Viewing Study NCT00553358


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Study NCT ID: NCT00553358
Status: COMPLETED
Last Update Posted: 2021-09-21
First Post: 2007-11-01
Is NOT Gene Therapy: True
Has Adverse Events: True

Brief Title: Neo ALTTO (Neoadjuvant Lapatinib and/or Trastuzumab Treatment Optimisation) Study
Sponsor:
Organization:

Raw JSON

{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24', 'removedCountries': ['Greece', 'Israel', 'Portugal']}, 'conditionBrowseModule': {'meshes': [{'id': 'D001943', 'term': 'Breast Neoplasms'}, {'id': 'D010001', 'term': 'Osteitis Deformans'}], 'ancestors': [{'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D001941', 'term': 'Breast Diseases'}, {'id': 'D012871', 'term': 'Skin Diseases'}, {'id': 'D017437', 'term': 'Skin and Connective Tissue Diseases'}, {'id': 'D001847', 'term': 'Bone Diseases'}, {'id': 'D009140', 'term': 'Musculoskeletal Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D000077341', 'term': 'Lapatinib'}, {'id': 'D000068878', 'term': 'Trastuzumab'}, {'id': 'D017239', 'term': 'Paclitaxel'}], 'ancestors': [{'id': 'D011799', 'term': 'Quinazolines'}, {'id': 'D006574', 'term': 'Heterocyclic Compounds, 2-Ring'}, {'id': 'D000072471', 'term': 'Heterocyclic Compounds, Fused-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}, {'id': 'D061067', 'term': 'Antibodies, Monoclonal, Humanized'}, {'id': 'D000911', 'term': 'Antibodies, Monoclonal'}, {'id': 'D000906', 'term': 'Antibodies'}, {'id': 'D007136', 'term': 'Immunoglobulins'}, {'id': 'D007162', 'term': 'Immunoproteins'}, {'id': 'D001798', 'term': 'Blood Proteins'}, {'id': 'D011506', 'term': 'Proteins'}, {'id': 'D000602', 'term': 'Amino Acids, Peptides, and Proteins'}, {'id': 'D012712', 'term': 'Serum Globulins'}, {'id': 'D005916', 'term': 'Globulins'}, {'id': 'D043823', 'term': 'Taxoids'}, {'id': 'D043822', 'term': 'Cyclodecanes'}, {'id': 'D003516', 'term': 'Cycloparaffins'}, {'id': 'D006840', 'term': 'Hydrocarbons, Alicyclic'}, {'id': 'D006844', 'term': 'Hydrocarbons, Cyclic'}, {'id': 'D006838', 'term': 'Hydrocarbons'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D004224', 'term': 'Diterpenes'}, {'id': 'D013729', 'term': 'Terpenes'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'Novartis.email@Novartis.com', 'phone': '862-778-8300', 'title': 'Clinical Disclosure Office', 'organization': 'Novartis Pharmaceuticals'}, 'certainAgreement': {'otherDetails': "The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety", 'restrictionType': 'OTHER', 'piSponsorEmployee': False, 'restrictiveAgreement': True}}, 'adverseEventsModule': {'timeFrame': 'Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to maximum duration of 31 weeks.', 'eventGroups': [{'id': 'EG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks', 'otherNumAtRisk': 149, 'deathsNumAtRisk': 149, 'otherNumAffected': 147, 'seriousNumAtRisk': 149, 'deathsNumAffected': 1, 'seriousNumAffected': 61}, {'id': 'EG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks', 'otherNumAtRisk': 151, 'deathsNumAtRisk': 151, 'otherNumAffected': 148, 'seriousNumAtRisk': 151, 'deathsNumAffected': 2, 'seriousNumAffected': 58}, {'id': 'EG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks', 'otherNumAtRisk': 148, 'deathsNumAtRisk': 148, 'otherNumAffected': 141, 'seriousNumAtRisk': 148, 'deathsNumAffected': 0, 'seriousNumAffected': 36}], 'otherEvents': [{'term': 'ANAEMIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 36}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 33}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 27}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'FEBRILE NEUTROPENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'LEUKOPENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 21}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 18}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 10}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'LYMPHOPENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 5}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 6}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'NEUTROPENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 47}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 51}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 37}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'THROMBOCYTOPENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'CARDIAC FAILURE CONGESTIVE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Cardiac disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'LEFT VENTRICULAR DYSFUNCTION', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'Cardiac disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'PALPITATIONS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 6}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 6}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Cardiac disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'TACHYCARDIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 4}], 'organSystem': 'Cardiac disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'EAR PAIN', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Ear and labyrinth disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'TINNITUS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 6}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Ear and labyrinth disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'VERTIGO', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 11}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 7}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 6}], 'organSystem': 'Ear and labyrinth disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'DRY EYE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'Eye disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'LACRIMATION INCREASED', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 3}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Eye disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'VISUAL IMPAIRMENT', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Eye disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ABDOMINAL DISCOMFORT', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 4}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ABDOMINAL DISTENSION', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 10}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 8}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 5}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ABDOMINAL PAIN', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 21}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 28}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 13}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ABDOMINAL PAIN UPPER', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 23}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 27}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 16}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ANAL INFLAMMATION', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'CONSTIPATION', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 18}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 15}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 15}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'DIARRHOEA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 128}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 123}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 52}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'DRY MOUTH', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 9}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 5}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'DYSPEPSIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 17}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 26}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 10}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'DYSPHAGIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'EPIGASTRIC DISCOMFORT', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'FLATULENCE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 5}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'GASTRITIS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 8}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'GASTROOESOPHAGEAL REFLUX DISEASE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 5}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'HAEMORRHOIDS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 13}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 10}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 10}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'MOUTH ULCERATION', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 12}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 4}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'NAUSEA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 75}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 81}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 76}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'RECTAL HAEMORRHAGE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'STOMATITIS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 27}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 18}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 23}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'TOOTHACHE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 4}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'VOMITING', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 54}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 57}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 38}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ASTHENIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 39}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 47}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 35}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'AXILLARY PAIN', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 5}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'CHEST DISCOMFORT', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 3}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 6}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'CHEST PAIN', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 5}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 5}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 6}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'CHILLS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 11}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 3}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 6}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'FACE OEDEMA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 5}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 4}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'FATIGUE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 52}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 45}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 38}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'FEELING COLD', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'GENERALISED OEDEMA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 3}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 3}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'INFLUENZA LIKE ILLNESS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'MUCOSAL DRYNESS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 2}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 2}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, 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disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'HYPOKALAEMIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'OSTEOPOROTIC FRACTURE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Musculoskeletal and connective tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ROTATOR CUFF SYNDROME', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Musculoskeletal and connective tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'LOBULAR BREAST CARCINOMA IN SITU', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Neoplasms benign, malignant and unspecified (incl cysts and polyps)', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'UTERINE LEIOMYOMA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Neoplasms benign, malignant and unspecified (incl cysts and polyps)', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'HEADACHE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Nervous system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'NEUROPATHY PERIPHERAL', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Nervous