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A Safety and Tolerability Study of Assisted and Self-Administered Subcutaneous (SC) Herceptin (Trastuzumab) as Adjuvant Therapy in Early Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Breast Cancer

A Phase III Prospective, Two-Cohort Non-Randomized, Multi-Centre, Multinational, Open-Label Study to Assess the Safety of Assisted- and Self-Administered Subcutaneous Trastuzumab as Therapy in Patients With Operable HER2-Positive Early Breast Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01566721
Acronym
SafeHER
Enrollment
2577
Registered
2012-03-29
Start date
2012-05-17
Completion date
2020-02-19
Last updated
2021-04-27

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

Conditions

Breast Neoplasms

Brief summary

This multicenter, two-cohort, non-randomized, open-label study will evaluate the safety and tolerability of assisted and self-administered SC Herceptin as adjuvant therapy in participants with early HER2-positive breast cancer following tumor excision. Participants will receive Herceptin 600 milligrams (mg) SC every 3 weeks for 18 cycles, either by an assisted administration using a conventional syringe and needle/vial formulation (Cohort A) or with assisted and self-administration using a single-use injection device (SID) in selected participants (Cohort B).

Interventions

DRUGHerceptin

Herceptin will be given as 600 mg SC (into thigh) on Day 1 of each 3-week cycle for up to 18 cycles.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed early invasive HER2-positive carcinoma of the breast with no evidence of residual, locally recurrent, or metastatic disease and defined as clinical Stage I to IIIC that is eligible for treatment with Herceptin * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 * Screening left ventricular ejection fraction (LVEF) greater than or equal to (≥) 55%

Exclusion criteria

* Previous neoadjuvant or adjuvant breast cancer treatment with an approved or investigational anti-HER2 agent * History of other malignancy except for curatively treated carcinoma in situ of the cervix, basal cell carcinoma, or curatively treated malignancies (other than breast cancer) where the participant has been disease-free for at least 5 years * Past history of ductal carcinoma in situ treated with any systemic therapy or with radiation therapy to the ipsilateral breast where invasive cancer subsequently developed * Metastatic disease * Inadequate bone marrow, hepatic, or renal function * Serious cardiac or cardiovascular disease including uncontrolled hypertension or history of hypertensive crisis or hypertensive encephalopathy * History of severe allergic or immunological reactions, such as difficult-to-control asthma * Pregnant or lactating women

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Received Concomitant Non-Cancer TherapyFrom Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)Concomitant non-cancer treatment included any pharmacologic interventions administered during the study other than chemotherapy, radiotherapy, or hormone therapy. The percentage of participants who received any concomitant non-cancer therapies was reported.
Percentage of Participants With a Grade 3 or Higher AE During the Treatment PeriodFrom Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. AEs were graded according to National Cancer Institute Common Terminology Criteria Version 4.0. Grade 3 AEs were those considered severe or medically significant but not immediately life-threatening. Grade 4 AEs were those considered life-threatening and/or for which urgent intervention was indicated. Grade 5 AEs were those resulting in death. The percentage of participants with a Grade 3 or higher (i.e., Grade 3 to 5) AE during the treatment period was reported.
Percentage of Participants With Treatment Interruption Due to an AEFrom Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with SC Herceptin treatment interrupted to assess or treat AEs was reported.
Number of Herceptin Cycles ReceivedFrom Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)Participants were planned to receive a total of 18 cycles of SC Herceptin. The median number of cycles actually received was reported.
Percentage of Participants by Total Number of Herceptin Cycles ReceivedFrom Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)Participants were planned to receive a total of 18 cycles of SC Herceptin. The percentage of participants was reported by the total number of cycles actually received. Because the data are presented non-cumulatively, this table reflects participant distribution by the highest number of cycles received.
Percentage of Participants Who Received Concomitant Cancer TherapyFrom Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)Concomitant cancer treatment included chemotherapy, radiotherapy, and hormone therapy administered during the study. The percentage of participants who received any of these concomitant therapies was reported.
Percentage of Participants With At Least 1 Adverse Event (AE) During the Treatment PeriodFrom Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with at least 1 AE during the treatment period (regardless of severity or seriousness) was reported.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Died During the Safety Follow-up PeriodFrom Baseline to Time of Event, Safety Follow-Up Period (Up to 6 Years)The percentage of participants who died from any cause was reported during the safety follow-up period.
Disease-Free Survival RateFrom Baseline to time of event (up to approximately 8 years)DFS is defined as the time from first dose of SC Herceptin to the first event of local, regional or distant recurrence, contralateral invasive breast cancer (including ipsilateral ductal carcinoma in situ) or death due to any cause. Time from the date of first dose to any DFS event was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.
Overall Survival RateFrom Baseline to Time of Event (Up to Approximately 6 Years)Overall survival was defined as the time from randomization to death from any cause. Time from the date of randomization to the date of death was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.
Percentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4 (cycle length 3 weeks) and last safety follow-up (LSFU) (approximately 1 year)The SID satisfaction questionnaire was administered twice during the study and asked participants to respond to five statements using a Likert scale from Strongly Disagree to Strongly Agree. Questionnaire items were as follows: I felt comfortable injecting the study drug by myself (Comfortable), The SID was convenient and easy to use (Easy to Use), I am confident giving myself an injection in the thigh with the SID (Confident), Taking all things into account I find self-administration using the SID satisfactory (Satisfactory), If given the opportunity I would choose to continue self-injecting the study drug using the SID in the future (Continue). Participants could only select one response per questionnaire item. There was no calculation of any score, but rather, descriptive summaries were generated by item response. The percentage of participants was reported by the response given for each item on the SID satisfaction questionnaire.
Percentage of Participants Who Died by Data Cutoff of 10 March 2015From Baseline to time of event (maximum follow-up approximately 3 years as of data cutoff of 10 March 2015)The percentage of participants who died from any cause was reported.

