Number of Participants Who Experienced at Least One Adverse Event to Monitor (Excluding Cardiac-Related AEs) by Severity During the Treatment Period
A Study to Evaluate Pertuzumab + Trastuzumab + Docetaxel vs. Placebo + Trastuzumab + Docetaxel in Previously Untreated HER2-Positive Metastatic Breast Cancer · Source last updated 2019-12-13
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Placebo arm: Baseline to last dose of study treatment +42 days (or crossover date); Pertuzumab arm: Baseline to last dose of study treatment +42 days; Crossover arm: Crossover date to last dose of study treatment +42 days (see Description - time per arm)
What was measured
The clinical diagnoses listed in this table, excluding cardiac safety (summarized separately), were also selected as adverse events (AEs) to monitor based on clinical and nonclinical data for pertuzumab and the safety profile established for trastuzumab, monoclonal antibodies in general, and potential effects associated with HER receptor inhibition. Search strategies were defined by single or aggregate MedDRA Preferred Terms (PT) through Standardized MedDRA Queries (SMQ), where possible, or based on Roche AE Group Terms (AEGT). Diarrhoea AEs: High-Level Term (HLT) 'Diarrhoea (excl. infective)' and PT 'Diarrhoea infectious'. Leukopenic and Febrile Neutropenic Infections: AEs from 'Infections \& Infestations' with start ≤14 days after start date of Grade ≥3 AEs in SMQ(narrow) 'Leukopenia' or PT 'Febrile neutropenia', respectively. Median \[range\] time on study treatment per arm: Placebo: 49.3 \[0.3-514.7\] weeks; Pertuzumab: 75.7 \[0.6-519.6\] weeks; Crossover: 129.9 \[0.3-322.3\] weeks.
Analysis population: Safety Population: All participants who received at least one dose of any study medication.
Groups in this outcome
Placebo + Trastuzumab + Docetaxel
This is the placebo safety population, which includes participants who received study treatment with placebo at every cycle. Participants received placebo IV q3w and trastuzumab 6 mg/kg IV q3This is the placebo safety population, which includes participants who received study treatment with placebo at every cycle. Participants received placebo IV q3w and trastuzumab 6 mg/kg IV q3w, plus docetaxel 75 mg/m\^2 IV q3w (for at least 6 cycles; 1 cycle was 21 days). After Cycle 6, continuation of docetaxel treatment was at the discretion of the participant and treating physician. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
Pertuzumab + Trastuzumab + Docetaxel
This is the pertuzumab safety population, which includes participants who received at least one dose of study treatment with pertuzumab. Participants received pertuzumab 420 milligrams (mg) intravenously (IV) once every 3 weeks (q3w) and trastuzumab 6 milligrams per kilogram (mg/kg) IV q3w, plus docetaxel 75 milligrams per square metre of body surface (mg/m\^2) IV q3w (for at least 6 cycles; 1 cycle was 21 days). After Cycle 6, continuation of docetaxel treatment was at the discretion of the participant and treating physician. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
Crossover From Placebo to Pertuzumab
Fifty of 406 participants (12.3%) randomized to the placebo treatment arm whose disease had not progressed crossed over to an open-label pertuzumab treatment group between July 2012 and November 2018. Participants received pertuzumab administered as an IV loading dose of 840 mg at cycle 1 then 420 mg IV every q3w. Trastuzumab and docetaxel doses continued in accordance with the pre-crossover placebo treatment regimens and according to dosing specifications indicated in the study protocol. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Placebo + Trastuzumab + Docetaxel
396
Pertuzumab + Trastuzumab + Docetaxel
408
Crossover From Placebo to Pertuzumab
50
Reported measurements
Diarrhoea (HLT+PT) - All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
191
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
280
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
25
Not reported
Not reported
Not reported
Not reported
Diarrhoea (HLT+PT) - Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
20
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
40
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
1
Not reported
Not reported
Not reported
Not reported
Rash (AEGT) - All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
155
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
213
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
18
Not reported
Not reported
Not reported
Not reported
Rash (AEGT) - Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
6
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
15
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Leukopenia (SMQ-narrow) - All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
231
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
257
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
1
Not reported
Not reported
Not reported
Not reported
Leukopenia (SMQ-narrow) - Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
211
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
238
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Leukopenic Infection (PTs) - All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
38
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
53
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Leukopenic Infection (PTs) - Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
9
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
18
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Febrile Neutropenic Infection (PTs) - All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
3
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
14
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Febrile Neutropenic Infection (PTs) - Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
1
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
6
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Anaphylaxis and Hypersensitivity (AEGT)-All Grades
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
37
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
48
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
