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NCT03644186: TOUCH

To Reduce the Use of Chemotherapy in Postmenopausal Patients With ER-positive and HER2-positive Breast Cancer (TOUCH)

Completed Phase 2 Results posted Last updated 13 December 2024
What this trial tests

Phase 2 trial testing Paclitaxel in Breast Cancer in 147 participants. Completed in 14 April 2023.

Timeline
16 April 2019
Primary endpoint
3 January 2023
14 April 2023

Quick facts

Lead sponsorETOP IBCSG Partners Foundation
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment147
Start date16 April 2019
Primary completion3 January 2023
Estimated completion14 April 2023
Sites54 locations across Belgium, France, Switzerland, Italy

Drugs / interventions tested

Conditions studied

Sponsor

ETOP IBCSG Partners Foundation

Who can join

18 and older, female only, with Breast Cancer or Estrogen Receptor Positive Tumor. 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.

Pathological Complete Response (pCR) Primary · Assessed within 30 days of the time of breast surgery after completion of a treatment period of up to 16 weeks; up to 21 weeks. If the patient does not undergo surgery, assessment will occur within 30 days after all treatment is stopped; up to 30 weeks.

Pathological complete response (pCR) is defined as absence of invasive tumour cells in the breast and in the axillary lymph nodes at the time of surgery (ypT0/ypTis ypN0) determined from the local histopathologic evaluation according to the American Joint Committee on Cancer Staging Manual. The presence of in situ cancer after trial treatment in the absence of residual invasive disease constitutes a pCR.

GroupValue95% CI
Paclitaxel Plus Trastuzumab and Pertuzumab24
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab24
Pathological Complete Response (pCR) in the Breast Secondary · Assessed within 30 days of the time of breast surgery after completion of a treatment period of up to 16 weeks; up to 21 weeks. If the patient does not undergo surgery, assessment will occur within 30 days after all treatment is stopped; up to 30 weeks.

Defined as the absence of invasive tumour cells in the breast at the time of surgery (ypT0/ypTis) determined from the local histopathologic evaluation according to the American Joint Committee on Cancer Staging Manual..

GroupValue95% CI
Paclitaxel Plus Trastuzumab and Pertuzumab26
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab25
Objective Response Secondary · Tumor assessments were performed by ultrasound and mammography at screening (prior to treatment start), and before surgery; measurements by caliper were assessed at the same time points and at the end of cycle 2 (28 days/cycle), approximately 56 days.

The number of patients with partial or complete response measured physically by caliper and by ultrasound and mammography. Response was assessed using World Health Organization tumor measurement and response criteria. Complete response (CR) - The disappearance of all known disease. Partial response (PR) - A 50% or more decrease in total tumor size, i.e., the sum of the products of the maximal diameter (MD) and the corresponding largest perpendicular diameter (LPD) of the lesions which have been measured to determine the effect of therapy. In addition, there can be no appearance of new lesions

GroupValue95% CI
Paclitaxel Plus Trastuzumab and Pertuzumab35
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab38
Paclitaxel Plus Trastuzumab and Pertuzumab17
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab19
Paclitaxel Plus Trastuzumab and Pertuzumab4
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab4
Paclitaxel Plus Trastuzumab and Pertuzumab3
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab2
Rate of Breast Conserving Surgery (BCS) Secondary · From randomization until completion of study, up to 20 months

Defined as the number of patients undergoing BCS, divided by the number of patients in the assessable population (subset of the randomized population with RBsig status successfully determined who received at least 1 dose of medication).

GroupValue95% CI
Paclitaxel Plus Trastuzumab and Pertuzumab49
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab59

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed at the end of every 4-week cycle until the end of trial treatment prior to surgery; up to 20 weeks. Only serious adverse events were assessed 30 days after end of treatment; up to 21 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Paclitaxel Plus Trastuzumab and Pertuzumab
Serious: 23/73 (32%)
Deaths: 0/73
Palbociclib Plus Letrozole Plus Trastuzumab and Pertuzumab
Serious: 39/72 (54%)
Deaths: 0/72

Serious adverse events (23 terms)

ReactionSystemPaclitaxel Plus Trastuzuma…Palbociclib Plus Letrozole…
Neutrophil count decreasedInvestigations
DiarrheaGastrointestinal disorders
HypertensionVascular disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
InfectionsInfections and infestations
Left ventricular systolic dysfunctionCardiac disorders
Skin and cutaneous disordersSkin and subcutaneous tissue disorders
Ejection fraction decreasedInfections and infestations
PneumonitisRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Blood bilirubin increasedInvestigations
Bone painMusculoskeletal and connective tissue disorders
Eye disorders - Other, specifyEye disorders
FatigueGeneral disorders
Hip fractureInjury, poisoning and procedural complications
HypokalemiaMetabolism and nutrition disorders
Ileal obstructionGastrointestinal disorders
Muscle crampMusculoskeletal and connective tissue disorders
Peripheral sensory neuropathyNervous system disorders
Small intestinal obstructionGastrointestinal disorders
White blood cell decreasedInvestigations
Acute kidney injuryRenal and urinary disorders
Other adverse events (44 terms — click to expand)

