E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
HER2 Positive Early Breast Cancer |
Cáncer de mama precoz HER2 positivo. |
|
E.1.1.1 | Medical condition in easily understood language |
HER2 Positive Early Breast Cancer |
Cáncer de mama precoz HER2 positivo. |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065430 |
E.1.2 | Term | HER-2 positive breast cancer |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To compare the treatment effect of ABP 980 with trastuzumab on pathologic complete response (pCR) in women with early breast cancer |
Comparar el efecto del tratamiento de ABP 980 con trastuzumab en la pCR en mujeres con cáncer de mama incipiente HER2 positivo. |
|
E.2.2 | Secondary objectives of the trial |
To assess the safety, tolerability, and immunogenicity of ABP 980 compared with trastuzumab |
Evaluar la seguridad, tolerabilidad e inmunogenicidad de ABP 980 en comparación con trastuzumab. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
. Females ?18 years of age . Histologically confirmed invasive breast cancer . Planning for surgical resection of breast tumor and sentinel node (SN) or axillary lymph node resection . Planning neoadjuvant chemotherapy HER2 positive disease defined as: . 3+ overexpression by immunohistochemistry (IHC) or . HER2 amplification by fluorescence in situ hybridization (FISH) . Measurable disease (assessment method used in order of priority: ultrasound, mammography, MRI, or physical examination) in the breast after diagnostic biopsy, defined as longest diameter ? 2.0 cm . Known ER and PR hormone receptor status at study entry . Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 . Left ventricular ejection fraction (LVEF) of ? 55% by 2D echocardiogram . Normal bone marrow function as defined by: . absolute neutrophil count (ANC) > 1.5 x 10^9 g/dL (1,500/µL); . platelets > 100 x 10^9 g/dL (100,000/µL); . hemoglobin > 10.0 g/dL.
. Normal hepatic function as defined by: total bilirubin within normal institutional limits; aspartate aminotransferase (AST) and alanine aminotransferase (ALT); < 2.5 × the upper limit of normal (ULN); subjects with an elevated unconjugated bilirubin (Gilbert's syndrome) will be eligible if hepatic enzymes and function are otherwise within normal limits (ie, AST, ALT, and Alkaline Phosphatase are within normal limits), and there is no evidence of hemolysis. . Normal renal function as defined by creatinine < 1.5 × ULN or estimated creatinine clearance (CrCl) ? 50 mL/min calculated by the Cockcroft-Gault method . Subjects must sign an IRB/EC-approved informed consent form before any study specific procedures |
. Mujeres ?18 años de edad . Cáncer de mama invasivo confirmado histológicamente . Planificación de resección quirúrgica del tumor de mama y el ganglio centinela (GC) o resección de los ganglios linfáticos axilares . Planificación de quimioterapia neoadyuvante . Enfermedad HER2 positiva definido como: . sobreexpresión 3+ por inmunohistoquímica (IHC); o . amplificación HER2 por hibridación fluorescente in situ (FISH). . Enfermedad medible (método de evaluación utilizado en orden de prioridad: ecografía, mamografía, RM o exploración física) en la mama después de biopsia diagnóstica, definida como diámetro más largo ?2,0 cm . Estado de los receptores hormonales ER y PR conocido en la incorporación al estudio . Estado funcional del Grupo de Colaboración Oncológico del Este (ECOG) de 0 o 1 . Fracción de eyección ventricular izquierda (FEVI) de ? 55 % por ecocardiograma 2D . Función normal de la médula ósea definida por: . recuento absoluto de neutrófilos (RAN) > 1,5 x 109 g/dl (1500/µl); . plaquetas > 100 x 109 g/dl (100.000/µl); . hemoglobina > 10,0 g/dl. . Función hepática normal definida por: . bilirrubina total dentro de los límites institucionales normales; . aspartato aminotransferasa (AST) y alanina aminotransferasa (ALT); < 2,5 × el límite superior de la normalidad (LSN); . las pacientes con bilirrubina sin conjugar elevada (síndrome de Gilbert) reunirán los requisitos si las enzimas y la función hepática están por lo demás dentro de los límites normales (es decir, AST, ALT y la fosfatasa alcalina están dentro de los límites normales), y no hay evidencia de hemólisis. . Función renal normal definida por creatinina < 1,5 × LSN o aclaramiento de creatinina estimado (CrCl) ? 50 ml/min calculado mediante el método Cockcroft-Gault . Las pacientes deben firmar un formulario de consentimiento informado aprobado por el CEIC antes de que se realice ningún procedimiento específico del estudio |
|
E.4 | Principal exclusion criteria |
Bilateral breast cancer
Presence of known metastases
Received prior treatment, including chemotherapy, biologic therapy, radiation or surgery with the exception of diagnostic biopsy for primary breast cancer
Other concomitant active malignancy or history of malignancy in the past 5 years except treated basal cell carcinoma of the skin or carcinoma in situ of the cervix
Pre-existing clinically significant (?grade 2) peripheral neuropathy
Any history of documented or current congestive heart failure, current high-risk uncontrolled arrhythmias, current angina pectoris requiring a medicinal product, current clinically significant valvular disease, current evidence of transmural infarction on electrocardiogram (ECG), or current poorly controlled hypertension
Severe dyspnea at rest requiring supplementary oxygen therapy
History of positivity for hepatitis B surface antigen, hepatitis C virus, or HIV
Recent infection requiring a course of systemic anti-infectives that were completed ?14 days before enrollment (with the exception of uncomplicated urinary tract infection)
Woman of childbearing potential who is pregnant or is breast feeding
Woman of childbearing potential who is not consenting to use highly effective methods of birth control (eg, abstinence, sterilization, birth control pills, Depo-Provera injections, or contraceptive implants) during treatment and for an additional 4 months after the last administration of the protocol specified treatment
Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study
Other investigational procedures while participating in this study are excluded
