowski T, Im YH, Tseng LM, et al · · 2016 · cited 622× · PMID 27179402 · DOI 10.1016/s1470-2045(16)00163-7
  3. Efficacy, Safety, and Tolerability of Pertuzumab, Trastuzumab, and Docetaxel for Patients With Early or Locally Advanced ERBB2-Positive Breast Cancer in Asia: The PEONY Phase 3 Randomized Clinical Trial.
    Shao Z, Pang D, Yang H, Li W, et al · · 2020 · cited 149× · PMID 31647503 · DOI 10.1001/jamaoncol.2019.3692
  4. Current approaches and future directions in the treatment of HER2-positive breast cancer.
    Hurvitz SA, Hu Y, O'Brien N, Finn RS. · · 2013 · cited 104× · PMID 22658319 · DOI 10.1016/j.ctrv.2012.04.008
  5. Interaction of host immunity with HER2-targeted treatment and tumor heterogeneity in HER2-positive breast cancer.
    Griguolo G, Pascual T, Dieci MV, Guarneri V, et al · · 2019 · cited 91× · PMID 30922362 · DOI 10.1186/s40425-019-0548-6
  6. Biomarker analysis of the NeoSphere study: pertuzumab, trastuzumab, and docetaxel versus trastuzumab plus docetaxel, pertuzumab plus trastuzumab, or pertuzumab plus docetaxel for the neoadjuvant treatment of HER2-positive breast cancer.
    Bianchini G, Kiermaier A, Bianchi GV, Im YH, et al · · 2017 · cited 90× · PMID 28183321 · DOI 10.1186/s13058-017-0806-9
  7. Intrinsic subtypes, PIK3CA mutation, and the degree of benefit from adjuvant trastuzumab in the NSABP B-31 trial.
    Pogue-Geile KL, Song N, Jeong JH, Gavin PG, et al · · 2015 · cited 85× · PMID 25559813 · DOI 10.1200/jco.2014.56.2439
  8. Development and clinical application of anti-HER2 monoclonal and bispecific antibodies for cancer treatment.
    Yu S, Liu Q, Han X, Qin S, et al · · 2017 · cited 82× · PMID 29209558 · DOI 10.1186/s40164-017-0091-4

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00545688.

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