Countries

Albania, Algeria, Argentina, Australia, Bosnia and Herzegovina, Brazil, Bulgaria, Canada, Chile, Colombia, Croatia, Czechia, Dominican Republic, Ecuador, Egypt, El Salvador, France, Germany, Greece, Guatemala, Hong Kong, Hungary, Indonesia, Ireland, Italy, Lithuania, Malaysia, Mexico, Morocco, Netherlands, New Zealand, Norway, Pakistan, Panama, Peru, Philippines, Poland, Portugal, Romania, Russia, Saudi Arabia, Serbia, Singapore, Slovakia, Slovenia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey (Türkiye), Ukraine, United Arab Emirates, United Kingdom, Uruguay, Venezuela, Vietnam

Participant flow

Pre-assignment details

Of the 2984 participants screened, a total of 2577 participants were enrolled into the trial, and 2573 participants received at least one dose of study treatment. 4 Participants were not included in the Safety Follow-Up (SFU) ITT due to the lack of Principal Investigator signatures.

Participants by arm

ArmCount
Cohort A: SC Herceptin by Needle/Syringe
Participants received SC Herceptin by an assisted administration as 600 mg every 3 weeks for a total of 18 doses/cycles. Each dose of SC Herceptin was taken from a single-use vial and injected by needle/syringe.
1,867
Cohort B: SC Herceptin by SID
Participants received SC Herceptin as 600 mg every 3 weeks for a total of 18 doses/cycles. Each dose of SC Herceptin was administered from a pre-filled SID. The first administration was performed by an HCP. Subsequent doses were self-administered by participants who were willing and judged competent by the HCP.
710
Total2,577

Withdrawals & dropouts

PeriodReasonFG000FG001
Safety Follow-upAdverse Event84
Safety Follow-upDeath284
Safety Follow-upDisease progression /disease recurrence22390
Safety Follow-upErroneous reporting or late reporting20
Safety Follow-upLost to Follow-up10148
Safety Follow-upMissing72
Safety Follow-upNon-compliance73
Safety Follow-upPhysician Decision64
Safety Follow-upProtocol Violation70
Safety Follow-upSite closure23
Safety Follow-upSponsor decision10
Safety Follow-upWithdrawal by Subject15549
Treatment PeriodAdverse Event10030
Treatment PeriodDisease Progression/Recurrence3713
Treatment PeriodInvestigator/Sponsor Decision63
Treatment PeriodLack of Compliance51
Treatment PeriodOther132
Treatment PeriodPregnancy10
Treatment PeriodWithdrawal by Subject359

Baseline characteristics

CharacteristicCohort A: SC Herceptin by Needle/SyringeCohort B: SC Herceptin by SIDTotal
Age, Continuous54.0 years
STANDARD_DEVIATION 12.01
53.0 years
STANDARD_DEVIATION 11.32
53.7 years
STANDARD_DEVIATION 11.83
Sex: Female, Male
Female
1863 Participants710 Participants2573 Participants
Sex: Female, Male
Male
4 Participants0 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
1,499 / 1,864576 / 7090 / 1,8620 / 707
serious
Total, serious adverse events
242 / 1,86484 / 709202 / 1,86253 / 707

Outcome results

Primary

Number of Herceptin Cycles Received

Participants were planned to receive a total of 18 cycles of SC Herceptin. The median number of cycles actually received was reported.

Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

Population: Safety Population. The endpoint also included an analysis of a subgroup of participants from Cohort B who received doses of self-administered SC Herceptin via SID.

ArmMeasureValue (MEDIAN)
Cohort A: SC Herceptin by Needle/SyringeNumber of Herceptin Cycles Received16.0 cycles
Cohort B: SC Herceptin by SIDNumber of Herceptin Cycles Received18.0 cycles
Cohort B: SC Herceptin by SIDNumber of Herceptin Cycles Received18.0 cycles
Primary

Percentage of Participants by Total Number of Herceptin Cycles Received

Participants were planned to receive a total of 18 cycles of SC Herceptin. The percentage of participants was reported by the total number of cycles actually received. Because the data are presented non-cumulatively, this table reflects participant distribution by the highest number of cycles received.

Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

Population: Safety Population. The endpoint also included an analysis of a subgroup of participants from Cohort B who received doses of self-administered SC Herceptin via SID.

ArmMeasureGroupValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received2 Cycles Received1.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received14 Cycles Received6.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received8 Cycles Received2.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received1 Cycle Received2.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received13 Cycles Received4.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received9 Cycles Received1.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received4 Cycles Received1.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received12 Cycles Received2.5 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received10 Cycles Received1.5 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received19 Cycles Received0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received11 Cycles Received3.5 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received17 Cycles Received32.5 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received5 Cycles Received1.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received18 Cycles Received0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received16 Cycles Received21.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received6 Cycles Received1.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received3 Cycles Received1.1 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received15 Cycles Received10.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Total Number of Herceptin Cycles Received7 Cycles Received2.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received17 Cycles Received1.0 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received1 Cycle Received1.0 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received2 Cycles Received0.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received3 Cycles Received0.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received4 Cycles Received1.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received5 Cycles Received0.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received6 Cycles Received0.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received7 Cycles Received0.7 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received8 Cycles Received0.9 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received9 Cycles Received0.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received10 Cycles Received0.3 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received11 Cycles Received0.4 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received12 Cycles Received0.9 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received13 Cycles Received0.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received14 Cycles Received0.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received15 Cycles Received0.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received16 Cycles Received0.6 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received18 Cycles Received89.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received19 Cycles Received0.2 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received13 Cycles Received0 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received7 Cycles Received0.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received19 Cycles Received0 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received14 Cycles Received0.6 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received6 Cycles Received0.1 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received18 Cycles Received91.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received15 Cycles Received0.4 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received5 Cycles Received0.6 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received1 Cycle Received0.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received16 Cycles Received0.3 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received4 Cycles Received0.7 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received10 Cycles Received0.1 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received3 Cycles Received0.1 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received11 Cycles Received0.3 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received9 Cycles Received0.6 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received17 Cycles Received1.1 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received12 Cycles Received0.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received8 Cycles Received0.3 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants by Total Number of Herceptin Cycles Received2 Cycles Received0.4 percentage of participants
Primary

Percentage of Participants Who Received Concomitant Cancer Therapy

Concomitant cancer treatment included chemotherapy, radiotherapy, and hormone therapy administered during the study. The percentage of participants who received any of these concomitant therapies was reported.

Time frame: From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Received Concomitant Cancer TherapyChemotherapy58.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Received Concomitant Cancer TherapyRadiotherapy51.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Received Concomitant Cancer TherapyHormone Therapy53.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Received Concomitant Cancer TherapyChemotherapy63.9 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Received Concomitant Cancer TherapyRadiotherapy48.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Received Concomitant Cancer TherapyHormone Therapy50.4 percentage of participants
Primary

Percentage of Participants Who Received Concomitant Non-Cancer Therapy

Concomitant non-cancer treatment included any pharmacologic interventions administered during the study other than chemotherapy, radiotherapy, or hormone therapy. The percentage of participants who received any concomitant non-cancer therapies was reported.