Subject has known sensitivity to any of the products to be administered during the study, including mammalian cell derived drug products, trastuzumab, murine proteins, or to any of the excipients
Subject previously has enrolled and/or has been randomized in this study
Subject likely to not be available to complete all protocol required study visits or procedures
History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the Investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion |
. Cáncer de mama bilateral . Presencia de metástasis conocida . Tratamiento previo recibido, incluidos quimioterapia, terapia biológica, radiación o cirugía con la excepción de la biopsia diagnóstica de cáncer de mama primario . Otra neoplasia maligna activa concomitante o antecedentes de neoplasia maligna en los últimos 5 años salvo carcinoma de células basales de la piel tratado o carcinoma in situ del cuello uterino . Neuropatía periférica clínicamente significativa (? grado 2) preexistente . Cualquier antecedente de insuficiencia cardíaca congestiva actual, arritmias no controladas de alto riesgo actuales, angina de pecho actual que requiera un producto médico, valvulopatía clínicamente significativa actual, evidencia actual de infarto transparietal en electrocardiograma (ECG) o hipertensión actual deficientemente controlada . Disnea grave en reposo que requiera tratamiento con oxígeno complementario . Antecedentes de resultados positivos para el antígeno superficial de la hepatitis B, el virus de la hepatitis C o el VIH . Infección reciente que requiriese un curso completo de antiinfecciosos que se terminase ?14 días antes de la inscripción (con la excepción de infección urinaria no complicada) . Mujeres con capacidad para procrear que estén embarazadas o amamantando . Mujeres con capacidad para procrear que no acepten utilizar métodos anticonceptivos de alta eficacia (p. ej., abstinencia, esterilización, píldoras anticonceptivas, inyecciones de Depo-Provera o implantes anticonceptivos) durante el tratamiento y durante 4 meses adicionales después de la última administración del tratamiento especificado en el protocolo . Que reciban actualmente tratamiento en otro estudio de un fármaco o dispositivo en investigación, o menos de 30 días desde el fin del tratamiento con otro fármaco o dispositivo en investigación . Se excluyen otros procedimientos en investigación mientras participe en este estudio . Paciente que tenga sensibilidad conocida a cualquiera de los productos a administrar durante el estudio, incluidos productos farmacológicos derivados de células mamarias, trastuzumab, proteínas murinas o cualquiera de los excipientes . Paciente previamente inscrita y/o aleatorizada en este estudio . Paciente que probablemente no esté disponible para completar todos los procedimientos o visitas del estudio exigidas por el protocolo . Antecedentes o evidencia de cualquier otro trastorno, afección o enfermedad clínicamente significativos (con la excepción de aquellos descritos anteriormente) que, en opinión del investigador o médico de Amgen, si es consultado, pondría en riesgo la seguridad de la paciente o interferiría con la evaluación, procedimientos o finalización del estudio |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Risk ratio (RR) of the incidence of pathologic complete response (pCR) in breast tissue and axillary lymph nodes |
Coeficiente de riesgo (CR) de la incidencia de respuesta patológica completa (pCR) en el tejido mamario y los ganglios linfáticos axilares |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Visit 10 (Initiation of investigational product adjuvant therapy cycle 1): Subjects will undergo a lumpectomy or mastectomy with sentinel node or axillary node dissection. Surgery is expected to be scheduled within 3 to 7 weeks after the last dose of investigational product in the neoadjuvant phase and pCR will be analyzed. |
Visita 10 (inicio del ciclo 1 de tratamiento adyuvante del producto en investigación) Las pacientes se someterán a una mastectomía parcial o a una mastectomía total con disección del ganglio centinela o los ganglios axilares. Se espera que la cirugía se programe a lo largo de las 3 a 7 semanas después de la última dosis del producto en investigación en la fase neoadyuvante y la PCR sea analyzada. |
|
E.5.2 | Secondary end point(s) |
Risk ratio (RR) of pCR in breast tissue
Risk ratio (RR) of pCR in breast tissue and axillary lymph nodes and absence of Ductal Carcinoma in Situ (DCIS) |
Coeficiente de riesgo (CR) de la PCR en el tejido de la mama.
Coeficiente de riesgo (CR) de la PCR en tejido de la mama y los nodos linfáticos auxiliares y ausencia de Carcinoma Ductal in Situ (DCIS). |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Visit 10 (Initiation of investigational product adjuvant therapy cycle 1): Subjects will undergo a lumpectomy or mastectomy with SN or axillary node dissection. Surgery is expected to be scheduled within 3 to 7 weeks after the last dose of investigational product in the neoadjuvant phase Pathology of tumor sample and pCR will then be analyzed. |
Visita 10 (inicio del ciclo 1 de tratamiento adyuvante del producto en investigación) Las pacientes se someterán a una mastectomía parcial o a una mastectomía total con disección del ganglio centinela o los ganglios axilares. Se espera que la cirugía se programe a lo largo de las 3 a 7 semanas después de la última dosis del producto en investigación en la fase neoadyuvante y la PCR sea analyzada. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
ADA - anti-drug antibody testing is being performed |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 54 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Belarus |
Brazil |
Bulgaria |
Canada |
Czech Republic |
Germany |
Greece |
Hungary |
Italy |
Mexico |
Peru |
Poland |
Romania |
Russian Federation |
Serbia |
Slovakia |
South Africa |
Spain |
Ukraine |
United Kingdom |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of study (end of trial) will be the date when the last subject has their last study assessment |
El final del estudio (fin del ensayo) será la fecha en que la última paciente reciba su última evaluación del estudio. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |