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JOURNAL ONKOLOGIE – STUDIE
TRACE

Tucatinib in Patients With Locally Advanced or Metastatic HER2-positive Breast Cancer Who Received at Least Two Prior Anti-HER2 Treatment Regimens.

Rekrutierend

NCT-Nummer:
NCT05253911

Studienbeginn:
Mai 2022

Letztes Update:
23.04.2024

Wirkstoff:
TUKYSA®

Indikation (Clinical Trials):
Breast Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
iOMEDICO AG

Collaborator:
Seagen Inc.

Studienleiter

Anja Welt, PD Dr.
Study Chair
Universitätsklinikum Essen, Innere Klinik (Tumorforschung)
Rupert Bartsch, Assoc. Prof. PD Dr.
Study Chair
Medical University of Vienna

Kontakt

Studienlocations
(2 von 2)

Universitätsklinikum Essen, Innere Klinik (Tumorforschung)
D-45112 Essen
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Ansprechpartner:
Anja Welt, PD Dr.
Phone: +492017233100
E-Mail: anja.welt@uk-essen.de
» Ansprechpartner anzeigen
Medizinische Universität Wien, Innere Medizin I, Hämatologie und Onkologie
1090 Vienna
AustriaNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Rupert Bartsch, Assoc. Prof. PD Dr.
Phone: +43 14040044450
E-Mail: rupert.bartsch@meduniwien.ac.at
» Ansprechpartner anzeigen

Studien-Informationen

Detailed Description:

TRACE will collect real-world data on the treatment of tucatinib/trastuzumab/capecitabine in

a broad patient population including older patients and patients with more comorbidities as

compared to the pivotal trial HER2CLIMB. In contrast to HER2CLIMB, TRACE will also include

patients receiving tucatinib/trastuzumab/capecitabine during 1st and 2nd palliative therapy

line who were primarily diagnosed with early breast cancer and therefore already have

received two prior anti-HER2 based treatment regimens before enrollment. Until today, no

reliable data is available for these patient population. TRACE will primarily focus on HRQoL

using the validated EORTC QLQ C30 + QLQ-BR23 + EQ-5D-5L questionnaires. Further aims are to

evaluate effectiveness and safety in distinct subgroups focusing on effectiveness of

tucatinib/trastuzumab/capecitabine in patients who have experienced prior therapies with

trastuzumab and neratinib or capecitabine and HER2-targeted TKIs in the neoadjuvant, adjuvant

or palliative setting, respectively.

Study sites may retrospectively include patients within 9 weeks (corresponds to 3 cycles)

after start of study treatment up to 6 months after activation of respective site.

Retrospectively included patients may have already completed study treatment or may have

already deceased at the time of inclusion.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Aged 18 years or older.

- Histologically confirmed HER2+ breast cancer with HER2 positivity defined as a 3+

score by immunohistochemistry (IHC) or a positive result by in situ hybridization

(ISH), optionally combined with a IHC2+ score.

- Diagnosis of locally advanced or metastatic HER2+ breast cancer, including patients

with brain metastases.

- Prior treatment with at least two prior anti-HER2-based regimens.

- Decision for treatment with tucatinib in combination with trastuzumab and capecitabine

according to current SmPC of tucatinib either in

1st/2nd palliative treatment line (Cohort 1) or 3rd/4th palliative treatment line

(Cohort 2).

- Progression after or intolerance of last systemic anti-HER2-based therapy.

- Indication for treatment with tucatinib as assessed by the treating physician.

- Signed written informed consent (only if patient is alive at time of inclusion, not

applicable for retrospective inclusion of deceased patients).

- Knowledge of German language.

- Other criteria according to current SmPC of tucatinib

Exclusion Criteria:

- Contraindications according to SmPC of tucatinib

- Participation in an interventional clinical trial within 30 days prior to enrolment or

simultaneous participation in an interventional clinical trial.

- Treatment with tucatinib/trastuzumab/capecitabine (=study treatment) in 5th or higher

palliative therapy line.

- Onset of tucatinib treatment later than 22 days after start of therapy line (in case

tucatinib administration is started later than trastuzumab and/or capecitabine for any

reason)

Studien-Rationale

Primary outcome:

1. Time to deterioration of EORTC global health scale by at least 10 points (Time Frame - Baseline, up to 24 months):
Only for prospectively enrolled patients: Time to deterioration of EORTC global health scale is defined as the time interval between fill-in date of baseline questionnaire and the first decrease in global health scale score ≥ 10-point (compared to baseline). If there was no such decrease, death will serve as event for this analysis, if occurring within 4 months after last filled-in questionnaire.

2. Changes in the global health scale (Time Frame - Baseline, up to 24 months):
Only for prospectively enrolled patients: Changes in global health is provided by descriptive statistics of the EQ-5D-5L index value, the EQ-5D-5L visual analogue scale, the EORTC QLQ-C30 global health scale and all functional and symptom scores of the EORTC questionnaires.

