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Brief Title: NeoadjuVAnt muLti-agENT Chemotherapy or Patritumab Deruxtecan With or Without endocrINE Therapy for High-risk HR+/HER2- Breast Cancer - VALENTINE Trial
Official Title: A Phase 2 Trial of neoadjuVAnt muLti-agENT Chemotherapy or Patritumab Deruxtecan (HER3-DXd; U3-1402) With or Without endocrINE Therapy for High-risk HR+/HER2- Breast Cancer - VALENTINE Trial
Study ID: NCT05569811
Brief Summary: VALENTINE is a parallel, non-comparative, three-arm, randomized 1:2:2 open-label, multicenter, exploratory study in women or men with primary operable HR+/HER2-negative breast cancer with ki67 ≥ 20% and/or high genomic risk (defined by gene signature) aiming at evaluating the clinical benefit and biological effects of HER3-DXd with/without letrozole as a neoadjuvant treatment regimen. The primary aim is to evaluate the ability of each treatment strategy to achieve a pCR at surgery. This study is exploratory and no formal comparison between treatment arms is intended. The inclusion of a chemotherapy treatment arm serves as an internal response control instead of using historical data as comparators. In addition, the chemotherapy control arm is the standard of care appropriate treatment in these patients, to include this arm will ensure the recruitment of the target patient population (patients should have indication for neoadjuvant chemotherapy) and allowing comparison of secondary endpoint such as safety and/or HrQoL.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
ICO Badalona, Badalona, Barcelona, Spain
Hospital Universitario de Canarias, Tenerife, Islas Canarias, Spain
Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, La Coruña, Spain
Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain
Hospital Universitario de Badajoz, Badajoz, , Spain
Hospital Clinic de Barcelona, Barcelona, , Spain
Hospital General de Catalunya, Barcelona, , Spain
Hospital Universitari Vall d' Hebrón, Barcelona, , Spain
Hospital de Basurto, Bilbao, , Spain
Complejo Hospitalario San Pedro de Alcántara, Cáceres, , Spain
Hospital Universitario Reina Sofia, Córdoba, , Spain
Hospital Universitario Virgen de las Nieves, Granada, , Spain
H.Univ. Arnau de Vilanova de Lleida, Lleida, , Spain
Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
HAU de Manresa, Manresa, , Spain
Hospital Universitario Virgen de la Arrixaca, Murcia, , Spain
Hospital Son Espases, Palma De Mallorca, , Spain
Hospital Sant Joan de Reus, Reus, , Spain
HU Parc Tauli, Sabadell, , Spain
Comp. Hosp.Univ. Santiago (Chus), Santiago De Compostela, , Spain
Hospital Universitario Virgen del Rocio, Sevilla, , Spain
H La Fe, Valencia, , Spain
Hospital Clínico de Valencia, Valencia, , Spain