Trial of Neoadjuvant THP vs TCHP for HER2-Amplified/Positive Breast Cancer

ConditionBreast Cancer
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Kansas Medical Center

About this trial

This is a randomized phase II study to evaluate the pathological complete response (pCR) rate with two neoadjuvant regimens (Docetaxel+Carboplatin+Herceptin/Perjeta and Docetaxel+Herceptin/Perjeta) in HER2 amplified/positive early breast cancer.

Eligibility criteria

Qualifiers

Ability of participant OR Legally Authorized Representative (LAR) to understand this study, and participant or LAR willingness to sign a written informed consent

18 years of age or older

Histologically confirmed cT2-T3 N0-N2, cT1 N1-N2, or cTX N1-N2 HER2 positive breast cancer (The invasive tumor must be HER2-positive based on the current ASCO-CAP guidelines; Patients are eligible regardless of estrogen receptor (ER) or progesterone receptor (PR) expression status. However, percentage of both ER and PR positivity must be documented in the pathology report.)

No previous ipsilateral breast surgery for the current breast cancer

Disqualifiers

Current or anticipated use of other investigational agents while participating in this study

Clinically or radiographically detected metastatic disease

Inflammatory breast cancer

Prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the treatment regimen. Note: Patients with squamous cell or basal cell carcinoma of the skin, ductal carcinoma in situ (DCIS) of the breast, or carcinoma in situ (CIS) of the uterine cervix who have undergone definitive therapy are not excluded from participation

Trial design

Treatments tested in this trial

  • Carboplatin
  • Docetaxel
  • Trastuzumab (or biosimilar)
  • Pertuzumab (or biosimilar)

Treatment groups

100 Participants
are divided into 2 treatment groups