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NCT03493854 · OUTCOME

Kaplan-Meier Estimate of the Percentage of Participants Who Are Event-Free According to iDFS (Including SPNBC) Criteria

A Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of Subcutaneous Administration of the Fixed-Dose Combination of Pertuzumab and Trastuzumab in Combination With Chemotherapy in Participants With HER2-Positive Early Breast Cancer · Source last updated 2024-06-26

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

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
At 1, 2, 3, and 4 years

What was measured

Invasive disease-free survival (iDFS) including second primary non-breast cancer (SPNBC) is defined as the time from the first date of no disease (i.e., the date of primary surgery) to the first occurrence of one of the following events: ipsilateral invasive breast tumor recurrence; ipsilateral local-regional invasive breast cancer reccurrence; distant recurrence; contralateral invasive breast cancer; or death attributable to any cause. It also includes SPNBC as an event (with the exception of non-melanoma skin cancers and in situ carcinoma of any site).

Analysis population: The analysis population included all participants who had undergone surgery. The number analyzed at each landmark timepoint represents the number of participants who were remaining at risk for an event.

Groups in this outcome

Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy

Participants received 8 cycles of investigator's choice of neoadjuvant chemotherapy. This included either: 1) 4 cycles of dose-dense doxorubicin plus cyclophosphamide (ddAC) once every 2 weeks (Q2W) (given with granulocyte colony-stimulating factor \[G-CSF\] support as needed according to local guidelines) followed by paclitaxel QW for 12 weeks; or 2) 4 cycles of doxorubicin plus cyclophosphamide (AC) once every 3 weeks (Q3W) followed by docetaxel Q3W for 4 cycles. Pertuzumab and trastuzumab were given intravenously (IV) for 4 cycles Q3W concurrently with the taxane component of chemotherapy. After completing their neoadjuvant therapy, participants underwent surgery. Thereafter, participants received an additional 14 cycles of pertuzumab IV and trastuzumab IV for a total of 18 cycles.

Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy

Participants received 8 cycles of investigator's choice of neoadjuvant chemotherapy. This included either: 1) 4 cycles of ddAC Q2W (given with G-CSF support as needed according to local guidelines) followed by paclitaxel once every week (QW) for 12 weeks; or 2) 4 cycles of AC Q3W followed by docetaxel Q3W for 4 cycles. The fixed-dose combination (FDC) of pertuzumab and trastuzumab was given subcutaneously (SC) for 4 cycles (Q3W) concurrently with the taxane component of chemotherapy. After completing their neoadjuvant therapy, participants underwent surgery. Thereafter, participants received an additional 14 cycles of the FDC of pertuzumab and trastuzumab SC for a total of 18 cycles.

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

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy239
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy234

Reported measurements

1 Year

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy218
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy221
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy95.63Not reported92.9998.28Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy96.94Not reported94.7099.17Not reported
2 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy206
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy202
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy92.10Not reported88.6095.60Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy89.44Not reported85.4493.43Not reported
3 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy191
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy196
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy89.39Not reported85.3793.40Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy88.54Not reported84.4092.69Not reported
4 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy31
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy23
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy88.27Not reported84.0192.53Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy87.64Not reported83.3591.93Not reported

Source statistical analyses

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

  1. ci Lower Limit
    0.68
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.97
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Descriptive analysis only
    non Inferiority Type
    OTHER
    p Value
    0.5992
    param Type
    Hazard Ratio (HR)
    param Value
    1.15
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.68
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.97
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Descriptive analysis only
    non Inferiority Type
    OTHER
    p Value
    0.5992
    param Type
    Hazard Ratio (HR)
    param Value
    1.15
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        92.99
        upper Limit
        98.28
        value
        95.63
      2. group Id
        OG001
        lower Limit
        94.70
        upper Limit
        99.17
        value
        96.94
    denoms
    1. counts
      1. group Id
        OG000
        value
        218
      2. group Id
        OG001
        value
        221
      units
      Participants
    title
    1 Year
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        88.60
        upper Limit
        95.60
        value
        92.10
      2. group Id
        OG001
        lower Limit
        85.44
        upper Limit
        93.43
        value
        89.44
    denoms
    1. counts
      1. group Id
        OG000
        value
        206
      2. group Id
        OG001
        value
        202
      units
      Participants
    title
    2 Years
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        85.37
        upper Limit
        93.40
        value
        89.39
      2. group Id
        OG001
        lower Limit
        84.40
        upper Limit
        92.69
        value
        88.54
    denoms
    1. counts
      1. group Id
        OG000
        value
        191
      2. group Id
        OG001
        value
        196
      units
      Participants
    title
    3 Years
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        84.01
        upper Limit
        92.53
        value
        88.27
      2. group Id
        OG001
        lower Limit
        83.35
        upper Limit
        91.93
        value
        87.64
    denoms
    1. counts
      1. group Id
        OG000
        value
        31
      2. group Id
        OG001
        value
        23
      units
      Participants
    title
    4 Years
denoms
  1. counts
    1. group Id
      OG000
      value
      239
    2. group Id
      OG001
      value
      234
    units
    Participants
description
Invasive disease-free survival (iDFS) including second primary non-breast cancer (SPNBC) is defined as the time from the first date of no disease (i.e., the date of primary surgery) to the first occurrence of one of the following events: ipsilateral invasive breast tumor recurrence; ipsilateral local-regional invasive breast cancer reccurrence; distant recurrence; contralateral invasive breast cancer; or death attributable to any cause. It also includes SPNBC as an event (with the exception of non-melanoma skin cancers and in situ carcinoma of any site).
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received 8 cycles of investigator's choice of neoadjuvant chemotherapy. This included either: 1) 4 cycles of dose-dense doxorubicin plus cyclophosphamide (ddAC) once every 2 weeks (Q2W) (given with granulocyte colony-stimulating factor \[G-CSF\] support as needed according to local guidelines) followed by paclitaxel QW for 12 weeks; or 2) 4 cycles of doxorubicin plus cyclophosphamide (AC) once every 3 weeks (Q3W) followed by docetaxel Q3W for 4 cycles. Pertuzumab and trastuzumab were given intravenously (IV) for 4 cycles Q3W concurrently with the taxane component of chemotherapy. After completing their neoadjuvant therapy, participants underwent surgery. Thereafter, participants received an additional 14 cycles of pertuzumab IV and trastuzumab IV for a total of 18 cycles.
    id
    OG000
    title
    Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
  2. description
    Participants received 8 cycles of investigator's choice of neoadjuvant chemotherapy. This included either: 1) 4 cycles of ddAC Q2W (given with G-CSF support as needed according to local guidelines) followed by paclitaxel once every week (QW) for 12 weeks; or 2) 4 cycles of AC Q3W followed by docetaxel Q3W for 4 cycles. The fixed-dose combination (FDC) of pertuzumab and trastuzumab was given subcutaneously (SC) for 4 cycles (Q3W) concurrently with the taxane component of chemotherapy. After completing their neoadjuvant therapy, participants underwent surgery. Thereafter, participants received an additional 14 cycles of the FDC of pertuzumab and trastuzumab SC for a total of 18 cycles.
    id
    OG001
    title
    Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
param Type
NUMBER
population Description
The analysis population included all participants who had undergone surgery. The number analyzed at each landmark timepoint represents the number of participants who were remaining at risk for an event.
reporting Status
POSTED
time Frame
At 1, 2, 3, and 4 years
title
Kaplan-Meier Estimate of the Percentage of Participants Who Are Event-Free According to iDFS (Including SPNBC) Criteria
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice