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NCT00567190 · OUTCOME

Number of Participants by Categories for the Maximum Absolute Decrease From Baseline in LVEF Value 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
Every 9 weeks from the date of randomization until Treatment Discontinuation Visit (see Description for time on study treatment per arm)

What was measured

All participants were required to have an left ventricular ejection fraction (LVEF) ≥50% at baseline, as measured by echocardiogram (preferred) or multiple-gated acquisition (MUGA) scan. The same method of LVEF assessment and the same institution/facility used at baseline was used throughout the study, to the extent possible. The baseline value was defined as the last valid value recorded during the pre-treatment period before or on study Day 1. The maximum absolute decrease in LVEF value was defined as the lowest post-baseline value up to the end of the overall study treatment period. Data reported prior to first crossover treatment were included in the Placebo arm, and after that date in the Crossover arm, for participants who crossed over from placebo to pertuzumab. 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. Only participants with evaluable LVEF assessments during the overall study treatment period were included in the analysis.

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

GroupSource count
Placebo + Trastuzumab + Docetaxel396
Pertuzumab + Trastuzumab + Docetaxel408
Crossover From Placebo to Pertuzumab50

Reported measurements

LVEF Increase/No Change/Decrease FromBL <10%Points

Analysis denominator · Participants

GroupSource count
Placebo + Trastuzumab + Docetaxel378
Pertuzumab + Trastuzumab + Docetaxel394
Crossover From Placebo to Pertuzumab49
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo + Trastuzumab + Docetaxel252Not reportedNot reportedNot reportedNot reported
Pertuzumab + Trastuzumab + Docetaxel249Not reportedNot reportedNot reportedNot reported
Crossover From Placebo to Pertuzumab30Not reportedNot reportedNot reportedNot reported
LVEF <50% and Decrease From BL ≥10% to <15% Points

Analysis denominator · Participants

GroupSource count
Placebo + Trastuzumab + Docetaxel378
Pertuzumab + Trastuzumab + Docetaxel394
Crossover From Placebo to Pertuzumab49
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo + Trastuzumab + Docetaxel9Not reportedNot reportedNot reportedNot reported
Pertuzumab + Trastuzumab + Docetaxel7Not reportedNot reportedNot reportedNot reported
Crossover From Placebo to Pertuzumab0Not reportedNot reportedNot reportedNot reported
LVEF <50% and Decrease From BL ≥15% Points

Analysis denominator · Participants

GroupSource count
Placebo + Trastuzumab + Docetaxel378
Pertuzumab + Trastuzumab + Docetaxel394
Crossover From Placebo to Pertuzumab49
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo + Trastuzumab + Docetaxel19Not reportedNot reportedNot reportedNot reported
Pertuzumab + Trastuzumab + Docetaxel21Not reportedNot reportedNot reportedNot reported
Crossover From Placebo to Pertuzumab3Not reportedNot reportedNot reportedNot reported
LVEF ≥50% and Decrease From BL ≥10% Points

Analysis denominator · Participants

GroupSource count
Placebo + Trastuzumab + Docetaxel378
Pertuzumab + Trastuzumab + Docetaxel394
Crossover From Placebo to Pertuzumab49
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo + Trastuzumab + Docetaxel95Not reportedNot reportedNot reportedNot reported
Pertuzumab + Trastuzumab + Docetaxel115Not reportedNot reportedNot reportedNot reported
Crossover From Placebo to Pertuzumab15Not reportedNot reportedNot reportedNot reported
No Baseline (BL) LVEF Value

Analysis denominator · Participants

GroupSource count
Placebo + Trastuzumab + Docetaxel378
Pertuzumab + Trastuzumab + Docetaxel394
Crossover From Placebo to Pertuzumab49
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo + Trastuzumab + Docetaxel3Not reportedNot reportedNot reportedNot reported
Pertuzumab + Trastuzumab + Docetaxel2Not reportedNot reportedNot reportedNot reported
Crossover From Placebo to Pertuzumab1Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        252
      2. group Id
        OG001
        value
        249
      3. group Id
        OG002
        value
        30
    denoms
    1. counts
      1. group Id
        OG000
        value
        378
      2. group Id
        OG001
        value
        394
      3. group Id
        OG002
        value
        49
      units
      Participants
    title
    LVEF Increase/No Change/Decrease FromBL <10%Points
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        9
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        378
      2. group Id
        OG001
        value
        394
      3. group Id
        OG002
        value
        49
      units
      Participants
    title
    LVEF <50% and Decrease From BL ≥10% to <15% Points
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        19
      2. group Id
        OG001
        value
        21
      3. group Id
        OG002
        value
        3
    denoms
    1. counts
      1. group Id
        OG000
        value
        378
      2. group Id
        OG001
        value
        394
      3. group Id
        OG002
        value
        49
      units
      Participants
    title
    LVEF <50% and Decrease From BL ≥15% Points
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        95
      2. group Id
        OG001
        value
        115
      3. group Id
        OG002
        value
        15
    denoms
    1. counts
      1. group Id
        OG000
        value
        378
      2. group Id
        OG001
        value
        394
      3. group Id
        OG002
        value
        49
      units
      Participants
    title
    LVEF ≥50% and Decrease From BL ≥10% Points
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        1
    denoms
    1. counts
      1. group Id
        OG000
        value
        378
      2. group Id
        OG001
        value
        394
      3. group Id
        OG002
        value
        49
      units
      Participants
    title
    No Baseline (BL) LVEF Value
denoms
  1. counts
    1. group Id
      OG000
      value
      396
    2. group Id
      OG001
      value
      408
    3. group Id
      OG002
      value
      50
    units
    Participants
description
All participants were required to have an left ventricular ejection fraction (LVEF) ≥50% at baseline, as measured by echocardiogram (preferred) or multiple-gated acquisition (MUGA) scan. The same method of LVEF assessment and the same institution/facility used at baseline was used throughout the study, to the extent possible. The baseline value was defined as the last valid value recorded during the pre-treatment period before or on study Day 1. The maximum absolute decrease in LVEF value was defined as the lowest post-baseline value up to the end of the overall study treatment period. Data reported prior to first crossover treatment were included in the Placebo arm, and after that date in the Crossover arm, for participants who crossed over from placebo to pertuzumab. 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
  1. 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
  2. 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
  3. 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. Only participants with evaluable LVEF assessments during the overall study treatment period were included in the analysis.
reporting Status
POSTED
time Frame
Every 9 weeks from the date of randomization until Treatment Discontinuation Visit (see Description for time on study treatment per arm)
title
Number of Participants by Categories for the Maximum Absolute Decrease From Baseline in LVEF Value During the Treatment Period
type
SECONDARY
unit Of Measure
Participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice