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Be Part of Research - Trial Details - A Study of Pertuzumab in Addition to Chemotherapy and Trastuzumab as Adjuvant Therapy in Participants With Human Epidermal Growth Receptor 2 (HER2)-Positive Primary Breast Cancer

A Study of Pertuzumab in Addition to Chemotherapy and Trastuzumab as Adjuvant Therapy in Participants With Human Epidermal Growth Receptor 2 (HER2)-Positive Primary Breast Cancer

Medical Conditions

Breast Cancer


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


This randomized, double-blind, placebo-controlled, two-arm study will assess the safety and efficacy of pertuzumab in addition to chemotherapy plus trastuzumab as adjuvant therapy in participants with operable HER2-positive primary breast cancer. This study will be carried out in collaboration with the Breast International Group (BIG).

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Nov 2011 Dec 2016

Publications

"Loibl S, Jassem J, Sonnenblick A, Parlier D, Winer E, Bergh J, Gelber RD, Restuccia E, Im YH, Huang CS, Dalenc F, Calvo I, Procter M, Caballero C, Clark E, Raimbault A, McConnell R, Monturus E, de Azambuja E, Gomez HL, Bliss J, Viale G, Bines J, Piccart M; APHINITY Steering Committee and Investigators. Adjuvant Pertuzumab and Trastuzumab in Early Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer in the APHINITY Trial: Third Interim Overall Survival Analysis With Efficacy Update. J Clin Oncol. 2024 Nov;42(31):3643-3651. doi: 10.1200/JCO.23.02505. Epub 2024 Sep 11."; "39259927"; "de Azambuja E, Agostinetto E, Procter M, Eiger D, Ponde N, Guillaume S, Parlier D, Lambertini M, Desmet A, Caballero C, Aguila C, Jerusalem G, Walshe JM, Frank E, Bines J, Loibl S, Piccart-Gebhart M, Ewer MS, Dent S, Plummer C, Suter T; APHINITY Steering Committee and Investigators. Cardiac safety of dual anti-HER2 blockade with pertuzumab plus trastuzumab in early HER2-positive breast cancer in the APHINITY trial. ESMO Open. 2023 Feb;8(1):100772. doi: 10.1016/j.esmoop.2022.100772. Epub 2023 Jan 19."; "36681013"; "Gelber RD, Wang XV, Cole BF, Cameron D, Cardoso F, Tjan-Heijnen V, Krop I, Loi S, Salgado R, Kiermaier A, Frank E, Fumagalli D, Caballero C, de Azambuja E, Procter M, Clark E, Restuccia E, Heeson S, Bines J, Loibl S, Piccart-Gebhart M; APHINITY Steering Committee and Investigators. Six-year absolute invasive disease-free survival benefit of adding adjuvant pertuzumab to trastuzumab and chemotherapy for patients with early HER2-positive breast cancer: A Subpopulation Treatment Effect Pattern Plot (STEPP) analysis of the APHINITY (BIG 4-11) trial. Eur J Cancer. 2022 May;166:219-228. doi: 10.1016/j.ejca.2022.01.031. Epub 2022 Mar 18."; "35313167"; "Bines J, Clark E, Barton C, Restuccia E, Procter M, Sonnenblick A, Fumagalli D, Parlier D, Arahmani A, Baselga J, Viale G, Reaby LL, Frank E, Gelber RD, Piccart M, Jackisch C, Petersen JA. Patient-reported function, health-related quality of life, and symptoms in APHINITY: pertuzumab plus trastuzumab and chemotherapy in HER2-positive early breast cancer. Br J Cancer. 2021 Jul;125(1):38-47. doi: 10.1038/s41416-021-01323-y. Epub 2021 Apr 7."; "33828257"; "Piccart M, Procter M, Fumagalli D, de Azambuja E, Clark E, Ewer MS, Restuccia E, Jerusalem G, Dent S, Reaby L, Bonnefoi H, Krop I, Liu TW, Pienkowski T, Toi M, Wilcken N, Andersson M, Im YH, Tseng LM, Lueck HJ, Colleoni M, Monturus E, Sicoe M, Guillaume S, Bines J, Gelber RD, Viale G, Thomssen C; APHINITY Steering Committee and Investigators. Adjuvant Pertuzumab and Trastuzumab in Early HER2-Positive Breast Cancer in the APHINITY Trial: 6 Years' Follow-Up. J Clin Oncol. 2021 May 1;39(13):1448-1457. doi: 10.1200/JCO.20.01204. Epub 2021 Feb 4."; "33539215"; "Bines J, Procter M, Restuccia E, Viale G, Zardavas D, Suter T, Arahmani A, Van Dooren V, Baselga J, Clark E, Eng-Wong J, Gelber RD, Piccart M, Mobus V, de Azambuja E; APHINITY Steering Committee and Investigators. Incidence and Management of Diarrhea With Adjuvant Pertuzumab and Trastuzumab in Patients With Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer. Clin Breast Cancer. 2020 Apr;20(2):174-181.e3. doi: 10.1016/j.clbc.2019.06.016. Epub 2019 Sep 5."; "31924513"; "Luo Y, Li W, Jiang Z, Zhang Q, Wang L, Mao Y, Tjan-Heijnen VCG, Im SA, McConnell R, Bejarano S, Fumagalli D, Bines J, Wang B, Garg A, Kirschbrown WP, Xu B. Pharmacokinetics of pertuzumab administered concurrently with trastuzumab in Chinese patients with HER2-positive early breast cancer. Anticancer Drugs. 2019 Sep;30(8):866-872. doi: 10.1097/CAD.0000000000000808."; "31305270"; "Kirschbrown WP, Kagedal M, Wang B, Lindbom L, Knott A, Mack R, Monemi S, Nijem I, Girish S, Freeman C, Fumagalli D, McConnell R, Jerusalem G, Twelves C, Baselga J, von Minckwitz G, Bines J, Garg A. Pharmacokinetic and exploratory exposure-response analysis of pertuzumab in patients with operable HER2-positive early breast cancer in the APHINITY study. Cancer Chemother Pharmacol. 2019 Jun;83(6):1147-1158. doi: 10.1007/s00280-019-03826-1. Epub 2019 Apr 11."; "30976844"; "von Minckwitz G, Procter M, de Azambuja E, Zardavas D, Benyunes M, Viale G, Suter T, Arahmani A, Rouchet N, Clark E, Knott A, Lang I, Levy C, Yardley DA, Bines J, Gelber RD, Piccart M, Baselga J; APHINITY Steering Committee and Investigators. Adjuvant Pertuzumab and Trastuzumab in Early HER2-Positive Breast Cancer. N Engl J Med. 2017 Jul 13;377(2):122-131. doi: 10.1056/NEJMoa1703643. Epub 2017 Jun 5."; "28581356"

