Etude de phase 3, évaluant le trastuzumab deruxtecan (T-DXd) avec ou sans le pertuzumab par rapport à un traitement par taxane, trastuzumab et pertuzumab, chez des patients ayant un cancer du sein métastatique HER2-positif de première intention

Essai clinique

Type : Industriel
Statut : Ouvert
Phase : III
Date d'ouverture : 26/04/2021
Date clôture : 30/12/2029
Promoteur : AstraZeneca
Progression du cancer: Loco-régional et à distance
Résumé :

Eligible participants will be those diagnosed with HER2-positive (IHC 3+ or ISH+), metastatic breast cancer, who have received no prior chemotherapy or HER2-targeted therapy for advanced or metastatic breast cancer.

The study aims to evaluate the efficacy, and safety of trastuzumab deruxtecan, alone or with pertuzumab compared with the standard of care treatment (taxane [docetaxel or paclitaxel], trastuzumab and pertuzumab). This study aims to see if trastuzumab deruxtecan allows patients to live longer without the cancer getting worse, or simply to live longer, compared to patients receiving standard of care chemotherapy. This study is also looking to see how the treatment and the cancer affects patients' quality of life.

Domaines/spécialités :
  • Cancer du sein
Biomarqueurs :
  • HER2
Pathologies :
  • Tumeur maligne du sein - Cim10 : C50
Liens externes :

Critères de population

Sexe : Homme et femme
Age minimum : 18 ans
Age maximum : 130
Critères d’inclusion :
  • Patients must be ≥18 years of age

  • Pathologically documented breast cancer that:

    1. is advanced or metastatic
    2. is locally assessed and prospectively centrally confirmed as HER2-positive (IHC3+ or ISH+)
    3. is documented by local testing as hormone receptor (HR)-positive or HR-negative disease in the metastatic setting
  • No prior chemotherapy or HER2-targeted therapy for advanced or metastatic breast cancer or only 1 previous line of endocrine therapy in the metastatic setting. Participants who have received chemotherapy or HER2-targeted therapy in the neo-adjuvant or adjuvant setting are eligible if > 6 months from treatment to metastatic diagnosis.
  • Has protocol-defined adequate organ and bone marrow function
Critères d’exclusion :
  • Ineligible for any of the agents on the study.
  • Any substance abuse or other medical conditions that, in the investigator's opinion, may interfere with subject's participation or study results
  • Patients with spinal cord compression or clinically active central nervous system metastases. Participants with clinically inactive brain metastases or treated brain metastases that are no longer symptomatic may be included in the study.
  • Active or prior documented interstitial lung disease (ILD)/pneumonitis or suspected ILD/pneumonitis that cannot be ruled out by imaging at screening
  • Prior randomization or treatment in a previous trastuzumab deruxtecan study regardless of treatment arm assignment

Centres d'investigation

En cours
Nom : CHU de Besançon
Ville : BESANÇON (25)
RESPONSABLE MÉDICAL
Aucun responsable médical renseigné
CONTACT TECHNIQUE
Nom : BERTHOD
Prénom : Diane
Téléphone : 03 70 63 24 03
Email : dberthod@chu-besancon.fr
Terminée
Nom : Institut de Cancérologie de Lorraine - ICL
Ville : VANDOEUVRE-LES-NANCY (54)
RESPONSABLE MÉDICAL
Aucun responsable médical renseigné
CONTACT TECHNIQUE
Aucun contact technique renseigné

Référentiels Oncologik

Aucun référentiel n'est lié à cet essai.