Home sweet home? breast cancer patients may prefer At-Home drug infusions
NCT ID NCT05415215
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether people with early or locally advanced HER2-positive breast cancer prefer receiving their medication (a combination of pertuzumab and trastuzumab) at home versus in the hospital. About 346 participants were randomly assigned to receive the drug at home or in the hospital for a period, then switched. The main goal was to see which setting they liked more. The study is complete and focuses on patient convenience and preference, not on curing the disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pertuzumab and trastuzumab fixed-dose combination for subcutaneous injection (PH FDC SC)
- What this could lead to
- If successful, this could show that home administration of this breast cancer drug is preferred by patients, potentially improving convenience and quality of life during treatment.
- What could go wrong
- This is a completed Phase 3 study, but it focuses on patient preference, not on whether the drug works better or cures the disease. Results may not apply to all patients or settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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346 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Nov 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Eastern Cooperative Oncology Group (ECOG) performance status 0-1 * Intact skin at planned site of subcutaneous (SC) injections * Left ventricular ejection fraction (LVEF) greater than or equal to (≥)55% by echocardiogram (ECHO) or multiple-gated acquisition scan (MUGA) * Negative human immunodeficiency virus (HIV) test at screening * Negative hepatitis B surface antigen (HBsAg) test at screening * Positive hepatitis B surface antibody (HBsAb) test at screening, or negative HBsAb at screening accompanied by either of the following: Negative total hepatitis B core antibody (HBcAb); Positive total HBcAb test followed by a negative (per local laboratory definition) hepatitis B virus (HBV) DNA test * Negative hepatitis C virus (HCV) antibody test at screening, or positive HCV antibody test followed by a negative HCV RNA test at screening * For female participants of childbearing potential: agreement to remain abstinent or use contraception and agree to refrain from donating eggs during the treatment period and for 7 months after the final dose of the study treatment * For male participants: agreement to remain abstinent or use a condom, and agree to refrain from donating sperm during the treatment period and for 7 months after the final dose of study treatment Disease-specific Inclusion Criteria: * Female and male participants with stage II-IIIC early or locally advanced/inflammatory human epidermal growth factor receptor 2-positive (HER2+) breast cancer * Primary tumor \>2 centimetres (cm) in diameter, or node-positive disease * HER2+ breast cancer confirmed by a local laboratory prior to study enrollment. HER2+ status will be determined based on pretreatment breast biopsy material and defined as 3+ by Immunohistochemistry (IHC) and/or positive by HER2 amplification by in situ hybridization (ISH) following American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines 2018 and updates (Wolff et al. Arch Pathol Lab Med 2018) * Hormone receptor status of the primary tumor determined by local assessment following American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines and updates (Allison et al. J Clin Oncol 2020) * Agreement to undergo mastectomy or breast conserving surgery after neoadjuvant therapy, including the axillary nodes * Availability of formalin-fixed, paraffin-embedded (FFPE) tumor tissue block for local confirmation of HER2 and hormone receptor status following current ASCO/CAP guidelines Inclusion Criteria for Treatment with Adjuvant PH FDC SC: * Completed the neoadjuvant phase of this study and underwent surgery, and achieved pathologic complete response (pCR), defined as eradication of invasive disease in the breast and axilla according to the current American Joint Committee on Cancer (AJCC) staging system classification, and using the resected specimen by the local pathologist on the basis of guidelines to be provided in a pathology manual * Adequate wound healing after breast cancer surgery per investigator's assessment to allow initiation of study treatment within less than or equal to (≤)9 weeks of last systemic neoadjuvant therapy Exclusion Criteria: * Stage IV (metastatic) breast cancer * History of concurrent or previously treated non-breast malignancies, except for appropriately treated 1) non-melanoma skin cancer and/or 2) in situ carcinomas, including cervix, colon, and skin. A participant with previous invasive non-breast cancer is eligible provided he/she has been disease free for more than 5 years * Participants who are pregnant or breastfeeding or intending to become pregnant during the study or within 7 months after the final dose of study treatments * Treatment with investigational therapy within 28 days prior to initiation of study treatment * Active, unresolved infections at screening requiring treatment * Participants who may have had a recent episode of thromboembolism and are still trying to optimize the anticoagulation dose and/or have not normalized their International Normalized Ratio (INR) * Serious cardiac illness or medical conditions * History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias * Inadequate bone marrow function * Impaired liver function * Renal function with creatinine clearance \<50 mL/min using the Cockroft-Gault formula and serum creatinine \>1.5x upper limit of normal (ULN) * Major surgical procedure unrelated to breast cancer within 28 days prior to study entry or anticipation of the need for major surgery during the course of study treatment * Current severe, uncontrolled systemic disease that may interfere with planned treatment * Any serious medical condition or abnormality in clinical laboratory tests that precludes an individual's safe participation in and completion of the study * Treatment with a live vaccine (e.g., FluMist) in the 30 days prior to initiation of study treatment, or anticipation of need for such a vaccine during treatment or within 90 days after the final dose of study treatment * Known active liver disease, for example, active viral hepatitis infection, autoimmune hepatic disorders, or sclerosing cholangitis * Known hypersensitivity to any of the study drugs, excipients, and/or murine proteins or a history of severe allergic or immunological reactions, e.g., difficult to control asthma * Current