Evidence map›Paper›PMID 38906970›Full record

Trial reportBritish journal of cancer2024

QL1209 (pertuzumab biosimilar) versus reference pertuzumab plus trastuzumab and docetaxel in neoadjuvant treatment for HER2-positive, ER/PR-negative, early or locally advanced breast cancer: A multicenter, randomized, double-blinded, parallel-controlled, phase III equivalence trial.

Wenjia Zuo, Zhonghua Wang, Jun Qian, Xiaopeng Ma, Zhaofeng Niu, Jianghua Ou, Qinguo Mo, Jing Sun, Xinzheng Li, Qitang Wang and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04629846 (A Randomized, Multicenter, Double-Blind, Parallel-Controlled, Phase III Clinical Study to Evaluate QL1209/Pertuzumab in Combination With Docetaxel in Patients With Early-Stage or Locally Advanced HER2-Positive and ER/PR-negative Breast Cancer.), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04629846 phase3completednot on this map

A Randomized, Multicenter, Double-Blind, Parallel-Controlled, Phase III Clinical Study to Evaluate QL1209/Pertuzumab in Combination With Docetaxel in Patients With Early-Stage or Locally Advanced HER2-Positive and ER/PR-negative Breast Cancer.

TypeinterventionalSponsorQilu Pharmaceutical Co., Ltd.Ran2020 to 2023Enrolled517ConditionsBreast CancerArmsTrastuzumab, QL1209, Pertuzumab, Docetaxel, surgery
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Wenjia Zuo *Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Zhonghua Wang *Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Jun QianDepartment of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233099, China.
Xiaopeng MaDepartment of General Surgery, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, Hefei, 230001, China.
Zhaofeng NiuDepartment of Breast Disease, Yuncheng Central Hospital, Yuncheng, 044099, China.
Jianghua OuDepartment of Breast Surgery, Cancer Hospital Affiliated to Xinjiang Medical University, Urumqi, 830000, China.
Qinguo MoDepartment of Breast Surgery, Guangxi Medical University Cancer Hospital, Nanning, 530021, China.
Jing SunThe Fifth Department of Internal Medicine, Anyang Tumor Hospital, Anyang, 455000, China.
Xinzheng LiDepartment of Breast Surgery, Shanxi Cancer Hospital, Xi'an, 710061, China.
Qitang WangBreast Medical Center, Qingdao Central Hospital, Qingdao, 266042, China.
Yongzhong YaoDepartment of Breast Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, China.
Guohua YuDepartment of Oncology, Weifang People's Hospital, Weifang, 261071, China.
Hongsheng LiDepartment of Breast Surgery, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, 511436, Guangzhou, China.
Dedian ChenThe Second Department of Breast surgery, Yunnan Cancer Hospital, Kunming, 650118, China.
Hao ZhangDepartment of Breast Surgery, Nanyang Central Hospital, Nanyang, 473005, China.
Cuizhi GengBreast Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Guangdong QiaoDepartment of Breast Surgery, Yantai Yuhuangding Hospital, Yantai, 264099, China.
Mengmeng ZhaoClinical Research Center, Qilu Pharmaceutical Co., Ltd, Jinan, 250105, China.
Baihui ZhangClinical Research Center, Qilu Pharmaceutical Co., Ltd, Jinan, 250105, China.
Xiaoyan KangClinical Research Center, Qilu Pharmaceutical Co., Ltd, Jinan, 250105, China.
Jin ZhangThe Third Department of Breast Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, 300060, China. zhangjintjmuch1@163.com.ORCID http://orcid.org/0000-0001-7241-0760
Zhimin ShaoDepartment of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China. zhimingshao@fudan.edu.cn.ORCID http://orcid.org/0009-0009-1824-455X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized, parallel-controlled, double-blinded, phase III equivalence study evaluated the equivalence of a proposed pertuzumab biosimilar QL1209 to the pertuzumab (Perjeta®) each with trastuzumab and docetaxel in neoadjuvant treatment of early or locally advanced breast cancer patients with HER2-positive, ER/PR-negative.

methodsEligible patients were randomly (1:1) assigned to receive 4 cycles of neoadjuvant QL1209 or pertuzumab each with trastuzumab and docetaxel, and adjuvant treatment. The primary endpoint was total pathologic complete response (tpCR), with equivalence margins of 0.76 to 1.32.

resultsAmong the 585 patients enrolled, 257 and 259 patients were assigned to the QL1209 and pertuzumab groups, respectively. The tpCR rates were comparable in the QL1209 (109/255, 42.75%; 90% CI 37.65 to 47.84) and pertuzumab (117/259, 45.17%; 90% CI 40.09 to 50.26) groups. The tpCR risk ratio was 0.95 (90% CI, 0.80 to 1.11), and the 90% CI fell within the predefined equivalence margin. The most common grade ≥3 treatment-related adverse event was decreased neutrophil count (10. 9% vs. 12.7%) in the QL1209 and pertuzumab groups.

conclusionsQL1209 demonstrated equivalent efficacy and comparable safety profile to the reference pertuzumab in neoadjuvant treatment of HER2-positive, ER/PR-negative, early, or locally advanced breast cancer.

trial registrationChinadrugtrials.org CTR20201073; ClinicalTrials.gov NCT04629846.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiosimilar PharmaceuticalsBreast NeoplasmsDocetaxelErb-b2 Receptor Tyrosine KinasesNeoadjuvant TherapyTrastuzumabAdultAgedDouble-Blind MethodFemaleHumansMiddle AgedReceptors, EstrogenReceptors, ProgesteroneAntibodies, Monoclonal, HumanizedBiosimilar PharmaceuticalsDocetaxelERBB2 protein, humanErb-b2 Receptor Tyrosine KinasespertuzumabReceptors, EstrogenReceptors, ProgesteroneTrastuzumab

Identifiers

PMID38906970
PMCPMC11333611

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.