Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 and up

Comparing continuous and intermittent use of pyrotinib for HER2-positive breast cancer

Official title: Continuous or Intermittent Extension of Adjuvant Pyrotinib for Invasive Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Breast Cancer: a Prospective, Randomised, Controlled, Multicentre Clinical Trial

Run by RenJi Hospital · NCT05910398 · Data updated 2026-11-12

This study is testing whether taking the cancer drug pyrotinib continuously or in intervals helps people with HER2-positive breast cancer do better and feel less side effects after their initial treatment.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment488 (estimated)
SponsorRenJi Hospital
Academic / other
Drugs / interventionstrastuzumab, pyrotinib
Locations1 site (Shanghai)
StatusRecruiting
StartedJune 1, 2023
Main results expectedApril 2030
Study endsAugust 2030
Registry record updatedNovember 18, 2025
Trial IDNCT05910398 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 to 70 with histologically confirmed invasive HER2-positive breast cancer who have completed prior HER2-targeted therapies within the last three years.

Probably not a fit

Patients with metastatic disease, significant residual cancer after surgery, or those with gastrointestinal absorption issues may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial is a prospective, randomized, controlled, multicenter study designed to evaluate the efficacy and safety of continuous versus intermittent extension of adjuvant pyrotinib in patients with invasive HER2-positive breast cancer. Participants will be randomly assigned to receive either continuous or intermittent treatment with pyrotinib after their initial therapy. The study aims to determine which treatment approach provides better outcomes for patients in terms of cancer control and side effects.

Why it matters

Potential benefit: If successful, this study could provide insights into optimizing treatment strategies for HER2-positive breast cancer, potentially improving patient outcomes.

How similar studies have gone: While there have been studies on HER2-targeted therapies, this specific comparison of continuous versus intermittent pyrotinib use is a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Aged ≥18;
* Histologically confirmed invasive HER2 positive breast cancer;
* Duration from random time to the last use of trastuzumab or T-DM1 ≤3 years;
* Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1;
* Adequate organ functions.

Exclusion Criteria:

* Metastatic disease (Stage IV);
* Gross residual disease remaining after mastectomy or positive margins after breast-conserving surgery;
* Subjects that are unable to swallow tablets, or dysfunction of gastrointestinal absorption;
* Treated or treating with anti-HER2 tyrosine kinase inhibitor;
* Less than 4 weeks from the last clinical trial;
* History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation;
* Female patients who are pregnancy, lactation or women who are of childbearing potential tested positive in baseline pregnancy test; Female patients of childbearing age that are reluctant to take effective contraceptive measures throughout the trial period;
* Evidence of significant medical illness that in the investigator's judgment will substantially increase the risk associated with the subject's participation in and completion of the study.

Where it's running

  • Renji Hospital, School of Medicine, Shanghai Jiaotong University
    Shanghai, China
    Recruiting

Study contacts

  • Principal investigator: Wenjin Yin, M.D. — Renji Hospital, School of Medicine, Shanghai Jiao Tong University.
  • Study coordinator: Wenjin Yin, M.D.
  • Email: yinwenjin@renji.com
  • Phone: 86(21)58852345

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.