Time frame: From Baseline to data cutoff of 10 March 2015 (up to approximately 3 years)

Population: Safety Population

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Received Concomitant Non-Cancer Therapy89.1 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Received Concomitant Non-Cancer Therapy89.7 percentage of participants
Primary

Percentage of Participants With a Grade 3 or Higher AE During the Treatment Period

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. AEs were graded according to National Cancer Institute Common Terminology Criteria Version 4.0. Grade 3 AEs were those considered severe or medically significant but not immediately life-threatening. Grade 4 AEs were those considered life-threatening and/or for which urgent intervention was indicated. Grade 5 AEs were those resulting in death. The percentage of participants with a Grade 3 or higher (i.e., Grade 3 to 5) AE during the treatment period was reported.

Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

Population: Safety Population

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants With a Grade 3 or Higher AE During the Treatment Period24.0 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants With a Grade 3 or Higher AE During the Treatment Period21.0 percentage of participants
Primary

Percentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with at least 1 AE during the treatment period (regardless of severity or seriousness) was reported.

Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

Population: Safety Population: All enrolled participants who received at least one dose of study medication according to assigned treatment.

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period88.6 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants With At Least 1 Adverse Event (AE) During the Treatment Period89.0 percentage of participants
Primary

Percentage of Participants With Treatment Interruption Due to an AE

Participants were planned to receive a total of 18 cycles of SC Herceptin. An AE was defined as any untoward medical occurrence in a participant administered SC Herceptin. Examples included unfavorable/unintended signs and symptoms, new or exacerbated disease, recurrence of intermittent condition, deterioration in laboratory value or other clinical test, or adverse procedure-related events. The percentage of participants with SC Herceptin treatment interrupted to assess or treat AEs was reported.

Time frame: From Day 1 up to 19 cycles (cycle length 3 weeks) (approximately 1 year)

Population: Safety Population

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants With Treatment Interruption Due to an AE9.8 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants With Treatment Interruption Due to an AE10.4 percentage of participants
Secondary

Disease-Free Survival Rate

DFS is defined as the time from first dose of SC Herceptin to the first event of local, regional or distant recurrence, contralateral invasive breast cancer (including ipsilateral ductal carcinoma in situ) or death due to any cause. Time from the date of first dose to any DFS event was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

Time frame: From Baseline to time of event (up to approximately 8 years)

Population: ITT Population who completed Safety Follow-up

ArmMeasureGroupValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate0.5 Year0.990 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate1 Year0.975 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate1.5 Year0.960 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate2 Years0.934 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate3 Years0.904 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate4 Years0.881 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate5 Years0.868 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeDisease-Free Survival Rate6 Years0.851 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate6 Years0.853 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate0.5 Year0.987 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate3 Years0.896 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate1 Year0.976 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate5 Years0.863 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate1.5 Year0.957 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate4 Years0.874 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDDisease-Free Survival Rate2 Years0.939 Kaplan-Meier survival probability
Secondary

Overall Survival Rate

Overall survival was defined as the time from randomization to death from any cause. Time from the date of randomization to the date of death was expressed in Kaplan-Meier survival probability estimates. Patients without an event will be censored at the last assessment date.

Time frame: From Baseline to Time of Event (Up to Approximately 6 Years)

Population: ITT population: All randomized participants received at least one dose of drug and completed the follow up period

ArmMeasureGroupValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate3 Years0.968 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate4 Years0.947 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate0.5 Year0.999 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate1 Year0.998 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate1.5 Year0.993 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate2 Years0.985 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate5 Years0.937 Kaplan-Meier survival probability
Cohort A: SC Herceptin by Needle/SyringeOverall Survival Rate6 Years0.927 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate5 Years0.929 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate2 Years0.985 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate3 Years0.960 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate0.5 Year0.996 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate4 Years0.950 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate1 Year0.994 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate6 Years0.921 Kaplan-Meier survival probability
Cohort B: SC Herceptin by SIDOverall Survival Rate1.5 Year0.990 Kaplan-Meier survival probability
Secondary

