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Efficacy and Safety of Neratinib as Extended Adjuvant Treatment for Patients with HER2+/ HR- High-risk Breast Cancer

Optimizing the application timing of neratinib in adjuvant therapy for patients with HER2+/ HR- high-risk breast cancer:A multicenter, prospective, open-label randomized study

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500106219
Enrollment
Unknown
Registered
2025-07-21
Start date
2025-07-30
Completion date
Unknown
Last updated
2025-08-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast cancer

Interventions

Experimental group:Neratinib was used as an adjuvant booster for 3 months in advance
Control group:Neratinib should be used within 12 months after the end of adjuvant therapy

Sponsors

Shandong First Medical University and Shandong Academy of Medical Sciences (Shandong Cancer Hospital &Institute)
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age>=18 years old; 2. Eastern Cooperative Oncology Group (ECOG) physical status (PS) of 0-1; 3. Patients with histopathological confirmed early or locally advanced breast cancer, clinical stage II-III; 4. HER2 positive and HR negative (immunohistochemical estrogen receptor ER<1% and/or progesterone receptor PR<1%); 5. For patients who have not received neoadjuvant therapy at the beginning, axillary lymph node metastasis (pN+) must be met; 6. For patients who have received neoadjuvant therapy initially: postoperative pathology suggests that pathological complete remission has not been achieved, and postoperative T-DM1 treatment <=3 months; 7. Trastuzumab combined with pertuzumab treatment in the adjuvant stage, and there are still 3 months before the end of adjuvant therapy; 8. Volunteered to participate in the study and signed a written informed consent form (ICF).

Exclusion criteria

Exclusion criteria: 1. Refusal to enroll in this study or refuse to cooperate with follow-up; 2.Patients who participated in other interventional studies within 4 weeks; 3. Metastatic disease (stage IV) or inflammatory breast cancer 4. Previous or current history of malignancy except for the following cured malignancies: basal cell and squamous cell carcinoma of the skin, carcinoma in situ of the cervix; 5. Clinically relevant cardiovascular disease: known history of uncontrolled or symptomatic angina, clinically significant arrhythmias, congestive heart failure, transmural myocardial infarction, uncontrolled hypertension >=180/110); 6. History of allergy to the drugs in this study; 7. Unable or unwilling to swallow tablets; 8. History of gastrointestinal disease with diarrhea as the main symptom.

Design outcomes

Primary

MeasureTime frame
Invasive Disease-Free Survival;

Secondary

MeasureTime frame
Disease-free survival;

Countries

China

Contacts

Public ContactYongqing Li

Shandong First Medical University and Shandong Academy of Medical Sciences (Shandong Cancer Hospital &Institute)

liyq720917@126.com+86 155 5311 5677

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026