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CompletedNCT01104935RESPECTUpdated Oct 21, 2019

National Surgical Adjuvant Study of Breast Cancer(N-SAS BC) 07 [RESPECT]

A Phase 3 interventional study of trastuzumab monotherapy and trastuzumab and chemotherapy in Breast Cancer, sponsored by Comprehensive Support Project for Oncology Research. Completed at 1 site in Japan. Open to female participants aged 70 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-10-21.

Sponsored by Comprehensive Support Project for Oncology Research · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
275
Allocation
Randomized
Ages
70 Years to 80 Years
Sex
Female
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Study summary

To investigate clinical positioning between trastuzumab (Herceptin) monotherapy (H group) and combination therapy of trastuzumab and chemotherapy (H+CT group) based on a randomized controlled trial in women over 70 years with human epidermal growth factor receptor type-2 (HER2) positive primary breast cancer.

Read the detailed description

This study is a randomized, comparative trial of postoperative adjuvant therapies in women with HER2 (human epidermal growth factor receptor type-2)-positive primary breast cancer who are ≥70 years of age that will compare trastuzumab (Herceptin®) monotherapy (H group) and trastuzumab in combination with chemotherapy (H+CT group).

The objectives of this study are as follows.

  1. To verify the clinical positioning of trastuzumab monotherapy and combined trastuzumab and chemotherapy as postoperative adjuvant therapies for the treatment of HER2-positive primary breast cancer patients who are ≥70 years of age.
  2. To evaluate the safety of trastuzumab monotherapy and combined trastuzumab and chemotherapy in patients who are ≥70 years of age. In particular, to evaluate cardiac disorders that are a characteristic adverse drug reaction of trastuzumab as well as geriatric-related concerns including lipid metabolism, cerebral infarction and cognitive disorders.
  3. To evaluate overall survival in patients who are ≥70 years of age using trastuzumab monotherapy or combined trastuzumab and chemotherapy.
  4. To evaluate health-related quality of life (HRQOL), cost-effectiveness (utility), and conduct a comprehensive geriatric assessment (CGA) in patients who are ≥70 years of age and using trastuzumab monotherapy or combined trastuzumab and chemotherapy.
  5. To establish and expand information networks by the participation of practitioners in clinical trials that are involved in general clinical practice and breast cancer.
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Conditions studied

  • Breast Cancer

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03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 275 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Comprehensive Support Project for Oncology Research is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
70 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Histologically diagnosed as invasive breast cancer and received curative operation for primary breast cancer.
  2. Stage: 1 (tumor size [pT] > 0.5 cm), 2A, 2B or 3A/ M0
  3. Female between 70 and 80 years old
  4. Primary region is HER 2 positive: either 3+ overexpression by IHC or positive by FISH
  5. Baseline left ventricular ejection fraction (LVEF) is ≥55% measured by echocardiography or MUGA scan within 4 weeks before registration.
  6. PS: 0-1 (ECOG)
  7. Sufficient organ function meeting following criteria within 4 weeks before registration:

    • Leukocyte ≥2500 mm3
    • Neutrophil ≥1500 mm3
    • Platelet ≥100 000 mm3
    • Serum total bilirubin ≤2.0 x upper limit of normal (ULN)
    • ALT (GPT) or AST (GOT) ≤2.5 x ULN
    • Serum creatinine ≤2.0 x ULN
    • ALP ≤2.5 x ULN
  8. No previous endocrine therapy or chemotherapy for breast cancer
  9. Signed written informed consent

Exclusion criteria

Exclusion Criteria:

  1. Active multiple primary cancer (synchronous multiple primary cancer and invasive cancer of other organs)
  2. Postoperative histological axillary lymph node metastasis ≥4
  3. Axillary lymph node is not histologically evaluated
  4. Histologically confirmed positive margin in breast conservation surgery (evaluation of margin status is based on policy of site)
  5. History of drug-related allergy which could hinder planned treatment
  6. Any history or complication of following cardiac disorders

    • History of congestive heart failure, cardiac infarction
    • Complication requires treatment such as: ischemic cardiac disorder, arrhythmia, valvular heart disease
  7. Poorly controlled hypertension (ex. Systolic arterial pressure ≥180 mmHg or diastolic blood pressure ≥100 mmHg)
  8. Poorly controlled diabetes
  9. Continuous visit to a medial institution is considered difficult due to deterioration of activity of daily living (ADL)
  10. Difficult to participate in the trial because of psychiatric disorder or psychiatric symptoms
  11. Ineligible to the trial based on decision of an investigator
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
275 participants (actual)

Study arms

  • Experimental
    trastuzumab monotherapy

    H group (trastuzumab monotherapy group) * Trastuzumab: 1-year treatment * Loading dose, 8 mg/kg; from 2nd dose, 6 mg/kg; iv inj, qw, 18 times

    Drug: trastuzumab monotherapy

  • Active comparator
    trastuzumab and chemotherapy

    H+CT group (combination therapy of trastuzumab and chemotherapy) * Chemotherapy: 12 to 24 weeks * Select chemotherapy from certain regimens (PTX, DTX, TC, AC, EC, FEC, CMF and TCb (CBDCA)) based on decision of a physician or a patient. Initiate administration of trastuzumab after completion of chemotherapy as a sequential combination. However, concomitant administration is allowed when combining trastuzumab with PTX, DTX and CMF. In cases of TCb (CBDCA), trastuzumab is used concomitant administration.

