ClinicalTrials.gg
CompletedNCT07829900Updated Sep 21, 2026

First-Line Dual Versus Single HER2-Targeted Therapy With Docetaxel for Advanced HER2-Positive Breast Cancer

An observational study in HER2-Positive Breast Cancer and Advanced Breast Cancer, sponsored by Xin Li. Completed at 1 site in China. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Xin Li · Observational

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Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
2,250
Ages
18 Years and older
Sex
Female
01

Where this study stands

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

Among 1,928 studies in Breast Neoplasms with a site in China — 866 open to participants now, 1,064 under way, 210 of them phase 3. Breast Neoplasms · China.

Enrollment
41st of 407
2,250 · median 240
Started
2020
with 127 others
Observational
407 of 1,928
177 open now
Registered
1,905th of 1,928
by date

Among the 1,928 studies in Breast Neoplasms with a site in China, this one is the 41st largest by enrollment of the 407 observational ones that give a count, is one of 128 that started in 2020, is one of 407 observational ones, and was the 1,905th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

866 of the 1,928 studies in Breast Neoplasms with a site in China are open now. Recruiting first, the newest first:

861 more — sign in →

All 866 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

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 and older · female · no healthy volunteers.

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02

Study summary

This retrospective observational cohort study emulates a target trial to compare the effectiveness and safety of two first-line treatment strategies for women with HER2-positive unresectable locally advanced, recurrent, or metastatic breast cancer in routine clinical practice: pertuzumab plus trastuzumab and docetaxel versus trastuzumab and docetaxel.

Data were obtained from electronic health records held by the National Health and Medical Big Data (Eastern) Center and linked with the Jiangsu Provincial Mortality Registry. Eligible patients initiated one of the two treatment strategies between January 1, 2020, and December 31, 2024. Time zero was defined as the date of the first administration of the qualifying first-line regimen. No minimum number of treatment cycles was required. The primary outcome was overall survival. Secondary outcomes included progression-free survival and prespecified adverse events.

Read the detailed description

Patients were classified according to the first-line regimen initiated on the index date. Time zero was defined as the date of first administration of pertuzumab plus trastuzumab and chemotherapy or trastuzumab and chemotherapy. Eligibility criteria were assessed using information available on or before time zero. Patients were not required to complete a minimum number of treatment cycles and were followed from treatment initiation regardless of subsequent treatment discontinuation or modification.

03

Conditions studied

  • HER2-Positive Breast Cancer
  • Advanced Breast Cancer

Browse trials for

Keywords

  • Pertuzumab
  • Trastuzumab
  • Docetaxel
  • Dual HER2-Targeted Therapy
  • Real-World Evidence
  • Target Trial Emulation
04

Who can participate

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

Study population

The study population comprised adult female patients with HER2-positive unresectable locally advanced, recurrent, or metastatic breast cancer who initiated first-line treatment with either pertuzumab plus trastuzumab plus docetaxel or trastuzumab plus docetaxel between January 1, 2020 and December 31, 2024. Eligible patients were retrospectively identified from the National Health and Medical Big Data (Eastern) Center. Electronic health record data were linked to the Jiangsu mortality registry. The index date (time zero) was defined as the date of the first administration of the index treatment regimen. Patients meeting the prespecified eligibility criteria during the study period were included.

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. Female patients aged 18 years or older on the index date.
  2. or cytologically confirmed breast cancer.
  3. -positive disease, defined according to available pathology records as immunohistochemistry (IHC) 3+ or IHC 2+ with positive in situ hybridization.
  4. Unresectable locally advanced, recurrent, or breast cancer on the index date.
  5. No prior systemic anticancer therapy for unresectable locally advanced, recurrent, or metastatic breast cancer before the index date.
  6. Initiation of treatment with either:

    1. pertuzumab plus trastuzumab plus docetaxel; or
    2. trastuzumab plus docetaxel between January 1, 2020 and December 31, 2024.
  7. Sufficient information available on or before the index date to determine eligibility, treatment assignment, and baseline covariates.

Exclusion criteria

Exclusion Criteria:

  1. Early-stage or resectable breast cancer treated with curative intent on the index date.
  2. Prior systemic anticancer therapy for unresectable locally advanced, recurrent, or breast cancer before the index date.
  3. Another active primary malignant tumor on the index date that was expected to materially affect survival.
  4. Insufficient or invalid information to determine status, advanced disease status, index treatment regimen, or index date.
  5. Absence of a valid patient identifier required for linkage between the electronic health record database and the mortality registry.
Terms in these criteria, in plain language(4)

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
2,250 participants (actual)
Patient registry
No

Groups and cohorts

  • Pertuzumab Plus Trastuzumab and Docetaxel

    Drug: Pertuzumab · Drug: Trastuzumab · Drug: Docetaxel

  • Trastuzumab and Docetaxel

    Drug: Pertuzumab · Drug: Docetaxel

Interventions

  • Pertuzumab administered as part of first-line dual HER2-targeted therapy with trastuzumab and docetaxel. Exposure was identified from electronic prescriptions, medication orders, and administration records.

  • Trastuzumab administered as part of first-line HER2-targeted therapy with docetaxel, with or without pertuzumab. Exposure was identified from electronic prescriptions, medication orders, and administration records.

  • Docetaxel administered as first-line chemotherapy in combination with HER2-targeted therapy. Exposure was identified from electronic prescriptions, medication orders, and administration records.

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Overall survival was defined as the time from the first administration of the index first-line treatment regimen to death from any cause.

    Time frame: From the index date until death, last known follow-up, or December 31, 2024, whichever occurred first (up to 60 months)

Secondary outcomes

  1. Real-World Progression-Free Survival (rwPFS)

    Real-world progression-free survival was defined as the time from the index date, defined as the first administration of the qualifying first-line treatment regimen, to the first documented real-world disease progression or death from any cause, whichever occurred first.

    Time frame: From the index date until documented real-world disease progression, death, last known progression-free follow-up, or December 31, 2024, whichever occurred first (up to 60 months)

  2. Proportion of Participants With Prespecified Grade 3 or Higher Adverse Events

    Adverse-event severity was determined according to the severity grade documented in the electronic health record.

    Time frame: From the index date through the documented end of first-line treatment (up to 60 months)

07

Study locations

1 site
  • Nanjing Medical University
    Nanjing, Jiangsu 2111166, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2020 to primary completion in Dec 2024, 56 months.

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

Registered
Sep 14, 2026
First posted
Sep 21, 2026
StartActual
Apr 20, 2020
Primary completionActual
Dec 31, 2024
CompletionActual
Dec 31, 2024
Last update
Sep 21, 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 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07829900
Lead sponsor
Xin Li
Responsible party
Xin Li (Professor,PhD,PhD supervisor,Deputy Dean of the School of Pharmacy,Nanjing Medical University, Nanjing Medical University) — Sponsor-investigator
First posted
Sep 21, 2026
Start date
Apr 20, 2020
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Last update
Sep 21, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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