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OncoMatch/Clinical Trials/NCT05292742

Compare Continuation of Original Targeted Therapy With Trastuzumab Combined With Pyrotinib and Capecitabine as Postoperative Adjuvant Therapy in Non-pCR Patients With HER2 Positive Early Breast Cancer

Is NCT05292742 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments including Pyrotinib+Trastuzumab+Capecitabine and Trastuzumab+Pertuzumab/Trastuzumab for breast cancer.

Phase 2RecruitingFujian Medical University Union HospitalNCT05292742Data as of Jun 2026Location: China

Treatment: Pyrotinib+Trastuzumab+Capecitabine · Trastuzumab+Pertuzumab/TrastuzumabTo evaluate the efficacy of continuation targeted therapy compared with trastuzumab combined with Pyrotinib and capecitabine in postoperative adjuvant therapy of HER-2 positive early breast cancer patients with residual tumor (primary breast tumor/axillary lymph nodes) who did not achieve pCR after neoadjuvant therapy

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Pyrotinib+Trastuzumab+CapecitabineTrastuzumab+Pertuzumab/Trastuzumab

Cancer type

Breast Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) overexpression (> 10% immunoreactive cells with IHC score of 3+ or ISH results of HER2 gene amplification)

Pathologically confirmed HER2-expressing positive breast cancer, defined as > 10% immunoreactive cells with immunohistochemical (IHC) score of 3 + or in situ hybridization (ISH) results of HER2 gene amplification

Disease stage

Required: Stage CT1-4, N0-3

Excluded: Stage IV

primary tumor stage determined by standard evaluation methods:cT1-4/N0-3/M0; Stage IV (metastatic) breast cancer [excluded]

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75
Female only

Prior therapy

Must have received: HER2-targeted therapy (trastuzumab) — neoadjuvant

at least 9 weeks of trastuzumab treatment

Must have received: taxane — neoadjuvant

at least 9 weeks of taxane chemotherapy

Cannot have received: anti-tumor therapy or radiotherapy for any malignancy

Exception: excluding cured cervical carcinoma in situ, basal cell carcinoma or squamous cell carcinoma

Previous anti-tumor therapy or radiotherapy for any malignancy, excluding cured cervical carcinoma in situ, basal cell carcinoma or squamous cell carcinoma

Cannot have received: anti-tumor therapy

Exception: except radiotherapy and endocrine therapy during treatment

Receiving anti-tumor therapy in other clinical trials, including bisphosphonate therapy or immunotherapy (except radiotherapy and endocrine therapy during treatment)

Cannot have received: anti-tumor therapy

Receiving any anti-tumor therapy within 28 days before enrollment

Cannot have received: anti-HER2 tyrosine kinase inhibitor (pyrrolidone)

Receiving pyrrolidone or other anti-HER2 tyrosine kinase inhibitors

Cannot have received: anthracycline (adriamycin, epirubicin)

Exception: adriamycin > 240 mg/m2, epirubicin > 480 mg/m2

Receiving anthracycline therapy with cumulative doses as follows: adriamycin > 240 mg/m2, epirubicin > 480 mg/m2

Lab requirements

Blood counts

anc ≥ 1.5 x 10^9/l; platelet count ≥ 90 x 10^9/l; hemoglobin ≥ 9.0 g/dl

Kidney function

bun and creatine clearance rate ≥ 50 ml/min

Liver function

total bilirubin ≤ 1.5 x uln; alt and ast ≤ 1.5 x uln

Cardiac function

lvef ≥ 55%; qtcf < 470 ms

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT05292742 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-tumor therapy or radiotherapy for any malignancy, anti-tumor therapy, anti-tumor therapy disqualifies patients from enrollment.

Does this trial require ERBB2?

Yes, ERBB2 overexpression is a required biomarker for enrollment.

What disease stage is eligible?

Stage CT1-4 or N0-3 is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Is this trial open to male patients?

No. This trial enrolls female patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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