system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'SCIATICA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Nervous system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ACUTE KIDNEY INJURY', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Renal and urinary disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'NEPHRECTASIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Renal and urinary disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'NEPHROLITHIASIS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Renal and urinary disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'METRORRHAGIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Reproductive system and breast disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'VULVOVAGINAL PRURITUS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Reproductive system and breast disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ASTHMA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'INTERSTITIAL LUNG DISEASE', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'ORGANISING PNEUMONIA', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'PNEUMONITIS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'PNEUMOTHORAX', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 1}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'PULMONARY EMBOLISM', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'BLISTER', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 0}], 'organSystem': 'Skin and subcutaneous tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}, {'term': 'JUGULAR VEIN THROMBOSIS', 'stats': [{'groupId': 'EG000', 'numAtRisk': 149, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 151, 'numAffected': 0}, {'groupId': 'EG002', 'numAtRisk': 148, 'numAffected': 1}], 'organSystem': 'Vascular disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (23.0)'}], 'frequencyThreshold': '2'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'Number of Participants With Pathological Complete Response (pCR) at the Time of Surgery', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '38', 'groupId': 'OG000'}, {'value': '44', 'groupId': 'OG001'}, {'value': '78', 'groupId': 'OG002'}]}]}], 'analyses': [{'pValue': '0.3416', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Percentage of participants with pCR', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '97.5', 'paramValue': '-4.85', 'ciLowerLimit': '-17.6', 'ciUpperLimit': '8.16', 'estimateComment': 'Estimation Comments: Estimated value is the difference in the percentage of participants with pCR: Arm1 (Lapatinib 1500 mg) minus Arm2 (Trastuzumab 2 mg/kg).', 'statisticalMethod': 'Binomial', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY', 'statisticalComment': 'Binomial p-value for Trastuzumab 2 mg/kg versus Lapatinib 1500 mg'}, {'pValue': '0.0001', 'groupIds': ['OG001', 'OG002'], 'paramType': 'Percentage of participants with pCR', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '97.5', 'paramValue': '21.79', 'ciLowerLimit': '9.08', 'ciUpperLimit': '34.23', 'estimateComment': 'Estimation Comments: Estimated value is the difference in the percentage of participants with pCR: Arm3 (Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg) minus Arm2 (Trastuzumab 2 mg/kg)', 'statisticalMethod': 'Binomial', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY', 'statisticalComment': 'Binomial p-value for Trastuzumab 2 mg/kg versus Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg'}], 'paramType': 'NUMBER', 'timeFrame': 'Weeks 20 to 22', 'description': 'Pathological complete response is defined as no invasive cancer in the breast or only non-invasive in situ cancer in the breast specimen. Surgical breast and axillary node resection specimens were evaluated for pathologic tumor response according to National Surgical Adjuvant Breast and Bowel Project (NSABP) guidelines, which do not take into account the histological nodal status.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Intent-to-Treat (ITT) Population: all participants randomized to treatment, except for those who withdrew their consent to use any of their data (permitted by law in certain countries) prior to receiving any study medication'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Overall Response at Week 6', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Overall Response', 'categories': [{'measurements': [{'value': '81', 'groupId': 'OG000'}, {'value': '45', 'groupId': 'OG001'}, {'value': '102', 'groupId': 'OG002'}]}]}, {'title': 'No Change', 'categories': [{'measurements': [{'value': '57', 'groupId': 'OG000'}, {'value': '81', 'groupId': 'OG001'}, {'value': '33', 'groupId': 'OG002'}]}]}, {'title': 'Progressive Disease', 'categories': [{'measurements': [{'value': '5', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}, {'value': '2', 'groupId': 'OG002'}]}]}, {'title': 'Not Evaluated', 'categories': [{'measurements': [{'value': '7', 'groupId': 'OG000'}, {'value': '9', 'groupId': 'OG001'}, {'value': '12', 'groupId': 'OG002'}]}]}, {'title': 'Missing Data', 'categories': [{'measurements': [{'value': '4', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}, {'value': '3', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Week 6', 'description': 'The number of participants with overall response (complete response and/or partial response) was evaluated using World Health Organization (WHO) criteria by clinical examination and by mammography and breast echography with bi-dimensional measurements at Week 6. As per WHO criteria: complete response is defined as the disappearance of all lesions; partial response is defined as a greater than 50% decrease in the sum of products of the greatest length and width of the largest lesion; progressive disease is defined as a greater than 25% increase in the sum of products of all measurable lesions.