ClinicalTrials.gg
CompletedNCT01566721SafeHERUpdated Apr 27, 2021Results posted

A Safety and Tolerability Study of Assisted and Self-Administered Subcutaneous (SC) Herceptin (Trastuzumab) as Adjuvant Therapy in Early Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Breast Cancer

A Phase 3 interventional study of Herceptin in Breast Neoplasms, sponsored by Hoffmann-La Roche. Completed at 437 sites in 59 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-27.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,577
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This multicenter, two-cohort, non-randomized, open-label study will evaluate the safety and tolerability of assisted and self-administered SC Herceptin as adjuvant therapy in participants with early HER2-positive breast cancer following tumor excision. Participants will receive Herceptin 600 milligrams (mg) SC every 3 weeks for 18 cycles, either by an assisted administration using a conventional syringe and needle/vial formulation (Cohort A) or with assisted and self-administration using a single-use injection device (SID) in selected participants (Cohort B).

02

Conditions studied

  • Breast Neoplasms

Browse trials for

03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 2,577 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed early invasive -positive carcinoma of the breast with no evidence of residual, locally recurrent, or disease and defined as clinical Stage I to IIIC that is eligible for treatment with Herceptin
  • (ECOG) performance status 0 or 1
  • Screening (LVEF) greater than or equal to (≥) 55%

Exclusion criteria

Exclusion Criteria:

  • Previous or adjuvant breast cancer treatment with an approved or anti- agent
  • History of other except for curatively treated carcinoma in situ of the cervix, basal cell carcinoma, or curatively treated malignancies (other than breast cancer) where the participant has been disease-free for at least 5 years
  • Past history of ductal carcinoma in situ treated with any systemic therapy or with radiation therapy to the ipsilateral breast where invasive cancer subsequently developed
  • disease
  • Inadequate bone marrow, hepatic, or renal function
  • Serious cardiac or cardiovascular disease including uncontrolled hypertension or history of hypertensive crisis or hypertensive encephalopathy
  • History of severe allergic or immunological reactions, such as difficult-to-control asthma
  • Pregnant or lactating women
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,577 participants (actual)

Study arms

  • Experimental
    Cohort A: SC Herceptin by Needle/Syringe

    Participants will receive SC Herceptin by an assisted administration using a conventional syringe and needle/vial formulation.

    Drug: Herceptin

  • Experimental
    Cohort B: SC Herceptin by SID

    Participants will receive SC Herceptin with assisted and/or self-administered use of an SID. The first administration will be performed by a trained healthcare professional. If well tolerated and the participant is willing and judged competent to perform self-administration, subsequent administration of SC Herceptin may be performed by the participant.

    Drug: Herceptin

Interventions

  • Herceptin will be given as 600 mg SC (into thigh) on Day 1 of each 3-week cycle for up to 18 cycles.

    Also known as: Trastuzumab

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period

    Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with at least 1 AE during the treatment period (regardless of severity or seriousness) was reported.

    Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

  2. Percentage of Participants With a Grade 3 or Higher AE During the Treatment Period

    Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. AEs were graded according to National Cancer Institute Common Terminology Criteria Version 4.0. Grade 3 AEs were those considered severe or medically significant but not immediately life-threatening. Grade 4 AEs were those considered life-threatening and/or for which urgent intervention was indicated. Grade 5 AEs were those resulting in death. The percentage of participants with a Grade 3 or higher (i.e., Grade 3 to 5) AE during the treatment period was reported.

    Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

  3. Percentage of Participants With Treatment Interruption Due to an AE

    Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with SC Herceptin treatment interrupted to assess or treat AEs was reported.

    Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

  4. Number of Herceptin Cycles Received

    Participants were planned to receive a total of 18 cycles of SC Herceptin. The median number of cycles actually received was reported.

    Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

  5. Percentage of Participants by Total Number of Herceptin Cycles Received

    Participants were planned to receive a total of 18 cycles of SC Herceptin. The percentage of participants was reported by the total number of cycles actually received. Because the data are presented non-cumulatively, this table reflects participant distribution by the highest number of cycles received.

    Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

  6. Percentage of Participants Who Received Concomitant Cancer Therapy

    Concomitant cancer treatment included chemotherapy, radiotherapy, and hormone therapy administered during the study. The percentage of participants who received any of these concomitant therapies was reported.

