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NCT01358877 · FLOW

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A Study of Pertuzumab in Addition to Chemotherapy and Trastuzumab as Adjuvant Therapy in Participants With Human Epidermal Growth Receptor 2 (HER2)-Positive Primary Breast Cancer · Source last updated 2025-11-28

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

groups
  1. description
    Participants received pertuzumab (840 mg loading dose, then 420 mg) and trastuzumab (8 mg/kg loading dose, then 6 mg/kg) intravenously (IV) every 3 weeks (Q3W) for 1 year (maximum 18 cycles) in combination with 1 of the following IV chemotherapy regimen (anthracycline-based or nonanthracycline-based) per Investigator's choice: 1) 3-4 cycles (Q3W) of 5-fluorouracil 500-600 mg/m\^2 + epirubicin 90-120 mg/m\^2 or doxorubicin 50 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W (100 mg/m\^2 for 3 cycles, 75 mg/m\^2 in first cycle and 100 mg/m\^2 in subsequent cycles, or 75 mg/m\^2 for 4 cycles) or 12 cycles of paclitaxel 80 mg/m\^2 once weekly (QW); 2) 4 cycles (Q3W) of doxorubicin 60 mg/m\^2 or epirubicin 90-120 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W or 12 cycles of paclitaxel QW (as described in Option 1); 3) 6 cycles (Q3W) of docetaxel 75 mg/m\^2 + carboplatin area under the curve (AUC) 6 (up to 900 mg).
    id
    FG000
    title
    Pertuzumab + Trastuzumab + Chemotherapy
  2. description
    Participants received placebo matched to pertuzumab IV Q3W and trastuzumab (8 milligrams per kilogram \[mg/kg\] loading dose, then 6 mg/kg) IV Q3W for 1 year (maximum 18 cycles) in combination with 1 of the following IV chemotherapy regimen (anthracycline-based or nonanthracycline-based) per Investigator's choice: 1) 3-4 cycles (Q3W) of 5-fluorouracil 500-600 milligrams per square meter (mg/m\^2) + epirubicin 90-120 mg/m\^2 or doxorubicin 50 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W (100 mg/m\^2 for 3 cycles, 75 mg/m\^2 in first cycle and 100 mg/m\^2 in subsequent cycles, or 75 mg/m\^2 for 4 cycles) or 12 cycles of paclitaxel 80 mg/m\^2 QW; 2) 4 cycles (Q3W) of doxorubicin 60 mg/m\^2 or epirubicin 90-120 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W or 12 cycles of paclitaxel QW (as described in Option 1); 3) 6 cycles (Q3W) of docetaxel 75 mg/m\^2 + carboplatin AUC 6 (up to 900 milligrams \[mg\]).
    id
    FG001
    title
    Placebo + Trastuzumab + Chemotherapy
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        475
      2. group Id
        FG001
        num Subjects
        466
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        181
      2. group Id
        FG001
        num Subjects
        269
      type
      Recurrence of disease
    3. reasons
      1. group Id
        FG000
        num Subjects
        181
      2. group Id
        FG001
        num Subjects
        176
      type
      Lost to Follow-up
    4. reasons
      1. group Id
        FG000
        num Subjects
        41
      2. group Id
        FG001
        num Subjects
        46
      type
      Death
    5. reasons
      1. group Id
        FG000
        num Subjects
        39
      2. group Id
        FG001
        num Subjects
        42
      type
      Adverse Event
    6. reasons
      1. group Id
        FG000
        num Subjects
        43
      2. group Id
        FG001
        num Subjects
        32
      type
      Physician Decision
    7. reasons
      1. group Id
        FG000
        num Subjects
        42
      2. group Id
        FG001
        num Subjects
        28
      type
      Contralateral breast cancer
    8. reasons
      1. group Id
        FG000
        num Subjects
        37
      2. group Id
        FG001
        num Subjects
        29
      type
      Reason not specified
    milestones
    1. achievements
      1. comment
        A total of 22 participants randomized to the pertuzumab arm did not receive any study treatment.
        group Id
        FG000
        num Subjects
        2400
      2. comment
        A total of 13 participants randomized to the placebo arm did not receive any study treatment.
        group Id
        FG001
        num Subjects
        2404
      comment
      Intent-to-Treat (ITT) Population
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        2340
      2. comment
        24 participants randomized to the placebo arm received at least 1 dose of pertuzumab in error. They were included in the pertuzumab arm for safety analyses.
        group Id
        FG001
        num Subjects
        24
      comment
      Pertuzumab Safety Population
      type
      Received at Least 1 Dose of Pertuzumab
    3. achievements
      1. comment
        38 participants randomized to the pertuzumab arm did not receive any pertuzumab. They were included in the placebo arm for safety analyses.
        group Id
        FG000
        num Subjects
        38
      2. group Id
        FG001
        num Subjects
        2367
      comment
      Placebo Safety Population
      type
      Received Any Study Treatment Except for Pertuzumab
    4. achievements
      1. group Id
        FG000
        num Subjects
        2369
      2. group Id
        FG001
        num Subjects
        2381
      type
      Entered Follow-Up
    5. achievements
      1. group Id
        FG000
        num Subjects
        1361
      2. group Id
        FG001
        num Subjects
        1316
      type
      COMPLETED
    6. achievements
      1. group Id
        FG000
        num Subjects
        1039
      2. group Id
        FG001
        num Subjects
        1088
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
A total of 6263 patients were screened for the study. The most common cause of screen failure was lack of confirmation of HER2-positivity by the central laboratory which accounted for approximately half of the screen failures.
recruitment Details
