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Comparing Efficacy and Safety of P013, a Proposed Pertuzumab Biosimilar, With the Reference Product in Her2-Positive Breast Cancer Patients: A Randomized, Phase Iii, Equivalency Clinical Trial Publisher Pubmed



Allahyari A1 ; Ehsanpour A2 ; Ansarinejad N3 ; Mehrzad V4 ; Kalantari B5 ; Raafat J6 ; Ghadiany M7 ; Shahi F8 ; Gharib B9 ; Moazed V10 ; Khosravi A11 ; Mirpour MH12 ; Salari S13 ; Mortazavizadeh S14 Show All Authors
Authors
  1. Allahyari A1
  2. Ehsanpour A2
  3. Ansarinejad N3
  4. Mehrzad V4
  5. Kalantari B5
  6. Raafat J6
  7. Ghadiany M7
  8. Shahi F8
  9. Gharib B9
  10. Moazed V10
  11. Khosravi A11
  12. Mirpour MH12
  13. Salari S13
  14. Mortazavizadeh S14
  15. Nekoyi A15
  16. Khani M16
  17. Sadeghi A17
  18. Gharib S18
  19. Bary A19
  20. Mirzania M20
  21. Haghighat S21
  22. Razavi SM22
  23. Emami SAH23
  24. Hosseinzadeh M24
  25. Mirbolouk M25
  26. Sadighi S26
  27. Shahrasbi A27
  28. Esfahani A28
  29. Gity M29
  30. Anjidani N30
  31. Kafi H30
  32. Najafi S31

Source: BMC Cancer Published:2022


Abstract

Background: Breast cancer is the most frequently diagnosed cancer and the leading reason for cancer-related death among women. Neoadjuvant treatment with dual-HER2 (human epidermal growth factor receptor 2) blockade has shown promising effects in this regard. The present study aimed to compare the efficacy and safety of a proposed pertuzumab biosimilar with the reference pertuzumab. Methods: This randomized, phase III, multicenter, equivalency clinical trial was conducted on chemotherapy-naive women with HER2-positive breast cancer. Patients were randomly assigned (1:1) to receive six cycles of either P013 (CinnaGen, Iran) or the originator product (Perjeta, Roche, Switzerland) along with trastuzumab, carboplatin, and docetaxel every 3 weeks. Patients were stratified by cancer type (operable, locally advanced, inflammatory) and hormone receptor status. The primary endpoint was breast pathologic complete response (bpCR). Secondary endpoints included comparisons of total pCR, overall response rate (ORR), breast-conserving surgery (BCS), safety, and immunogenicity. Results: Two hundred fourteen patients were randomized to treatment groups. bpCR rate in the per-protocol population was 67.62% in the P013 and 71.57% in the reference drug groups. Based on bpCR, P013 was equivalent to the reference pertuzumab with a mean difference of − 0.04 (95% CI: − 0.16, 0.09). Secondary endpoints were also comparable between the two groups. Conclusions: The proposed biosimilar P013 was equivalent to the reference product in terms of efficacy. The safety of both medications was also comparable. © 2022, The Author(s).
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