    Time frame: From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)

  7. Percentage of Participants Who Received Concomitant Non-Cancer Therapy

    Concomitant non-cancer treatment included any pharmacologic interventions administered during the study other than chemotherapy, radiotherapy, or hormone therapy. The percentage of participants who received any concomitant non-cancer therapies was reported.

    Time frame: From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)

Secondary outcomes

  1. Percentage of Participants Who Died by Data Cutoff of 10 March 2015

    The percentage of participants who died from any cause was reported.

    Time frame: From Baseline to time of event (maximum follow-up approximately 3 years as of data cutoff of 10 March 2015)

  2. Percentage of Participants Who Died During the Safety Follow-up Period

    The percentage of participants who died from any cause was reported during the safety follow-up period.

    Time frame: From Baseline to Time of Event, Safety Follow-Up Period (Up to 6 Years)

  3. Disease-Free Survival Rate

    DFS is defined as the time from first dose of SC Herceptin to the first event of local, regional or distant recurrence, contralateral invasive breast cancer (including ipsilateral ductal carcinoma in situ) or death due to any cause. Time from the date of first dose to any DFS event was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

    Time frame: From Baseline to time of event (up to approximately 8 years)

  4. Overall Survival Rate

    Overall survival was defined as the time from randomization to death from any cause. Time from the date of randomization to the date of death was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

    Time frame: From Baseline to Time of Event (Up to Approximately 6 Years)

  5. Percentage of Participants by Item Response to SID Satisfaction Questionnaire

    The SID satisfaction questionnaire was administered twice during the study and asked participants to respond to five statements using a Likert scale from "Strongly Disagree" to "Strongly Agree". Questionnaire items were as follows: "I felt comfortable injecting the study drug by myself" (Comfortable), "The SID was convenient and easy to use" (Easy to Use), "I am confident giving myself an injection in the thigh with the SID" (Confident), "Taking all things into account I find self-administration using the SID satisfactory" (Satisfactory), "If given the opportunity I would choose to continue self-injecting the study drug using the SID in the future" (Continue). Participants could only select one response per questionnaire item. There was no calculation of any score, but rather, descriptive summaries were generated by item response. The percentage of participants was reported by the response given for each item on the SID satisfaction questionnaire.

    Time frame: Cycle 4 (cycle length 3 weeks) and last safety follow-up (LSFU) (approximately 1 year)

07

Results

Posted Apr 18, 2017

Participant flow

Treatment Period
Participant flow — Treatment Period
MilestoneCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by Single-Use Injection Device (SID)
Started1867710
Completed1670652
Not completed19758
Withdrew: Withdrawal by subject359
Withdrew: Disease progression/recurrence3713
Withdrew: Investigator/sponsor decision63
Withdrew: Other132
Withdrew: Lack of compliance51
Withdrew: Adverse event10030
Withdrew: Pregnancy10
Safety Follow-up
Participant flow — Safety Follow-up
MilestoneCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by Single-Use Injection Device (SID)
Started1865708
Completed1318501
Not completed547207
Withdrew: Physician decision64
Withdrew: Lost to follow-up10148
Withdrew: Withdrawal by subject15549
Withdrew: Death284
Withdrew: Non-compliance73
Withdrew: Protocol violation70
Withdrew: Site closure23
Withdrew: Erroneous reporting or late reporting20
Withdrew: Missing72
Withdrew: Disease progression /disease recurrence22390
Withdrew: Sponsor decision10
Withdrew: Adverse event84

Outcome measures

PrimaryPercentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with at least 1 AE during the treatment period (regardless of severity or seriousness) was reported.

Time frame:
From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period88.689.0
PrimaryPercentage of Participants With a Grade 3 or Higher AE During the Treatment Period

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. AEs were graded according to National Cancer Institute Common Terminology Criteria Version 4.0. Grade 3 AEs were those considered severe or medically significant but not immediately life-threatening. Grade 4 AEs were those considered life-threatening and/or for which urgent intervention was indicated. Grade 5 AEs were those resulting in death. The percentage of participants with a Grade 3 or higher (i.e., Grade 3 to 5) AE during the treatment period was reported.

Time frame:
From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants With a Grade 3 or Higher AE During the Treatment Period
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants With a Grade 3 or Higher AE During the Treatment Period24.0 (22.1 to 26.0)21.0 (18.1 to 24.2)
PrimaryPercentage of Participants With Treatment Interruption Due to an AE

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with SC Herceptin treatment interrupted to assess or treat AEs was reported.

