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Active, not recruitingNCT05346224Updated Jun 10, 2025

A Study to Evaluate the Efficacy and Safety of HLX11 vs. EU-Perjeta® in the Neoadjuvant Therapy of HER2-Positive and HR-Negative Early-stage or Locally Advanced Breast Cancer

A Phase 3 interventional study of HLX11 and EU-Perjeta® in Breast Cancer, Breast Neoplasms and HER2-positive Breast Cancer, sponsored by Shanghai Henlius Biotech. Active, not recruiting at 79 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-10.

Sponsored by Shanghai Henlius Biotech · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
900
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a phase III, double-blind, randomized, parallel-controlled, multicenter equivalence study to compare the efficacy and safety of pertuzumab biosimilar HLX11 vs. EU-Perjeta® on HER2-positive and HR-negative early-stage or locally advanced breast cancer with a primary tumor > 2 cm.

Patients are random assignment to 2 arms and treatment with either HLX11 or EU-Perjeta® , and received neoadjuvant THP regimen every 3- weeks 4 cycles,adjuvant AC every 3- weeks 4 cycles and pertuzumab+trastuzumab(HP) every 3- weeks 13cycles.

Read the detailed description

This is a phase III, double-blind, randomized, parallel-controlled, multicenter equivalence study to compare the efficacy and safety of pertuzumab biosimilar HLX11 vs. EU-Perjeta® on HER2-positive and HR-negative early-stage or locally advanced breast cancer with a primary tumor > 2 cm.Subjects will be randomly assigned to treatment group (HLX11) or control group (EU-Perjeta®) at 1:1 ratio. The stratification factors include disease category (early-stage vs. locally advanced) and geographic region (Asia vs. non-Asia).

Study drugs will be administered intravenously on a 3-weekly schedule and given consecutively on the same day in the following sequence trastuzumab, followed by pertuzumab and docetaxel(THP regimen) for neoadjuvant,Doxorubicin in combination with cyclophosphamide (AC) for adjuvant chemotherapy, then HP regimen for adjuvant HER2-targeted.

The primary endpoint is total pCR (tpCR) . Secondary efficacy endpoints include breast pCR (bpCR), objective response rate (ORR),Event-free survival (EFS) and Disease-free survival (DFS).

The safety indicators is incidence, type, severity, and causality of all adverse events (including serious adverse events and AESI) based on NCI CTCAE v5.0; Vital signs, physical examination, laboratory tests, cardiac function test, etc.

pharmacokinetic(PK) and immunogenicity is also assessed.

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Conditions studied

  • Breast Cancer
  • Breast Neoplasms
  • HER2-positive Breast Cancer

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Keywords

  • Perjeta
  • Pertuzumab
  • early-stage
  • locally Advanced
  • neoadjuvant
  • adjuvant
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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 planned enrollment of 900 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Shanghai Henlius Biotech is the lead sponsor of 127 studies on the registry; 53 are open to participants now.

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

Inclusion criteria

  1. Primary breast cancer that is:
  1. Histologically confirmed invasive breast carcinoma with a primary tumor size of > 2 cm by standard local assessment technique;
  2. Breast cancer staging ( in accordance with the American Joint Commitee on Cancer(AJCC) staging system (8th edition)): early-stage (T2-3, N0-1, M0) or locally advanced (T2-3, N2 or N3, M0; T4, any N, M0);
  3. HER2 positive confirmed by central laboratory, defined as immunohistochemistry (IHC) 3 +, or IHC 2+ and In Situ Hybridization (ISH) positive;
  4. Hormone receptor (HR, including estrogen receptor [ER] and progestin receptor [PR]) negative by central laboratory; ER negative is defined as \< 1% nuclear staining, and PR negative is defined as \< 1% nuclear staining.
  1. Left ventricular ejection fraction (LVEF) at baseline (within 42 days prior to randomization) ≥ 55% measured by echocardiography (ECHO) or multiple gated acquisition (MUGA) scan.
  1. Adequate major organ function, meeting the following criteria: Hematology (neither blood transfusion nor correction with hematopoietic stimulating factors within 14 days prior to randomization): white blood cell count ≥ 3.0 × 109/L; absolute neutrophil count ≥ 1.5 × 109/L; hemoglobin ≥ 90 g/L; platelet count ≥ 100 × 109/L; Serum chemistry: Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN), total bilirubin ≤ 1.5 × ULN; for subjects with known Gilbert syndrome, total bilirubin ≤ 2 × ULN; alkaline phosphatase ≤ 2.5 × ULN, serum creatinine ≤ 1.5 × ULN.
  1. Women of child-bearing potential have a negative result of serum pregnancy test at screening (within 7 days prior to randomization) and not in lactation, or are infertile. Male participants and women of childbearing potential use a "highly effective" contraceptive measures until 7 months after the last dose of investigational/reference product.