1
Not reported
Not reported
Not reported
Not reported
Anaphylaxis and Hypersensitivity (AEGT)-Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
43
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
47
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Drug-Related Hepatic Disorder (SMQ-wide)-Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Placebo + Trastuzumab + Docetaxel
5
Not reported
Not reported
Not reported
Not reported
Pertuzumab + Trastuzumab + Docetaxel
8
Not reported
Not reported
Not reported
Not reported
Crossover From Placebo to Pertuzumab
0
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
value
191
group Id
OG001
value
280
group Id
OG002
value
25
title
Diarrhoea (HLT+PT) - All Grades
categories
measurements
group Id
OG000
value
20
group Id
OG001
value
40
group Id
OG002
value
1
title
Diarrhoea (HLT+PT) - Grade ≥3
categories
measurements
group Id
OG000
value
155
group Id
OG001
value
213
group Id
OG002
value
18
title
Rash (AEGT) - All Grades
categories
measurements
group Id
OG000
value
6
group Id
OG001
value
15
group Id
OG002
value
0
title
Rash (AEGT) - Grade ≥3
categories
measurements
group Id
OG000
value
231
group Id
OG001
value
257
group Id
OG002
value
1
title
Leukopenia (SMQ-narrow) - All Grades
categories
measurements
group Id
OG000
value
211
group Id
OG001
value
238
group Id
OG002
value
0
title
Leukopenia (SMQ-narrow) - Grade ≥3
categories
measurements
group Id
OG000
value
38
group Id
OG001
value
53
group Id
OG002
value
0
title
Leukopenic Infection (PTs) - All Grades
categories
measurements
group Id
OG000
value
9
group Id
OG001
value
18
group Id
OG002
value
0
title
Leukopenic Infection (PTs) - Grade ≥3
categories
measurements
group Id
OG000
value
3
group Id
OG001
value
14
group Id
OG002
value
0
title
Febrile Neutropenic Infection (PTs) - All Grades
categories
measurements
group Id
OG000
value
1
group Id
OG001
value
6
group Id
OG002
value
0
title
Febrile Neutropenic Infection (PTs) - Grade ≥3
categories
measurements
group Id
OG000
value
37
group Id
OG001
value
48
group Id
OG002
value
1
title
Anaphylaxis and Hypersensitivity (AEGT)-All Grades
categories
measurements
group Id
OG000
value
10
group Id
OG001
value
9
group Id
OG002
value
0
title
Anaphylaxis and Hypersensitivity (AEGT)-Grade ≥3
denoms
counts
group Id
OG000
value
396
group Id
OG001
value
408
group Id
OG002
value
50
units
Participants
description
The clinical diagnoses listed in this table, excluding cardiac safety (summarized separately), were also selected as adverse events (AEs) to monitor based on clinical and nonclinical data for pertuzumab and the safety profile established for trastuzumab, monoclonal antibodies in general, and potential effects associated with HER receptor inhibition. Search strategies were defined by single or aggregate MedDRA Preferred Terms (PT) through Standardized MedDRA Queries (SMQ), where possible, or based on Roche AE Group Terms (AEGT). Diarrhoea AEs: High-Level Term (HLT) 'Diarrhoea (excl. infective)' and PT 'Diarrhoea infectious'. Leukopenic and Febrile Neutropenic Infections: AEs from 'Infections \& Infestations' with start ≤14 days after start date of Grade ≥3 AEs in SMQ(narrow) 'Leukopenia' or PT 'Febrile neutropenia', respectively. Median \[range\] time on study treatment per arm: Placebo: 49.3 \[0.3-514.7\] weeks; Pertuzumab: 75.7 \[0.6-519.6\] weeks; Crossover: 129.9 \[0.3-322.3\] weeks.
groups
description
This is the placebo safety population, which includes participants who received study treatment with placebo at every cycle. Participants received placebo IV q3w and trastuzumab 6 mg/kg IV q3This is the placebo safety population, which includes participants who received study treatment with placebo at every cycle. Participants received placebo IV q3w and trastuzumab 6 mg/kg IV q3w, plus docetaxel 75 mg/m\^2 IV q3w (for at least 6 cycles; 1 cycle was 21 days). After Cycle 6, continuation of docetaxel treatment was at the discretion of the participant and treating physician. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
id
OG000
title
Placebo + Trastuzumab + Docetaxel
description
This is the pertuzumab safety population, which includes participants who received at least one dose of study treatment with pertuzumab. Participants received pertuzumab 420 milligrams (mg) intravenously (IV) once every 3 weeks (q3w) and trastuzumab 6 milligrams per kilogram (mg/kg) IV q3w, plus docetaxel 75 milligrams per square metre of body surface (mg/m\^2) IV q3w (for at least 6 cycles; 1 cycle was 21 days). After Cycle 6, continuation of docetaxel treatment was at the discretion of the participant and treating physician. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
id
OG001
title
Pertuzumab + Trastuzumab + Docetaxel
description
Fifty of 406 participants (12.3%) randomized to the placebo treatment arm whose disease had not progressed crossed over to an open-label pertuzumab treatment group between July 2012 and November 2018. Participants received pertuzumab administered as an IV loading dose of 840 mg at cycle 1 then 420 mg IV every q3w. Trastuzumab and docetaxel doses continued in accordance with the pre-crossover placebo treatment regimens and according to dosing specifications indicated in the study protocol. Participants remained in the treatment phase of the study until investigator-assessed radiographic or clinical evidence of disease progression, unmanageable toxicity, or study termination and were followed for survival until death, loss to follow-up, withdrawal of consent, or study termination.
id
OG002
title
Crossover From Placebo to Pertuzumab
param Type
COUNT_OF_PARTICIPANTS
population Description
Safety Population: All participants who received at least one dose of any study medication.
reporting Status
POSTED
time Frame
Placebo arm: Baseline to last dose of study treatment +42 days (or crossover date); Pertuzumab arm: Baseline to last dose of study treatment +42 days; Crossover arm: Crossover date to last dose of study treatment +42 days (see Description - time per arm)
title
Number of Participants Who Experienced at Least One Adverse Event to Monitor (Excluding Cardiac-Related AEs) by Severity During the Treatment Period