Time frame:
From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment Interruption Due to an AE
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants With Treatment Interruption Due to an AE9.810.4
PrimaryNumber of Herceptin Cycles Received

Participants were planned to receive a total of 18 cycles of SC Herceptin. The median number of cycles actually received was reported.

Time frame:
From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)
Reported as:
Median · cycles
Number of Herceptin Cycles Received
cyclesCohort B: SC Herceptin by SID (Self-Administered)Cohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Number of Herceptin Cycles Received16.0 (1 to 17)18.0 (1 to 19)18.0 (1 to 18)
PrimaryPercentage of Participants by Total Number of Herceptin Cycles Received

Participants were planned to receive a total of 18 cycles of SC Herceptin. The percentage of participants was reported by the total number of cycles actually received. Because the data are presented non-cumulatively, this table reflects participant distribution by the highest number of cycles received.

Time frame:
From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants by Total Number of Herceptin Cycles Received
percentage of participantsCohort B: SC Herceptin by SID (Self- Administered)Cohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
1 Cycle Received2.71.00.8
2 Cycles Received1.30.50.4
3 Cycles Received1.10.50.1
4 Cycles Received1.61.20.7
5 Cycles Received1.30.80.6
6 Cycles Received1.60.50.1
7 Cycles Received2.20.70.8
8 Cycles Received2.20.90.3
9 Cycles Received1.80.20.6
10 Cycles Received1.50.30.1
11 Cycles Received3.50.40.3
12 Cycles Received2.50.90.8
13 Cycles Received4.90.20
14 Cycles Received6.90.50.6
15 Cycles Received10.70.50.4
16 Cycles Received21.60.60.3
17 Cycles Received32.51.01.1
18 Cycles Received089.291.8
19 Cycles Received00.20
PrimaryPercentage of Participants Who Received Concomitant Cancer Therapy

Concomitant cancer treatment included chemotherapy, radiotherapy, and hormone therapy administered during the study. The percentage of participants who received any of these concomitant therapies was reported.

Time frame:
From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)
Reported as:
Number · percentage of participants
Percentage of Participants Who Received Concomitant Cancer Therapy
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Chemotherapy58.263.9
Radiotherapy51.348.5
Hormone Therapy53.550.4
PrimaryPercentage of Participants Who Received Concomitant Non-Cancer Therapy

Concomitant non-cancer treatment included any pharmacologic interventions administered during the study other than chemotherapy, radiotherapy, or hormone therapy. The percentage of participants who received any concomitant non-cancer therapies was reported.

Time frame:
From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)
Reported as:
Number · percentage of participants
Percentage of Participants Who Received Concomitant Non-Cancer Therapy
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants Who Received Concomitant Non-Cancer Therapy89.189.7
SecondaryPercentage of Participants Who Died by Data Cutoff of 10 March 2015

The percentage of participants who died from any cause was reported.

Time frame:
From Baseline to time of event (maximum follow-up approximately 3 years as of data cutoff of 10 March 2015)
Reported as:
Number · percentage of participants
Percentage of Participants Who Died by Data Cutoff of 10 March 2015
percentage of participantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants Who Died by Data Cutoff of 10 March 20151.50.8
SecondaryPercentage of Participants Who Died During the Safety Follow-up Period

The percentage of participants who died from any cause was reported during the safety follow-up period.

Time frame:
From Baseline to Time of Event, Safety Follow-Up Period (Up to 6 Years)
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Died During the Safety Follow-up Period
Percentage of ParticipantsCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
Percentage of Participants Who Died During the Safety Follow-up Period6.87.3
SecondaryDisease-Free Survival Rate

DFS is defined as the time from first dose of SC Herceptin to the first event of local, regional or distant recurrence, contralateral invasive breast cancer (including ipsilateral ductal carcinoma in situ) or death due to any cause. Time from the date of first dose to any DFS event was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