Exclusion criteria

Exclusion Criteria:

  1. Inflammatory breast cancer.
  2. Stage IV (metastatic) breast cancer, bilateral breast cancer, or multicentric (multiple tumors involving more than 1 quadrant) breast cancer.
  3. History of other malignancy within 5 years prior to screening (except for who have received radical treatment of carcinoma in situ of the cervix, basal cell carcinoma or squamous cell carcinoma of the skin ).
  4. With serious heart disease or medical history, including but not limited to the following conditions:
  1. History of documented heart failure or systolic dysfunction with any NYHA classification(LVEF \< 50%); 2) High-risk uncontrolled arrhythmia, such as atrial tachycardia with a heart rate> 100 bpm at rest, significant ventricular arrhythmia (e.g.,ventricular tachycardia), or higher-grade atrioventricular (AV) block (i.e.,Mobitz II second-degree AV block or third degree AV block); 3) Unstable angina pectoris, or angina pectoris requiring anti-angina medication; 4) Evidence of transmural myocardial infarction on ECG; 5) Clinically-significant valvular heart disease; 6) Poorly controlled hypertension (systolic blood pressure> 150 mmHg and/or diastolic blood pressure> 100 mmHg).
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
900 participants (estimated)

Study arms

  • Experimental
    Treatment group

    HLX11 combined with trastuzumab and docetaxel will be adopted in the neoadjuvant treatment phase, and doxorubicin with cyclophosphamide will be administered in the adjuvant chemotherapy treatment phase, HLX11 combined with trastuzumab will be administered in the adjuvant treatment phase for HER-2 targeted.

    Drug: HLX11

  • Active comparator
    Control group

    Perjeta combined with trastuzumab and docetaxel will be adopted in the neoadjuvant treatment phase, and doxorubicin with cyclophosphamide will be administered in the adjuvant chemotherapy treatment phase, HLX11 or Perjeta combined with trastuzumab will be administered in the adjuvant treatment phase for HER-2 targeted.

    Drug: EU-Perjeta®

Interventions

  • DrugHLX11

    Neoadjuvant(q3w/cycle,total 4cycle): HLX11(loading dose of 840 mg IV , followed by 420 mg IV q3w)+trastuzumab(loading dose of 8 mg/kg IV, followed by 6mg/kg IV q3w)+docetaxel(75mg/m2 IV q3w) Adjuvant: doxorubicin( 60 mg/m2 IV q3w)+cyclophosphamide( 600 mg/m2 IV q3w),total 4 cycle; trastuzumab(loading dose of 8mg/m2 IV , followed by 6 mg/m2 IV q3w)+HLX11(loading dose of 840 mg IV , followed by 420 mg IV q3w), 13cycle

    Also known as: Recombinant anti-HER2 domain II humanized monoclonal antibody injection

  • DrugEU-Perjeta®

    Neoadjuvant(q3w/cycle,total 4cycle): Perjeta (loading dose of 840 mg IV , followed by 420 mg IV q3w)+trastuzumab(loading dose of 8 mg/kg IV, followed by 6mg/kg IV q3w)+docetaxel(75mg/m2 IV q3w) Adjuvant: doxorubicin( 60 mg/m2 IV q3w)+cyclophosphamide( 600 mg/m2 IV q3w),total 4 cycle; trastuzumab(loading dose of 8mg/m2 IV , followed by 6 mg/m2 IV q3w)+HLX11 or Perjeta (loading dose of 840 mg IV , followed by 420 mg IV q3w), 13cycle

06

What researchers measure

Primary outcomes

  1. The total pathological complete response (tpCR) rate assessed by the Independent Review Committee (IRC)

    tpCR is defined as the histological evidence of no malignancy of lymph nodes in the regions of primary lesion and metastasis of breast cancer (i.e., ypT0/is, ypN0 in accordance with the AJCC staging system)

    Time frame: immediately after the surgery

Secondary outcomes

  1. Breast pathologic complete response (bpCR) rate

    bpCR is defined as the histological evidence of no malignancy in the primary lesion of breast cancer, or only carcinoma in situ (i.e., ypT0/Tis in the AJCC staging system, 8th edition)

    Time frame: immediately after the surgery

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Study locations

79 sites
  • the First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui 233004, China
  • The Second Hospital of Anhui Medical University
    Hefei, Anhui 230000, China
  • The first affiliated hospital of Anhui Medical University
    Hefei, Anhui 230022, China
  • The first affiliated hospital of USTC (Anhui Provincial Hospital)
    Hefei, Anhui 230036, China
  • Lu'an people's hospital of Anhui ProvinceLuan
    Luan, Anhui 237000, China
  • Maanshan People's Hospital
    Ma'anshan, Anhui, China
  • Yijishan Hospital of Wannan Medical College
    Wuhu, Anhui 241001, China
  • Beijing Cancer Hospital
    Beijing, Beijing, China
  • Chongqing University Cancer Hospital
    Chongqing, Chongqing, China
  • he First Affiliated Hospital of Chongqing Medical University
    Chongqi, Chongqing, China
  • Fujian Cancer Hospital
    Fuzhou, Fujian 350000, China
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian 361000, China
  • Affiliated Cancer Hospital and Institute of Guangzhou Medical University
    Guangzhou, Guangdong 510095, China
  • Sun Yat-Sun Yat-sen Hospital affiliated to Sun Yat-sen Universitysen Hospital affiliated to Sun Yat-sen University
    Guanzhou, Guangdong, China
  • Jieyang People's Hospital
    Jieyang, Guangdong, China
  • Meizhou People's Hospital
    Meizhou, Guangdong, China
  • Cancer Hospital of Shantou University Medical College
    Shantou, Guangdong 515000, China
  • Shantou Central Hospital
    Shantou, Guangdong 515000, China
  • Yue Bei People's Hospital
    Shaoguan, Guangdong, China
  • Affiliated Hospital of Guangdong Medical University
    Zhanjiang, Guangdong, China
  • Zhongshan People's Hospital
    Zhongshan, Guangdong, China
  • Guangxi Medical University Affiliated Tumor Hospital
    Nanning, Guangxi Zhuang Autonomous Region 530012, China
  • Affiliated Hospital of Guizhou Medical University
    Guiyang, Guizhou, China
  • Affiliated Hospital of Zunyi Medical University
    Zunyi, Guizhou 563000, China
  • Affiliated Tumor Hospital of Guizhou Medical University
    Guiyang, Guzhou, China
  • Affiliated Hospital of Hebei University
    Baoding, Hebei, China
  • Cangzhou Central Hospital
    Cangzhou, Hebei, China
  • Tangshan People's Hospital
    Tangshan, Hebei, China
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
  • Anyang Cancer Hospital
    Anyang, Henan 455100, China
  • The First Affiliated Hospital of Henan University of science and Technology
    Luoyang, Henan, China
  • Nanyang Central Hospital
    Nanyang, Henan, China
  • The First Affiliated Hospital of the Xinxiang Medical University
    Xinxiang, Henan, China
  • Xinxiang Central Hospital
    Xinxiang, Henan, China
  • Henan Provincial People's Hospital
    Zhengzhou, Henan 450000, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450052, China
  • The Third Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
  • Union Hospital, Tongji Medical College,Huazhong University of Science and Technology
    Wuhan, Hubei 430022, China
  • Hubei Cancer Hospital