Percentage of Participants by Item Response to SID Satisfaction Questionnaire

The SID satisfaction questionnaire was administered twice during the study and asked participants to respond to five statements using a Likert scale from Strongly Disagree to Strongly Agree. Questionnaire items were as follows: I felt comfortable injecting the study drug by myself (Comfortable), The SID was convenient and easy to use (Easy to Use), I am confident giving myself an injection in the thigh with the SID (Confident), Taking all things into account I find self-administration using the SID satisfactory (Satisfactory), If given the opportunity I would choose to continue self-injecting the study drug using the SID in the future (Continue). Participants could only select one response per questionnaire item. There was no calculation of any score, but rather, descriptive summaries were generated by item response. The percentage of participants was reported by the response given for each item on the SID satisfaction questionnaire.

Time frame: Cycle 4 (cycle length 3 weeks) and last safety follow-up (LSFU) (approximately 1 year)

Population: Safety Population. Only participants who performed self-administration were included. The number of participants who responded to the questionnaire item at each assessment (n) is shown in the table.

ArmMeasureGroupValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Response Missing (n=514)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Response Missing (n=514)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Unsure (n=415)5.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Response Missing (n=415)0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Agree (n=415)30.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Strongly Disagree (n=514)4.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Disagree (n=514)2.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Unsure (n=514)7.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Agree (n=514)41.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Strongly Agree (n=514)43.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Comfortable, Response Missing (n=514)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Strongly Disagree (n=514)3.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Disagree (n=514)0.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Unsure (n=514)1.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Agree (n=514)37.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Strongly Agree (n=514)56.0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Easy to Use, Response Missing (n=514)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Strongly Disagree (n=514)3.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Disagree (n=514)0.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Unsure (n=514)7.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Agree (n=514)42.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Strongly Agree (n=514)45.1 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Confident, Response Missing (n=514)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Strongly Disagree (n=514)3.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Disagree (n=514)0.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Unsure (n=514)2.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Agree (n=514)38.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Satisfactory, Strongly Agree (n=514)53.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Strongly Disagree (n=514)3.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Disagree (n=514)1.4 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Unsure (n=514)5.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Agree (n=514)33.5 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireCycle 4: Continue, Strongly Agree (n=514)55.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Strongly Disagree (n=415)3.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Disagree (n=415)3.1 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Agree (n=415)35.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Strongly Agree (n=415)51.8 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Comfortable, Response Missing (n=415)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Strongly Disagree (n=415)3.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Disagree (n=415)1.0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Unsure (n=415)1.7 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Agree (n=415)34.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Easy to Use, Strongly Agree (n=415)58.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Strongly Disagree (n=415)4.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Disagree (n=415)1.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Unsure (n=415)4.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Agree (n=415)33.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Strongly Agree (n=415)56.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Confident, Response Missing (n=415)0 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Strongly Disagree (n=415)4.3 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Disagree (n=415)1.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Unsure (n=415)2.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Strongly Agree (n=415)61.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Satisfactory, Response Missing (n=415)0.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Strongly Disagree (n=415)4.6 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Disagree (n=415)1.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Unsure (n=415)2.9 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Agree (n=415)28.2 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Strongly Agree (n=415)63.1 percentage of participants
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants by Item Response to SID Satisfaction QuestionnaireLSFU: Continue, Response Missing (n=415)0 percentage of participants
Secondary

Percentage of Participants Who Died by Data Cutoff of 10 March 2015

The percentage of participants who died from any cause was reported.

Time frame: From Baseline to time of event (maximum follow-up approximately 3 years as of data cutoff of 10 March 2015)

Population: ITT Population

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Died by Data Cutoff of 10 March 20151.5 percentage of participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Died by Data Cutoff of 10 March 20150.8 percentage of participants
Secondary

Percentage of Participants Who Died During the Safety Follow-up Period

The percentage of participants who died from any cause was reported during the safety follow-up period.

Time frame: From Baseline to Time of Event, Safety Follow-Up Period (Up to 6 Years)

Population: ITT Population

ArmMeasureValue (NUMBER)
Cohort A: SC Herceptin by Needle/SyringePercentage of Participants Who Died During the Safety Follow-up Period6.8 Percentage of Participants
Cohort B: SC Herceptin by SIDPercentage of Participants Who Died During the Safety Follow-up Period7.3 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026