Summary of the Number of Participants With at Least One Adverse Event, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI CTCAE v4.0), Over the Course of the Entire Study
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
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
From first dose of study treatment until 28 days after last dose of study treatment (up to 1 year, 6 months)
What was measured
The adverse event (AE) severity grading scale for the NCI CTCAE v4.0 was used for assessing AE severity. Any AEs that were not specifically listed in the NCI CTCAE, v4.0 were graded per the following 5 grades: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated. Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living. Grade 3 = severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living. Grade 4 = life-threatening consequences or urgent intervention indicated. Grade 5 = death related to AE. The terms "severe" and "serious" are not synonymous and are independently assessed for each AE. Multiple occurrences of AEs were counted only once per participant at the highest (worst) grade.
Analysis population: Safety Population: includes all participants who received at least one dose of study medication.
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
Group
Source count
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
252
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
248
Reported measurements
Any Adverse Event (AE): Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
251
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
248
Not reported
Not reported
Not reported
Not reported
AE with Fatal Outcome (Grade 5)
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
2
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
2
Not reported
Not reported
Not reported
Not reported
Any AE: Grades 3 to 5
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
149
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
132
Not reported
Not reported
Not reported
Not reported
Serious AE
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
52
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
49
Not reported
Not reported
Not reported
Not reported
Related Serious AE
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
29
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
29
Not reported
Not reported
Not reported
Not reported
Anaphylaxis and Hypersensitivity AEs, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Anaphylaxis and Hypersensitivity AEs, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
1
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Infusion/Admin.-Related Reactions Within 24 hrs, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
39
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
54
Not reported
Not reported
Not reported
Not reported
Infusion/Admin.-Related Reactions Within 24 hrs, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Serious Rash/Skin Reactions, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
1
Not reported
Not reported
Not reported
Not reported
Serious Rash/Skin Reactions, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Diarrhoea, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
149
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
153
Not reported
Not reported
Not reported
Not reported
Diarrhoea, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
13
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
16
Not reported
Not reported
Not reported
Not reported
Cardiac Dysfunction, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
65
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
52
Not reported
Not reported
Not reported
Not reported
Cardiac Dysfunction, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
12
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Interstitial Lung Disease, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
5
Not reported
Not reported
Not reported
Not reported
Interstitial Lung Disease, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Neutropenia/Febrile Neutropenia, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
142
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
123
Not reported
Not reported
Not reported
Not reported
Neutropenia/Febrile Neutropenia, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
92
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
82
Not reported
Not reported
Not reported
Not reported
Serious Mucositis, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Serious Mucositis, Grade ≥3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
3
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
2
Not reported
Not reported
Not reported
Not reported
Pregnancy- and Neonatal-Related AEs, Any Grade
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
AE Leading to Study Drug Discontinuation
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
32
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
22
Not reported
Not reported
Not reported
Not reported
AE Leading to HER2-Targeted Therapy Discontinuation
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
15
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
12
Not reported
Not reported
Not reported
Not reported
AE Leading to Any Chemotherapy Drug Discontinuation
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Arm A: Pertuzumab IV + Trastuzumab IV + Chemotherapy
23
Not reported
Not reported
Not reported
Not reported
Arm B: Pertuzumab and Trastuzumab FDC SC + Chemotherapy
14
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
value
251
group Id
OG001
value
248
title
Any Adverse Event (AE): Any Grade
categories
measurements
group Id
OG000
value
2
group Id
OG001
value
2
title
AE with Fatal Outcome (Grade 5)
categories
measurements
group Id
OG000
value
149
group Id
OG001
value
132
title
Any AE: Grades 3 to 5
categories
measurements
group Id
OG000
value
52
group Id
OG001
value
49
title
Serious AE
categories
measurements
group Id
OG000
value
29
group Id
OG001
value
29
title
Related Serious AE
categories
measurements
group Id
OG000
value
3
group Id
OG001
value
3
title
Anaphylaxis and Hypersensitivity AEs, Any Grade
categories
measurements
group Id
OG000
value
1
group Id
OG001
value
0
title
Anaphylaxis and Hypersensitivity AEs, Grade ≥3
categories
measurements
group Id
OG000
value
39
group Id
OG001
value
54
title
Infusion/Admin.-Related Reactions Within 24 hrs, Any Grade
categories
measurements
group Id
OG000
value
3
group Id
OG001
value
0
title
Infusion/Admin.-Related Reactions Within 24 hrs, Grade ≥3
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
1
title
Serious Rash/Skin Reactions, Any Grade
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
0
title
Serious Rash/Skin Reactions, Grade ≥3
categories
measurements
group Id
OG000
value
149
group Id
OG001
value
153
title
Diarrhoea, Any Grade
denoms
counts
group Id
OG000
value
252
group Id
OG001
value
248
units
Participants
description
The adverse event (AE) severity grading scale for the NCI CTCAE v4.0 was used for assessing AE severity. Any AEs that were not specifically listed in the NCI CTCAE, v4.0 were graded per the following 5 grades: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated. Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living. Grade 3 = severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living. Grade 4 = life-threatening consequences or urgent intervention indicated. Grade 5 = death related to AE. The terms "severe" and "serious" are not synonymous and are independently assessed for each AE. Multiple occurrences of AEs were counted only once per participant at the highest (worst) grade.
groups
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
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
COUNT_OF_PARTICIPANTS
population Description
Safety Population: includes all participants who received at least one dose of study medication.
reporting Status
POSTED
time Frame
From first dose of study treatment until 28 days after last dose of study treatment (up to 1 year, 6 months)
title
Summary of the Number of Participants With at Least One Adverse Event, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI CTCAE v4.0), Over the Course of the Entire Study