    Wuhan, Hubei 430079, China
  • Xiangya Hospital Of Central South University
    Changsha, Hunan 410008, China
  • The Second Xiangya Hospital Of Central South University
    Changsha, Hunan 410011, China
  • Hunan Cancer Hospital
    Changsha, Hunan, China
  • Jiangsu Cancer Hospital
    Nanjing, Jiangsu 210000, China
  • The First Affiliated Hospital With Nanjing Medical University
    Nanjing, Jiangsu 210029, China
  • Nanjing Drum Tower Hospital
    Nanjing, Jiangsu, China
  • Nantong Tumor Hospital
    Nantong, Jiangsu, China
  • affiliated Hospital of Jiangnan University
    Wuxi, Jiangsu, China
  • Xuzhou Central Hospital
    Xuzhou, Jiangsu 221009, China
  • Nanchang Third Hospital
    Nanchang, Jiangxi 330038, China
  • The first hospital of Jilin University
    Chang chun, JIilin, China
  • The second hospital of dalian medical university
    Dalian, Liaoning, China
  • Liaoning Cancer Hospital & Institute
    Shenyang, Liaoning, China
  • Shandong Provincial Hospital
    Jinan, Shangdong 250000, China
  • Liaocheng People's Hospital
    Liaocheng, Shangdong 252000, China
  • he Affiliated Hospital of Qingdao University
    Qingdao, Shangdong 266000, China
  • Qingdao Central Hospital
    Qingdao, Shangdong 266042, China
  • Weifang People's Hospital
    Weifang, Shangdong 261000, China
  • Weifang Hospital of traditional Chinese Medicine
    Weifang, Shangdong, China
  • Weihai Municipal Hospital
    Weihai, Shangdong, China
  • Yantai Yuhuangding Hospital
    Yantai, Shangdong, China
  • Shanxi Cancer Hospital
    Taiyuan, Shanxi, China
  • Shaanxi Provincial People's Hospital
    Xi'an, Shanxi, China
  • The First Affiliated Hospital of Xi'an JiaoTong University
    Xian, Shanxi, China
  • Yuncheng Central Hospital
    Yuncheng, Shanxi, China
  • Sichuan Provincial People's Hospital
    Chengdu, Sichuang 610072, China
  • People's hospital of Deyang city
    Deyang, Sichuang 618000, China
  • Mianyang Central Hospital
    Mianyang, Sichuang, China
  • The second people's hospital of neijiang
    Neijiang, Sichuang 641099, China
  • The second people's hospital of Yibin
    Yibin, Sichuang 644000, China
  • Tianjin Medical University Cancer Institute & Hospital
    Tianjin, Tianjin, China
  • Yunnan Cancer Hospital
    Kunming, Yunnan 650116, China
  • The First Affiliated Hospital of Kunming Medical University
    Kunming, Yunnan, China
  • The First Affiliated Hospital Zhejiang University School Of Medicine
    Hangzhou, Zhejiang 310000, China
  • The Second Affiliated Hospital Zhejiang University School Of Medicine
    Hangzhou, Zhejiang 310000, China
  • Zhejiang Provincial People's Hospital
    Hangzhou, Zhejiang 310000, China
  • University of Pécs, Department of Oncotherapy
    Pécs, Baranya, Hungary
  • Instytut Centrum Zdrowia Matki Polki
    Lodz, Łódź Voivodeship, Poland
  • Hospital Clínico Universitario de Santiago de Compostela (CHUS)
    Santiago de Compostela, A Coruna, Spain
  • Hospital Arnau de Vilanova de Lleida
    Barcelona, Catalonia, Spain
08

References and documents

Publications

  • Yang J, Lin L, Long Q, Zhang Q, Sun G, Zhou L, Wang Q, Zhu J, Li F, Hu W. HLX11, a Proposed Pertuzumab Biosimilar: Pharmacokinetics, Immunogenicity, and Safety Profiles Compared to Three Reference Biologic Products (US-, EU-, and CN-Approved Pertuzumab) Administered to Healthy Male Subjects. BioDrugs. 2022 May;36(3):393-409. doi: 10.1007/s40259-022-00534-w. Epub 2022 May 20. PubMed 35594017 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05346224
Lead sponsor
Shanghai Henlius Biotech
Responsible party
Sponsor
First posted
Apr 26, 2022
Start date
Apr 25, 2022
Primary completion
May 15, 2024
Completion
Dec 30, 2025 (estimated)
Last update
Jun 10, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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