About this trial
This is a prospective, randomised, multicenter, no placebo-controlled, open label study for evaluating the efficacy and safety of pyrotinib in women with residual invasive HER2-positive breast cancer after neoadjuvant chemotherapy plus anti-HER2 target therapy. The main purpose is to investigate whether pyrotinib can further reduce the risk of recurrence from previously diagnosed HER-2 positive breast cancer based on the 1-year trastuzumab standard adjuvant treatment with or without pertuzumab.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female, Aged ≥18 and ≤70 years;
Histologically confirmed invasive HER2 positive breast cancer, early disease(Stage ⅡA-Ⅲ) ;
Completed neoadjuvant therapy, including chemotherapy and trastuzumab;
Residual invasive disease was detected pathologically in the surgical specimen of the breast or axillary lymph nodes after completion of neoadjuvant chemotherapy;
Disqualifiers
Metastatic disease (Stage IV) ;
Gross residual disease remaining after mastectomy or positive margins after breast-conserving surgery;
Progressive disease during neoadjuvant therapy;
Subjects that are unable to swallow tablets, or dysfunction of gastrointestinal absorption;
Trial design
Parallel
Treatments tested in this trial
pyrotinib
Drugpyrotinib 400 mg, orally once daily for one year
Treatment groups
Trial outcomes
Primary outcomes
Invasive Disease-free Survival (iDFS)
Invasive disease-free survival time is defined as the time from date of randomization until the first invasive disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.
Secondary outcomes
Disease-free Survival (DFS)
Disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, non-breast primary invasive cancer, ductal carcinoma in situ(DCIS),or distant recurrence and death from any cause
Overall Survival (OS)
Overall survival is defined as the time from randomization to death from any cause.
Sponsors and contacts
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