Status:

RECRUITING

SHR-A1811 Plus Pertuzumab in the Neoadjuvant Treatment of HER2 Positive BC

Lead Sponsor:

Henan Cancer Hospital

Conditions:

Breast Cancer Early Stage Breast Cancer (Stage 1-3)

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

The goal of this clinical trial is to evaluate the efficacy and safety of SHR-A1811 plus pertuzumab in combination with or without albumin-paclitaxel neoadjuvant therapy for early or locally advanced ...

Eligibility Criteria

Inclusion

  • Age: 18-70 years old, ECOG 0-1 point.
  • Clinical T2-T4, with any LN, M0.
  • HER2+, invasive breast cancer confirmed by histopathology;(HER2 positive expression means that there is at least one case of tumor cell immunohistochemical staining intensity of 3+or positive confirmed by fluorescence in situ hybridization \[FISH\] in the pathological test/review of the primary focus conducted by the Pathology Department of the Research Center Hospital).
  • Having clinically measurable lesions: measurable lesions displayed on ultrasound, mammography, or MR (optional) within the first month of randomization.
  • Organ and bone marrow function tests within one month before chemotherapy indicate no contraindications to chemotherapy:Absolute value of neutrophil count ≥ 1.5 × 10\^9/L; Hemoglobin ≥ 90g/L; Platelet count ≥ 100 × 10\^9/L; Total bilirubin≤1.5 ULN (upper limit of normal value); Creatinine≤1.5 × ULN; AST/ALT ≤ 2.5 × ULN.
  • Cardiac ultrasound: Left ventricular ejection fraction (LVEF ≥ 50%).
  • Women of childbearing age tested negative for serum pregnancy test 7 days before randomization.
  • Sign an informed consent form.

Exclusion

  • Stage IV (metastatic) breast cancer.
  • Has received chemotherapy, endocrine therapy, targeted therapy, reflex therapy, etc. for this disease.
  • The patient has a second primary malignant tumor, except for fully treated skin cancer.
  • The patient had undergone major surgical procedures unrelated to breast cancer within 4 weeks before enrollment, or the patient has not fully recovered from such surgical procedures.
  • The presence of uncontrolled cardiovascular and cerebrovascular disease, including (but not limited to) any of the following within the 6 months prior to the first dose: congestive heart failure (NYHA III or IV), myocardial infarction or cerebral infarction, pulmonary embolism, unstable angina, or arrhythmia requiring treatment at the time of screening; Primary cardiomyopathy (e.g., dilated cardiomyopathy, hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, restricted cardiomyopathy, undefined cardiomyopathy); A clinically significant history of prolonged QTc, grade II type II atrioventricular block or grade III atrioventricular block or QTc interphase (F method) \> 470 msec (female); Atrial fibrillation (EHRA grade ≥2b); Unmanageable hypertension, which the investigators judged unsuitable for study participation.
  • Due to serious and uncontrollable other medical diseases, researchers believe that there are contraindications to chemotherapy.
  • Individuals with a known history of allergies to the drug components of this protocol;
  • Having a history of immunodeficiency, including HIV testing positive, or suffering from other acquired or congenital immunodeficiency diseases, or having a history of organ transplantation.

Key Trial Info

Start Date :

April 16 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2030

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT06927180

Start Date

April 16 2025

End Date

December 1 2030

Last Update

June 23 2025

Active Locations (1)

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Henan Cancer Hospital

Zhengzhou, Henan, China