A Study to Evaluate the Efficacy and Safety of Pertuzumab + Trastuzumab + Docetaxel Versus Placebo + Trastuzumab + Docetaxel in Previously Untreated Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Metastatic Breast Cancer
CompletedPhase 3Results postedLast updated 16 December 2021
What this trial tests
Phase 3 trial testing Docetaxel in Breast Cancer in 243 participants. Completed in 22 January 2021.
18 and older, any sex, 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.
Progression-Free Survival, as Determined by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)Primary· From date of randomization until date of PFS event (Median [range] time on study for Arm A vs. Arm B at Primary analysis: 57.14 [3.3-93.3] weeks vs. 59.64 [0.9-90.4] weeks; Final analysis: 145.29 [3.3-225.3] weeks vs. 174.79 [0.9-226.1] weeks)
Progression-free survival (PFS) was defined as the time from randomization to first occurrence of progressive disease (PD), as determined by the investigator using RECIST v1.1, or death from any cause within 18 weeks after the last tumor assessment, whichever occurred first. As per RECIST v1.1, PD is defined as a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 millimeters (mm), and the appearance of new lesions. The Kaplan-Meier approach was used to estimate median PFS for each treatment arm. Data for participants who did not
Primary Analysis
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
12.4
10.4 – 12.7
Arm B: Pertuzumab + Trastuzumab + Docetaxel
14.5
12.5 – 18.6
Final Analysis
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
12.5
10.4 – 14.6
Arm B: Pertuzumab + Trastuzumab + Docetaxel
16.5
12.7 – 20.2
Kaplan-Meier Estimate of the Percentage of Participants Event-Free for Progression-Free Survival at 1 to 3 Years, as Determined by the Investigator Using RECIST v1.1Primary· At 1, 2, and 3 years
Progression-free survival (PFS) was defined as the time from randomization to first occurrence of progressive disease (PD), as determined by the investigator using RECIST v1.1, or death from any cause within 18 weeks after the last tumor assessment, whichever occurred first. As per RECIST v1.1, PD is a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 mm, and the appearance of new lesions. The Kaplan-Meier approach was used to estimate the percentage of participants who were event-free for PFS at 1, 2, and 3 years. Data for part
1 Year
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
52.90
43.75 – 62.04
Arm B: Pertuzumab + Trastuzumab + Docetaxel
66.37
57.86 – 74.87
2 Years
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
19.19
11.85 – 26.53
Arm B: Pertuzumab + Trastuzumab + Docetaxel
37.85
29.03 – 46.66
3 Years
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
12.73
6.48 – 18.97
Arm B: Pertuzumab + Trastuzumab + Docetaxel
29.44
21.04 – 37.84
Overall SurvivalSecondary· From date of randomization until the date of death from any cause (Median [range] time on study for Arm A vs. Arm B at Final analysis: 145.29 [3.3-225.3] weeks vs. 174.79 [0.9-226.1] weeks)
Overall survival (OS) was defined as the time from randomization to death from any cause. The Kaplan-Meier approach was used to estimate median OS for each treatment arm. Participants who were alive or lost to follow-up at the time of the analysis were censored at the date they were last known to be alive. Participants with no post-baseline information were censored at the time of randomization plus 1 day. The results reported here are from the final analysis. At the primary completion date, the median duration of OS had not been reached and OS data was not considered mature due to the few num
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
NA
22.1 – NA
Arm B: Pertuzumab + Trastuzumab + Docetaxel
NA
30.6 – NA
Kaplan-Meier Estimate of the Percentage of Participants Event-Free for Overall Survival at 1 to 3 YearsSecondary· At 1, 2, and 3 Years
Overall survival (OS) was defined as the time from randomization to death from any cause. The Kaplan-Meier approach was used to estimate the percentage of participants who were event-free for OS (i.e., alive) at 1, 2, and 3 years. Participants who were alive or lost to follow-up at the time of the analysis were censored at the date they were last known to be alive. Participants with no post-baseline information were censored at the time of randomization plus 1 day. At final analysis, the median \[range\] time on study for Arm A vs. Arm B was 145.29 \[3.3-225.3\] weeks vs. 174.79 \[0.9-226.1\]
1 Year
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
90.64
85.37 – 95.91
Arm B: Pertuzumab + Trastuzumab + Docetaxel
93.44
89.05 – 97.84
2 Years
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
73.85
65.80 – 81.91
Arm B: Pertuzumab + Trastuzumab + Docetaxel
78.87
71.50 – 86.24
3 Years
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
58.41
49.12 – 67.69
Arm B: Pertuzumab + Trastuzumab + Docetaxel
70.79
62.50 – 79.09
