NeoadjuVAnt muLti-agENT Chemotherapy or Patritumab Deruxtecan With or Without endocrINE Therapy for High-risk HR+/HER2- Breast Cancer - VALENTINE Trial
NCT05569811 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2023-09-21
Summary
VALENTINE is a parallel, non-comparative, three-arm, randomized 1:2:2 open-label, multicenter, exploratory study in women or men with primary operable HR+/HER2-negative breast cancer with ki67 ≥ 20% and/or high genomic risk (defined by gene signature) aiming at evaluating the clinical benefit and biological effects of HER3-DXd with/without letrozole as a neoadjuvant treatment regimen.
The primary aim is to evaluate the ability of each treatment strategy to achieve a pCR at surgery. This study is exploratory and no formal comparison between treatment arms is intended. The inclusion of a chemotherapy treatment arm serves as an internal response control instead of using historical data as comparators. In addition, the chemotherapy control arm is the standard of care appropriate treatment in these patients, to include this arm will ensure the recruitment of the target patient population (patients should have indication for neoadjuvant chemotherapy) and allowing comparison of secondary endpoint such as safety and/or HrQoL.
Conditions
Interventions
- DRUG
-
HER3-DXd will be administered as Lyo-DP, a sterile lyophilized powder in a dose of 5.6 mg/kg
- DRUG
-
Anthracycline/taxane-based neoadjuvant regimen recommended by the NCCN or local guidelines. i.e. EC or AC (epirubicin 90 mg/m2 or doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2 every 14 or 21 days) followed by weekly paclitaxel 80mg/m2 during 12 weeks
- DRUG
-
Letrozole and LHRH will be used following SmPC specifications, according to standard therapy and clinical studies
Sponsors & Collaborators
- collaborator INDUSTRY
-
SOLTI Breast Cancer Research Group
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-11-25
- Primary Completion
- 2025-03-31
- Completion
- 2030-07-31
Countries
- Spain
Study Locations
More Related Trials
-
Detecting Tumor DNA in the Blood of HR+/HER2-low Metastatic Breast Cancer Patients to Find Candidates for T-DXd Therapy
NCT06680596 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
Pyrotinib Combined With Trastuzumab, Dalpiciclib, Letrozole Versus TCbHP (Trastuzumab Plus Pertuzumab With Docetaxel and Carboplatin) as Neoadjuvant Treatment in HR +/HER2 + Breast Cancer
NCT05638594 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Study With Pyrotinib and Trastuzumab and Abraxane in Patients With HER2-enriched Breast Cancer
NCT05659056 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Study of Navelbine in Patients With HER2 Positive Breast Cancer
NCT04665986 ·Status: UNKNOWN ·Phase: PHASE3
-
A Study Evaluating Trastuzumab Emtansine Plus Pertuzumab Compared With Chemotherapy Plus Trastuzumab and Pertuzumab for Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Breast Cancer
NCT02131064 ·Status: COMPLETED ·Phase: PHASE3
-
Neoadjuvant Treatment of HER2 Positive Early High-risk and Locally Advanced Breast Cancer
NCT03595592 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Study of Pertuzumab in Combination With Herceptin and Chemotherapy in Participants With HER2-Positive Breast Cancer
NCT00976989 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Investigate Efficacy and Safety With Oral AZD9833 Compared With Intramuscular Fulvestrant in Post-menopausal Women at Least 18 Years of Age With Advanced ER-positive HER2 Negative Breast Cancer
NCT04214288 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study of Epothilone D in Combination With Herceptin (Trastuzumab) in Patients With HER-2 Positive Advanced or Metastatic Breast Cancer
NCT00337649 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Characterization and Kinetic of Chemotherapy-induced Cardiovascular Toxicity in Breast Cancer
NCT05803889 ·Status: TERMINATED
-
Neoadjuvant Study of Pyrotinib in Patients With HER2 Positive Breast Cancer
NCT03756064 ·Status: UNKNOWN ·Phase: NA
-
AKT Inhibitor in Oestrogen Positive Breast Cancer
NCT02077569 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of HER2DX Assay on Treatment Decisions in Patients With Early Stage HER2+ Breast Cancer: the HER2BREASTDX
NCT06723990 ·Status: RECRUITING
-
Randomized Controlled Trial of Genomically Directed Therapy in Patients With Triple Negative Breast Cancer
NCT02101385 ·Status: COMPLETED ·Phase: PHASE2
-
Neoadjuvant Study of Pyrotinib and Trastuzumab Plus Chemotherapy in Patients With HER2 Positive Breast Cancer
NCT03847818 ·Status: UNKNOWN ·Phase: NA
-
A Safety and Efficacy Study of Bavituximab Plus Docetaxel in Patients With Advanced Breast Cancer
NCT00669591 ·Status: COMPLETED ·Phase: PHASE2
-
Neoadjuvant Ontruzant (SB3) in Patients With HER2-positive Early Breast Cancer: An Open-Label (NeoON)
NCT05036005 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study of Cardiac Safety in Patients With HER2 Positive Early Breast Cancer Treated With Herceptin
NCT01152606 ·Status: COMPLETED
-
To Evaluate the Cardiac Safety of Pegylated Liposomal Doxorubicin Concurrently Plus Trastuzumab and Pertuzumab in the Adjuvant Setting for Early-stage HER-2-positive Breast Cancer: a Multicenter, Randomized Controlled Clinical Study
NCT05656079 ·Status: UNKNOWN ·Phase: NA
-
A Phase II Study to Evaluate the Efficacy and Safety of Anti-HER2 Triple-targeted Drugs Combined With CDK4/6 Inhibitors in Neoadjuvant Therapy for ER-positive HER2-positive Breast Cancer Patients.
NCT07290166 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Dose-Dense For Early Her2Neu Positive Breast Cancer
NCT03329378 ·Status: TERMINATED ·Phase: PHASE2
-
A Study of Pertuzumab in Combination With Herceptin in Patients With HER2 Positive Breast Cancer.
NCT00545688 ·Status: COMPLETED ·Phase: PHASE2
-
Durvalumab With Trastuzumab and Pertuzumab in HER2-Enriched Breast Cancer
NCT03820141 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Prevention of Cardiac Dysfunction During Breast Cancer Therapy
NCT03760588 ·Status: COMPLETED ·Phase: PHASE2
-
Edotecarin in Treating Women With Locally Advanced or Metastatic Breast Cancer That Has Not Responded to Chemotherapy
NCT00070031 ·Status: COMPLETED ·Phase: PHASE2