The goal of this study is to compare the efficacy and safety of BCD-178 and Perjeta as neoadjuvant therapy for HER2-positive breast cancer. Subjects with histologically confirmed diagnosis of HER2-positive invasive breast cancer (stage II-III, tumor size \> 2 cm), with no estrogen (ER) and progesterone (PR) receptors will be randomized to one of two treatment groups (BCD-178 group or Perjeta group) in a 1:1 ratio.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
398
JSC "Modern Medical Technologies"
Saint Petersburg, Sankt-Peterburg, Russia
The Loginov Moscow Clinical Scientific Center MHD
Moscow, Russia
Budgetary healthcare institution of the Omsk region "Clinical oncological dispensary"
Omsk, Russia
To compare the efficacy of BCD-178 and Perjeta as neoadjuvant therapy by studying the total pathological complete response (tpCR) rate
Proportion of subjects achieving tpCR
Time frame: immediately after the surgery
breast pathological complete response (bpCR) rate
Proportion of subjects achieving bpCR;
Time frame: immediately after the surgery
overall response rate (ORR)
the ORR according to RECIST 1.1 criteria
Time frame: at Week 18
breast-conserving surgery rate
Proportion of subjects with breast-conserving surgery
Time frame: immediately after surgery
safety assessment
Proportion of subjects with adverse reactions; Proportion of subjects with CTCAE 5.0 grade 3 or higher adverse reactions; • Proportion of subjects with serious adverse reactions; • Proportion of subjects who prematurely discontinued neoadjuvant therapy due to adverse reactions
Time frame: up to 65 weeks
immunogenicity assessment
Proportion of subjects with binding and neutralizing antibodies
Time frame: pre-dose to week 52, 5 timepoints
Pharmacokinetics assessment
Cmin - minimum observed product concentration ; Ceoi - concentration at the end of each infusion
Time frame: pre-dose to week 18, 12 timepoints
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