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population'}, {'type': 'SECONDARY', 'title': 'Overall Response at the Time of Surgery', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Overall Response', 'categories': [{'measurements': [{'value': '114', 'groupId': 'OG000'}, {'value': '105', 'groupId': 'OG001'}, {'value': '122', 'groupId': 'OG002'}]}]}, {'title': 'No Change', 'categories': [{'measurements': [{'value': '8', 'groupId': 'OG000'}, {'value': '16', 'groupId': 'OG001'}, {'value': '7', 'groupId': 'OG002'}]}]}, {'title': 'Progressive Disease', 'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}, {'value': '1', 'groupId': 'OG002'}]}]}, {'title': 'Not Evaluated', 'categories': [{'measurements': [{'value': '19', 'groupId': 'OG000'}, {'value': '20', 'groupId': 'OG001'}, {'value': '14', 'groupId': 'OG002'}]}]}, {'title': 'Missing Data', 'categories': [{'measurements': [{'value': '13', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}, {'value': '8', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Time of surgery (Weeks 20 to 22)', 'description': 'The number of participants with overall response (complete response and/or partial response) was evaluated using WHO criteria by clinical examination and mammography and breast echography with bi-dimensional measurements at the time of surgery (Weeks 20 to 22). As per WHO criteria: complete response is defined as the disappearance of all lesions; partial response is defined as a greater than 50% decrease in the sum of products of the greatest length and width of the largest lesion; progressive disease is defined as a greater than 25% increase in the sum of products of all measurable lesions.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Negative Lymph Nodes at the Time of Surgery', 'denoms': [{'units': 'Participants', 'counts': [{'value': '139', 'groupId': 'OG000'}, {'value': '140', 'groupId': 'OG001'}, {'value': '137', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '72', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '100', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Time of surgery (Weeks 20 to 22)', 'description': 'Participants were assessed for node-negative lymph nodes at the time of surgery. As per the pathological TNM (Tumor, Node, Metastases) classification (pTNM) of malignant tumors: pN, absence or presence and extent of regional lymph node metastasis. Node-negative (pN0) participants had no regional lymph node metastasis. Although not assessed in this measure, pT is the extent of primary tumor, and pM is the absence or presence of distant metastasis.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population. Participants with a lymph node status of pNX (i.e., regional lymph nodes cannot be assessed) were omitted from the analysis of node-negative participants.'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Actual Indicated Surgery', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Conservative', 'categories': [{'measurements': [{'value': '66', 'groupId': 'OG000'}, {'value': '58', 'groupId': 'OG001'}, {'value': '63', 'groupId': 'OG002'}]}]}, {'title': 'Non-conservative', 'categories': [{'measurements': [{'value': '77', 'groupId': 'OG000'}, {'value': '85', 'groupId': 'OG001'}, {'value': '80', 'groupId': 'OG002'}]}]}, {'title': 'Non-operable', 'categories': [{'measurements': [{'value': '11', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}, {'value': '9', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'At surgery (Weeks 20 to 22)', 'description': 'Participants were assessed for the type of surgery they underwent for breast cancer. Non-conservative surgery is defined as a radical or modified radical mastectomy. Conservative surgery is comprised of a lumpectomy, a quadrantectomy/segmentectomy, or a partial mastectomy. Participants who were not assessed as being candidates for non-conservative or conservative surgery were classified as non-operable.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population'}, {'type': 'SECONDARY', 'title': 'Mean Change From Baseline in Tumor Size at Week 6 and at Surgery', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Week 6', 'categories': [{'measurements': [{'value': '-20.45', 'spread': '18.43', 'groupId': 'OG000'}, {'value': '-13.42', 'spread': '16.44', 'groupId': 'OG001'}, {'value': '-25.77', 'spread': '19.91', 'groupId': 'OG002'}]}]}, {'title': 'Surgery (Weeks 20 to 22)', 'categories': [{'measurements': [{'value': '-41.01', 'spread': '23.81', 'groupId': 'OG000'}, {'value': '-35.47', 'spread': '22.95', 'groupId': 'OG001'}, {'value': '-43.59', 'spread': '26.88', 'groupId': 'OG002'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Week 6 and surgery (Weeks 20 to 22)', 'description': 'Mean change from baseline in tumor in tumor size. Change from baseline in tumor size was defined as tumor size at Week 6/ surgery (Weeks 20 to 22) minus tumor size at baseline. The difference in treatment arms was estimated for Lapatinib 1500 mg versus Trastuzumab 2 mg/kg and for Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg versus Trastuzumab 2 mg/kg.', 'unitOfMeasure': 'millimeters', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population'}, {'type': 'SECONDARY', 'title': 'Number of Participants Starting Paclitaxel Before Completing 6 Weeks of Treatment With Either Lapatinib or Trastuzumab', 'denoms': [{'units': 'Participants', 'counts': [{'value': '149', 'groupId': 'OG000'}, {'value': '146', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '8', 'groupId': 'OG000'}, {'value': '12', 'groupId': 'OG001'}, {'value': '6', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Week 6', 'description': 'Participants with progressive disease at 4 week assessment that were permitted to commence treatment with paclitaxel.', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED', 'populationDescription': 'ITT Population. Participants who did not start any treatment were excluded from analysis.'}, {'type': 'SECONDARY', 'title': 'Event-free Survival (EFS) - Median Clinical Follow-up', 'denoms': [{'units': 'Participants', 'counts': [{'value': '152', 'groupId': 'OG000'}, {'value': '154', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '9.69', 'groupId': 'OG000', 'lowerLimit': '9.55', 'upperLimit': '9.73'}, {'value': '9.60', 'groupId': 'OG001', 'lowerLimit': '8.21', 'upperLimit': '9.69'}, {'value': '9.66', 'groupId': 'OG002', 'lowerLimit': '9.50', 'upperLimit': '9.72'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Event free survival (EFS) is defined as the time from randomization to first EFS event. For subjects who had breast cancer surgery, EFS events were post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For subjects who did not have breast cancer surgery, EFS events were death during clinical follow-up or non-completion of any neoadjuvant investigational product due to disease progression.', 'unitOfMeasure': 'years', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED', 'populationDescription': 'Intent-to-Treat (ITT) Population: all participants randomized to treatment, except for those who withdrew their consent to use any of their data (permitted by law in certain countries) prior to receiving any study medication'}, {'type': 'SECONDARY', 'title': 'Event-free Survival (EFS) - Events and Censoring', 'denoms': [{'units': 'Participants', 'counts': [{'value': '152', 'groupId': 'OG000'}, {'value': '154', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Number of subjects with EFS events', 'categories': [{'measurements': [{'value': '43', 'groupId': 'OG000'}, {'value': '47', 'groupId': 'OG001'}, {'value': '47', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - total', 'categories': [{'measurements': [{'value': '109', 'groupId': 'OG000'}, {'value': '107', 'groupId': 'OG001'}, {'value': '102', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Clinical follow-up ongoing', 'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Clinical follow-up ended - total', 'categories': [{'measurements': [{'value': '103', 'groupId': 'OG000'}, {'value': '105', 'groupId': 'OG001'}, {'value': '99', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored -Clinical follow-up ended - Completed study follow-up', 'categories': [{'measurements': [{'value': '61', 'groupId': 'OG000'}, {'value': '49', 'groupId': 'OG001'}, {'value': '58', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Clinical follow-up ended - Lost to follow-up', 'categories': [{'measurements': [{'value': '17', 'groupId': 'OG000'}, {'value': '20', 'groupId': 'OG001'}, {'value': '10', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Clinical follow-up ended - Withdrew (but consent for survival f/u)', 'categories': [{'measurements': [{'value': '3', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}, {'value': '4', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Clinical follow-up ended - Withdrew', 'categories': [{'measurements': [{'value': '22', 'groupId': 'OG000'}, {'value': '30', 'groupId': 'OG001'}, {'value': '27', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Other', 'categories': [{'measurements': [{'value': '6', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}, {'value': '3', 'groupId': 'OG002'}]}]}], 'analyses': [{'pValue': '0.548', 'groupIds': ['OG000', 'OG002'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.878', 'ciLowerLimit': '0.57', 'ciUpperLimit': '1.34', 'pValueComment': 'The two-sided stratified log-rank test was implemented as the score test from the Cox model.', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate hazard ratios and corresponding confidence intervals for the pairwise comparisons of individual treatment arms with the trastuzumab alone arm.', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY'}, {'pValue': '0.981', 'groupIds': ['OG001', 'OG002'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '1.005', 'ciLowerLimit': '0.66', 'ciUpperLimit': '1.52', 'pValueComment': 'The two-sided stratified log-rank test was implemented as the score test from the Cox model.', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate hazard ratios and corresponding confidence intervals for the pairwise comparisons of individual treatment arms with the trastuzumab alone arm.', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY'}], 'paramType': 'NUMBER', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Event free survival (EFS) is defined as the time from randomization to first EFS event. For subjects who had breast cancer surgery, EFS events were post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For subjects who did not have breast cancer surgery, EFS events were death during clinical follow-up or non-completion of any neoadjuvant investigational product due to disease progression.', 'unitOfMeasure': 'Number of Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Intent-to-Treat (ITT) Population: all participants randomized to treatment, except for those who withdrew their consent to use any of their data (permitted by law in certain countries) prior to receiving any study medication'}, {'type': 'SECONDARY', 'title': 'Overall Survival (OS) - Median Survival Follow-up', 'denoms': [{'units': 'Participants', 'counts': [{'value': '152', 'groupId': 'OG000'}, {'value': '154', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '9.70', 'groupId': 'OG000', 'lowerLimit': '9.60', 'upperLimit': '9.76'}, {'value': '9.62', 'groupId': 'OG001', 'lowerLimit': '8.86', 'upperLimit': '9.67'}, {'value': '9.64', 'groupId': 'OG002', 'lowerLimit': '9.35', 'upperLimit': '9.71'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Overall survival is defined as the period from randomization until death (from any cause). OS was assessed annually for up to 10 years after the randomization of the last participant into the study.', 'unitOfMeasure': 'years', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED', 'populationDescription': 'Intent-to-Treat (ITT) Population: all participants randomized to treatment, except for those who withdrew their consent to use any of their data (permitted by law in certain countries) prior to receiving any study medication'}, {'type': 'SECONDARY', 'title': 'Overall Survival (OS) - Deaths and Censoring', 'denoms': [{'units': 'Participants', 'counts': [{'value': '152', 'groupId': 'OG000'}, {'value': '154', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Number of deaths due to any cause', 'categories': [{'measurements': [{'value': '26', 'groupId': 'OG000'}, {'value': '31', 'groupId': 'OG001'}, {'value': '32', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - total', 'categories': [{'measurements': [{'value': '126', 'groupId': 'OG000'}, {'value': '123', 'groupId': 'OG001'}, {'value': '117', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Survival follow-up ongoing', 'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Survival follow-up ended - total', 'categories': [{'measurements': [{'value': '120', 'groupId': 'OG000'}, {'value': '121', 'groupId': 'OG001'}, {'value': '114', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored -Survival follow-up ended - Completed study follow-up', 'categories': [{'measurements': [{'value': '74', 'groupId': 'OG000'}, {'value': '59', 'groupId': 'OG001'}, {'value': '62', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Survival follow-up ended - Lost to follow-up', 'categories': [{'measurements': [{'value': '22', 'groupId': 'OG000'}, {'value': '27', 'groupId': 