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NCT03493854 · OUTCOME

Kaplan-Meier Estimate of the Percentage of Participants Who Are Event-Free According to EFS (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

Event-free survival (EFS) including second primary non-breast cancer (SPNBC) is defined as the time from enrollment to the first occurrence of one of the following events: breast cancer progression; breast cancer recurrence; or death from 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: ITT Population. 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 + Chemotherapy252
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy248

Reported measurements

1 Year

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy236
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy234
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy96.38Not reported94.0698.70Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy97.54Not reported95.5999.48Not reported
2 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy222
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy215
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy91.47Not reported87.9894.96Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy90.41Not reported86.6994.14Not reported
3 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy209
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy206
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy88.53Not reported84.5292.53Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy87.04Not reported82.7891.30Not reported
4 Years

Analysis denominator · Participants

GroupSource count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy188
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 + Chemotherapy87.22Not reported83.0291.43Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy85.75Not reported81.3190.18Not reported

Source statistical analyses

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

  1. ci Lower Limit
    0.71
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.88
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Descriptive analysis only
    non Inferiority Type
    OTHER
    p Value
    0.5474
    param Type
    Hazard Ratio (HR)
    param Value
    1.16
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.71
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.88
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Descriptive analysis only
    non Inferiority Type
    OTHER
    p Value
    0.5474
    param Type
    Hazard Ratio (HR)
    param Value
    1.16
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        94.06
        upper Limit
        98.70
        value
        96.38
      2. group Id
        OG001
        lower Limit
        95.59
        upper Limit
        99.48
        value
        97.54
    denoms
    1. counts
      1. group Id
        OG000
        value
        236
      2. group Id
        OG001
        value
        234
      units
      Participants
    title
    1 Year
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        87.98
        upper Limit
        94.96
        value
        91.47
      2. group Id
        OG001
        lower Limit
        86.69
        upper Limit
        94.14
        value
        90.41
    denoms
    1. counts
      1. group Id
        OG000
        value
        222
      2. group Id
        OG001
        value
        215
      units
      Participants
    title
    2 Years
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        84.52
        upper Limit
        92.53
        value
        88.53
      2. group Id
        OG001
        lower Limit
        82.78
        upper Limit
        91.30
        value
        87.04
    denoms
    1. counts
      1. group Id
        OG000
        value
        209
      2. group Id
        OG001
        value
        206
      units
      Participants
    title
    3 Years
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        83.02
        upper Limit
        91.43
        value
        87.22
      2. group Id
        OG001
        lower Limit
        81.31
        upper Limit
        90.18
        value
        85.75
    denoms
    1. counts
      1. group Id
        OG000
        value
        188
      2. group Id
        OG001
        value
        196
      units
      Participants
    title
    4 Years
denoms
  1. counts
    1. group Id
      OG000
      value
      252
    2. group Id
      OG001
      value
      248
    units
    Participants
description
Event-free survival (EFS) including second primary non-breast cancer (SPNBC) is defined as the time from enrollment to the first occurrence of one of the following events: breast cancer progression; breast cancer recurrence; or death from 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
ITT Population. 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 EFS (Including SPNBC) Criteria
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice