ClinicalTrials.gg
RecruitingNCT07797218Updated Sep 1, 2026

Neoadjuvant Pyrotinib-to-pertuzumab in HER2+ eBC

A Phase 3 interventional study of Docetaxel and Pyrotinib in Breast Cancer Early Stage Breast Cancer (Stage 1-3), sponsored by Shanghai Jiao Tong University School of Medicine. Recruiting at 1 site in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 101 studies testing pyrotinib in Breast Neoplasms — 49 open to participants now, 57 under way, 13 of them phase 3. pyrotinib · Breast Neoplasms.

Planned enrollment
30th of 101
220 · median 100
Started
2026
with 7 others
Phase 3
17 of 101
10 open now
Primary completion
2028-06
later than 42 of 56 live
Registered
99th of 101
by date
Lead sponsor
5 of 101
Shanghai Jiao Tong University School of Medicine

Among the 101 studies testing pyrotinib in Breast Neoplasms, this one is the 30th largest by planned enrollment, is one of 8 that started in 2026, is one of 17 in phase 3, reaches primary completion later than 42 of the 56 other live ones, and was the 99th registered.

Breast Neoplasms

14,829 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

49 of the 101 studies testing pyrotinib in Breast Neoplasms are open now, in 1 country. Recruiting first, the newest first:

43 more — sign in →

By country, each count listing its studies:

All 49 open studies →

Where they have run

About pyrotinib

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years to 70 Years · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 101 studies testing pyrotinib in Breast Neoplasms, or all of them as a file.
02

Study summary

This is a randomized, open-label, superiority, multicenter clinical trial for patients with early or locally advanced (T≥2cm, N0-3, M0) HER2-positive breast cancer. It aims to compare the efficacy of neoadjuvant treatment with 2 cycles of Pyrotinib + Trastuzumab + Docetaxel followed by 2 cycles of Pertuzumab + Trastuzumab + Docetaxel versus 4 cycles of Pertuzumab + Trastuzumab + Docetaxel. Exploratory analyses of ctDNA clearance rate and MRI response will also be conducted.

03

Conditions studied

  • Breast Cancer Early Stage Breast Cancer (Stage 1-3)

Browse trials for

Keywords

  • breast cancer
  • HER2-positive
  • Neoadjuvant
  • Pyrotinib
  • ctDNA
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
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

  1. Signed .
  2. Age: Female patients aged 18-70 years.
  3. Breast cancer meeting the following criteria:

    1. confirmed invasive breast cancer, with primary tumor diameter ≥ 2.0 cm, Stage II-III as assessed by local standard methods.
    2. -positive breast cancer, defined as Immunohistochemistry (IHC) score 3+ or In Situ Hybridization (ISH) showing HER2 gene amplification.
  4. (ECOG) performance status score ≤ 1.
  5. All required baseline laboratory tests and imaging studies completed before randomization.
  6. Adequate organ function
  7. For non-menopausal (amenorrhea \< 12 months) or non-surgically sterile female patients (without ovaries and/or uterus): Agreement to abstain or use reliable and effective during treatment and for at least 6 months after the last dose of study treatment.
  8. Investigator judgment that the patient can comply with the study protocol.

Exclusion criteria

Exclusion Criteria:

  1. Bilateral breast cancer or (Stage IV) breast cancer.
  2. Significant cardiac disease:

    1. History of myocardial infarction, acute coronary syndrome, or coronary angioplasty/stenting/bypass within the past 6 months.
    2. (NYHA) Class II-IV congestive heart failure (CHF) or history of NYHA Class III or IV CHF.
    3. High-risk uncontrolled arrhythmias, such as atrial tachycardia, resting heart rate > 100 bpm, significant ventricular arrhythmias (e.g., ventricular tachycardia), or higher-grade atrioventricular (AV) block.
    4. Angina requiring anti-anginal medication.
    5. valvular heart disease.
    6. evidence of transmural myocardial infarction.
  3. Other within the past 5 years, except cured carcinoma in situ of the cervix or non-melanoma skin cancer.
  4. Severe systemic infection or patients with other serious diseases.
  5. Major non-breast surgery within 4 weeks of randomization, or patients who have not fully recovered from such surgery.
  6. Known history of (HIV) infection.
  7. Active or virus infection.
  8. Known allergy or intolerance to the study drugs or their .
  9. Prior cytotoxic chemotherapy, endocrine therapy, biological therapy, or radiotherapy for any reason.
  10. Currently enrolled in or previously participated in a study of an drug and received investigational treatment or used an investigational device within 4 weeks before the first dose of study treatment (12 months for investigational drugs/devices with anti-cancer or anti-proliferative properties).
  11. Vaccination with a within 30 days before the first dose of the investigational drug.
  12. Psychiatric illness or substance abuse history that could affect compliance with trial requirements.
  13. Pregnancy or breastfeeding, or female patients of who refuse to take appropriate measures during the trial.
  14. Patients judged by the investigator to be unsuitable for participation in this study.
Terms in these criteria, in plain language(17)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Metastases

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

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

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

Study arms

  • Experimental
    TPyP

    2 cycles of Pyrotinib + Trastuzumab + Docetaxel followed by 2 cycles of Pertuzumab + Trastuzumab + Docetaxel

    Drug: Docetaxel · Drug: Pyrotinib · Drug: Trastuzumab (Herceptin) · Drug: Pertuzumab

  • Active comparator
    TP

    4 cycles of Pertuzumab + Trastuzumab + Docetaxel

    Drug: Docetaxel · Drug: Trastuzumab (Herceptin) · Drug: Pertuzumab

Interventions

  • docetaxel ivgtt q3w, 80-100mg/m2

  • pyrotinib 320mg p.o. qd

  • trastuzumab ivgtt q3w, 8mg/kg for initiation, 6mg/kg for maintenance, or 600mg sc q3w

  • pertuzumab ivgtt q3w, 840mg for initiation, 420mg for maintenance

06

What researchers measure

Primary outcomes

  1. tpCR

    After completion of neoadjuvant therapy and surgery, no residual invasive carcinoma in the evaluation of hematoxylin and eosin stained of breast and lymph node samples

    Time frame: From enrollment to the end of treatment at 24 weeks

Secondary outcomes

  1. bpCR

    After completion of neoadjuvant therapy and surgery, no residual invasive carcinoma in the evaluation of hematoxylin and eosin stained breast samples

    Time frame: From enrollment to the end of treatment at 24 weeks

  2. EFS

    The time interval from randomization to the first recording of the following events: disease progression (before surgery), as determined by investigator reference RECIST1.1, combined with clinical evaluation, final judgment; postoperative disease recurrence (local, regional, distal, or contralateral); second primary malignancy; Death from any cause

    Time frame: through study completion, an average of 2 year

  3. OS

    Time interval from randomization to death from any cause.

    Time frame: through study completion, an average of 5 year

  4. Early ctDNA clearance

    The rate of ctDNA clearance after first two cycles of neoadjuvant treatments

    Time frame: From enrollment to the end of treatment at 24 weeks

  5. Late ctDNA clearance

    The rate of ctDNA clearance after first four cycles of neoadjuvant treatments

    Time frame: From enrollment to the end of treatment at 24 weeks

  6. rCR

    After completion of neoadjuvant therapy, no lesions presenting washout kinetic curve pattern in MRI

    Time frame: From enrollment to the end of treatment at 24 weeks

  7. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Time frame: From enrollment to the end of treatment at 24 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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

Started Jul 2026 (actual). Primary completion is estimated for Jun 2028, 23 months after the start.

Of 328 non-industry phase 3 interventional studies under Breast Neoplasms, half reached primary completion within 79 months of starting (the median), counting those still running; a quarter within 50 and three quarters within 127. This study's planned 23 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
Aug 14, 2026
First posted
Sep 1, 2026
StartActual
Jul 1, 2026
Primary completionEst.
Jun 30, 2028
CompletionEst.
Jun 30, 2030
Last update
Sep 1, 2026
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 Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07797218
Responsible party
Kunwei Shen (Professor, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Sep 1, 2026
Start date
Jul 1, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 30, 2030 (estimated)
Last update
Sep 1, 2026

Study contacts

Haoyu Wang
Contact
meredithwhy@163.com
86-021-64370045-602219

Oversight

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

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Studies of the drug tested here: Pyrotinib

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