Time frame:
From Baseline to time of event (up to approximately 8 years)
Reported as:
Number · Kaplan-Meier survival probability
Disease-Free Survival Rate
Kaplan-Meier survival probabilityCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SID
0.5 Year0.990 (0.984 to 0.993)0.987 (0.976 to 0.993)
1 Year0.975 (0.967 to 0.981)0.976 (0.961 to 0.985)
1.5 Year0.960 (0.950 to 0.968)0.957 (0.939 to 0.970)
2 Years0.934 (0.921 to 0.944)0.939 (0.918 to 0.955)
3 Years0.904 (0.889 to 0.917)0.896 (0.870 to 0.916)
4 Years0.881 (0.865 to 0.896)0.874 (0.847 to 0.897)
5 Years0.868 (0.851 to 0.883)0.863 (0.835 to 0.887)
6 Years0.851 (0.833 to 0.867)0.853 (0.824 to 0.878)
SecondaryOverall Survival Rate

Overall survival was defined as the time from randomization to death from any cause. Time from the date of randomization to the date of death was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

Time frame:
From Baseline to Time of Event (Up to Approximately 6 Years)
Reported as:
Number · Kaplan-Meier survival probability
Overall Survival Rate
Kaplan-Meier survival probabilityCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDE
0.5 Year0.999 (0.996 to 1.000)0.996 (0.987 to 0.999)
1 Year0.998 (0.994 to 0.999)0.994 (0.985 to 0.998)
1.5 Year0.993 (0.988 to 0.996)0.990 (0.979 to 0.995)
2 Years0.985 (0.979 to 0.990)0.985 (0.973 to 0.992)
3 Years0.968 (0.958 to 0.975)0.960 (0.942 to 0.972)
4 Years0.947 (0.935 to 0.956)0.950 (0.931 to 0.965)
5 Years0.937 (0.925 to 0.948)0.929 (0.907 to 0.947)
6 Years0.927 (0.913 to 0.938)0.921 (0.897 to 0.939)
SecondaryPercentage of Participants by Item Response to SID Satisfaction Questionnaire

The SID satisfaction questionnaire was administered twice during the study and asked participants to respond to five statements using a Likert scale from "Strongly Disagree" to "Strongly Agree". Questionnaire items were as follows: "I felt comfortable injecting the study drug by myself" (Comfortable), "The SID was convenient and easy to use" (Easy to Use), "I am confident giving myself an injection in the thigh with the SID" (Confident), "Taking all things into account I find self-administration using the SID satisfactory" (Satisfactory), "If given the opportunity I would choose to continue self-injecting the study drug using the SID in the future" (Continue). Participants could only select one response per questionnaire item. There was no calculation of any score, but rather, descriptive summaries were generated by item response. The percentage of participants was reported by the response given for each item on the SID satisfaction questionnaire.