    Drug: trastuzumab monotherapy · Drug: trastuzumab and chemotherapy

Interventions

  • Drugtrastuzumab monotherapy

    Also known as: Herceptin

  • Drugtrastuzumab and chemotherapy

    Also known as: PTX, DTX, TC, AC, EC, FEC, CMF, TCb (CBDCA)

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What researchers measure

Primary outcomes

  1. Disease free survival

    Disease-free survival is defined as the interval from the date of enrollment to the date of any of the following events. 1. Local recurrence, distant metastasis 2. Metachronous breast cancer, secondary cancer 3. Death

    Time frame: Patients are followed up for 8 years after initial enrollment (from Oct. 2009 through Oct. 2017).

Secondary outcomes

  1. Overall survival

    Overall survival is defined as the interval from the date of enrollment to the date of death from any cause.

    Time frame: Patients are followed up for 8 years after initial enrollment (from Oct. 2009 through Oct. 2017).

  2. Relapse-free survival

    Relapse-free survival is defined as the interval from the date of enrollment to the date of any of the following events. 1. Local recurrence, distant metastasis 2. Death

    Time frame: Patients are followed up for 8 years after initial enrollment (from Oct. 2009 through Oct. 2017).

  3. Percentage of participants with adverse events as a measure of safety

    The following variables are evaluated: left ventricular ejection fraction, white-cell count, neutrophil count, platelet count, bilirubin level, alanine aminotransferase level, aspartate aminotransferase level, alkaline phosphatase level, and creatinine level.

    Time frame: Evaluations are performed at the time of starting the specified treatment and 2, 6, and 9 month, 1 year, 1 year 6 months, 2 years, 2 years 6 months, and 3 years after the start of treatment. Subsequently, evaluations are done at 1-year intervals.

  4. Health-related QOL (HRQOL)

    The following QOL questionnaire forms (in Japanese) are used for evaluations: FACT-G, HADS, EQ-5D, and PNQ.

    Time frame: Evaluations are performed at the time of starting the specified treatment and 2 months, 1 year, and 3 years after the start of treatment.

  5. Cost effectiveness analysis

    Survey items are as follows. 1. Direct medical costs: medical costs associated with therapy, the management of adverse events, etc. 2. Direct nonmedical costs: transportation expenses required for medical examinations, costs of health foods, etc. 3. Indirect costs: work-loss costs associated with treatment that are incurred directly by the patient and by their caregivers

    Time frame: Data on direct medical costs for the 3-year period after the start of the treatment are obtained from CRF. Data on direct nonmedical costs and indirect costs are obtained from questionnaires 2, 12, and 36 months after starting the treatment.

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Study locations

1 site
  • Aichi Cancer Center Hospital
    Nagoya, Aichi 464-8681, Japan
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References and documents

Publications

  • Hagiwara Y, Sawaki M, Uemura Y, Kawahara T, Shimozuma K, Ohashi Y, Takahashi M, Saito T, Baba S, Kobayashi K, Mukai H, Taira N. Impact of chemotherapy on cognitive functioning in older patients with HER2-positive breast cancer: a sub-study in the RESPECT trial. Breast Cancer Res Treat. 2021 Aug;188(3):675-683. doi: 10.1007/s10549-021-06253-0. Epub 2021 Jun 2. PubMed 34080094 ↗
  • Taira N, Sawaki M, Uemura Y, Saito T, Baba S, Kobayashi K, Kawashima H, Tsuneizumi M, Sagawa N, Bando H, Takahashi M, Yamaguchi M, Takashima T, Nakayama T, Kashiwaba M, Mizuno T, Yamamoto Y, Iwata H, Ohashi Y, Mukai H, Kawahara T; RESPECT Study Group. Health-Related Quality of Life With Trastuzumab Monotherapy Versus Trastuzumab Plus Standard Chemotherapy as Adjuvant Therapy in Older Patients With HER2-Positive Breast Cancer. J Clin Oncol. 2021 Aug 1;39(22):2452-2462. doi: 10.1200/JCO.20.02751. Epub 2021 Apr 9. PubMed 33835842 ↗
  • Sawaki M, Taira N, Uemura Y, Saito T, Baba S, Kobayashi K, Kawashima H, Tsuneizumi M, Sagawa N, Bando H, Takahashi M, Yamaguchi M, Takashima T, Nakayama T, Kashiwaba M, Mizuno T, Yamamoto Y, Iwata H, Kawahara T, Ohashi Y, Mukai H; RESPECT study group. Randomized Controlled Trial of Trastuzumab With or Without Chemotherapy for HER2-Positive Early Breast Cancer in Older Patients. J Clin Oncol. 2020 Nov 10;38(32):3743-3752. doi: 10.1200/JCO.20.00184. Epub 2020 Sep 16. PubMed 32936713 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01104935
Lead sponsor
Comprehensive Support Project for Oncology Research
Responsible party
Sponsor
First posted
Apr 16, 2010
Start date
Oct 28, 2009
Primary completion
Oct 31, 2017
Completion
Oct 15, 2018
Last update
Oct 21, 2019

Study contacts

Masataka Sawaki
principal investigator · Department of Breast Oncology, Aichi Cancer Center Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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