ReactionSystemPaclitaxel Plus Trastuzuma…Palbociclib Plus Letrozole…
DiarrheaGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
Skin and cutaneous disordersSkin and subcutaneous tissue disorders
Platelet count decreasedInvestigations
Neutrophil count decreasedInvestigations
NauseaGastrointestinal disorders
InfectionsInfections and infestations
FatigueGeneral disorders
Allergic reactionImmune system disorders
HypertensionVascular disorders
Infusion related reactionInjury, poisoning and procedural complications
Peripheral sensory neuropathyNervous system disorders
Ejection fraction decreasedInvestigations
Mucositis oralGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
White blood cell decreasedInvestigations
AlopeciaSkin and subcutaneous tissue disorders
Thromboembolic eventVascular disorders
Aspartate aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
Hepatobiliary disorderHepatobiliary disorders
PalpitationsCardiac disorders
Ventricular arrhythmiaCardiac disorders
Abdominal painGastrointestinal disorders
Stomach painGastrointestinal disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
Vaginal drynessReproductive system and breast disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
PhlebitisVascular disorders
Anal fissureGastrointestinal disorders
Anal mucositisGastrointestinal disorders
VomitingGastrointestinal disorders
ConjunctivitisInvestigations
GGT increasedInvestigations
Weight lossInvestigations

Most-reported serious reactions: Neutrophil count decreased, Diarrhea, Hypertension, Alanine aminotransferase increased, Aspartate aminotransferase increased, Infections, Left ventricular systolic dysfunction, Skin and cutaneous disorders.

Data from ClinicalTrials.gov NCT03644186 adverse events section.

Sponsor's own description

This is a phase II open-label, multicentre, randomized trial. The study assesses the treatment of postmenopausal patients with hormone receptor positive/HER2 positive early breast cancer with neoadjuvant palbociclib in combination with hormonal therapy and HER2 blockade, versus the treatment with paclitaxel in combination with HER2 blockade.

Publications & conference data

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

  1. Towards personalized treatment for early stage HER2-positive breast cancer.
    Goutsouliak K, Veeraraghavan J, Sethunath V, De Angelis C, et al · · 2020 · cited 203× · PMID 31836877 · DOI 10.1038/s41571-019-0299-9
  2. Updates on the CDK4/6 Inhibitory Strategy and Combinations in Breast Cancer.
    Sobhani N, D'Angelo A, Pittacolo M, Roviello G, et al · · 2019 · cited 117× · PMID 30959874 · DOI 10.3390/cells8040321
  3. What Is the Real Impact of Estrogen Receptor Status on the Prognosis and Treatment of HER2-Positive Early Breast Cancer?
    Brandão M, Caparica R, Malorni L, Prat A, et al · · 2020 · cited 35× · PMID 32046997 · DOI 10.1158/1078-0432.ccr-19-2612
  4. The emerging role of CDK4/6i in HER2-positive breast cancer.
    O'Sullivan CC, Suman VJ, Goetz MP. · · 2019 · cited 31× · PMID 31832106 · DOI 10.1177/1758835919887665
  5. Glucose Metabolic Reprogramming of ER Breast Cancer in Acquired Resistance to the CDK4/6 Inhibitor Palbociclib<sup>.</sup>
    Lorito N, Bacci M, Smiriglia A, Mannelli M, et al · · 2020 · cited 30× · PMID 32164162 · DOI 10.3390/cells9030668
  6. Targeting Cell Cycle Progression in HER2+ Breast Cancer: An Emerging Treatment Opportunity.
    Koirala N, Dey N, Aske J, De P. · · 2022 · cited 17× · PMID 35742993 · DOI 10.3390/ijms23126547
  7. Targeted Therapy in HR+ HER2- Metastatic Breast Cancer: Current Clinical Trials and Their Implications for CDK4/6 Inhibitor Therapy and beyond Treatment Options.
    Elfgen C, Bjelic-Radisic V. · · 2021 · cited 16× · PMID 34885105 · DOI 10.3390/cancers13235994
  8. Independent Validation of the PAM50-Based Chemo-Endocrine Score (CES) in Hormone Receptor-Positive HER2-Positive Breast Cancer Treated with Neoadjuvant Anti-HER2-Based Therapy.
    Pascual T, Fernandez-Martinez A, Tanioka M, Dieci MV, et al · · 2021 · cited 14× · PMID 33632929 · DOI 10.1158/1078-0432.ccr-20-4102

Verify or expand the search:

Other trials of Paclitaxel

Trials testing the same drug.

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other ETOP IBCSG Partners Foundation trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT03644186.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing