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    Clinical Trial Results:
    A double-blinded extension study to provide adjuvant treatment with single agent Herceptin® or TX05 and assess continued safety and immunogenicity in subjects with HER2-positive early breast cancer following neoadjuvant treatment and surgical resection in Protocol TX05-03

    Summary
    EudraCT number
    2018-000236-97
    Trial protocol
    HU   BG  
    Global end of trial date
    25 Dec 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Oct 2022
    First version publication date
    21 Oct 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    TX05-03E
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04109391
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Tanvex Biologics Corporation
    Sponsor organisation address
    2030 Main Street, Suite 1050, CA 96214, Irvine, United States,
    Public contact
    Jennifer Lai, Tanvex Biologics Corp., Tanvex Biologics Corporation, +1 949-483-8507, jennifer.lai@tanvex.com
    Scientific contact
    Jennifer Lai, Tanvex Biologics Corp., Tanvex Biologics Corporation, +1 949-483-8507, jennifer.lai@tanvex.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    25 Dec 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 Dec 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Dec 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    • To collect safety, tolerability, and immunogenicity data for single agent Herceptin or TX05 in the adjuvant setting in subjects with early HER2-positive breast cancer who completed neoadjuvant treatment and primary resection in Protocol TX05-03. • To collect safety, tolerability, and immunogenicity data following a single transition from neoadjuvant Herceptin to adjuvant TX05 in this population. • To collect disease-free survival (DFS) and overall survival (OS) data in this population.
    Protection of trial subjects
    Independent Ethics Committee or Institutional Review Board Written approval of the protocol, the final informed consent document, relevant supporting material and subject recruitment information was obtained from the independent ethics committee (IEC)/institutional review board (IRB) of each site prior to study initiation. Ethical Conduct of the Study The Sponsor or designee implemented and maintained quality control and quality assurance procedures with written standard operating procedures (SOPs) to ensure that the study was conducted and data were generated, documented and reported in compliance with the protocol, International Council for Harmonisation (ICH) Good Clinical Practice (GCP), and applicable regulatory requirements. This study was conducted in accordance with the provisions of the Declaration of Helsinki (October 1996) and all revisions thereof, and in accordance with Food and Drug Administration (FDA) regulations (code of federal regulations [CFR], Sections 312.50 and 312.56) and with ICH GCP (CPMP 135/95). Subject Information and Consent Informed consent was obtained from each subject before the subject was admitted to the study. The investigator was not to undertake any investigation specifically required for the clinical study until valid consent had been obtained. The consent form, with the date and time of day when it was signed, was to be retained by the investigator as part of the study records. A copy of the signed informed consent form was given to the subject.
    Background therapy
    Concomitant medications administered for any reason were locally-approved and doses used and regimens were considered standard of care for the treated indication. Medications and (non-drug treatments) were monitored continuously by the investigator. Treatment for co-morbidities, disease signs and symptoms and treatment-emergent adverse events (TEAEs) were provided as necessary in the judgment of the investigator. Supportive care included premedication with antiemetics to limit study drug-related nausea and vomiting. Subjects could receive prophylaxis of treatment-induced diarrhea. Anti-inflammatory or narcotic analgesics were offered as needed. Prophylactic use of hematopoietic growth factors to support neutrophil or platelet counts according to local standard of care was permitted during this study. Subjects who entered the study on stable doses of erythropoietin or darbepoietin could continue this treatment, and subjects could start either drug during the study at the discretion of the investigator. Subjects with neutropenic fever or infection were treated promptly and could receive therapeutic colony-stimulating factors if appropriate. Packed red blood cell and platelet transfusions were administered as clinically indicated. All concomitant medications and treatments were to be recorded in the subject’s source documents and entered into the eCRF, available during study monitor visits, and included in SAE reports. Surgery during study participation to manage breast cancer lesions other than definitive surgery for the targeted tumor lesion post-neoadjuvant therapy was discouraged unless medically necessary in the judgment of the investigator. In this case, the subject was to be discontinued from the study prior to the surgical procedure. In such cases, the EOS/ET Visit was to be completed. No other investigational drug was to be used during treatment on this protocol, and concurrent participation in another clinical study was not allowed.
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Aug 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belarus: 15
    Country: Number of subjects enrolled
    Chile: 7
    Country: Number of subjects enrolled
    Georgia: 16
    Country: Number of subjects enrolled
    India: 41
    Country: Number of subjects enrolled
    Mexico: 14
    Country: Number of subjects enrolled
    Peru: 26
    Country: Number of subjects enrolled
    Philippines: 9
    Country: Number of subjects enrolled
    Russian Federation: 139
    Country: Number of subjects enrolled
    Ukraine: 70
    Country: Number of subjects enrolled
    Hungary: 1
    Worldwide total number of subjects
    338
    EEA total number of subjects
    1
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    266
    From 65 to 84 years
    72
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Females ≥ 18 years of age Completed neoadjuvant treatment (regardless of treatment arm) in the TX05/ Herceptin neoadjuvant study. Successfully underwent surgical resection of their primary tumor with no evidence of residual disease (as determined by local assessment) and no other adjuvant therapy, other than trastuzumab, was planned.

    Pre-assignment
    Screening details
    A CT scan or MRI (only if CT scan cannot be performed) of the chest, abdomen, and pelvis was required at Screening for all subjects. Depending on the adequacy for evaluation of disease, a combination of CT without contrast had to most often be used. Final tumor assessment at the EOS/ET Visit included repeat CT scan or MRI.

    Pre-assignment period milestones
    Number of subjects started
    344 [1]
    Number of subjects completed
    338

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Screening failure: 5
    Reason: Number of subjects
    Not assigned: 1
    Notes
    [1] - The number of subjects reported to have started the pre-assignment period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: In total, 344 subjects were screened, of which 6 subjects were considered screen failures. All of the 338 randomized subjects initiated protocol treatment. Of those subjects who initiated protocol treatment, 175 subjects received TX05 only, 82 subjects received Herceptin only and 81 subjects transitioned from Herceptin to TX05.
    Period 1
    Period 1 title
    Treatment Period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Investigator, Subject

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    TX05 only
    Arm description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent TX05 for up to 13 treatment cycles.
    Arm type
    Experimental

    Investigational medicinal product name
    TX05
    Investigational medicinal product code
    TX05
    Other name
    Pharmaceutical forms
    Injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    TX05 8 mg/kg body weight was administered by 60-minute IV infusion on Day 1 of treatment Cycle 1 and thereafter 6 mg/kg body weight every 3 weeks until Cycle 13.

    Arm title
    Herceptin Only
    Arm description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent Herceptin for up to 13 treatment cycles.
    Arm type
    Active comparator

    Investigational medicinal product name
    Herceptin
    Investigational medicinal product code
    Herceptin
    Other name
    Pharmaceutical forms
    Injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Herceptin 8 mg/kg body weight was administered by 60-minute IV infusion on Day 1 of treatment Cycle 1 and thereafter 6 mg/kg body weight every 3 weeks until Cycle 13.

    Arm title
    Herceptin/TX05 Transition
    Arm description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent Herceptin or TX05 for up to 13 treatment cycles. 81 subjects transitioned from Herceptin to TX05.
    Arm type
    Experimental

    Investigational medicinal product name
    TX05 or Herceptin
    Investigational medicinal product code
    TX05
    Other name
    Pharmaceutical forms
    Injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    TX05 8 mg/kg body weight was administered by 60-minute IV infusion on Day 1 of treatment Cycle 1 and thereafter 6 mg/kg body weight every 3 weeks until Cycle 13.

    Number of subjects in period 1
    TX05 only Herceptin Only Herceptin/TX05 Transition
    Started
    175
    82
    81
    Completed
    165
    77
    77
    Not completed
    10
    5
    4
         Consent withdrawn by subject
    2
    -
    -
         Adverse event, non-fatal
    2
    2
    -
         Not specified
    3
    1
    -
         Pregnancy
    1
    -
    -
         Lost to follow-up
    -
    -
    1
         Disease Progression
    2
    2
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment Period
    Reporting group description
    -

    Reporting group values
    Treatment Period Total
    Number of subjects
    338 338
    Age categorical
    TX05 only = 130 subjects (age in between 18 to 64) Herceptin only = 70 subjects (age in between 18 to 64) Herceptin/TX05 Transition = 66 subjects (age in between 18 to 64) TX05 only = 45 subject (age in between 65 to 84) Herceptin only = 12 subjects (age in between 65 to 84) Herceptin/TX05 Transition = 15 subjects (age in between 65 to 84)
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    266 266
        From 65-84 years
    72 72
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    54.6 ± 10.95 -
    Gender categorical
    Units: Subjects
        Female
    338 338
        Male
    0 0
    Subject analysis sets

    Subject analysis set title
    Safety Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety analysis was carried with the safety population according to the treatment they actually received.

    Subject analysis sets values
    Safety Population
    Number of subjects
    338
    Age categorical
    TX05 only = 130 subjects (age in between 18 to 64) Herceptin only = 70 subjects (age in between 18 to 64) Herceptin/TX05 Transition = 66 subjects (age in between 18 to 64) TX05 only = 45 subject (age in between 65 to 84) Herceptin only = 12 subjects (age in between 65 to 84) Herceptin/TX05 Transition = 15 subjects (age in between 65 to 84)
    Units: Subjects
        In utero
        Preterm newborn infants (gestational age < 37 wks)
        Newborns (0-27 days)
        Infants and toddlers (28 days-23 months)
        Children (2-11 years)
        Adolescents (12-17 years)
        Adults (18-64 years)
    266
        From 65-84 years
    72
        85 years and over
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    54.6 ± 10.95
    Gender categorical
    Units: Subjects
        Female
    338
        Male
    0

    End points

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    End points reporting groups
    Reporting group title
    TX05 only
    Reporting group description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent TX05 for up to 13 treatment cycles.

    Reporting group title
    Herceptin Only
    Reporting group description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent Herceptin for up to 13 treatment cycles.

    Reporting group title
    Herceptin/TX05 Transition
    Reporting group description
    This is an extension study for subjects who were treated in the prior TX05/Herceptin neoadjuvant study (Protocol TX05-03) and successfully underwent surgical resection. Subjects were randomized to receive adjuvant treatment with single agent Herceptin or TX05 for up to 13 treatment cycles. 81 subjects transitioned from Herceptin to TX05.

    Subject analysis set title
    Safety Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety analysis was carried with the safety population according to the treatment they actually received.

    Primary: Disease-Free Survival (DFS)

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    End point title
    Disease-Free Survival (DFS) [1]
    End point description
    Recurrence of Breast Cancer or a Diagnosis of a second primary cancer. NOTE: This is an extension trial and had no formal primary endpoint. The parameter (DFS) was regarded as of highest clinical relevance.
    End point type
    Primary
    End point timeframe
    Time from randomization in the neoadjuvant study TX05-03 to the documentation of a first failure, where a failure is the recurrence of breast cancer, a diagnosis of a second primary cancer.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This extension trial had no formal primary endpoint. No statistical analysis were performed for this end point.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of events
    6
    5
    3
    14
    No statistical analyses for this end point

    Other pre-specified: Overall Survival (OS)

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    End point title
    Overall Survival (OS)
    End point description
    Overall survival.
    End point type
    Other pre-specified
    End point timeframe
    From randomization in the neoadjuvant study until death from any cause.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of events
    0
    0
    1
    1
    No statistical analyses for this end point

    Other pre-specified: Incidence of treatment-emergent adverse events (TEAEs)

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    End point title
    Incidence of treatment-emergent adverse events (TEAEs)
    End point description
    Treatment emergent adverse event is defined as any AEs newly occurring on or after the first dose of study drug of study TX05-03E or severity becomes worse on or after the first dose of study drug of the study TX05-03E.
    End point type
    Other pre-specified
    End point timeframe
    From Day 1 of Cycle 1 of study treatment to EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    93
    46
    30
    169
    No statistical analyses for this end point

    Other pre-specified: Incidence of study drug related TEAEs

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    End point title
    Incidence of study drug related TEAEs
    End point description
    Treatment emergent adverse event is defined as any AEs newly occurring on or after the first dose of study drug of study TX05-03E or severity becomes worse on or after the first dose of study drug of the study TX05-03E.
    End point type
    Other pre-specified
    End point timeframe
    From Day 1 of Cycle 1 of study treatment to EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    36
    20
    9
    65
    No statistical analyses for this end point

    Other pre-specified: Incidence of serious AEs

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    End point title
    Incidence of serious AEs
    End point description
    Treatment emergent adverse event is defined as any AEs newly occurring on or after the first dose of study drug of study TX05-03E or severity becomes worse on or after the first dose of study drug of the study TX05-03E.
    End point type
    Other pre-specified
    End point timeframe
    From Day 1 of Cycle 1 of study treatment to EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    4
    3
    2
    9
    No statistical analyses for this end point

    Other pre-specified: Incidence of study drug related SAEs

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    End point title
    Incidence of study drug related SAEs
    End point description
    Treatment emergent adverse event is defined as any AEs newly occurring on or after the first dose of study drug of study TX05-03E or severity becomes worse on or after the first dose of study drug of the study TX05-03E.
    End point type
    Other pre-specified
    End point timeframe
    From Day 1 of Cycle 1 of study treatment to EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    0
    0
    0
    0
    No statistical analyses for this end point

    Other pre-specified: Incidence of anti-drug antibodies (ADA)