Time frame:
Cycle 4 (cycle length 3 weeks) and last safety follow-up (LSFU) (approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants by Item Response to SID Satisfaction Questionnaire
percentage of participantsCohort B: SC Herceptin by SID (Self- Administered)
Cycle 4: Comfortable, Strongly Disagree (n=514)4.7
Cycle 4: Comfortable, Disagree (n=514)2.3
Cycle 4: Comfortable, Unsure (n=514)7.6
Cycle 4: Comfortable, Agree (n=514)41.6
Cycle 4: Comfortable, Strongly Agree (n=514)43.6
Cycle 4: Comfortable, Response Missing (n=514)0.2
Cycle 4: Easy to Use, Strongly Disagree (n=514)3.7
Cycle 4: Easy to Use, Disagree (n=514)0.6
Cycle 4: Easy to Use, Unsure (n=514)1.8
Cycle 4: Easy to Use, Agree (n=514)37.7
Cycle 4: Easy to Use, Strongly Agree (n=514)56.0
Cycle 4: Easy to Use, Response Missing (n=514)0.2
Cycle 4: Confident, Strongly Disagree (n=514)3.9
Cycle 4: Confident, Disagree (n=514)0.8
Cycle 4: Confident, Unsure (n=514)7.2
Cycle 4: Confident, Agree (n=514)42.8
Cycle 4: Confident, Strongly Agree (n=514)45.1
Cycle 4: Confident, Response Missing (n=514)0.2
Cycle 4: Satisfactory, Strongly Disagree (n=514)3.9
Cycle 4: Satisfactory, Disagree (n=514)0.6
Cycle 4: Satisfactory, Unsure (n=514)2.7
Cycle 4: Satisfactory, Agree (n=514)38.7
Cycle 4: Satisfactory, Strongly Agree (n=514)53.9
Cycle 4: Satisfactory, Response Missing (n=514)0.2
Cycle 4: Continue, Strongly Disagree (n=514)3.9
Cycle 4: Continue, Disagree (n=514)1.4
Cycle 4: Continue, Unsure (n=514)5.3
Cycle 4: Continue, Agree (n=514)33.5
Cycle 4: Continue, Strongly Agree (n=514)55.8
Cycle 4: Continue, Response Missing (n=514)0.2
LSFU: Comfortable, Strongly Disagree (n=415)3.6
LSFU: Comfortable, Disagree (n=415)3.1
LSFU: Comfortable, Unsure (n=415)5.3
LSFU: Comfortable, Agree (n=415)35.9
LSFU: Comfortable, Strongly Agree (n=415)51.8
LSFU: Comfortable, Response Missing (n=415)0.2
LSFU: Easy to Use, Strongly Disagree (n=415)3.9
LSFU: Easy to Use, Disagree (n=415)1.0
LSFU: Easy to Use, Unsure (n=415)1.7
LSFU: Easy to Use, Agree (n=415)34.9
LSFU: Easy to Use, Strongly Agree (n=415)58.6
LSFU: Easy to Use, Response Missing (n=415)0
LSFU: Confident, Strongly Disagree (n=415)4.6
LSFU: Confident, Disagree (n=415)1.2
LSFU: Confident, Unsure (n=415)4.3
LSFU: Confident, Agree (n=415)33.3
LSFU: Confident, Strongly Agree (n=415)56.6
LSFU: Confident, Response Missing (n=415)0
LSFU: Satisfactory, Strongly Disagree (n=415)4.3
LSFU: Satisfactory, Disagree (n=415)1.2
LSFU: Satisfactory, Unsure (n=415)2.2
LSFU: Satisfactory, Agree (n=415)30.8
LSFU: Satisfactory, Strongly Agree (n=415)61.2
LSFU: Satisfactory, Response Missing (n=415)0.2
LSFU: Continue, Strongly Disagree (n=415)4.6
LSFU: Continue, Disagree (n=415)1.2
LSFU: Continue, Unsure (n=415)2.9
LSFU: Continue, Agree (n=415)28.2
LSFU: Continue, Strongly Agree (n=415)63.1
LSFU: Continue, Response Missing (n=415)0

Adverse events

Collected over Treatment Period: From Day 1 up to 19 cycles (approximately 1 year) 15 March 2015 Data Cutoff Safety Follow-up Period (SFU): From Day 1 to safety follow-up period (up to approximately 8 years). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort A: SC Herceptin by Needle/Syringe—242/1,864 (13%)1,499/1,864 (80.4%)
Cohort B: SC Herceptin by SID—84/709 (11.8%)576/709 (81.2%)
Cohort A: SC Herceptin by Needle/Syringe Safety Follow-up—202/1,862 (10.8%)0/1,862 (0%)
Cohort B: SC Herceptin by SID Safety Follow-up—53/707 (7.5%)0/707 (0%)
Most frequent serious events
Showing 10 of 345
Most frequent serious events
EventCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDCohort A: SC Herceptin by Needle/Syringe Safety Follow-upCohort B: SC Herceptin by SID Safety Follow-up
Febrile neutropeniaBlood and lymphatic system disorders39/186414/7091/18620/707
PyrexiaGeneral disorders11/18647/7091/18621/707
NeutropeniaBlood and lymphatic system disorders9/18646/7090/18620/707
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/18640/70915/18621/707
DiarrhoeaGastrointestinal disorders8/18644/7090/18620/707
Cardiac failure congestiveCardiac disorders10/18641/7091/18620/707
Neutropenic sepsisInfections and infestations9/18641/7090/18620/707
PneumoniaInfections and infestations5/18641/7098/18622/707
DeathGeneral disorders0/18641/7096/18621/707
Atrial fibrillationCardiac disorders2/18640/7096/18620/707
Most frequent other events
Showing 10 of 44
Most frequent other events
EventCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDCohort A: SC Herceptin by Needle/Syringe Safety Follow-upCohort B: SC Herceptin by SID Safety Follow-up
FatigueGeneral disorders381/1864132/7090/18620/707
DiarrhoeaGastrointestinal disorders380/1864130/7090/18620/707
ArthralgiaMusculoskeletal and connective tissue disorders362/1864133/7090/18620/707
NauseaGastrointestinal disorders274/1864102/7090/18620/707
MyalgiaMusculoskeletal and connective tissue disorders260/186484/7090/18620/707
HeadacheNervous system disorders228/186473/7090/18620/707
AstheniaGeneral disorders221/186485/7090/18620/707
RashSkin and subcutaneous tissue disorders177/186474/7090/18620/707
ErythemaSkin and subcutaneous tissue disorders156/186474/7090/18620/707
Pain in extremityMusculoskeletal and connective tissue disorders194/186449/7090/18620/707