'OG001'}, {'value': '18', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Survival follow-up ended - Withdrew', 'categories': [{'measurements': [{'value': '24', 'groupId': 'OG000'}, {'value': '35', 'groupId': 'OG001'}, {'value': '34', 'groupId': 'OG002'}]}]}, {'title': 'Number of subjects censored - Other', 'categories': [{'measurements': [{'value': '6', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}, {'value': '3', 'groupId': 'OG002'}]}]}], 'analyses': [{'pValue': '0.379', 'groupIds': ['OG000', 'OG002'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.788', 'ciLowerLimit': '0.46', 'ciUpperLimit': '1.34', 'pValueComment': 'The two-sided stratified log-rank test was implemented as the score test from the Cox model.', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate hazard ratios and corresponding confidence intervals for the pairwise comparisons of individual treatment arms with the trastuzumab alone arm.', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY'}, {'pValue': '0.880', 'groupIds': ['OG001', 'OG002'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.962', 'ciLowerLimit': '0.58', 'ciUpperLimit': '1.60', 'pValueComment': 'The two-sided stratified log-rank test was implemented as the score test from the Cox model.', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate hazard ratios and corresponding confidence intervals for the pairwise comparisons of individual treatment arms with the trastuzumab alone arm.', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY_OR_OTHER_LEGACY'}], 'paramType': 'NUMBER', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Overall survival is defined as the period from randomization until death (from any cause). OS was assessed annually for up to 10 years after the randomization of the last participant into the study.', 'unitOfMeasure': 'Number of Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Intent-to-Treat (ITT) Population: all participants randomized to treatment, except for those who withdrew their consent to use any of their data (permitted by law in certain countries) prior to receiving any study medication'}, {'type': 'SECONDARY', 'title': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and Event-free Survival (EFS) - Median Clinical Follow-up (EFS Landmark Population)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '136', 'groupId': 'OG000'}, {'value': '274', 'groupId': 'OG001'}, {'value': '410', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Pathological Complete Response (pCR)', 'description': 'locoregional pathological Complete Response (pCR)'}, {'id': 'OG001', 'title': 'No Pathological Complete Response (pCR)', 'description': 'no locoregional pathological Complete Response (pCR)'}, {'id': 'OG002', 'title': 'Overall', 'description': 'Overall - of the 3 arms'}], 'classes': [{'title': 'Median clinical follow-up - all subjects in the EFS landmark analysis', 'denoms': [{'units': 'Participants', 'counts': [{'value': '136', 'groupId': 'OG000'}, {'value': '274', 'groupId': 'OG001'}, {'value': '410', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '9.05', 'groupId': 'OG000', 'lowerLimit': '8.86', 'upperLimit': '9.14'}, {'value': '9.11', 'groupId': 'OG001', 'lowerLimit': '9.05', 'upperLimit': '9.14'}, {'value': '9.09', 'groupId': 'OG002', 'lowerLimit': '9.03', 'upperLimit': '9.13'}]}]}, {'title': 'Median clinical follow-up- EFS landmark analysis - lapatinib + trastuzumab arm (n=67,71,138)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '67', 'groupId': 'OG000'}, {'value': '71', 'groupId': 'OG001'}, {'value': '138', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '9.13', 'groupId': 'OG000', 'lowerLimit': '8.97', 'upperLimit': '9.23'}, {'value': '9.10', 'groupId': 'OG001', 'lowerLimit': '7.24', 'upperLimit': '9.15'}, {'value': '9.12', 'groupId': 'OG002', 'lowerLimit': '8.97', 'upperLimit': '9.15'}]}]}, {'title': 'Median clinical follow-up - subjects in the EFS landmark analysis - lapatinib arm (n=30,104,134)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '30', 'groupId': 'OG000'}, {'value': '104', 'groupId': 'OG001'}, {'value': '134', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '8.08', 'groupId': 'OG000', 'lowerLimit': '6.08', 'upperLimit': '9.12'}, {'value': '9.09', 'groupId': 'OG001', 'lowerLimit': '8.52', 'upperLimit': '9.19'}, {'value': '9.05', 'groupId': 'OG002', 'lowerLimit': '8.23', 'upperLimit': '9.12'}]}]}, {'title': 'Median clinical follow-up - subjects in the EFS landmark analysis - trastuzumab arm (n=39,99,138)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '39', 'groupId': 'OG000'}, {'value': '99', 'groupId': 'OG001'}, {'value': '138', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '8.98', 'groupId': 'OG000', 'lowerLimit': '8.38', 'upperLimit': '9.21'}, {'value': '9.12', 'groupId': 'OG001', 'lowerLimit': '9.03', 'upperLimit': '9.25'}, {'value': '9.11', 'groupId': 'OG002', 'lowerLimit': '8.96', 'upperLimit': '9.17'}]}]}], 'analyses': [{'pValue': '0.00079', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.481', 'ciLowerLimit': '0.31', 'ciUpperLimit': '0.73', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Overall - All subjects in the EFS landmark analysis', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.004', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.350', 'ciLowerLimit': '0.16', 'ciUpperLimit': '0.71', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the EFS landmark analysis in the lapatinib + trastuzumab arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.134', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.532', 'ciLowerLimit': '0.21', 'ciUpperLimit': '1.16', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the EFS landmark analysis in the lapatinib arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.163', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.601', 'ciLowerLimit': '0.28', 'ciUpperLimit': '1.20', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the EFS landmark analysis in the trastuzumab arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}], 'paramType': 'MEDIAN', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nClinical follow-up is the period during which the patient is monitored such that all recurrence or second primary malignancy (SPM) or contralateral breast cancer (CBC) events would be reported. Patients are considered in clinical follow-up from randomisation until one of the following occurs: lost to follow-up, withdrawal of consent, end of follow-up due to completion of year 10 visit, termination of study follow-up, or death.", 'unitOfMeasure': 'years', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED', 'populationDescription': 'For EFS, the landmark population was the subset of the ITT population who have not had an EFS event within 30 weeks after randomization and were still in clinical follow-up.'