High Risk ER+HER2- T1-2N0-1 Early Breast Cancer With Palbociclib Plus Endocrine Therapy(HIPEx)
Single-arm Phase II Study of Palbociclib Plus Endocrine Therapy in Patients With High Risk ER-positive/HER2-negative T1-2N0-1 Early Breast Cancer Incorporating GenesWell™ BCT
1 other identifier
interventional
578
1 country
1
Brief Summary
This is a phase II, multi-center, single-arm, open-label trial to evaluate efficacy of palbociclib with endocrine therapy as adjuvant treatment in women with C-high/G-high risk ER-positive/HER2-negative T1-2N0-1 EBC(Early Breast Cancer)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 breast-cancer
Started Feb 2020
Typical duration for phase_2 breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 27, 2020
CompletedFirst Posted
Study publicly available on registry
January 30, 2020
CompletedStudy Start
First participant enrolled
February 11, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2025
CompletedApril 20, 2020
April 1, 2020
3 years
January 27, 2020
April 17, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
3-year event-free survival
defined to be time from study entry to first event, where the first event is any type of recurrence
up to 3 years
Secondary Outcomes (5)
overall survival
up to 5 years
Prognostic and predictive effects of BCT
up to 5 years
Adverse Events
up to 2 years
Quality of Life (QoL)
up to 5 years
Exploratory analysis of genomic biomarkers
up to 5 years
Study Arms (1)
palbociclib plus endocrine therapy treatement
EXPERIMENTAL* Patients with Clinical high risk/Genomic High risk (in BCT score)-high and ER positive/HER2 negative EBC after Curative Surgery * Palbociclib at a dose of 125mg, orally once daily on Day 1 to Day 21 followed by 7 days off in a 28-day cycle for a total duration of 2 years * Standard adjuvant endocrine therapy for a duration of at least 5 years from the start of the treatment.
Interventions
Palbociclib at a dose of 125 mg will be administered orally once a day for 21 days, followed by 7 days off treatment of every 28 day cycle. Investigational medicinal product (IMP) will be administered with standard adjuvant endocrine therapy (Non-investigational treatment).
Eligibility Criteria
You may qualify if:
- Patient is an adult, ≥ 19 years old at the time of informed consent
- Premenopausal and postmenopausal women or men with invasive breast cancer
- De novo primary disease
- Patient who performed surgery with curative aim
- Patient who has negative surgical resection margins
- Patient with histologically confirmed HER2-negative breast cancer
- Patient with histologically and cytologically confirmed ER positive breast cancer by local laboratory testing
- Pathological node assessment: pN0 or pN1
- Tumor size ≥ 0.5 cm, and T1 or T2
- Clinical High-Risk (Clinical high-risk patients as per the modified Adjuvant! Online guideline in the clinical trial MINADCT(Microarray in Node Negative Disease May Avoid Chemotherapy), refer to section 5.2.1)
- Genomic High-Risk in BCT score (≥ 4)
- Patients agreed to use effective contraception or not be of childbearing potential.
- Patient has adequate bone marrow and organ function
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
- Patient who is able to swallow and retain oral medication
You may not qualify if:
- Patient with recurred breast cancer
- Patient with histologically confirmed ER negative
- Patient with histologically confirmed HER2-positive
- Pathological node assessment: pN2 or pN3
- Patients has received neoadjuvant chemotherapy or endocrine therapy
- Patient has received preoperative treatment with CDK 4/6 inhibitors.
- Patient has received preoperative radiation therapy
- Tumor size less than 0.5 cm
- Patients with low clinical risk group (section 5.2.1)
- Patients who low BCT risk group (BCT score\<4)
- Patients with lactose intolerance
- Patients with a hypersensitivity to IP and/or components of IP
- Pregnant women, women of childbearing potential or lactating women
- Patients who have serious underlying co-morbidities which could cause end-organ dysfunction
- A FFPE tumor sample is not available
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Samsung Medical Centerlead
- Korean Cancer Study Groupcollaborator
Study Sites (1)
Samsung Medical Center
Seoul, 135-710, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor, MD, PhD
Study Record Dates
First Submitted
January 27, 2020
First Posted
January 30, 2020
Study Start
February 11, 2020
Primary Completion
February 1, 2023
Study Completion
February 1, 2025
Last Updated
April 20, 2020
Record last verified: 2020-04