Clinical trial Recruiting at 1 site Interventional Ages 18 to 70

Evaluating a new treatment approach for operable HER2-positive breast cancer

Official title: Gene Expression Assays and 68 Ga-Affibody HER-2 Imaging PET in Predicting Response to Treatment With Trastuzumab and Pertuzumab Before Surgery in Chinese Patients With HER2 Positive Breast Cancer

Run by Fudan University · NCT04281641 · Data updated 2026-11-12

This study is testing a new combination of medications and chemotherapy before surgery to see if it helps people with HER2-positive breast cancer achieve better treatment results.

Quick facts

Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment94 (estimated)
SponsorFudan University
Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation, pertuzumab, trastuzumab
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedApril 21, 2020
Main results expectedApril 30, 2025
Study endsApril 30, 2030
Registry record updatedMay 4, 2020
Trial IDNCT04281641 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 70 with operable HER2-positive breast cancer and a primary tumor larger than 2 cm.

Probably not a fit

Patients with previously treated invasive malignancies or those with a left ventricular ejection fraction below 55% 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 study aims to assess the effectiveness of a pre-operative treatment regimen combining pertuzumab and trastuzumab with chemotherapy in patients with HER2-positive breast cancer. It will investigate the correlation between early changes in various biomarkers and the likelihood of achieving a pathological complete response (pCR) after treatment. The study will utilize advanced imaging techniques and genomic testing to evaluate treatment response in approximately 94 patients. Participants will receive the treatment followed by surgery and continue with a year of adjuvant therapy.

Why it matters

Potential benefit: If successful, this approach could lead to more effective pre-operative treatments for patients with HER2-positive breast cancer, potentially improving surgical outcomes.

How similar studies have gone: Other studies have shown promising results with similar neoadjuvant therapies for HER2-positive breast cancer, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Female or male, presenting for the first time with operable breast cancer, who had not received any previous treatment for an invasive malignancy.
2. Primary tumor greater than (\>) 2 cm in diameter.
3. Age ≥ 18 years and \< 70 years.
4. Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to (\</=) 1.
5. Baseline left ventricular ejection fraction (LVEF) greater than or equal to (\>/=) 55%
6. Availability of tumor tissue specimen after surgery.
7. Participants agree to undergo a core needle biopsy for genomic testing and organoid drug sensitivity assay.
8. Histologically proven diagnosis of breast cancer.
9. Patients have HER2-positive disease. HER2-positive disease was defined as follows: disease which overexpresses HER-2 by immunohistochemistry (IHC) 3+ and/or has HER2 amplification according to fluorescence in situ hybridization (FISH).
10. Had hormonal receptors (ER and PgR) assessed.
11. Signed informed consent.
12. Able to comply with the protocol.

Exclusion Criteria:

1. Metastatic disease (Stage IV) or bilateral breast cancer.
2. Any previous systemic therapy (including chemotherapy, immunotherapy, HER2 targeted agents, and antitumor vaccines) for cancer, or radiation therapy for cancer.
3. Prior breast or non-breast malignancy within 5 years prior to study entry.
4. Inadequate bone marrow, renal, or liver function
5. History or evidence of cardiovascular condition
6. Severe, uncontrolled systemic disease
7. Participants with poorly controlled diabetes or with evidence of clinically significant diabetic vascular complications.
8. Pregnancy or breast-feeding women.
9. Participants who received any investigational treatment within 4 weeks of study start.
10. Participants with known infection with human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus.
11. Current chronic daily treatment with corticosteroids (dose \>10 mg methylprednisolone or equivalent \[excluding inhaled steroids\]).
12. Known hypersensitivity to any of the study drugs or excipients

Where it's running

  • Shanghai Cancer Center, Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

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.