}, {'type': 'SECONDARY', 'title': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and Event-free Survival (EFS) - Number of Participants With EFS Events (EFS Landmark Population)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '136', 'groupId': 'OG000'}, {'value': '274', 'groupId': 'OG001'}, {'value': '410', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Pathological Complete Response (pCR)', 'description': 'locoregional pathological Complete Response (pCR)'}, {'id': 'OG001', 'title': 'No Pathological Complete Response (pCR)', 'description': 'no locoregional pathological Complete Response (pCR)'}, {'id': 'OG002', 'title': 'Overall', 'description': 'Overall - of the 3 arms'}], 'classes': [{'title': 'All subjects in the EFS landmark analysis with EFS events', 'denoms': [{'units': 'Participants', 'counts': [{'value': '136', 'groupId': 'OG000'}, {'value': '274', 'groupId': 'OG001'}, {'value': '410', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '29', 'groupId': 'OG000'}, {'value': '98', 'groupId': 'OG001'}, {'value': '127', 'groupId': 'OG002'}]}]}, {'title': 'Subjects in the EFS landmark analysis - lapatinib + trastuzumab arm with EFS events (n=67,71,138)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '67', 'groupId': 'OG000'}, {'value': '71', 'groupId': 'OG001'}, {'value': '138', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '11', 'groupId': 'OG000'}, {'value': '28', 'groupId': 'OG001'}, {'value': '39', 'groupId': 'OG002'}]}]}, {'title': 'Subjects in the EFS landmark analysis in the lapatinib arm with EFS events (n=30,104,134)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '30', 'groupId': 'OG000'}, {'value': '104', 'groupId': 'OG001'}, {'value': '134', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '7', 'groupId': 'OG000'}, {'value': '36', 'groupId': 'OG001'}, {'value': '43', 'groupId': 'OG002'}]}]}, {'title': 'Subjects in the EFS landmark analysis in the trastuzumab arm with EFS events (n=39,99,138)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '39', 'groupId': 'OG000'}, {'value': '99', 'groupId': 'OG001'}, {'value': '138', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '11', 'groupId': 'OG000'}, {'value': '34', 'groupId': 'OG001'}, {'value': '45', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nFor patients who had breast cancer surgery, EFS events are post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For patients who do not undergo breast cancer surgery, EFS events are death during clinical follow-up or non-completion of any neo-adjuvant investigational product due to disease progression or second primary malignancy or contralateral breast cancer.", 'unitOfMeasure': 'Number of participants', 'reportingStatus': 'POSTED', 'populationDescription': 'For EFS, the landmark population was the subset of the ITT population who have not had an EFS event within 30 weeks after randomization and were still in clinical follow-up.'}, {'type': 'SECONDARY', 'title': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and and Overall Survival (OS) - Median Clinical Follow-up (OS Landmark Population)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '137', 'groupId': 'OG000'}, {'value': '283', 'groupId': 'OG001'}, {'value': '420', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Pathological Complete Response (pCR)', 'description': 'locoregional pathological Complete Response (pCR)'}, {'id': 'OG001', 'title': 'No Pathological Complete Response (pCR)', 'description': 'no locoregional pathological Complete Response (pCR)'}, {'id': 'OG002', 'title': 'Overall', 'description': 'Overall - of the 3 arms'}], 'classes': [{'title': 'Median survival follow-up - All subjects in the OS landmark analysis', 'denoms': [{'units': 'Participants', 'counts': [{'value': '137', 'groupId': 'OG000'}, {'value': '283', 'groupId': 'OG001'}, {'value': '420', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '9.10', 'groupId': 'OG000', 'lowerLimit': '8.97', 'upperLimit': '9.18'}, {'value': '9.09', 'groupId': 'OG001', 'lowerLimit': '9.03', 'upperLimit': '9.12'}, {'value': '9.09', 'groupId': 'OG002', 'lowerLimit': '9.04', 'upperLimit': '9.13'}]}]}, {'title': 'Median survival follow-up - OS landmark analysis in the lapatinib + trastuzumab arm (n=67,72,139)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '67', 'groupId': 'OG000'}, {'value': '72', 'groupId': 'OG001'}, {'value': '139', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '9.14', 'groupId': 'OG000', 'lowerLimit': '9.05', 'upperLimit': '9.24'}, {'value': '9.09', 'groupId': 'OG001', 'lowerLimit': '7.95', 'upperLimit': '9.15'}, {'value': '9.12', 'groupId': 'OG002', 'lowerLimit': '9.05', 'upperLimit': '9.16'}]}]}, {'title': 'Median survival follow-up - OS landmark analysis in the lapatinib (n=30,109,139)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '30', 'groupId': 'OG000'}, {'value': '109', 'groupId': 'OG001'}, {'value': '139', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '8.31', 'groupId': 'OG000', 'lowerLimit': '7.24', 'upperLimit': '9.15'}, {'value': '9.08', 'groupId': 'OG001', 'lowerLimit': '8.95', 'upperLimit': '9.14'}, {'value': '9.07', 'groupId': 'OG002', 'lowerLimit': '8.50', 'upperLimit': '9.12'}]}]}, {'title': 'Median survival follow-up - OS landmark analysis in the trastuzumab arm (n=40,102,142)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '40', 'groupId': 'OG000'}, {'value': '102', 'groupId': 'OG001'}, {'value': '142', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '8.98', 'groupId': 'OG000', 'lowerLimit': '8.02', 'upperLimit': '9.21'}, {'value': '9.09', 'groupId': 'OG001', 'lowerLimit': '8.51', 'upperLimit': '9.15'}, {'value': '9.07', 'groupId': 'OG002', 'lowerLimit': '8.86', 'upperLimit': '9.14'}]}]}], 'analyses': [{'pValue': '0.00041', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.366', 'ciLowerLimit': '0.20', 'ciUpperLimit': '0.63', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Overall - All subjects in the OS landmark