Baseline characteristics

Intent-to-Treat (ITT) Population: All participants enrolled into the study regardless of whether treatment was received.

Age, Continuous
Age, Continuous(years)Cohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDTotal
Mean54.0 ± 12.0153.0 ± 11.3253.7 ± 11.83
Sex: Female, Male
Sex: Female, Male(Participants)Cohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDTotal
Female18637102573
Male404
08

Study locations

437 sites
  • University "Mother Theresa" Hospital Center; Oncology Department
    Tirana, 1000, Albania
  • CPMC; Service d'Oncologie Médicale
    Algiers, 16000, Algeria
  • Fundación CENIT para la Investigación en Neurociencias
    Buenos Aires, C1125ABD, Argentina
  • Hospital Britanico; Oncologia
    Buenos Aires, C1280AEB, Argentina
  • Instituto De Investigaciones Clinicas Zarate
    Zarate, 2800, Argentina
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales 2050, Australia
  • St George Hospital; Cancer Care Centre
    Kogarah, New South Wales 2217, Australia
  • Prince of Wales Hospital; Oncology
    Randwick, New South Wales 2031, Australia
  • Princess Alexandra Hospital; Division of Cancer Services
    Woolloongabba, Queensland 4102, Australia
  • Queen Elizabeth Hospital; Medical Oncology
    Woodville South, South Australia 5011, Australia
  • Western Hospital
    Footscray, Victoria 3011, Australia
  • Peninsula and South Eastern Haematology and Oncology Group
    Frankston, Victoria 3199, Australia
  • Cabrini Medical Centre; Oncology
    Malvern, Victoria 3144, Australia
  • Royal Perth Hospital; Department of Medical Oncology
    Perth, Western Australia 6000, Australia
  • University Clinical Center of the Republic of Srpska
    Banja Luka, 78000, Bosnia and Herzegovina
  • Clinic of Oncology, University Clinical Center Sarajevo
    Sarajevo, 7100, Bosnia and Herzegovina
  • Hospital Sao Rafael - HSR
    Salvador, BA 41253-190, Brazil
  • Centro de Oncologia da Bahia - CENOB
    Salvador, BA 41820-021, Brazil
  • Hospital Moinhos de Vento
    Porto Alegre, RS 90035-001, Brazil
  • Hospital Amaral Carvalho
    Jau, SP 17210-120, Brazil
  • Instituto do Cancer do Estado de Sao Paulo - ICESP
    Sao Paulo, SP 01246-000, Brazil
  • Hospital Perola Byington
    Sao Paulo, SP 01317-000, Brazil
  • Complex Oncology Center - Plovdiv First Internal Chemotherapy Department
    Plovdiv, 4004, Bulgaria
  • MHAT Serdika; Department of medical oncology
    Sofia, 1303, Bulgaria
  • SHATOD - Sofia
    Sofia, 1784, Bulgaria
  • Cross Cancer Institute ; Dept of Medical Oncology
    Edmonton, Alberta T6G 1Z2, Canada
  • British Columbia Cancer Agency (Bcca) - Vancouver Cancer Centre
    Vancouver, British Columbia V5Z 4E6, Canada
  • The Moncton Hospital
    Moncton, New Brunswick E1C 6Z8, Canada
  • Lakeridge Health Oshawa; Oncology
    Oshawa, Ontario L1G 2B9, Canada
  • St. Michael'S Hospital
    Toronto, Ontario M5B 1W8, Canada
  • Windsor Regional Cancer Centre
    Windsor, Ontario N8W 2X3, Canada
  • CSSS champlain - Charles-Le Moyne
    Greenfield Park, Quebec J4V 2H1, Canada
  • Mcgill University - Royal Victoria Hospital; Oncology
    Montreal, Quebec H3A 1A1, Canada
  • Centro Oncológico Antofagasta
    Antofagasta, 1240000, Chile
  • Instituto Nacional del Cancer
    Santiago, 8380000, Chile
  • Sociedad de Investigaciones Medicas Ltda (SIM)
    Temuco, 4800827, Chile
  • Hospital Carlos Van Buren, Servicio de Oncologia
    Valparaiso, 2341391, Chile
  • Clinica del Country
    Bogota, 11001, Colombia
  • Clínica Imbanaco; Oncology
    Cali, Colombia
  • Clinical Hospital Osijek; Dept For Oncology & Radiotherapy
    Osijek, 31000, Croatia
  • Clinical Hospital Centre Zagreb
    Zagreb, 10000, Croatia
  • Masarykův onkologický ústav; Klinika komplexní onkologické péče
    Brno, 656 53, Czechia
  • Fakultní nemocnice Olomouc
    Olomouc, 775 20, Czechia
  • Fakultní Nemocnice V Motole; Radioterapeuticko-Onkologicke Oddeleni
    Praha 5, 150 06, Czechia
  • Hospital Metropolitano de Santiago
    Santiago, 51000, Dominican Republic
