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NCT01901146: Lilac

Efficacy and Safety Study of ABP 980 Compared With Trastuzumab in Women With HER2-positive Early Breast Cancer

Completed Phase 3 Results posted Last updated 7 August 2019
What this trial tests

Phase 3 trial testing ABP 980 in Breast Cancer in 725 participants. Completed in 27 January 2017.

Timeline
29 April 2013
Primary endpoint
5 May 2016
27 January 2017

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment725
Start date29 April 2013
Primary completion5 May 2016
Estimated completion27 January 2017
Sites98 locations across Italy, South Africa, Russia, Greece, Ukraine, Serbia, Chile, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — 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 With a Pathologic Complete Response Primary · 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

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.

GroupValue95% CI
ABP 98048.0
Trastuzumab40.5
Percentage of Participants With a Pathologic Complete Response in Breast Tissue Only Secondary · 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

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.

GroupValue95% CI
ABP 98051.1
Trastuzumab45.0
Percentage of Participants With a Pathologic Complete Response in Breast Tissue and Axillary Lymph Nodes and Absence of DCIS Secondary · 3 to 7 weeks after the last dose of study drug in the neoadjuvant phase

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.

GroupValue95% CI
ABP 98037.7
Trastuzumab29.6

Adverse events — posted to ClinicalTrials.gov

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.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Neoadjuvant Phase: ABP 980
Serious: 18/364 (5%)
Deaths:
Neoadjuvant Phase: Trastuzumab
Serious: 5/361 (1%)
Deaths:
Adjuvant Phase: ABP 980/ABP 980
Serious: 18/349 (5%)
Deaths:
Adjuvant Phase: Trastuzumab/Trastuzumab
Serious: 6/171 (4%)
Deaths:
Adjuvant Phase: Trastuzumab/ABP 980
Serious: 6/171 (4%)
Deaths:

Serious adverse events (60 terms)

ReactionSystemNeoadjuvant Phase: ABP 980Neoadjuvant Phase: Trastuz…Adjuvant Phase: ABP 980/AB…Adjuvant Phase: Trastuzuma…Adjuvant Phase: Trastuzuma…
Febrile neutropeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
Atrial fibrillationCardiac disorders
Cardio-respiratory arrestCardiac disorders
Sinus bradycardiaCardiac disorders
Ventricular extrasystolesCardiac disorders
EnterocolitisGastrointestinal disorders
FaecalomaGastrointestinal disorders
Gastric ulcer perforationGastrointestinal disorders
Gastrointestinal toxicityGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
AstheniaGeneral disorders
Chest painGeneral disorders
Gait disturbanceGeneral disorders
HypersensitivityImmune system disorders
CystitisInfections and infestations
Incision site infectionInfections and infestations
Pneumocystis jirovecii pneumoniaInfections and infestations
Pneumonia bacterialInfections and infestations
SepsisInfections and infestations
Septic shockInfections and infestations
Soft tissue infectionInfections and infestations
Urinary tract infectionInfections and infestations
Wound sepsisInfections and infestations
Drug dispensing errorInjury, poisoning and procedural complications
Other adverse events (14 terms — click to expand)

ReactionSystemNeoadjuvant Phase: ABP 980Neoadjuvant Phase: Trastuz…Adjuvant Phase: ABP 980/AB…Adjuvant Phase: Trastuzuma…Adjuvant Phase: Trastuzuma…
ArthralgiaMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
NeutropeniaBlood and lymphatic system disorders
Neuropathy peripheralNervous system disorders
AnaemiaBlood and lymphatic system disorders
Radiation skin injuryInjury, poisoning and procedural complications
MyalgiaMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
Peripheral sensory neuropathyNervous system disorders
DiarrhoeaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
ParaesthesiaNervous system disorders

Most-reported serious reactions: Febrile neutropenia, Pneumonia, Atrial fibrillation, Cardio-respiratory arrest, Sinus bradycardia, Ventricular extrasystoles, Enterocolitis, Faecaloma.

Data from ClinicalTrials.gov NCT01901146 adverse events section.

Sponsor's own description

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.

Publications & conference data

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

  1. 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.
    von Minckwitz G, Colleoni M, Kolberg HC, Morales S, et al · · 2018 · cited 67× · PMID 29880292 · DOI 10.1016/s1470-2045(18)30241-9
  2. State of the art in anti-cancer mAbs.
    Chiavenna SM, Jaworski JP, Vendrell A. · · 2017 · cited 52× · PMID 28219375 · DOI 10.1186/s12929-016-0311-y
  3. Safety outcomes when switching between biosimilars and reference biologics: A systematic review and meta-analysis.
    Herndon TM, Ausin C, Brahme NN, Schrieber SJ, et al · · 2023 · cited 37× · PMID 37788264 · DOI 10.1371/journal.pone.0292231
  4. Expert perspectives on biosimilar monoclonal antibodies in breast cancer.
    Cortés J, Curigliano G, Diéras V. · · 2014 · cited 34× · PMID 24562824 · DOI 10.1007/s10549-014-2879-9
  5. Evolving landscape of human epidermal growth factor receptor 2-positive breast cancer treatment and the future of biosimilars.
    Jackisch C, Lammers P, Jacobs I. · · 2017 · cited 32× · PMID 28236776 · DOI 10.1016/j.breast.2017.01.010
  6. What Does the Pipeline Promise about Upcoming Biosimilar Antibodies in Oncology?
    Busse A, Lüftner D. · · 2019 · cited 18× · PMID 31019437 · DOI 10.1159/000496834
  7. 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.
    Kolberg HC, Colleoni M, Demetriou GS, Santi P, et al · · 2020 · cited 5× · PMID 31927716 · DOI 10.1007/s40264-019-00886-3
  8. Biosimilar monoclonal antibodies for cancer treatment in adults.
    Galvao TF, Livinalli A, Lopes LC, Zimmermann IR, et al · · 2024 · cited 2× · PMID 39607013 · DOI 10.1002/14651858.cd013539.pub2

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