Page 13 - PHESGO (PERTUZUMAB-TRASTUZUMAB) - Product Monograph
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Summary of adverse reactions (ARs) occurring in ≥15% of patients who
               received the fixed-dose SC combination of trastuzumab and pertuzumab                  39,46

                                                    All Grades (%)                    Grades 3-4 (%)
                                           Fixed-dose SC                      Fixed-dose SC
                                       combination of trastuzumab   IV PERJETA ®  (pertuzumab) +  combination of trastuzumab   IV PERJETA ®  +
                                        and pertuzumab (n=248)  IV/SC trastuzumab (n=252)  and pertuzumab (n=248)  IV/SC trastuzumab (n=252)
                Rash                           16               21               0.4               0
                Dry skin                       15               13               0.4               0
                Mucosal inflammation            15               20               0.8              1.2
                Injection site reaction*       15               0.8              0                 0
                Cough                          15               13               0.4               0
               *An injection site reaction was defined as a local reaction.


               6.2. PHranceSCa



               Study design    39,48,49
               Phase II, randomized, open-label, crossover trial of patients with HER2+ eBC. The

               primary objective of the study was to evaluate patient preference for fixed-dose SC
               combination of trastuzumab and pertuzumab.

                                                                         Adjuvant treatment
                                       R                                                  C
                                       A           IV PERJETA ®  + trastuzumab  Fixed-dose SC  O
                Patients with HER2+  S  N D  n=80      (3 cycles)   C    combination of trastuzumab   N  Patients selected fixed-
                                                                                              dose SC combination
                EBC who completed  U   O                            R O   and pertuzumab (3 cycles)  T I  of trastuzumab and
                  neoadjuvant    R     M                            S                     N
                  IV PERJETA ®  +  G   I                            S                     U     pertuzumab or
                  trastuzumab +  E     Z A                          O                     A      IV PERJETA ® +
                                                                                                trastuzumab to
                  chemotherapy   R Y   T              Fixed-dose SC  V E                  T   complete 18 cycles of
                    (N=160)            I    n=80   combination of trastuzumab   R  IV PERJETA ®  + trastuzumab  I
                                       O           and pertuzumab (3 cycles)  (3 cycles)  O N  HER2-targeted treatment
                                       N
               Primary endpoint
               Percentage of patients who preferred fixed-dose SC combination

               of trastuzumab and pertuzumab over IV PERJETA  + trastuzumab when surveyed
                                                                    ®
               after Cycle 6 of adjuvant treatment. 39,49



               Treatment that helps patients feel less like patients
                In the PHranceSCa study, 85% percent of patients preferred fixed-dose SC

                   combination of trastuzumab and pertuzumab over IV pertuzumab + trastuzumab.         39


                     85%
                                            Preferred fixed-dose SC combination of

                                            trastuzumab and pertuzumab (n=136/160)
                                            Preferred IV PERJETA  + trastuzumab (n=22/160)
                                                                    ®
                            14%             No preference (n=2/160)


                          1%
                14% of patients preferred using IV PERJETA  + trastuzumab, citing more comfort
                                                                ®
                   during administration as the most common reason.       39,49

           M-AE-00000086                                                                                 13
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