chronic daily treatment with corticosteroids * Assessment by the investigator as being unable or unwilling to comply with the requirements of the protocol Cancer-specific Exclusion Criteria for Neoadjuvant Phase: * Participants who have received any previous systemic therapy for treatment or prevention of breast cancer, or previous chest irradiation for the treatment of cancer * Participants who have a past history of ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS) if they have received any systemic therapy for its treatment or radiation therapy to the ipsi- or contralateral breast cancer * Participants with high-risk for breast cancer who have received chemopreventive drugs in the past * Participants with multicentric breast cancer, unless all tumors are HER2+ * Participants with bilateral breast cancer * Participants who have undergone an excisional biopsy of primary tumor and/or axillary lymph nodes * Axillary lymph node dissection (ALND) prior to initiation of neoadjuvant therapy * Sentinel lymph node biopsy (SLNB) prior to neoadjuvant therapy Exclusion Criterion for Treatment with Adjuvant Trastuzumab Emtansine (Arm E): * Current Grade ≥3 peripheral neuropathy (according to the NCI CTCAE v5.0)
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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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Ankara City Hospital
Ankara, 06800, Turkey (Türkiye)
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Ba?c?lar Medipol Mega Üniversite Hastanesi
Istanbul, 34214, Turkey (Türkiye)
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Cantonal Hospital Zenica
Zenica, 72000, Bosnia and Herzegovina
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Centro Oncologico Korben
Ciudad Autonoma Buenos Aires, C1426AGE, Argentina
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Centro de Estudios Clínicos SAGA
Santiago, Chile
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Centro de Investigaciones Médicas y Desarrollo LC S.R.L
Buenos Aires, Ciudad Autónoma de BuenosAires, C1113AAE, Argentina
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Clinica CIMCA
San José, 10103, Costa Rica
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Clinica Vespucio
Santiago, 8241479, Chile
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Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
São Paulo, São Paulo, 01317-001, Brazil
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Clinical Hospital Centre Zagreb
Zagreb, 10000, Croatia
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Complejo Hospitalario de Jaen-Hospital Universitario Medico Quirurgico
Jaén, 23007, Spain
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Complex Oncology Center - Plovdiv First Internal Chemotherapy Department
Plovdiv, 4004, Bulgaria
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Crio - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336-550, Brazil
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Gulhane Training and Research Hospital
Ankara, 06010, Turkey (Türkiye)
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Hacettepe Uni Medical Faculty Hospital
Sihhiye/Ankara, 06230, Turkey (Türkiye)
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Health Pharma Professional Research
Mexico City, Mexico City, 03100, Mexico
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Hopital du Saint Sacrement
Québec, Quebec, G1S 4L8, Canada
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Hospital Araujo Jorge
Goiânia, Goiás, 74605-070, Brazil
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital Metropolitano (Sede Lindora-Santa Ana)
San José, 10903, Costa Rica
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Hospital Nossa Senhora da Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200, Brazil
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Hospital Universitario Virgen de Arrixaca
Murcia, 30120, Spain
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ICIMED Instituto de Investigación en Ciencias Médicas
San José, 10108, Costa Rica
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Iem-Fucam
D.F., Mexico City, 04980, Mexico
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Instituto Regional de Enfermedades Neoplásicas del Sur
Arequipa, 5154, Peru
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International Cancer Institute (ICI)
Eldoret, 30100, Kenya
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Jewish General Hospital
Montreal, Quebec, H3T 1E2, Canada
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Korea University Anam Hospital
Seoul, 02841, South Korea
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Lakeridge Health Oshawa
Oshawa, Ontario, L1G 2B9, Canada
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MHAT Nadezhda
Sofia, 1330, Bulgaria
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Medical Oncology Centre of Rosebank
Johannesburg, 2196, South Africa
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Multiprofile Hospital for Active Treatment Uni Hospital
Panagyurishte, 4500, Bulgaria
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National Cancer Centre
Singapore, 168583, Singapore
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North York General Hospital
Toronto, Ontario, M2K 1E1, Canada
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Oncocenter Peru S.A.C.
Lima, Lima 41, Peru
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Oncologico Potosino
San Luis Potosí City, San Luis Potosí, 78209, Mexico
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Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2, Canada
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Saifee Hospital
Mumbai, Maharashtra, 400004, India
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Samsung Medical Center
Seoul, 06351, South Korea
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TATA Medical Centre
Kolkata, West Bengal, 700156, India
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Tan Tock Seng Hospital
Singapore, 308433, Singapore
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The Aga Khan University-Kenya.
Nairobi, 00100, Kenya
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Trakya University Medical Faculty Research And Practice Hospital Medical Oncology Department
Edirne, 22770, Turkey (Türkiye)
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University Clinical Center of the Republic of Srpska
Banja Luka, 78000, Bosnia and Herzegovina
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Wilgers Oncology Centre
Pretoria, 0001, South Africa
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