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CTRI Number  CTRI/2014/11/005208 [Registered on: 19/11/2014] Trial Registered Prospectively
Last Modified On: 09/03/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to evaluate Efficacy and Safety of CT-P6 in HER2 Positive Early Breast Cancer ( a type of breast cancer)  
Scientific Title of Study   A Phase 3, Double Blind, Randomized, Parallel Group, Active Controlled Study to Compare the Efficacy and Safety of CT P6 and Herceptin as Neoadjuvant and Adjuvant Treatment in Patients with HER2 Positive Early Breast Cancer 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
2013-004525-84  EudraCT 
CT-P6 3.2 , Version 2.0, including Amendment 1 - 20 Jan 2014  Protocol Number 
NCT02162667  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Arun Sundriyal  
Designation  Director - Clinical Management 
Affiliation  PPD Pharmaceutical Development India Private Limited  
Address  PPD Pharmaceutical Development India Private Limited, Vatika City Point, 11th Floor, Sector 25, Mehrauli Gurgaon Road

Gurgaon
HARYANA
122002
India 
Phone  911244739903  
Fax  911244739999  
Email  Arun.Sundriyal@ppdi.com  
 
Details of Contact Person
Public Query
 
Name  Arun Sundriyal  
Designation  Director - Clinical Management 
Affiliation  PPD Pharmaceutical Development India Private Limited  
Address  PPD Pharmaceutical Development India Private Limited, Vatika City Point, 11th Floor, Sector 25, Mehrauli Gurgaon Road

Gurgaon
HARYANA
122002
India 
Phone  911244739903  
Fax  911244739999  
Email  Arun.Sundriyal@ppdi.com  
 
Source of Monetary or Material Support  
CELLTRION Inc,23, Academy-ro, Yeonsu-gu, Incheon, 406-840, South Korea  
 
Primary Sponsor  
Name  CELLTRION Inc 
Address  23, Academy-ro, Yeonsu-gu, Incheon, 406-840, South Korea  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
PPD Pharmaceutical Development India Private Limited  01-Dynasty-B Wing, Kanakia Spaces, Andheri - Kurla Road , Andheri (E), Mumbai 400 059, India. 
 
Countries of Recruitment     Argentina
Belarus
Brazil
Chile
France
Georgia
Greece
Hungary
India
Italy
Latvia
Mexico
Peru
Philippines
Poland
Portugal
Romania
Russian Federation
Serbia
Spain
Ukraine
Bosnia and Herzegovina
Croatia
Ecuador
Republic of Korea
South Africa
Taiwan
Thailand
Turkey  
Sites of Study
Modification(s)  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prabrajya Narayan Mohapatra  Apollo Gleneagles Hospitals Kolkata  Deparment of Medical Oncology, 58 Canal Circular Road-700054
Kolkata
WEST BENGAL 
919674311610

prabrajya.mohapatra@rediffmail.com 
Dr Sankar Srinivasan  Apollo Speciality Hospital  Department of Medical Oncology, Padma Complex, No. 320, Anna Salai-600 035
Chennai
TAMIL NADU 
914424331741

srinivasangirija@gmail.com 
Dr Lalit Mohan Sharma  Bhagwan Mahaveer Cancer Hospital and Research  Jawahar Lal Nehru Marg-302017
Jaipur
RAJASTHAN 
919928602244

bmchrcclinicaltrial@gmail.com 
Dr Prakash Nanasaheb Pandit  Curie Manavata Cancer Centre  Opp. Mahamarg Bus Stand, Mumbai Naka-422004
Nashik
MAHARASHTRA 
919969988296

drprakash_tmh@rediffmail.com 
Dr Pragya Shukla  Delhi State Cancer Institute  Dilshad Garden-110095
New Delhi
DELHI 
919560390107

pragyaonco@gmail.com 
Dr Rajkumar Poovana Nathan  Dr. Kamakshi Memorial Hospital Pvt Ltd.  #1, Radial Road, Pallikaranai- 600100
Chennai
TAMIL NADU 
919840228291

rajms99@yahoo.com 
Dr Ramesh Sarin  Indraprastha Apollo Hospitals  Department of Oncology Sarita Vihar, Delhi - Mathura Road-110076
New Delhi
DELHI 
919810064496

sarinramesh@hotmail.com 
Dr Pragnya Coca   Mazumdar Shaw Medical Center,Narayana Hrudayalaya Private Limited  NH Health City,#258/A, Bommasandra Industrial area, Hosur Road-560099
Bangalore
KARNATAKA 
918050004989

pragnya.11@gmail.com 
Dr Chinmay Kumar Basu  Netaji Subhash Chandra Bose Cancer Research Institute  16A, Park Lane -700016
Kolkata
WEST BENGAL 
919830114880

ckbose@hotmail.com 
Dr Sadanand Karandikar  Ruby Hall Clinic  Cancer building, 3rd floor 40, Sassoon road-411001
Pune
MAHARASHTRA 
919890281963

skaran44@gmail.com 
Dr Chandrashekhar Vishwanath Pethe  Shatabdi Super Speciality Hospital  Suyojit City Center, Opposite Mahamarg Bus Stand,Mumbai naka-422005
Nashik
MAHARASHTRA 
918888736446

drcvpethe@gmail.com 
Dr Seema Gulia  Tata Memorial Centre  1. Tata Memorial Centre,Tata Memorial Hospital,Room No. 1109, 11th Floor,Homi Bhabha Block, Dr. E. Borges Marg, Parel– 400012. 2.Tata Memorial Centre, Advanced Centre for Treatment Research and Education in Cancer (ACTREC), Sector-22, Ove Village Kharghar-410210,
Mumbai
MAHARASHTRA 
919920933131
912224177201
drseemagulia10@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 11  
Name of Committee  Approval Status 
Ethics Committee Netaji Subhash Chandra Bose Cancer Research Institute (Dr. Chinmay Kumar Basu)  Approved 
Ethics Committee on Clinical Trials (Dr.Ramesh Sarin)  Approved 
Ethics Committee-Apollo Hospitals (Dr.Sankar Srinivasan)   Approved 
Institutional Ethics Committee - Apollo Gleneagles Hospitals Kolkata (Dr. Prabrajya Narayan Mohapatra)   Approved 
Institutional Ethics Committee- Poona Medical Research Foundation(Dr. Sadanand Karandikar)  Approved 
Institutional Ethics Committee-Bhagwan Mahaveer Cancer Hospital and Research Centre(Dr. Lalit Mohan Sharma)  Approved 
Institutional Ethics Committee-Dr. Kamakshi Memorial Hospital Pvt Ltd (Dr. Rajkumar Poovana Nathan)   Approved 
Manavata Clinical Research Institute Ethics Committee (Dr. Prakash Nanasaheb Pandit)   Approved 
Narayana Health Medical Ethics Committee (Dr. Pragnya Coca)   Approved 
Shatabdi Hospital Ethics Committee (Dr. Chandrashekhar Vishwanath Pethe)  Approved 
Shatabdi Hospital Ethics Committee (Dr. Nitin Laxman Chaudhari)   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  HER2-positive Carcinoma of Breast, (1) ICD-10 Condition: C50||Malignant neoplasm of breast, (2) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  CT-P6 (trastuzumab)   CT-P6 will be administered as IV infusion at 6mg/kg body weight after a loading dose of 8mg/kg body weight, upto 24 weeks (8 cycles) as neoadjuvant and upto 10 cycles as adjuvant treatment.  
Comparator Agent  Herceptin (trastuzumab)  Herceptin will be administered as IV infusion at 6mg/kg body weight after a loading dose of 8mg/kg body weight, upto 24 weeks (8 cycles) as neoadjuvant and upto 10 cycles as adjuvant treatment.  
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  1.Patient is a female 18 years of age or older.
2.Patient who has Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
3.Patient who has histologically confirmed and newly diagnosed breast cancer.
4.Patient who has clinical stage I, II, or IIIa operable breast cancer according to the AJCC Breast Cancer Staging 7th edition.
5.Patient who has HER2 positive status confirmed locally, defined as 3 + score by immunohistochemistry (IHC).  
 
ExclusionCriteria 
Details  1.Patient who has bilateral breast cancer.
2.Patient who is pregnant or lactating.
3.Patient who has received prior treatment for breast cancer, including chemotherapy, biologic therapy, hormone therapy, immunotherapy, radiation or surgery, including any prior therapy with anthracyclines.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Equivalence to Herceptin as determined by pCR (pathological Complete Response). Subject who went through Neoadjuvant period completely (24 weeks), will receive surgery within 3-6 weeks after last treatment of neoadjuvant period.
The primary endpoint, Pathological complete response, will be assessed using resected biospecimens collected in breast and axilla during a surgery.




 
After Neo-adjuvant therapy and Surgery (up to 30 weeks) 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary objectives of this study are to evaluate additional efficacy parameters (such as ORR) and to obtain additional PK, Pharmacodynamics, safety, and biomarker data.  For a best overall response of SD, measurements must have met the SD criteria at least once after start of study treatment for a minimum interval of 6 weeks (42 days or more after first administration of study drug). 
 
Target Sample Size   Total Sample Size="532"
Sample Size from India="92" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
14/01/2015 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/06/2014 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="5"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details
Modification(s)  
Not applicable 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

This is a double-blind, randomized, parallel-group, active-controlled, multicenter, international, prospective Phase 3 study.This is the trial to see the equivalence of CT-P6 and Herceptin determined by pCR (pathological Complete Response) after surgery followed by 8 cycles of Neo-adjuvant therapy. Maximum 10 cycles of adjuvant therapy will be given to patients.

 
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