Secondary outcome:

1. Time to next systemic treatment (TTNT) (Time Frame - Baseline, up to 5 years):
TTNT (time to next systemic treatment) is defined as time from first administration of any study treatment (i.e., tucatinib/trastuzumab/capecitabine treatment) to start of a subsequent systemic antineoplastic therapy or death, whichever comes first.

2. Time to local intracranial treatment (TLT) (Time Frame - Baseline, up to 5 years):
TLT (time to local intracranial treatment) is defined as time from first administration of any study treatment to start of a local intracranial therapy, end of a treatment interruption due to isolated intracranial progression, change of treatment strategy or death, whichever comes first. It will be analyzed for patients with isolated intracranial progression after start of study treatment.

3. Overall survival (OS) (Time Frame - Baseline, up to 5 years):
OS is defined as time from first administration of any study treatment to death from any cause.

4. Overall response rate (ORR) (Time Frame - Baseline, up to 5 years):
ORR is defined as proportion of patients with any response (partial or complete remission) overall.

5. Duration of response (DOR) (Time Frame - Baseline, up to 5 years):
DOR is defined as time from first occurrence of any response (complete or partial remission) to progression or death, whichever comes first. Analysis will be conducted in the subset of patients with any response.

6. Clinical benefit rate (CBR) (Time Frame - Baseline, up to 5 years):
CBR is defined as proportion of patients with complete or partial remission for best response or with stable disease lasting for at least 24 weeks.

7. Adverse events (AEs) and serious adverse events (SAEs) according to NCI CTCAE (Time Frame - Baseline, up to 30 days after end of tucatinib treatment):
Adverse events (AEs) and serious adverse events (SAEs) as characterized by type, frequency, severity and seriousness

8. Safety laboratory value: Aspartate aminotransferase (AST) (Time Frame - Baseline, up to 30 days after end of tucatinib treatment):
During tucatinib administration, safety laboratory will be performed according to routine clinical practice. Laboratory values of AST (Aspartate aminotransferase) measured will be documented continously during tucatinib treatment. Baseline levels of AST will be presented using descriptive statistics.

9. Safety laboratory value: Alanine aminotransferase (ALT) (Time Frame - Baseline, up to 30 days after end of tucatinib treatment):
During tucatinib administration, safety laboratory will be performed according to routine clinical practice. Laboratory values of ALT (Alanine aminotransferase) measured will be documented continously during tucatinib treatment. Baseline levels of ALT will be presented using descriptive statistics.

10. Safety laboratory value: bilirubin (Time Frame - Baseline, up to 30 days after end of tucatinib treatment):
During tucatinib administration, safety laboratory will be performed according to routine clinical practice. Laboratory values of bilirubin measured will be documented continously during tucatinib treatment. Baseline levels of bilirubin will be presented using descriptive statistics.

11. Therapy decision making (Time Frame - Baseline):
Frequencies and percentages of parameters affecting therapy choice.

12. Previous antineoplastic Therapies (Time Frame - Baseline):
Frequency/type of previous systemic antineoplastic treatments (neoadjuvant/adjuvant/palliative)

13. Previous anti-HER2 regimens (Time Frame - Baseline):
Frequency and type of previous anti-HER2 based regimens

14. Subsequent antineoplastic therapies (Time Frame - End of treatment, up to 5 years):
Frequency and type of subsequent systemic antineoplastic therapies

15. Local antineoplastic therapies (Time Frame - Baseline, up to 5 years):
Frequency and type of local antineoplastic therapies (surgeries, radiotherapies) incl. local intracranial therapies

16. Details on line of treatment for both cohorts (Time Frame - Baseline):
Cohort 1: frequencies and percentages for line of treatment (1st-line or 2nd-line tucatinib treatment) Cohort 2: frequencies and percentages for line of treatment (3rd-line or 4th-line tucatinib treatment)

17. Treatment Duration (Time Frame - Baseline, up to 5 years):
Treatment duration of study treatment in total and per substance

18. Dose intensity (Time Frame - Baseline, up to 5 years):
Dose intensity (absolute and relative) for each substance as prescribed by the treating physician

19. Dose modifications (Time Frame - Baseline, up to 5 years):
Frequency, type and reasons of dose modifications (dose reductions, skipped administrations/delays/interruption) compared to SmPC of tucatinib for each substance.

20. Therapy management (use of relevant supportive medications) (Time Frame - Baseline, up to 5 years):
Frequency of usage of antidiarrheal drugs for prophylaxis and treatment of tucatinib-induced diarrhea

Studien-Arme

  • Cohort 1
    150 patients receiving tucatinib/trastuzumab/capecitabine (=study treatment) in 1st or 2nd palliative therapy line.
  • Cohort 2
    150 patients receiving tucatinib/trastuzumab/capecitabine (=study treatment) in 3rd or 4th palliative therapy line.

Geprüfte Regime

  • TUKYSA®:
    tucatinib/trastuzumab/capecitabine according to TUKYSA® SmPC.

Quelle: ClinicalTrials.gov


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