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RecruitingNCT07542496PERTUREALUpdated Apr 21, 2026

Real-world Bicohort Observational Study of a Pertuzumab Biosimilar in the Treatment of Breast Cancer: in the Neoadjuvant Setting and in First-line Metastatic Disease

An observational study in Breast Cancer and Her 2 Positive Breast Cancer, sponsored by Société Algérienne de Formation et Recherche en Oncologie. Recruiting at 2 sites in Algeria. Open to female participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-04-21.

Sponsored by Société Algérienne de Formation et Recherche en Oncologie · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
1,000
Ages
19 Years and older
Sex
Female
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Study summary

The goal of this observational study is to describe the real-world utilization patterns of a pertuzumab biosimilar and to evaluate its clinical outcomes in patients with breast cancer in both neoadjuvant and metastatic settings. It also aims to assess pathological complete response (pCR), disease-free survival (DFS) in the neoadjuvant cohort, progression-free survival (PFS) in the metastatic cohort, overall survival (OS), treatment response, and safety and tolerability (adverse events according to CTCAE) across both cohorts.

Read the detailed description

This is a non-interventional, prospective, multicenter, bicohort observational study conducted in a real-world setting. It aims to describe the clinical and therapeutic characteristics of patients treated with a pertuzumab biosimilar and to evaluate outcomes in both neoadjuvant and metastatic settings. Approximately 1,000 patients will be included, with 500 patients per cohort. Cohort 1 includes patients receiving a pertuzumab biosimilar in the neoadjuvant treatment of HER2-positive breast cancer, while Cohort 2 includes patients treated in the first-line metastatic setting for HER2-positive metastatic breast cancer.

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Conditions studied

  • Breast Cancer
  • Her 2 Positive Breast Cancer

Keywords

  • Algerian Study
  • Real-world data
  • Algeria
  • Biosimilar
  • Pertuzumab
  • Breast Cancer
  • Cancer
  • Breast cancer in Algerian patients
  • HER2-Positive Breast Cancer
  • Neoadjuvant Therapy
  • Anti-HER2 Therapy
  • Cohort Study
  • Non-Interventional Study
  • HER2-Targeted Therapy
  • Observational Study
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Who can participate

Ages eligible
19 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult women with HER2-positive breast cancer receiving a pertuzumab biosimilar in the neoadjuvant setting or as first-line treatment in the metastatic setting.

Inclusion criteria

  • Age ≥ 19 years at the time of inclusion;
  • Histologically confirmed diagnosis of HER2-positive invasive breast cancer (IHC 3+ score or HER2 amplification by FISH/CISH/SISH);
  • Decision to initiate treatment with a pertuzumab biosimilar in the neoadjuvant setting (neoadjuvant cohort) or as first-line therapy in the metastatic setting (metastatic cohort), in accordance with local indications;
  • Treatment prescribed as part of routine clinical care (outside of a clinical trial);
  • Patient informed and having provided written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Treatment with pertuzumab in a therapeutic setting other than neoadjuvant or first-line metastatic (e.g., adjuvant, late recurrence beyond first-line, maintenance therapy alone, etc.);
  • Treatment administered as part of an interventional clinical trial;
  • History of severe allergy or known contraindication to pertuzumab;
  • Medical records unavailable or inability to ensure at least 6 months of minimal follow-up.
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
1,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cohort 1

    Patients treated with a pertuzumab biosimilar in the neoadjuvant setting for HER2-positive breast cancer.

  • Cohort 2

    Patients treated with a pertuzumab biosimilar as first-line therapy in the metastatic setting for HER2-positive metastatic breast cancer.

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What researchers measure

Primary outcomes

  1. Treatment Regimen Utilization

    Percentage (%) of patients receiving each pertuzumab biosimilar-containing treatment regimen.

    Time frame: Up to 36 months

  2. Line of Therapy

    Percentage (%) of patients receiving pertuzumab biosimilar as neoadjuvant therapy or first-line treatment in metastatic setting.

    Time frame: Up to 36 months

  3. Treatment Duration

    Median duration of treatment (in months) with pertuzumab biosimilar.

    Time frame: Up to 36 months

  4. Prescribing Context

    Percentage (%) of prescriptions initiated in neoadjuvant versus metastatic setting.

    Time frame: Up to 36 months

  5. Methods of Response Assessment

    Percentage (%) of patients assessed using clinical, radiological, and/or pathological methods.

    Time frame: Up to 36 months

Secondary outcomes

  1. Pathological Complete Response (pCR) Rate (Neoadjuvant Cohort)

    Proportion of patients achieving pathological complete response (pCR) based on local histopathological assessment.

    Time frame: Up to 12 months

  2. Disease-Free Survival (DFS) (Neoadjuvant Cohort)

    Time from surgery to disease recurrence or death from any cause.

    Time frame: Up to 24 months

  3. Progression-Free Survival Rate at 24 Months (PFSR) (Metastatic Cohort)

    Proportion of patients alive without disease progression at 24 months.

    Time frame: 24 months

  4. Progression-Free Survival (PFS) (Metastatic Cohort)

    Time from treatment initiation to disease progression or death from any cause.

    Time frame: Up to 24 months

  5. Treatment Response (Both Cohorts)

    Clinical, radiological, and/or pathological response assessed according to routine clinical practice.

    Time frame: Up to 24 months

  6. Overall Survival (OS) (Both Cohorts)

    Time from treatment initiation to death from any cause.

    Time frame: Up to 24 months

  7. Incidence and Severity of Adverse Events

    Incidence (%) and severity of adverse events (AEs), graded according to Common Terminology Criteria for Adverse Events (CTCAE).

    Time frame: Up to 24 months

Other outcomes

  1. Correlation Between Clinical and Biological Factors and Treatment Response

    Assessment of correlation between treatment response (based on clinical, radiological, or pathological evaluation) and clinical and biological factors including age, tumor grade, hormonal receptor status, Ki-67, menopausal status, comorbidities, and treatment characteristics, using regression analysis. Results will be reported as odds ratios (OR) with 95% confidence intervals (CI).

    Time frame: Up to 24 months

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Study locations

2 of 2 sites recruiting
  • CAC BLIDA, Algiers, Algeria 16000
    Algiers, Algeria
    Recruiting
  • CHU Béni Messous, Algiers, Algeria 16000
    Algiers, Algeria
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Registry details

Key details

Study ID
NCT07542496
Lead sponsor
Société Algérienne de Formation et Recherche en Oncologie
Collaborators
ES Clinical Research, AlgenPharm
Responsible party
Sponsor
First posted
Apr 21, 2026
Start date
Jan 15, 2026
Primary completion
Jan 15, 2027 (estimated)
Completion
Jan 15, 2027 (estimated)
Last update
Apr 21, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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