Status:

UNKNOWN

Pyrotinib Rechallenge in Her2-positive Metastatic Breast Cancer Pretreated With Pyrotinib and Trastuzumab

Lead Sponsor:

Fudan University

Conditions:

HER2-positive Breast Cancer

Metastatic Breast Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

Pyrotinib is an oral tyrosine kinase inhibitor targeting both HER-1 and HER-2 receptors. This study is a randomized, open-label, multi-center, parallel design study of the combination of pyrotinib, tr...

Eligibility Criteria

Inclusion

  • Aged ≥18 and ≤75 years;
  • Pathologically confirmed HER2 positive patients with recurrence/ metastatic breast cancer: HER2 IHC 3+, or HER2 IHC 2+ and FISH detection gene amplification;
  • History of trastuzumab-containing chemotherapy in neoadjuvant, adjuvant or recurrence/ metastatic setting;
  • History of pyrotinib-containing chemotherapy in neoadjuvant or recurrence/ metastatic setting;
  • Previously reveived ≤2 systemic treatment in recurrence/ metastasis setting; (anti-HER2 ADCs such as T-DM1 is included in chemotherapy regimens, endocrine therapy alone is not included);
  • ECOG performance status of 0 to 1;
  • According to RECIST 1.1, at least one extracranial measurable lesion exists;
  • Signed informed consent.

Exclusion

  • Patients with leptomeningeal metastasis or unstable brain metastasis;
  • History of neurological or psychiatric disorders;
  • Second malignancies within 5 years, except for cured skin basal cell carcinoma, carcinoma in-situ of uterine cervix and squamous-cell carcinoma;
  • Undergone major surgical procedures or significant trauma within 4 weeks prior to randomization, or expected to undergo major surgery.
  • Factors influencing the usage of oral administration (e.g. unable to swallow, chronic diarrhea and intestinal obstruction, etc.);
  • History of allergies to the drug components of this regimen;
  • History of Immunodeficiency, acquired or congenital immunodeficiency (HIV positive), history of organ transplantation;
  • Any other situations judged by investigator as not suitable for participating in this study.

Key Trial Info

Start Date :

September 15 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 31 2024

Estimated Enrollment :

240 Patients enrolled

Trial Details

Trial ID

NCT05346861

Start Date

September 15 2021

End Date

October 31 2024

Last Update

April 26 2022

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China, 200032