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    End point title
    Incidence of anti-drug antibodies (ADA)
    End point description
    Subjects with positive ADA.
    End point type
    Other pre-specified
    End point timeframe
    From prior to initiation of infusion of study drug at Cycle 6 week 15.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    1
    1
    4
    6
    No statistical analyses for this end point

    Other pre-specified: Incidence of anti-drug antibodies (ADA)

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    End point title
    Incidence of anti-drug antibodies (ADA)
    End point description
    Subjects with positive ADA
    End point type
    Other pre-specified
    End point timeframe
    From prior to initiation of infusion of study drug at EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    4
    1
    2
    7
    No statistical analyses for this end point

    Other pre-specified: Incidence of neutralizing antibodies (Nab)

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    End point title
    Incidence of neutralizing antibodies (Nab)
    End point description
    Subjects with positive Nab.
    End point type
    Other pre-specified
    End point timeframe
    From prior to initiation of infusion of study drug at Cycle 6 week 15.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    0
    0
    0
    0
    No statistical analyses for this end point

    Other pre-specified: Incidence of neutralizing antibodies (Nab)

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    End point title
    Incidence of neutralizing antibodies (Nab)
    End point description
    Subjects with positive Nab.
    End point type
    Other pre-specified
    End point timeframe
    From prior to initiation of infusion of study drug at EOS/ET week 45.
    End point values
    TX05 only Herceptin Only Herceptin/TX05 Transition Safety Population
    Number of subjects analysed
    175
    82
    81
    338
    Units: Number of subjects
    0
    0
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From Day 1 of Cycle 1 of study treatment to EOS/ET week 45.
    Adverse event reporting additional description
    Treatment emergent adverse event is defined as any AEs newly occurring on or after the first dose of study drug of study TX05-03E or severity becomes worse on or after the first dose of study drug of the study TX05-03E.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Safety population TX05
    Reporting group description
    Patients on TX05

    Reporting group title
    Safety population Herceptin
    Reporting group description
    Patient on Herceptin

    Reporting group title
    Safety population Herceptin/ TX05 Transition
    Reporting group description
    Patients on Herceptin in main study and randomized to TX05 at the beginning of the extension period.

    Serious adverse events
    Safety population TX05 Safety population Herceptin Safety population Herceptin/ TX05 Transition
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 175 (2.29%)
    3 / 82 (3.66%)
    2 / 81 (2.47%)
         number of deaths (all causes)
    0
    0
    1
         number of deaths resulting from adverse events
    0
    0
    0
    Injury, poisoning and procedural complications
    Femoral neck fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 82 (1.22%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Ischaemic stroke
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 82 (0.00%)
    1 / 81 (1.23%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatic failure
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 82 (0.00%)
    1 / 81 (1.23%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 82 (0.00%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Renal colic
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 82 (1.22%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 82 (0.00%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    COVID-19
         subjects affected / exposed
    2 / 175 (1.14%)
    0 / 82 (0.00%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19 pneumonia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 82 (1.22%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 82 (1.22%)
    0 / 81 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety population TX05 Safety population Herceptin Safety population Herceptin/ TX05 Transition
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    49 / 175 (28.00%)
    15 / 82 (18.29%)
    15 / 81 (18.52%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    10 / 175 (5.71%)
    2 / 82 (2.44%)
    1 / 81 (1.23%)
         occurrences all number
    11
    6
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    9 / 175 (5.14%)
    1 / 82 (1.22%)
    3 / 81 (3.70%)
         occurrences all number
    10
    3
    3
    Injury, poisoning and procedural complications
    Radiation skin injury
         subjects affected / exposed
    13 / 175 (7.43%)
    5 / 82 (6.10%)
    0 / 81 (0.00%)
         occurrences all number
    13
    5
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    9 / 175 (5.14%)
    5 / 82 (6.10%)
    3 / 81 (3.70%)
         occurrences all number
    13
    8
    4
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    10 / 175 (5.71%)
    4 / 82 (4.88%)
    3 / 81 (3.70%)
         occurrences all number
    12
    4
    4
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    14 / 175 (8.00%)
    1 / 82 (1.22%)
    0 / 81 (0.00%)
         occurrences all number
    25
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    7 / 175 (4.00%)
    5 / 82 (6.10%)
    2 / 81 (2.47%)
         occurrences all number
    8
    5
    2
    Infections and infestations
    Respiratory tract infection
         subjects affected / exposed
    6 / 175 (3.43%)
    2 / 82 (2.44%)
    5 / 81 (6.17%)
         occurrences all number
    6
    2
    5

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Not applicable
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