Percentage of Participants With Measurable Disease at Baseline Who Achieved an Objective Response (Complete or Partial Response), as Determined by the Investigator Using RECIST v1.1Secondary· At Baseline and every 9 weeks from date of randomization until disease progression or death, whichever occurs first (Median [range] time on study for Arm A vs. Arm B at Primary analysis: 57.14 [3.3-93.3] weeks vs. 59.64 [0.9-90.4] weeks)
An objective response was defined as a complete response (CR) or partial response (PR), as determined by the investigator using RECIST v1.1. As per RECIST v1.1, CR is defined as the disappearance of all target lesions, and PR is defined as at least a 30% decrease in the sum of diameters of target lesions. Also per RECIST v1.1, stable disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum on study; PD is defined as a 20% increase in the sum of the diameters of target lesions,
Objective Response (CR + PR)
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
69.1
58.88 – 78.07
Arm B: Pertuzumab + Trastuzumab + Docetaxel
79.0
70.01 – 86.38
Complete Response (CR)
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
8.2
3.63 – 15.61
Arm B: Pertuzumab + Trastuzumab + Docetaxel
5.7
2.13 – 12.02
Partial Response (PR)
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
60.8
50.39 – 70.58
Arm B: Pertuzumab + Trastuzumab + Docetaxel
73.3
63.81 – 81.49
Stable Disease (SD)
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
20.6
13.07 – 30.03
Arm B: Pertuzumab + Trastuzumab + Docetaxel
15.2
8.97 – 23.56
Progressive Disease (PD)
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
4.1
1.13 – 10.22
Arm B: Pertuzumab + Trastuzumab + Docetaxel
3.8
1.05 – 9.47
Missing or Unevaluable
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
6.2
NA – NA
Arm B: Pertuzumab + Trastuzumab + Docetaxel
1.9
NA – NA
Duration of Objective Response, as Determined by the Investigator Using RECIST v1.1Secondary· From date of first occurrence of documented objective response to date of event (Median [range] time on study for Arm A vs. Arm B at Primary analysis: 57.14 [3.3-93.3] weeks vs. 59.64 [0.9-90.4] weeks)
Duration of objective response was defined as the time from the first occurrence of a documented objective response (complete response \[CR\] or partial response \[PR\]) to the time of disease progression, as determined by the investigator using RECIST v1.1, or death from any cause within 18 weeks after the last tumor assessment, whichever occurred first. As per RECIST v1.1, CR is defined as the disappearance of all target lesions, and PR is defined as at least a 30% decrease in the sum of diameters of target lesions. The Kaplan-Meier approach was used to estimate median duration of objective
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
10.4
8.3 – 15.4
Arm B: Pertuzumab + Trastuzumab + Docetaxel
12.4
10.6 – 14.9
Number of Participants With at Least One Adverse EventSecondary· From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months)
The number of participants per treatment arm experiencing at least one adverse event, including all non-serious and serious adverse events, is reported here. Adverse events reported prior to first crossover treatment were included in the Placebo arm, and in the Crossover arm after that date, for participants in Arm A who crossed over from placebo to pertuzumab. At final analysis, the median \[range\] time on study treatment with placebo or pertuzumab per arm was: Arm A - Placebo: 52.3 \[3-207\] weeks; Arm B - Pertuzumab: 66.1 \[3-225\] weeks; Arm A - Crossover to Pertuzumab: 18.1 \[12-24\] wee
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
115
Arm B: Pertuzumab + Trastuzumab + Docetaxel
121
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
5
Number of Participants With at Least One Grade ≥3 Adverse EventSecondary· From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months)
Adverse event (AE) severity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE v4.0); if the AE was not specifically listed, the following grades of severity were used: Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening or disabling; and Grade 5 = death. Severe and serious are not synonymous. Severity refers to the intensity of an AE, whereas a serious AE must meet criteria set out in the protocol; both were independently assessed for each AE. AEs reported prior to first crossover treatmen
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
83
Arm B: Pertuzumab + Trastuzumab + Docetaxel
90
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
1
Number of Participants With at Least One Adverse Event Leading to Withdrawal From Any TreatmentSecondary· From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months)
Adverse events reported prior to first crossover treatment were included in the Placebo arm, and in the Crossover arm after that date, for participants in Arm A who crossed over from placebo to pertuzumab. At final analysis, the median \[range\] time on study treatment with placebo or pertuzumab per arm was: Arm A - Placebo: 52.3 \[3-207\] weeks; Arm B - Pertuzumab: 66.1 \[3-225\] weeks; Arm A - Crossover to Pertuzumab: 18.1 \[12-24\] weeks.
