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NCT Number: NCT07187752

Identification of HER2-Positive Breast Cancer Molecular Characterization and Subtypes

This study will evaluate the safety and efficacy of neoadjuvant trastuzumab, pertuzumab and chemotherapy chosen by the investigators and identify the molecular characterization and subtypes in human epidermal growth factor receptor 2 (HER2)-positive breast cancer.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 - 75 years;
  • Eastern Cooperative Oncology Group (ECOG) score status 0-1.
  • Histologically confirmed invasive breast carcinoma with a primary tumor size of more than (>) 2 centimeters (cm) by standard local assessment technique; Breast cancer stage at presentation: early-stage (T2-3, N0-1, M0) or locally advanced (T2-3, N2 or N3, M0; T4, any N, M0);
  • HER2-positive breast cancer confirmed by immunohistochemistry or HER2 gene amplification by in situ hybridization;
  • Known estrogen receptor (ER) and progesterone receptor (PgR) status.
  • Has adequate bone marrow, renal, hepatic and blood clotting functions.
  • Left ventricular ejection fraction (LVEF) ≥50 percent (%).
  • Women of childbearing potential and men with partners of childbearing potential must agree to use a highly effective form of contraception or avoid intercourse during and upon completion of the study and after the last dose for at least 7 months. Negative serum or urine pregnancy test within 7 days before study enrollment.
  • Willing to provide tissue for research purposes.
  • Volunteer to participate in this study and sign the informed consent.

Exclusion criteria

  • Patients with stage IV metastatic breast cancer.
  • Bilateral invasive breast cancer;
  • Patients with breast cancer who have previously received anti-tumor therapy.
  • Occurred or present with other malignant tumors within 5 years. Patients with the following two conditions can be enrolled: other malignancies treated with a single operation, achieving continuous 5-year disease-free survival (DFS); Cured cervical carcinoma in situ, non-melanoma skin cancer and superficial bladder tumors [Ta (non-invasive tumor), Tis (cancer in situ) and T1 (tumor infiltrating basal membrane)];
  • Subjects had participated in clinical trials of other antineoplastic drugs within 4 weeks before the group;
  • Has uncontrolled or significant cardiovascular disease.
  • Allergy to any investigational drug or any ingredient or excipient in the drug;
  • Female subjects who are pregnant, lactating or plan to become pregnant during the study.
  • Has any other condition that per protocol or in the opinion of the investigator is inappropriate for the study.

Treatment and study plan

Trastuzumab

Drug

Trastuzumab (8 mg/kg loading dose, followed by 6 mg/kg every 3 weeks)

Other names: QL1701 (A trastuzumab biosimilar produced by Qilu Pharmaceutical Co., Ltd)

Pertuzumab

Drug

Pertuzumab (loading dose 840 mg, followed by 420 mg every 3 weeks)

Other names: QL1209 (A pertuzumab biosimilar produced by Qilu Pharmaceutical Co., Ltd)

Chemotherapy

Drug

Chemotherapy chosen by the investigators.

Excision of tumor/mastectomy

Procedure

Definitive breast cancer surgery (excision or mastectomy) marks the end of protocol mandated therapy.

Primary outcomes

  1. Total pathological complete response (tpCR) rate

    Time frame: At surgery

    The pathological complete response rate described as the absence of invasive tumor cells in the breast and ipsilateral axillary lymph nodes upon microscopic examination following

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: Before surgery

    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

  2. Breast pathological complete response (bPCR) rate

    Time frame: At surgery

    It is defined as no invasive tumor cells in the breast examined by microscopy after primary tumor resection (ypT0/is).

  3. Number of participants with adverse events (AEs)

    Time frame: Assessed every 2 cycles of neoadjuvant therapy prior to surgery, up to approximately 30 days after the last neoadjuvant treatment.

    Assessment of the toxicity profile of regimen according to the National Cancer Institute Common Toxicity Criteria version 5.0 (NCI CTCAE v 5.0).

  4. Identification of HER2-Positive Breast Cancer Molecular Characterization and Subtypes.

    Time frame: Up to approximately 2 years from study enrollment

    Tumor tissue samples are analyzed by gene expression analysis and genome sequencing to classify novel subtypes and compare the molecular characteristics with patients' clinical data.

Study contacts

Contact information is provided by the study sponsor or research team.

Jinming Yu, PhD, MD

CONTACT

[email protected]

+86 13806406293

Linlin Wang, PhD, MD

CONTACT

[email protected]

+86 13793187739

Sponsors and collaborators

Lead sponsor

Shandong Cancer Hospital and Institute

Other

Registry information

Official study title

A Prospective and Multicenter Clinical Study to Identify the Molecular Characterization and Subtypes in Patients With HER2-positive Breast Cancer Receiving Neoadjuvant Trastuzumab and Pertuzumab.

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Sep 23, 2025
Registry last updated
Sep 23, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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