Overall, 4804 patients were randomized in the study, 2400 in the Pertuzumab arm and 2404 in the Placebo arm.
Complete source fields
groups
  1. description
    Participants received pertuzumab (840 mg loading dose, then 420 mg) and trastuzumab (8 mg/kg loading dose, then 6 mg/kg) intravenously (IV) every 3 weeks (Q3W) for 1 year (maximum 18 cycles) in combination with 1 of the following IV chemotherapy regimen (anthracycline-based or nonanthracycline-based) per Investigator's choice: 1) 3-4 cycles (Q3W) of 5-fluorouracil 500-600 mg/m\^2 + epirubicin 90-120 mg/m\^2 or doxorubicin 50 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W (100 mg/m\^2 for 3 cycles, 75 mg/m\^2 in first cycle and 100 mg/m\^2 in subsequent cycles, or 75 mg/m\^2 for 4 cycles) or 12 cycles of paclitaxel 80 mg/m\^2 once weekly (QW); 2) 4 cycles (Q3W) of doxorubicin 60 mg/m\^2 or epirubicin 90-120 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W or 12 cycles of paclitaxel QW (as described in Option 1); 3) 6 cycles (Q3W) of docetaxel 75 mg/m\^2 + carboplatin area under the curve (AUC) 6 (up to 900 mg).
    id
    FG000
    title
    Pertuzumab + Trastuzumab + Chemotherapy
  2. description
    Participants received placebo matched to pertuzumab IV Q3W and trastuzumab (8 milligrams per kilogram \[mg/kg\] loading dose, then 6 mg/kg) IV Q3W for 1 year (maximum 18 cycles) in combination with 1 of the following IV chemotherapy regimen (anthracycline-based or nonanthracycline-based) per Investigator's choice: 1) 3-4 cycles (Q3W) of 5-fluorouracil 500-600 milligrams per square meter (mg/m\^2) + epirubicin 90-120 mg/m\^2 or doxorubicin 50 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W (100 mg/m\^2 for 3 cycles, 75 mg/m\^2 in first cycle and 100 mg/m\^2 in subsequent cycles, or 75 mg/m\^2 for 4 cycles) or 12 cycles of paclitaxel 80 mg/m\^2 QW; 2) 4 cycles (Q3W) of doxorubicin 60 mg/m\^2 or epirubicin 90-120 mg/m\^2 + cyclophosphamide 500-600 mg/m\^2 followed by either 3-4 cycles of docetaxel Q3W or 12 cycles of paclitaxel QW (as described in Option 1); 3) 6 cycles (Q3W) of docetaxel 75 mg/m\^2 + carboplatin AUC 6 (up to 900 milligrams \[mg\]).
    id
    FG001
    title
    Placebo + Trastuzumab + Chemotherapy
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        475
      2. group Id
        FG001
        num Subjects
        466
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        181
      2. group Id
        FG001
        num Subjects
        269
      type
      Recurrence of disease
    3. reasons
      1. group Id
        FG000
        num Subjects
        181
      2. group Id
        FG001
        num Subjects
        176
      type
      Lost to Follow-up
    4. reasons
      1. group Id
        FG000
        num Subjects
        41
      2. group Id
        FG001
        num Subjects
        46
      type
      Death
    5. reasons
      1. group Id
        FG000
        num Subjects
        39
      2. group Id
        FG001
        num Subjects
        42
      type
      Adverse Event
    6. reasons
      1. group Id
        FG000
        num Subjects
        43
      2. group Id
        FG001
        num Subjects
        32
      type
      Physician Decision
    7. reasons
      1. group Id
        FG000
        num Subjects
        42
      2. group Id
        FG001
        num Subjects
        28
      type
      Contralateral breast cancer
    8. reasons
      1. group Id
        FG000
        num Subjects
        37
      2. group Id
        FG001
        num Subjects
        29
      type
      Reason not specified
    milestones
    1. achievements
      1. comment
        A total of 22 participants randomized to the pertuzumab arm did not receive any study treatment.
        group Id
        FG000
        num Subjects
        2400
      2. comment
        A total of 13 participants randomized to the placebo arm did not receive any study treatment.
        group Id
        FG001
        num Subjects
        2404
      comment
      Intent-to-Treat (ITT) Population
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        2340
      2. comment
        24 participants randomized to the placebo arm received at least 1 dose of pertuzumab in error. They were included in the pertuzumab arm for safety analyses.
        group Id
        FG001
        num Subjects
        24
      comment
      Pertuzumab Safety Population
      type
      Received at Least 1 Dose of Pertuzumab
    3. achievements
      1. comment
        38 participants randomized to the pertuzumab arm did not receive any pertuzumab. They were included in the placebo arm for safety analyses.
        group Id
        FG000
        num Subjects
        38
      2. group Id
        FG001
        num Subjects
        2367
      comment
      Placebo Safety Population
      type
      Received Any Study Treatment Except for Pertuzumab
    4. achievements
      1. group Id
        FG000
        num Subjects
        2369
      2. group Id
        FG001
        num Subjects
        2381
      type
      Entered Follow-Up
    5. achievements
      1. group Id
        FG000
        num Subjects
        1361
      2. group Id
        FG001
        num Subjects
        1316
      type
      COMPLETED
    6. achievements
      1. group Id
        FG000
        num Subjects
        1039
      2. group Id
        FG001
        num Subjects
        1088
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
A total of 6263 patients were screened for the study. The most common cause of screen failure was lack of confirmation of HER2-positivity by the central laboratory which accounted for approximately half of the screen failures.
recruitment Details
Overall, 4804 patients were randomized in the study, 2400 in the Pertuzumab arm and 2404 in the Placebo arm.

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Preserved source evidence · Not medical advice