New drug combo may offer fewer side effects for early breast cancer patients
NCT ID NCT01853748
First seen Jun 27, 2026 ยท Last updated Jun 27, 2026
Summary
This study tested whether a drug called T-DM1 causes fewer side effects than the standard treatment of paclitaxel plus trastuzumab in people with stage I HER2-positive breast cancer. About 500 participants were randomly assigned to one of the two treatments. The researchers also tracked how long participants remained cancer-free after treatment. The goal was to find a gentler but effective option for early-stage disease.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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512 people
The number who actually took part.
- Start date
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May 2013
- Finished
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Jun 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * HER2-positive Stage I histologically confirmed invasive carcinoma of the breast * ER/PR determination is required * HER2 positive, confirmed by central testing: IHC 3+, FISH HER2/CEP17 \<2.0 with an average HER2 copy number \>/=6.0, or FISH HER2/CEP17 \>/= 2.0 * Bilateral breast cancers that individually meet eligibility criteria are allowed * Subjects with multifocal or multicentric disease are eligible as long as each tumor individually meets eligibility criteria * Subjects with a history of ipsilateral DCIS are eligible if they were treated with wide-excision alone, without radiation therapy; Patients with a history of contralateral DCIS are not eligible. * Should have tumor tissue available and a tissue block of sufficient size to make 15 slides, which must be sent to a DFCI site for testing * Less than or equal to 90 days since most recent breast surgery for this breast cancer * All tumor should be removed by either a modified radical mastectomy or a segmental mastectomy (lumpectomy) with either a sentinel node biopsy or axillary dissection * All margins should be clear of invasive cancer or DCIS * May have received up to 4 weeks of tamoxifen therapy or other hormonal therapy, for adjuvant therapy for this cancer * Prior oophorectomy for cancer prevention is allowed * Subjects who have undergone partial breast radiation (duration \</= 7 days) prior to registration are eligible. Partial breast radiation must be completed prior to 2 weeks before starting protocol therapy. * Must have discontinued any investigational drug at least 2 weeks prior to participation * Willing to use one highly effective from of nonhormonal contraception or two effective forms of nonhormonal contraception while on study and for 7 months after end of study treatment * Subjects undergoing lumpectomy must have no contraindications to radiation therapy Exclusion Criteria: * Pregnant or breastfeeding * Use of potent CYP3A4 inhibitors during the study treatment period * Excessive alcohol intake (more than 3 alcoholic beverages per day) * Locally advanced tumors at diagnosis * History of previous invasive breast cancer * History of prior chemotherapy in the past 5 years * History of prior trastuzumab or prior paclitaxel therapy * Active, unresolved infection * Active liver disease * History of a different malignancy except for the following: disease free for at least 5 years and at low risk for recurrence; cervical cancer in situ, basal or squamous cell carcinoma of the skin * Active cardiac disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Arnold Palmer Cancer Center-Greensburg
Greensburg, Pennsylvania, 15601, United States
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Arnold Palmer Medical Oncology Oakbrook
Greensburg, Pennsylvania, 15642, United States
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Arnold Palmer Medical Oncology-Mt Pleasant
Mount Pleasant, Pennsylvania, 15666, United States
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Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
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Baylor College of Medicine-Baylor Clinic
Houston, Texas, 77030, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Dana Farber Cancer Institute at Faulkner Hospital
Boston, Massachusetts, 02130, United States
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Dana-Farber Cancer Insitute at Londonderry Hospital
Londonderry, New Hampshire, 03053, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Dana-Farber Cancer Institute at Milford Hospital
Milford, Massachusetts, 01757, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Eastern Maine Medical Center's Cancer Care
Brewer, Maine, 04412, United States
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Florida Cancer Specialists
Fort Myers, Florida, 33916, United States
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Florida Cancer Specialists
St. Petersburg, Florida, 337054, United States
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Georgetown Hospital
Washington D.C., District of Columbia, 20007, United States
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Harris County Hospital District-Ben Taub General Hospital
Houston, Texas, 77030, United States
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Harris County Hospital District-Smith Clinic
Houston, Texas, 77054, United States
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Hartford Healthcare Cancer Institute at The Hospital of Central Connecticut
New Britain, Connecticut, 06050, United States
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Hartford Hospital
Hartford, Connecticut, 06102, United States
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Indiana University - Springmill Medical Clinic
Indianapolis, Indiana, 46290, United States
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Indiana University - Wishard Hospital
Indianapolis, Indiana, 46202, United States
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Indiana University Health - Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202, United States
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Indiana University Health - University Hospital
Indianapolis, Indiana, 46202, United States
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Johns Hopkins - Green Spring Station
Lutherville, Maryland, 21093, United States
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Johns Hopkins - Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21287, United States
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Lehigh Valley Hospital/Lehigh Valley Health Network
Allentown, Pennsylvania, 18103, United States
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Lowell General Hospital
Lowell, Massachusetts, 01854, United States
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Loyola University Medical Center
Maywood, Illinois, 60153, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Mass General North Shore Cancer Center
Danvers, Massachusetts, 01923, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Memorial Sloan Kettering Cancer Center Westchester
East White Plains, New York, 10604, United States