INTERVENTIONAL

Intervention Type : DRUG
Intervention Description : 5-Fluorouracil will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Carboplatin will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Cyclophosphamide will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Docetaxel will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Doxorubicin will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Epirubicin will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Paclitaxel will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Pertuzumab will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Placebo will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Placebo + Trastuzumab + Chemotherapy;

Intervention Type : DRUG
Intervention Description : Trastuzumab will be administered as per the schedule specified in the respective arm.

Intervention Arm Group : Pertuzumab + Trastuzumab + Chemotherapy;Placebo + Trastuzumab + Chemotherapy;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • New Cross Hospital
    Wolverhampton
    WV10 0QP
  • Queen Alexandra Hospital
    Portsmouth
    PO6 3LY
  • University Hospital Coventry
    Coventry
    CV2 2DX
  • Nottingham City Hospital
    Nottingham
    NG5 1PB
  • Churchill Hospital
    Oxford
    OX3 7LJ
  • Weston Park Hospital
    Sheffield
    S10 2SJ
  • Ipswich Hospital
    Ipswich
    IP4 5PD
  • Western General Hospital
    Edinburgh
    EH4 2XU
  • Royal Devon & Exeter Hospital
    Exeter
    EX2 5DW
  • UCL Hospital NHS Trust
    London
    NW1 2PG
  • Royal Marsden Hospital
    London
    SW3 6JJ
  • Mount Vernon Hospital
    Northwood
    HA6 2RN
  • Christie Hospital
    Manchester
    M20 4BX
  • Velindre Cancer Centre
    Cardiff
    CF14 2TL
  • Cheltenham General Hospital
    Cheltenham
    GL53 7AN
  • Royal Cornwall Hospital
    Truro
    TR1 3LJ
  • St. Bartholomew's Hospital
    London
    EC1A 7BE
  • Colchester General Hospital
    Colchester, Essex
    CO4 5JL
  • Royal Marsden Hosp NHS Fnd
    Sutton
    SM2 5PT
  • Royal Preston Hosp
    Preston
    PR2 9HT
  • Royal Berkshire Hospital
    Berkshire
    RG1 5AN
  • St James Uni Hospital
    Leeds
    LS9 7TF
  • The Clatterbridge Cancer Ctr For Oncolgy
    Metropolitan Borough of Wirral
    CH63 4JY
  • Peterborough City Hospital, Edith Cavell Campus
    Peterborough
    PE3 9GZ
  • Uni Hospital of North Staffordshire
    Stoke-on-Trent
    ST4 6QG


The study is sponsored by Hoffmann-La Roche and is in collaboration with Genentech, Inc.; Breast International Group.





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Read full details for Trial ID: NCT01358877
Last updated 26 November 2025

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