Overview

A Study Of SIBP-01 Or CN-Trastuzumab Plus Docetaxel And Carboplatin In HER2 Positive Breast Cancer

Status:
Unknown status
Trial end date:
2021-07-30
Target enrollment:
0
Participant gender:
Female
Summary
The study will compare PK, efficacy, safety, and immunogenicity of SIBP-01 (Trastuzumab Biosimilar) in combination with Docetaxel and Carboplatin versus Herceptin® (CN-Trastuzumab) approved in the CN in combination with Docetaxel and Carboplatin in patients with operable HER2 positive, with early or locally advanced HER2-positive breast cancer. The hypothesis to be tested in this study is the tpCR of patients with Cycle 6 of SIBP-01 is similar to CN-approved trastuzumab, using a 90% bilateral confidence interval between 0.74 and 1.5.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Shanghai Institute Of Biological Products
Collaborator:
Fudan University
Treatments:
Carboplatin
Docetaxel
Trastuzumab
Criteria
Inclusion Criteria:

- Those voluntarily signing the informed consent form, understanding the study and
willing to follow all testing procedures;

- Females aged ≥ 18 years and ≤ 75 years (at the date of signing the informed consent
form);

- Patients diagnosed with early (T2-3, N0-1, M0) or locally advanced (T2-3, N2 or N3,
M0) invasive breast cancer histologically;

- Patients with HER2-positive breast cancer: HER2 detection is based on the Chinese
Breast Cancer HER2 Detection Guidelines (2019 Edition), the immunohistochemistry (IHC)
method is used to detect the expression level of HER2 protein, and the in situ
hybridization (ISH) method is used to detect the HER2 gene amplification level. ISH
includes fluorescence in situ hybridization (FISH) and bright-field in situ
hybridization. The common bright-field in situ hybridization method includes
chromogenic in situ hybridization (CISH) and silver-enhanced in situ hybridization
(SISH);The HER2-positive criterion is: IHC detection +++, or IHC++, and further in
situ hybridization confirms that HER2 gene amplification is positive;

- Those planning to receive final surgical resection of breast cancer, i.e.
breast-conserving surgery or total mastectomy, sentinel node (SN) biopsy or axillary
lymph node dissection (ALND);

- Those planning to receive neoadjuvant chemotherapy;

- Those with the maximum primary tumor diameter of > 2cm determined by the standard
evaluation method of study center (MRI);

- Patients with performance status score of 0 or 1 by the US Eastern Cooperative
Oncology Group (ECOG);

- Those with left ventricular ejection fraction (LVEF) of ≥ 55% within 4 weeks prior to
randomized enrollment; 10) Those with suitable organs and hematopoietic functions,
without significant abnormality in the following laboratory examinations:

- Absolute neutrophil count (NEUT#) ≥1.5×109/L;

- Absolute white blood cell count (WBC) ≥ 3.0 × 109/L;

- Platelet ≥90×109/L;

- Hemoglobin ≥90g/L;

- Serum creatinine ≤1.5 x upper limit of normal (ULN);

- AST and ALT values ≤ 1.5 x ULN;

- Serum total bilirubin (TBIL) ≤ 1.5 x ULN;

- International normalized ratio (INR) ≤ 1.5 x ULN, or activated partial
thromboplastin time (APTT) ≤ 1.5 x ULN (except for subjects undergoing
anticoagulation therapy).

(The above laboratory examinations are subject to the normal values of each clinical
research center)

- Female patients without menopause or surgical sterilization: they agree to practice
abstinence or effective contraception during treatment and at least 7 months after the
last administration in the study treatment.

Women at childbearing age who have undergone surgical sterilization (including
hysterectomy, bilateral oophorectomy or total hysterectomy) or have been menopausal
(defined as having no menstruation for more than 12 months without medical reason) are
considered as having no possibility of pregnancy.

Throughout the clinical trial, women with the possibility of pregnancy are willing to
practice medically accepted, effective contraception, including intrauterine contraceptive
device.

Exclusion Criteria:

- Pregnant or lactating women, and patients with positive baseline pregnancy test; women
of childbearing age who do not agree to practice abstinence or effective contraception
during the study period and within 7 months after the last administration;

- Those with a clear history of drug allergy, especially those with prior severe
allergic reaction to macromolecular protein preparation/monoclonal antibody, or to any
of the test drug components (NCI-CTCAE 5.0 greater than grade 3);

- Patients with bilateral breast cancer or inflammatory breast cancer;

- Patients with (metastatic) breast cancer Stage IV;

- Those with a history of congestive heart failure, unstable angina, arrhythmia or
myocardial infarction;

- Those with other invasive tumors (including second primary breast cancer) that might
affect the result evaluation and protocol compliance; however, subjects who are cured
with a disease-free survival of at least 5 years may be enrolled;

- Patients with breast cancer who have previously received chemotherapy, endocrine
therapy, or anti-HER2 biotherapy, or have received breast surgery (except for
diagnostic biopsy of primary breast cancer);

- Those with known, uncontrolled, active bacterial, viral, fungal, mycobacterial,
parasitic or other infections (excluding nail bed fungal infection) or with any
significant systemic infection event that required intravenous antibiotic treatment or
hospitalization (except for neoplastic fever) within 4 weeks prior to enrollment);

- Those with any positive HIV antibody or treponema pallidum antibody;

- Those with active hepatitis B (hepatitis B virus DNA titer is above the lower limit of
normal);

- Those with existing, sudden lung disease, interstitial lung disease, pneumonia or
pulmonary fibrosis, except for local interstitial pneumonia induced by radiotherapy;

- Those with a prior history of drug abuse, alcohol abuse or drug addiction;

- Those with a clear history of neurological or mental disease and with poor compliance,
such as epilepsy and dementia;

- Those with a major surgical operation or infusion of blood or blood components 4 weeks
prior to the clinical trial;

- Those with blood loss or donation of more than 400 ml within the 2 months prior to the
clinical trial;

- Those who have participated in other clinical trials 3 months prior to this clinical
trial;

- Those with reduced possibility of enrollment (e.g. weakness) or non-compliance
tendency during the study period, or with other diseases that might complicate
enrollment as judged by the investigator.