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Memorial Sloan Kettering Cancer Center-Basking Ridge
Basking Ridge, New Jersey, 07920, United States
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Memorial Sloan Kettering Cancer Center-Mercy
Rockville Centre, New York, 11570, United States
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Memorial Sloan Kettering Cancer Center-Sleepy Hollow
Sleepy Hollow, New York, 10591, United States
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Memorial Sloan Kettering Cancer Center-Suffolk
Commack, New York, 11725, United States
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Midstate Medical Center
Meriden, Connecticut, 06451, United States
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Mountain States Tumor Institute
Boise, Idaho, 83712, United States
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Mountain States Tumor Institute
Fruitland, Idaho, 83619, United States
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Mountain States Tumor Institute
Meridian, Idaho, 83642, United States
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Mountain States Tumor Institute
Nampa, Idaho, 83686, United States
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Mountain States Tumor Institute
Twin Falls, Idaho, 83301, United States
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New Hampshire Oncology-Hematology, PA
Concord, New Hampshire, 03301, United States
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New Hampshire Oncology-Hematology, PA
Hooksett, New Hampshire, 03106, United States
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New Hampshire Oncology-Hematology, PA
Laconia, New Hampshire, 03246, United States
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Northwell Health/Monter Cancer Center
Lake Success, New York, 11042, United States
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Queens Hospital Center, Comprehensive Cancer Center
Jamaica, New York, 11432, United States
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Rex Cancer Center
Raleigh, North Carolina, 27607, United States
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Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016, United States
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Siteman Cancer Center - South County
St Louis, Missouri, 63129, United States
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Siteman Cancer Center - St. Peters
City of Saint Peters, Missouri, 63376, United States
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Siteman Cancer Center - West County
St Louis, Missouri, 63141, United States
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Suburban Hospital Cancer Program
Bethesda, Maryland, 20817, United States
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Tennessee Oncology/Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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The Ohio State University
Columbus, Ohio, 43212, United States
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UPMC Cancer Center Jefferson Regional Med Ctr
Jefferson Hills, Pennsylvania, 15025, United States
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UPMC Cancer Center St. Clair Hospital
Pittsburgh, Pennsylvania, 15232, United States
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UPMC CancerCenters Butler
Butler, Pennsylvania, 16001, United States
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UPMC Conemaugh Cancer Center
Johnstown, Pennsylvania, 15905, United States
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UPMC East
Monroeville, Pennsylvania, 15146, United States
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UPMC Horizon (Greenville)
Greenville, Pennsylvania, 16125, United States
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UPMC Horizon (Shenango)
Farrell, Pennsylvania, 16121, United States
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UPMC Jameson Cancer Center
New Castle, Pennsylvania, 16105, United States
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UPMC McKeesport
McKeesport, Pennsylvania, 15132, United States
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UPMC Northwest (Franklin)
Seneca, Pennsylvania, 16346, United States
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UPMC Northwest (Oil City)
Seneca, Pennsylvania, 16346, United States
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UPMC Passavant
Pittsburgh, Pennsylvania, 15237, United States
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UPMC Pinnacle Harrisburg
Harrisburg, Pennsylvania, 17101, United States
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UPMC Presbyterian Shadyside
Pittsburgh, Pennsylvania, 15232, United States
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UPMC St. Margaret
Pittsburgh, Pennsylvania, 15215, United States
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UPMC and the Washington Hospital Center
Washington, Pennsylvania, 15301, United States
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UPMC/HVHS Cancer Center, UPMC Beaver
Beaver, Pennsylvania, 15143, United States
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Univeristy of Michigan Health System
Ann Arbor, Michigan, 48109, United States
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University of Alabama Birmingham
Birmingham, Alabama, 35249, United States
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University of California San Francisco
San Francisco, California, 94115, United States
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University of Chicago Comprehensive Cancer Center at Silver Cross Hospital
New Lenox, Illinois, 60451, United States
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University of Chicago Medical Center for Advanced Care Orland Park
Orland Park, Illinois, 60462, United States
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University of North Carolina
Chapel Hill, North Carolina, 27599, United States
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University of Washington Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
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Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232, United States
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Washington Cancer Institute at Medstar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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Washington University, School of Medicine
St Louis, Missouri, 63110, United States
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William W Backus Hospital
Norwich, Connecticut, 06360, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a faster radiation course match the standard one after breast reconstruction?
- Can High-Risk breast cancer patients skip an extra radiation boost?
- Radioactive probe lights up CD73 on breast tumors in PET scans
- Can time with horses help cancer patients feel better?
- Can an oral drug replace injections for advanced breast cancer?
- Can a common steroid shield breast cancer patients from a dangerous drug side effect?