  • Instituto de Cáncer SOLCA Cuenca; Oncología
    Cuenca, EC010107, Ecuador
  • Solca Guayaquil- Sociedad de Lucha Contra El Cáncer; Oncology
    Guayaquil, EC090112, Ecuador
  • Hospital Solca Quito; Oncologia
    Quito, EC170124, Ecuador
  • Alexandria Uni ; Medical Oncology
    Alexandria, 11737, Egypt
  • Manial Specialized Hospital; Oncology
    Cairo, 11555, Egypt
  • Nci; Oncology Dept
    Cairo, 11796, Egypt
  • Hospital Oncologia; Oncology
    Salvador, 01101, El Salvador
  • HOPITAL JEAN MINJOZ; Oncologie
    Besancon, 25030, France
  • Clinique Tivoli; Sce Radiotherapie
    Bordeaux, 33000, France
  • Polyclinique Bordeaux Nord Aquitaine; Chimiotherapie Radiotherapie
    Bordeaux, 33077, France
  • Ch De Fleyriat; Pneumologie 1
    Bourg En Bresse, 01012, France
  • Hopital Augustin Morvan; Federation De Cancerologie
    Brest, 29200, France
  • Ch De Brive La Gaillarde; Radiotherapie Oncologie
    Brive La Gaillarde, 19312, France
  • Clinique Sainte Marie; Chimiotherapie
    Chalon Sur Saone, 71100, France
  • Fondation Clement Drevon; Oncology
    Dijon, 21000, France
  • Centre Georges-François Lecler; Ctr de Lutte Contre le Canc
    Dijon, 21034, France
  • Ch De La Dracenie; Hopital De Jour
    Draguignan, 83007, France
  • Hopital Prive Drome Ardeche; Chir 2A 2B
    Guilherand Granges, 07500, France
  • Clinique Sainte Marguerite; Oncologie Medicale
    Hyeres, 83400, France
  • CHD Les Oudairies
    La Roche Sur Yon, 85925, France
  • Hopital Albert Michallon; Oncologie
    La Tronche, 38700, France
  • Ch Du Mans; Medecine Hematologie Oncologie
    Le Mans, 72037, France
  • Clinique Victor Hugo
    LeMans, 72000, France
  • Centre Hartmann
    Levallois Perret, 92300, France
  • Polyclinique Du Bois; Centre Bourgogne
    Lille, 59000, France
  • Hopital Claude Huriez; Medecine Interne Oncologie
    Lille, 59037, France
  • Ch Bretagne Sud Site Scorff; Oncologie Medicale
    Lorient, 56100, France
  • CH Bretagne Sud Site Bodelio; Oncologie Radiotherapie
    Lorient, 56322, France
  • Ctre Consultations La Sauvegarde
    Lyon, 69338, France
  • Hôpital Saint Joseph; Oncologie Medicale
    Marseille, 13285, France
  • CHRA;Hematologie
    Metz Tessy, 74370, France
  • Hopital Clinique Claude Bernard; Oncologie Medicale
    Metz, 57000, France
  • Clinique Clementville; Hopital De Jour
    Montpellier, 34070, France
  • Centre Azureen De Cancerologie; Cons externes
    Mougins, 06250, France
  • Centre Antoine Lacassagne; B3 Medecine Conventionnelle
    Nice, 06189, France
  • Hopital Cochin; Unite Fonctionnelle D Oncologie
    Paris, 75014, France
  • Hopital Hotel Dieu; Oncologie Medicale
    Paris, 75181, France
  • HOPITAL TENON; Cancerologie Medicale
    Paris, 75970, France
  • Ch Francois Mitterrand; Medecine Oncologie
    Pau, 64046, France
  • Ch Lyon Sud; Onco Secteur Jules Courmont
    Pierre Benite, 69495, France
  • Chp Saint Gregoire; Cancerologie Radiotherapie
    Saint Gregoire, 35768, France
  • Ico Rene Gauducheau; Oncologie
    Saint Herblain, 44805, France
  • Clinique de L'Union; Oncologie
    Saint Jean, 31240, France
  • Ch De Saint Quentin; Medecine B10
    Saint Quentin, 02321, France
  • Institut de Cancerologie de La Loire; Pneumologie
    Saint-priest-en-jarez, 42270, France
  • CMCO De La Cote D Opale; Auberge De Jour
    St Martin Boulogne, 62280, France
  • Centre Paul Strauss; Oncologie Medicale
    Strasbourg, 67065, France
  • Hopitaux Du Leman Site Thonon; Maternite Gynecologie
    Thonon Les Bains, 74203, France
  • Institut Claudius Regaud; Departement Oncologie Medicale
    Toulouse, 31059, France
  • Clinique Pasteur; Pneumologie
    Toulouse, 31076, France
  • Clinique Radio Des Dentellieres; Chimiotherapie Radiotherapie
    Valenciennes, 59326, France
  • Centre-Alexis Vautrin
    Vandoeuvre-les-Nancy, 54511, France
  • Klinikum Augsburg; Frauenklinik
    Augsburg, 86156, Germany
  • Internist; Praxis Für Haemotologie & Onkologie
    Bad Soden, 65812, Germany
  • Praxis Dres. Schilling & Till
    Berlin, 10317, Germany

