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NCT00545688 · OUTCOME

Progression Free and Disease Free Survival

A Study of Pertuzumab in Combination With Herceptin in Patients With HER2 Positive Breast Cancer. · Source last updated 2017-08-15

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
percentage of participants
Interval / dispersion
80% Confidence Interval
Time frame
Randomization up to a maximum of 329 weeks

What was measured

DFS was defined as the time from the first date of no disease (date of surgery) to the first documentation of PD or death. Participants without progression after surgery were considered Disease Free. Any evidence of contralateral disease in-situ was not considered as PD. PFS was defined as the time from the date of randomization to the first documentation of PD or death. Any evidence of contralateral disease in-situ was not considered as PD. DFS and PFS were determined using Kaplan-Meier estimates.

Analysis population: ITT Population; Analysis was performed according to initial randomization.

Groups in this outcome

Trastuzumab+Docetaxel

Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg on Day 1 of Cycles 2-4 and docetaxel IV infusion at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 17.

Trastuzumab+Pertuzumab+Docetaxel

Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg and pertuzumab IV infusion at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg trastuzumab and 420 mg pertuzumab on Day 1 of Cycles 2-4. Docetaxel IV infusion was administered at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 17.

Trastuzumab+Pertuzumab

Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg and pertuzumab IV infusion at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg trastuzumab and 420 mg pertuzumab on Day 1 of Cycles 2-4. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by docetaxel 75 mg/m\^2 IV on Day 1 of Cycle 5 followed by docetaxel 100 mg/m\^2 for three cycles (Cycles 6-8) if no dose-limiting toxicity occurred. For Cycles 9 to 11, participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles. Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 12 until Cycle 17.

Pertuzumab+Docetaxel

Neoadjuvant (Pre-Operative) Treatment: Participants received pertuzumab IV at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 420 mg on Day 1 of Cycles 2-4. Docetaxel IV infusion was administered at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 21.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Trastuzumab+Docetaxel107
Trastuzumab+Pertuzumab+Docetaxel107
Trastuzumab+Pertuzumab107
Pertuzumab+Docetaxel96

