Status:

RECRUITING

The Efficacy and Safety of Pyrotinib, Trastuzumab Combined With Taxanes in the Treatment of Trastuzumab-treated HER2+ Advanced Breast Cancer (ABC).

Lead Sponsor:

Hebei Medical University Fourth Hospital

Conditions:

HER2-positive Breast Cancer

Advanced Breast Cancer

Eligibility:

FEMALE

18-70 years

Phase:

PHASE4

Brief Summary

This is a multi-center real-world study, in which patients who meet the inclusion criteria will receive treatment with Pyrotinib + Trastuzumab + Taxanes. Taxanes will be used for 6-8 cycles or discont...

Eligibility Criteria

Inclusion

  • Age: 18-70 years old, female;
  • Pathological examination confirmed HER-2 positive invasive breast cancer; (HER2 positivity is defined as an immunohistochemical (IHC) score of 3+ or in-situ hybridization (ISH) result for HER2 gene amplification in \>10% of immunoreactive cells.
  • HER2 positivity needs to be verified by the pathology department of the research center involved in this study)
  • Imaging confirmed recurrent/metastatic breast cancer;
  • Patients who relapsed and metastasized three months after discontinuation of Trastuzumab treatment;
  • Have at least one measurable lesion (according to RECIST 1.1 criteria);
  • ECOG score of 0-2;
  • Expected life span ≥3 months;
  • Normal major organ function;
  • The researcher believes that the participant may benefit;
  • Volunteer to participate in this study, sign informed consent.

Exclusion

  • Patients who meet any of the following criteria are not eligible for participation:
  • Have any confirmed history of drug allergies, or severe allergic reactions to any component of the investigational drug (NCI-CTCAE 5.0 grade \> 3);
  • Patients in advanced stages who have undergone systemic treatment;
  • A history of serious heart diseases such as congestive heart failure, unstable angina, arrhythmia or myocardial infarction;
  • Suffer from serious pulmonary diseases, such as interstitial lung disease or pneumonia, pulmonary fibrosis, acute pulmonary diseases, etc.;
  • Currently suffering from severe liver-related diseases, such as acute hepatitis, explosive hepatitis, coagulation factor synthesis disorder, etc.; Those who are positive for HBV surface antigen or HBV core antibody must have a peripheral blood Hepatitis B virus DNA titer test \< 1×10 \^3 IU/ml in order to participate;
  • Comorbidity or condition that may interfere with their participation in the study, or any serious medical impediment that might affect participant's safety (such as, active or uncontrolled infection, active liver/gallbladder disease requiring antiviral treatment);
  • Other invasive tumors (including second primary breast cancer) that may affect the evaluation of results and adherence to the protocol;
  • Having undergone major surgical procedure or are yet to recover from major internal diseases within the 4 weeks prior to the study;
  • Any circumstance that the researcher considers the participant unfit to participate in the study.

Key Trial Info

Start Date :

January 2 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2027

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06217185

Start Date

January 2 2024

End Date

June 30 2027

Last Update

February 28 2024

Active Locations (1)

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1

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China, 050000