 
          NeoSphere – Study Design
        
        
          NeoSphere
        
        
          Gianni L. et al.  Lancet Oncol 2012
        
        
          S
        
        
          U
        
        
          R
        
        
          G
        
        
          E
        
        
          R
        
        
          Y
        
        
          Study dosing: q3w x 4
        
        
          TH (n=107)
        
        
          docetaxel
        
        
          (75
        
        
          
        
        
          100 mg/m
        
        
          2
        
        
          )
        
        
          trastuzumab
        
        
          (8
        
        
          
        
        
          6 mg/kg)
        
        
          THP (n=107)
        
        
          docetaxel
        
        
          (75
        
        
          
        
        
          100 mg/m
        
        
          2
        
        
          )
        
        
          trastuzumab
        
        
          (8
        
        
          
        
        
          6 mg/kg)
        
        
          pertuzumab
        
        
          (840
        
        
          
        
        
          420 mg)
        
        
          HP (n=107)
        
        
          trastuzumab
        
        
          (8
        
        
          
        
        
          6 mg/kg)
        
        
          pertuzumab
        
        
          (840
        
        
          
        
        
          420 mg)
        
        
          TP (n=96)
        
        
          docetaxel
        
        
          (75
        
        
          
        
        
          100 mg/m
        
        
          2
        
        
          )
        
        
          pertuzumab
        
        
          (840
        
        
          
        
        
          420 mg)
        
        
          HER2+ patients with operable
        
        
          (T2–3, N0–1, M0) or
        
        
          locally advanced
        
        
          (T2–3, N2–3, M0 or T4a–c, any N, M0)
        
        
          or
        
        
          inflammatory
        
        
          (T4d, any N,M0)
        
        
          breast cancer
        
        
          Chemo-naïve & primary tumors >2cm
        
        
          (N=417)
        
        
          A randomized, multicenter, open-label phase II study
        
        
          •
        
        
          Primary endpoint:
        
        
          Comparison of pCR rates in breast (ypT0/is) ( (TH vs THP - TH vs HP - THP vs TP)
        
        
          •
        
        
          Secondary endpoints:
        
        
          pCR in breast and nodes (ypT0/is ypN0), Clinical response rate, Time to clinical response,
        
        
          Breast conservation surgery rate and Safety