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NCT03674112 · OUTCOME

Kaplan-Meier Estimate of the Percentage of Participants Who Were Event-Free for Invasive Disease-Free Survival Including Second Primary Non-Breast Cancer, Overall and by Treatment Sequence

A Study to Evaluate Patient Preference and Satisfaction of Subcutaneous Administration of the Fixed-Dose Combination of Pertuzumab and Trastuzumab in Participants With HER2-Positive Early Breast Cancer · Source last updated 2024-01-02

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 12, 24, and 36 months

What was measured

Invasive Disease-Free Survival is defined as the time from randomization to the first occurrence of one of the following events: ipsilateral invasive breast tumour recurrence, ipsilateral local-regional invasive breast cancer recurrence, distant recurrence, contralateral invasive breast cancer, and death from any cause. Second primary non-breast invasive cancer (with the exception of non-melanoma skin cancers and in situ carcinoma of any site) was included as an event. Participants who had not experienced invasive disease at the time of analysis were censored: i) at the time of the last clinical breast examination if they had post-baseline clinical breast examination; ii) on the date of randomization +1 day if no post-baseline clinical breast examination. Kaplan-Meier methodology was used to estimate the percentage of participants who were event-free at 12, 24, and 36 months.

Analysis population: ITT Population; the number analyzed at each landmark timepoint represents the number of participants who were remaining at risk for an invasive-disease free survival (including second primary non-breast cancer) event.

Groups in this outcome

All Participants

In the Treatment Cross-Over Period of the study, all participants received their first 6 cycles of treatment in accordance with the study arm to which they were randomized: Arm A) pertuzumab IV and trastuzumab IV (P+H IV) for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days); or Arm B) PH FDC SC for 3 treatment cycles followed by P+H IV for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

A: P+H IV Followed by PH FDC SC

In the Treatment Cross-Over Period of the study, participants randomized to Arm A first received pertuzumab IV and trastuzumab IV (P+H IV) administration for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

B: PH FDC SC Followed by P+H IV

In the Treatment Cross-Over Period of the study, participants randomized to Arm B first received the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles followed by pertuzumab intravenous (IV) and trastuzumab IV (P+H IV) administration for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

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

Analysis denominator · Participants

GroupSource count
All Participants160
A: P+H IV Followed by PH FDC SC80
B: PH FDC SC Followed by P+H IV80

Reported measurements

12 Months

Analysis denominator · Participants

GroupSource count
All Participants153
A: P+H IV Followed by PH FDC SC75
B: PH FDC SC Followed by P+H IV78
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
All Participants97.46Not reported95.0099.92Not reported
A: P+H IV Followed by PH FDC SC94.94Not reported90.1099.77Not reported
B: PH FDC SC Followed by P+H IV100.00Not reported100.00100.00Not reported
24 Months

Analysis denominator · Participants

GroupSource count
All Participants143
A: P+H IV Followed by PH FDC SC71
B: PH FDC SC Followed by P+H IV72
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
All Participants94.87Not reported91.4098.33Not reported
A: P+H IV Followed by PH FDC SC92.37Not reported86.5098.24Not reported
B: PH FDC SC Followed by P+H IV97.38Not reported93.80100.00Not reported
36 Months

Analysis denominator · Participants

GroupSource count
All Participants82
A: P+H IV Followed by PH FDC SC36
B: PH FDC SC Followed by P+H IV46
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
All Participants93.53Not reported89.6597.41Not reported
A: P+H IV Followed by PH FDC SC91.05Not reported84.7297.38Not reported
B: PH FDC SC Followed by P+H IV96.03Not reported91.63100.00Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        95.00
        upper Limit
        99.92
        value
        97.46
      2. group Id
        OG001
        lower Limit
        90.10
        upper Limit
        99.77
        value
        94.94
      3. group Id
        OG002
        lower Limit
        100.00
        upper Limit
        100.00
        value
        100.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        153
      2. group Id
        OG001
        value
        75
      3. group Id
        OG002
        value
        78
      units
      Participants
    title
    12 Months
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        91.40
        upper Limit
        98.33
        value
        94.87
      2. group Id
        OG001
        lower Limit
        86.50
        upper Limit
        98.24
        value
        92.37
      3. group Id
        OG002
        lower Limit
        93.80
        upper Limit
        100.00
        value
        97.38
    denoms
    1. counts
      1. group Id
        OG000
        value
        143
      2. group Id
        OG001
        value
        71
      3. group Id
        OG002
        value
        72
      units
      Participants
    title
    24 Months
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        89.65
        upper Limit
        97.41
        value
        93.53
      2. group Id
        OG001
        lower Limit
        84.72
        upper Limit
        97.38
        value
        91.05
      3. group Id
        OG002
        lower Limit
        91.63
        upper Limit
        100.00
        value
        96.03
    denoms
    1. counts
      1. group Id
        OG000
        value
        82
      2. group Id
        OG001
        value
        36
      3. group Id
        OG002
        value
        46
      units
      Participants
    title
    36 Months
denoms
  1. counts
    1. group Id
      OG000
      value
      160
    2. group Id
      OG001
      value
      80
    3. group Id
      OG002
      value
      80
    units
    Participants
description
Invasive Disease-Free Survival is defined as the time from randomization to the first occurrence of one of the following events: ipsilateral invasive breast tumour recurrence, ipsilateral local-regional invasive breast cancer recurrence, distant recurrence, contralateral invasive breast cancer, and death from any cause. Second primary non-breast invasive cancer (with the exception of non-melanoma skin cancers and in situ carcinoma of any site) was included as an event. Participants who had not experienced invasive disease at the time of analysis were censored: i) at the time of the last clinical breast examination if they had post-baseline clinical breast examination; ii) on the date of randomization +1 day if no post-baseline clinical breast examination. Kaplan-Meier methodology was used to estimate the percentage of participants who were event-free at 12, 24, and 36 months.
dispersion Type
95% Confidence Interval
groups
  1. description
    In the Treatment Cross-Over Period of the study, all participants received their first 6 cycles of treatment in accordance with the study arm to which they were randomized: Arm A) pertuzumab IV and trastuzumab IV (P+H IV) for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days); or Arm B) PH FDC SC for 3 treatment cycles followed by P+H IV for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG000
    title
    All Participants
  2. description
    In the Treatment Cross-Over Period of the study, participants randomized to Arm A first received pertuzumab IV and trastuzumab IV (P+H IV) administration for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG001
    title
    A: P+H IV Followed by PH FDC SC
  3. description
    In the Treatment Cross-Over Period of the study, participants randomized to Arm B first received the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles followed by pertuzumab intravenous (IV) and trastuzumab IV (P+H IV) administration for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG002
    title
    B: PH FDC SC Followed by P+H IV
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 invasive-disease free survival (including second primary non-breast cancer) event.
reporting Status
POSTED
time Frame
At 12, 24, and 36 months
title
Kaplan-Meier Estimate of the Percentage of Participants Who Were Event-Free for Invasive Disease-Free Survival Including Second Primary Non-Breast Cancer, Overall and by Treatment Sequence
type
SECONDARY
unit Of Measure
Percentage of participants

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