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
10
Arm B: Pertuzumab + Trastuzumab + Docetaxel
15
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
0
Number of Participants With Symptomatic Left Ventricular Systolic Dysfunction (LVSD), as Determined Using Echocardiography (ECHO) or Multiple-Gated Acquisition (MUGA) ScanSecondary· From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months)
The number of participants with symptomatic left ventricular systolic dysfunction (LVSD) at any time during the study, as determined using echocardiography (ECHO) or multiple-gated acquisition (MUGA) scan, were summarized by treatment arm. Symptomatic LVSD was evaluated according to NCI CTCAE v4.0 (for "heart failure") and the New York Heart Association (NYHA) classification. At final analysis, the median \[range\] time on study treatment with placebo or pertuzumab per arm was: Arm A - Placebo: 52.3 \[3-207\] weeks; Arm B - Pertuzumab: 66.1 \[3-225\] weeks; Arm A - Crossover to Pertuzumab: 18.
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
0
Number of Participants With an Asymptomatic Decline in Left Ventricular Ejection Fraction (LVEF) Event, as Determined Using ECHO or MUGA ScanSecondary· From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months)
An asymptomatic decline in LVEF event is reported as an adverse event of "ejection fraction decreased" and is defined as either of the following: an absolute decrease in LVEF of ≥10 percentage points from baseline to an LVEF of \<50%; or an asymptomatic decrease in LVEF requiring treatment or leading to discontinuation of pertuzumab (or placebo) and trastuzumab. At final analysis, the median \[range\] time on study treatment with placebo or pertuzumab per arm was: Arm A - Placebo: 52.3 \[3-207\] weeks; Arm B - Pertuzumab: 66.1 \[3-225\] weeks; Arm A - Crossover to Pertuzumab: 18.1 \[12-24\] we
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
2
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
0
Number of Participants by the LVEF Abnormality Status Categories Over Time, as Determined by the Change From Baseline in LVEF Using ECHO or MUGA ScansSecondary· Baseline, Weeks 9, 18, 27, 36, 45, 54, 63, 72, 81, 90, 99, 108, 117, 126, 135, 144, 153, 162, 171, 180, 189, 198, 207, 216, and 225, Study Drug Discontinuation Visit (up to 4 years, 4 months), and Treatment-Free Follow-Up at 6 months, and 1 and 2 years
Left ventricular ejection fraction (LVEF) is the measurement of how much blood is being pumped out of the left ventricle of the heart with each contraction. LVEF was calculated using the modified Simpson method and must have been ≥55% at baseline as determined by the local facility before a participant could be enrolled in the study. The investigator decided which method of LVEF assessment (ECHO \[preferred\] or MUGA scan) would be used for each participant at baseline, and the same method was to be used throughout the study, to the extent possible. The LVEF abnormality status categories, as a
Week 9
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
57
Arm B: Pertuzumab + Trastuzumab + Docetaxel
63
Arm A: Placebo + Trastuzumab + Docetaxel
51
Arm B: Pertuzumab + Trastuzumab + Docetaxel
52
Arm A: Placebo + Trastuzumab + Docetaxel
3
Arm B: Pertuzumab + Trastuzumab + Docetaxel
4
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Week 18
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
61
Arm B: Pertuzumab + Trastuzumab + Docetaxel
62
Arm A: Placebo + Trastuzumab + Docetaxel
33
Arm B: Pertuzumab + Trastuzumab + Docetaxel
45
Arm A: Placebo + Trastuzumab + Docetaxel
4
Arm B: Pertuzumab + Trastuzumab + Docetaxel
3
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
1
Week 27
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
54
Arm B: Pertuzumab + Trastuzumab + Docetaxel
51
Arm A: Placebo + Trastuzumab + Docetaxel
35
Arm B: Pertuzumab + Trastuzumab + Docetaxel
43
Arm A: Placebo + Trastuzumab + Docetaxel
3
Arm B: Pertuzumab + Trastuzumab + Docetaxel
5
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Week 36
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
45
Arm B: Pertuzumab + Trastuzumab + Docetaxel
46
Arm A: Placebo + Trastuzumab + Docetaxel
28
Arm B: Pertuzumab + Trastuzumab + Docetaxel
43
Arm A: Placebo + Trastuzumab + Docetaxel
3
Arm B: Pertuzumab + Trastuzumab + Docetaxel
4
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
1
Week 45
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
34
Arm B: Pertuzumab + Trastuzumab + Docetaxel
36
Arm A: Placebo + Trastuzumab + Docetaxel
29
Arm B: Pertuzumab + Trastuzumab + Docetaxel
43
Arm A: Placebo + Trastuzumab + Docetaxel
5
Arm B: Pertuzumab + Trastuzumab + Docetaxel
3
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Week 54
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
26
Arm B: Pertuzumab + Trastuzumab + Docetaxel
38
Arm A: Placebo + Trastuzumab + Docetaxel
27
Arm B: Pertuzumab + Trastuzumab + Docetaxel
34
Arm A: Placebo + Trastuzumab + Docetaxel
4
Arm B: Pertuzumab + Trastuzumab + Docetaxel
3
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Week 63
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
21
Arm B: Pertuzumab + Trastuzumab + Docetaxel
30
Arm A: Placebo + Trastuzumab + Docetaxel
17
Arm B: Pertuzumab + Trastuzumab + Docetaxel
33
Arm A: Placebo + Trastuzumab + Docetaxel
6
Arm B: Pertuzumab + Trastuzumab + Docetaxel
3
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Week 72
Group
Value
95% CI
Arm A: Placebo + Trastuzumab + Docetaxel
17
Arm B: Pertuzumab + Trastuzumab + Docetaxel
26
Arm A: Placebo + Trastuzumab + Docetaxel
15
Arm B: Pertuzumab + Trastuzumab + Docetaxel
31
Arm A: Placebo + Trastuzumab + Docetaxel
5
Arm B: Pertuzumab + Trastuzumab + Docetaxel
4
Arm A: Placebo + Trastuzumab + Docetaxel
0
Arm B: Pertuzumab + Trastuzumab + Docetaxel
0
Adverse events — posted to ClinicalTrials.gov
Time frame: From first dose of study drug until 42 days after last dose of study drug (up to 4 years, 4 months). At final analysis, the median [range] time on study treatment with placebo or pertuzumab per arm was: Arm A - Placebo: 52.3 [3-207] weeks; Arm B - Pertuzumab: 66.1 [3-225] weeks; Arm A - Crossover to Pertuzumab: 18.1 [12-24] weeks..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Arm A: Placebo + Trastuzumab + Docetaxel
Serious: 23/120 (19%)
Deaths: 50/120
Arm B: Pertuzumab + Trastuzumab + Docetaxel
Serious: 30/122 (25%)
Deaths: 40/122
Arm A: Crossover to Pertuzumab + Trastuzumab + Docetaxel
Serious: 1/12 (8%)
Deaths: 0/12
Serious adverse events (25 terms)
Reaction
System
Arm A: Placebo + Trastuzum…
Arm B: Pertuzumab + Trastu…
Arm A: Crossover to Pertuz…
Neutropenia
Blood and lymphatic system disorders
—
—
—
Pneumonia
Infections and infestations
—
—
—
Febrile neutropenia
Blood and lymphatic system disorders
—
—
—
Leukopenia
Blood and lymphatic system disorders
—
—
—
Cardiac tamponade
Cardiac disorders
—
—
—
Alanine aminotransferase increased
Investigations
—
—
—
Ventricular arrhythmia
Cardiac disorders
—
—
—
Ascites
Gastrointestinal disorders
—
—
—
Oesophagitis
Gastrointestinal disorders
—
—
—
Death
General disorders
—
—
—
Liver injury
Hepatobiliary disorders
—
—
—
Upper respiratory tract infection
Infections and infestations
—
—
—
Fracture
Injury, poisoning and procedural complications
—
—
—
Aspartate aminotransferase increased
Investigations
—
—
—
Blood glucose increased
Investigations
—
—
—
Hyperuricaemia
Metabolism and nutrition disorders
—
—
—
Dizziness
Nervous system disorders
—
—
—
Metrorrhagia
Reproductive system and breast disorders
—
—
—
Pelvic prolapse
Reproductive system and breast disorders
—
—
—
Respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
—
Large intestine polyp
Gastrointestinal disorders
—
—
—
Peripheral arterial occlusive disease
Vascular disorders
—
—
—
Osteomyelitis
Infections and infestations
—
—
—
Soft tissue infection
Infections and infestations
—
—
—
Gastrointestinal carcinoma in situ
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
This Phase III, randomized, double-blind, placebo-controlled, multicenter clinical trial in China will evaluate the efficacy and safety of pertuzumab + trastuzumab + docetaxel compared with placebo + trastuzumab + docetaxel in participants with previously untreated HER2-positive metastatic breast cancer.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Hoffmann-La Roche
Last refreshed: 16 December 2021
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/NCT02896855.