Showing the first 100 of 437 sites across 59 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Jung KH, Ataseven B, Verrill M, Pivot X, De Laurentiis M, Al-Sakaff N, Lauer S, Shing M, Gligorov J, Azim HA. Adjuvant Subcutaneous Trastuzumab for HER2-Positive Early Breast Cancer: Subgroup Analyses of Safety and Active Medical Conditions by Body Weight in the SafeHer Phase III Study. Oncologist. 2018 Oct;23(10):1137-1143. doi: 10.1634/theoncologist.2018-0065. Epub 2018 Jul 17. PubMed 30018134 ↗
  • Gligorov J, Ataseven B, Verrill M, De Laurentiis M, Jung KH, Azim HA, Al-Sakaff N, Lauer S, Shing M, Pivot X; SafeHer Study Group. Safety and tolerability of subcutaneous trastuzumab for the adjuvant treatment of human epidermal growth factor receptor 2-positive early breast cancer: SafeHer phase III study's primary analysis of 2573 patients. Eur J Cancer. 2017 Sep;82:237-246. doi: 10.1016/j.ejca.2017.05.010. Epub 2017 Jun 16. PubMed 28625777 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.clinicalstudydatarequest.com). Further details on Roche's criteria for eligible studies are available here (https://clinicalstudydatarequest.com/Study Sponsors/Study-Sponsors-Roche.aspx). For further details on Roche's Global Policy on Sharing of Clinical Study Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2012 to primary completion in Mar 2015, 33 months.

Results were first posted in Apr 2017, 2 years 1 month after primary completion.

Of 272 industry-sponsored phase 3 interventional studies under Breast Neoplasms, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 63. This study's 33 months is below that.

Counting every sponsor, half of 600 studies reached it within 59 months; a quarter within 36 and three quarters within 96.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 22, 2012
First posted
Mar 29, 2012
StartActual
May 17, 2012
Primary completionActual
Mar 10, 2015
CompletionActual
Feb 19, 2020
Results first posted
Apr 18, 2017
Last update
Apr 27, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01566721
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Mar 29, 2012
Start date
May 17, 2012
Primary completion
Mar 10, 2015
Completion
Feb 19, 2020
Results posted
Apr 18, 2017
Last update
Apr 27, 2021

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Trastuzumab

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