Reported measurements

PFS
Values in percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Trastuzumab+DocetaxelNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
Trastuzumab+Pertuzumab+Docetaxel71.0Not reported71.076.0Not reported
Trastuzumab+PertuzumabNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
Pertuzumab+DocetaxelNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
DFS
Values in percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Trastuzumab+DocetaxelNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
Trastuzumab+Pertuzumab+Docetaxel67.2Not reported67.072.0Not reported
Trastuzumab+PertuzumabNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
Pertuzumab+DocetaxelNANot reportedNANAMedian and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.34
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.40
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.2983
    param Type
    Hazard Ratio (HR)
    param Value
    0.69
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    0.68
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.30
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.4722
    param Type
    Hazard Ratio (HR)
    param Value
    1.25
    statistical Method
    Cochran-Mantel-Haenszel
  3. ci Lower Limit
    1.07
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.93
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG001
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0268
    param Type
    Hazard Ratio (HR)
    param Value
    2.05
    statistical Method
    Cochran-Mantel-Haenszel
  4. ci Lower Limit
    0.28
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.27
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1805
    param Type
    Hazard Ratio (HR)
    param Value
    0.60
    statistical Method
    Cochran-Mantel-Haenszel
  5. ci Lower Limit
    0.42
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.64
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.5901
    param Type
    Hazard Ratio (HR)
    param Value
    0.83
    statistical Method
    Cochran-Mantel-Haenszel
  6. ci Lower Limit
    1.08
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.32
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG001
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0250
    param Type
    Hazard Ratio (HR)
    param Value
    2.16
    statistical Method
    Cochran-Mantel-Haenszel
Complete source fields
analyses
  1. ci Lower Limit
    0.34
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.40
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.2983
    param Type
    Hazard Ratio (HR)
    param Value
    0.69
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    0.68
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.30
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.4722
    param Type
    Hazard Ratio (HR)
    param Value
    1.25
    statistical Method
    Cochran-Mantel-Haenszel
  3. ci Lower Limit
    1.07
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.93
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    PFS
    group Ids
    1. OG001
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0268
    param Type
    Hazard Ratio (HR)
    param Value
    2.05
    statistical Method
    Cochran-Mantel-Haenszel
  4. ci Lower Limit
    0.28
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.27
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1805
    param Type
    Hazard Ratio (HR)
    param Value
    0.60
    statistical Method
    Cochran-Mantel-Haenszel
  5. ci Lower Limit
    0.42
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.64
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.5901
    param Type
    Hazard Ratio (HR)
    param Value
    0.83
    statistical Method
    Cochran-Mantel-Haenszel
  6. ci Lower Limit
    1.08
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.32
    estimate Comment
    HR is based on Cox proportional hazard regression stratified by breast cancer type and hormone positivity.
    group Description
    DFS
    group Ids
    1. OG001
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0250
    param Type
    Hazard Ratio (HR)
    param Value
    2.16
    statistical Method
    Cochran-Mantel-Haenszel
classes
  1. categories
    1. measurements
      1. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      2. group Id
        OG001
        lower Limit
        71.0
        upper Limit
        76.0
        value
        71.0
      3. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG002
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      4. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG003
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    PFS
  2. categories
    1. measurements
      1. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      2. group Id
        OG001
        lower Limit
        67.0
        upper Limit
        72.0
        value
        67.2
      3. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG002
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      4. comment
        Median and corresponding 80% confidence interval were not achieved due to o the low number of events in this participant population, as expected.
        group Id
        OG003
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    DFS
denoms
  1. counts
    1. group Id
      OG000
      value
      107
    2. group Id
      OG001
      value
      107
    3. group Id
      OG002
      value
      107
    4. group Id
      OG003
      value
      96
    units
    Participants
description
DFS was defined as the time from the first date of no disease (date of surgery) to the first documentation of PD or death. Participants without progression after surgery were considered Disease Free. Any evidence of contralateral disease in-situ was not considered as PD. PFS was defined as the time from the date of randomization to the first documentation of PD or death. Any evidence of contralateral disease in-situ was not considered as PD. DFS and PFS were determined using Kaplan-Meier estimates.
dispersion Type
80% Confidence Interval
groups
  1. description
    Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg on Day 1 of Cycles 2-4 and docetaxel IV infusion at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 17.
    id
    OG000
    title
    Trastuzumab+Docetaxel
  2. description
    Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg and pertuzumab IV infusion at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg trastuzumab and 420 mg pertuzumab on Day 1 of Cycles 2-4. Docetaxel IV infusion was administered at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 17.
    id
    OG001
    title
    Trastuzumab+Pertuzumab+Docetaxel
  3. description
    Neoadjuvant (Pre-Operative) Treatment: Participants received trastuzumab IV infusion at a loading dose of 8 mg/kg and pertuzumab IV infusion at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 6 mg/kg trastuzumab and 420 mg pertuzumab on Day 1 of Cycles 2-4. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by docetaxel 75 mg/m\^2 IV on Day 1 of Cycle 5 followed by docetaxel 100 mg/m\^2 for three cycles (Cycles 6-8) if no dose-limiting toxicity occurred. For Cycles 9 to 11, participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles. Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 12 until Cycle 17.
    id
    OG002
    title
    Trastuzumab+Pertuzumab
  4. description
    Neoadjuvant (Pre-Operative) Treatment: Participants received pertuzumab IV at a loading dose of 840 mg on Day 1 of Cycle 1 (21-day cycle) followed by a maintenance dose of 420 mg on Day 1 of Cycles 2-4. Docetaxel IV infusion was administered at a starting dose of 75 mg/m\^2 on Day 1 of Cycle 1 followed by 100 mg/m\^2 on Day 1 of Cycles 2-4, if no dose limiting toxicity occurred. Adjuvant (2-Week Post-Operative) Treatment: Participants received trastuzumab 6 mg/kg IV followed by FEC on Day 1 and every 3 weeks thereafter for three cycles (Cycles 5-7). Trastuzumab 6 mg/kg IV was continued every 3 weeks from Cycle 8 to Cycle 21.
    id
    OG003
    title
    Pertuzumab+Docetaxel
param Type
MEDIAN
population Description
ITT Population; Analysis was performed according to initial randomization.
reporting Status
POSTED
time Frame
Randomization up to a maximum of 329 weeks
title
Progression Free and Disease Free Survival
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice