Trial intelligence / Profile preview

SAFE-HEaRt: HER2 Therapy in Breast Cancer with Reduced Heart Function

NCT01904903Phase 2

Key facts

Status
Completed
Start
Oct 2013
Primary completion
Jun 2019
Countries
1
Modality
Small Molecules, Antibody-Drug Conjugates (ADCs), Engineered Antibody Formats
Conditions
breast cancer
01

Overview

Phase 2, open-label, single-arm trial of trastuzumab, pertuzumab and trastuzumab emtansine in breast cancer, sponsored by MedStar Health Research Institute. Primary endpoint: Percentage of Patients Who Complete Planned Oncologic Therapy Without the Development of a Cardiac Event or Asymptomatic Worsening of Cardiac Function at 18 months. Started Oct 2013; status: completed.

02

Design

1 arm
Study design
Non-randomizedOpen-label
  • HER2 therapies + Cardiac Protection

    Patients receive oncologist-selected HER2 therapy (Trastuzumab, Pertuzumab, or T-DM1) concomitant with Beta-blockers and ACE-inhibitors.

03

Who it enrols

Patients with HER2-positive breast cancer and mildly decreased LVEF (40-49%) without symptomatic heart failure.

04

Endpoints

Primary

  • Percentage of Patients Who Complete Planned Oncologic Therapy Without the Development of a Cardiac Event or Asymptomatic Worsening of Cardiac Function

Secondary

  • Median Time to Development of an Event Defined as Cardiac Event or Asymptomatic Worsening of Left Ventricular Dysfunction

  • Absolute Changes in LVEF During HER2 Targeted Therapy Between Baseline and End of Treatment

  • HER2 Therapy Holds Attributed to Proportion of Patients With Symptomatic or Asymptomatic Cardiotoxicity

  • Correlation of Global Longitudinal Myocardial Strain With Cardiac Events and Asymptomatic Worsening of Cardiac Function

  • Correlation of Standard Cardiac Troponin I and Highly Sensitive Cardiac Troponin T With Cardiac Events and Asymptomatic Worsening of Cardiac Function

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