analysis', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.002', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.223', 'ciLowerLimit': '0.07', 'ciUpperLimit': '0.58', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the OS landmark analysis in the lapatinib + trastuzumab arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.125', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.433', 'ciLowerLimit': '0.12', 'ciUpperLimit': '1.17', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the OS landmark analysis in the lapatinib arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}, {'pValue': '0.058', 'groupIds': ['OG000', 'OG001'], 'paramType': 'Hazard Ratio (HR)', 'ciNumSides': 'TWO_SIDED', 'ciPctValue': '95', 'paramValue': '0.414', 'ciLowerLimit': '0.15', 'ciUpperLimit': '1.00', 'estimateComment': 'Cox models (Cox, 1972), with the stratification factors entered as strata variables, were used to calculate a hazard ratio and corresponding confidence interval comparing pCR and no pCR.', 'groupDescription': 'Subjects in the OS landmark analysis in the trastuzumab arm', 'statisticalMethod': 'Regression, Cox', 'nonInferiorityType': 'SUPERIORITY'}], 'paramType': 'MEDIAN', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nPatients are considered in survival follow-up from randomisation until one of the following occurs: lost to follow-up, withdrawal of consent, end of follow-up due to completion of year 10 visit, termination of study follow-up, or death. For subjects with no death recorded in the database, time to death is censored.", 'unitOfMeasure': 'years', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED', 'populationDescription': 'For OS, the landmark population was the subset of the ITT population who were alive and were followed up for overall survival 30 weeks after randomization.'}, {'type': 'SECONDARY', 'title': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and and Overall Survival (OS) - Number of Participants Who Died (OS Landmark Population)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '137', 'groupId': 'OG000'}, {'value': '283', 'groupId': 'OG001'}, {'value': '420', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Pathological Complete Response (pCR)', 'description': 'locoregional pathological Complete Response (pCR)'}, {'id': 'OG001', 'title': 'No Pathological Complete Response (pCR)', 'description': 'no locoregional pathological Complete Response (pCR)'}, {'id': 'OG002', 'title': 'Overall', 'description': 'Overall - of the 3 arms'}], 'classes': [{'title': 'All participants in the OS landmark analysis who died', 'denoms': [{'units': 'Participants', 'counts': [{'value': '137', 'groupId': 'OG000'}, {'value': '283', 'groupId': 'OG001'}, {'value': '420', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '15', 'groupId': 'OG000'}, {'value': '70', 'groupId': 'OG001'}, {'value': '85', 'groupId': 'OG002'}]}]}, {'title': 'Participants in the OS landmark analysis in the lapatinib + trastuzumab arm who died (n=67,72,139)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '67', 'groupId': 'OG000'}, {'value': '72', 'groupId': 'OG001'}, {'value': '139', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '5', 'groupId': 'OG000'}, {'value': '19', 'groupId': 'OG001'}, {'value': '24', 'groupId': 'OG002'}]}]}, {'title': 'Participants in the OS landmark analysis in the lapatinib arm who died (n=30,109,139)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '30', 'groupId': 'OG000'}, {'value': '109', 'groupId': 'OG001'}, {'value': '139', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '4', 'groupId': 'OG000'}, {'value': '26', 'groupId': 'OG001'}, {'value': '30', 'groupId': 'OG002'}]}]}, {'title': 'Participants in the OS landmark analysis in the trastuzumab arm who died (n=40,102,142)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '40', 'groupId': 'OG000'}, {'value': '102', 'groupId': 'OG001'}, {'value': '142', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '6', 'groupId': 'OG000'}, {'value': '25', 'groupId': 'OG001'}, {'value': '31', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis. Includes deaths due to any cause.", 'unitOfMeasure': 'Number of Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'For OS, the landmark population was the subset of the ITT population who were alive and were followed up for overall survival 30 weeks after randomization.'}, {'type': 'SECONDARY', 'title': 'To Assess Safety Via a Comparison of the Three Treatment Arms - to Measure On-treatment Primary Cardiac Endpoints', 'denoms': [{'units': 'Participants', 'counts': [{'value': '149', 'groupId': 'OG000'}, {'value': '151', 'groupId': 'OG001'}, {'value': '148', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '2', 'groupId': 'OG000', 'lowerLimit': '0.16', 'upperLimit': '4.76'}, {'value': '0', 'groupId': 'OG001', 'lowerLimit': '0.00', 'upperLimit': '2.41'}, {'value': '1', 'groupId': 'OG002', 'lowerLimit': '0.02', 'upperLimit': '3.71'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': 'Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to maximum duration of 31 weeks.', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Safety population'}, {'type': 'SECONDARY', 'title': 'Metabolic Response Rate Determined by Positron Emission Tomography/Computed Tomography (PET/CT)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '26', 'groupId': 'OG000'}, {'value': '26', 'groupId': 'OG001'}, {'value': '25', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Metabolic Response Rate (%) Determined by PET/CT at week 2', 'categories': [{'measurements': [{'value': '66.7', 'groupId': 'OG000'}, {'value': '56.5', 'groupId': 'OG001'}, {'value': '95.0', 'groupId': 'OG002'}]}]}, {'title': 'Metabolic Response Rate (%) Determined by PET/CT at week 6', 'categories': [{'measurements': [{'value': '60.9', 'groupId': 'OG000'}, {'value': '43.5', 'groupId': 'OG001'}, {'value': '78.9', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Week 2 and Week 6', 'description': 'Metabolic Response Rate determined by Positron Emission Tomography/Computed Tomography (PET/CT)', 'unitOfMeasure': 'Percentage of participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Translational Data Set. Note that evaluable samples were not available for all participants.'}, {'type': 'SECONDARY', 'title': 'Percentage of Participants With the Indicated Biomarker Expression - PIK3CA.', 'denoms': [{'units': 'Participants', 'counts': [{'value': '124', 'groupId': 'OG000'}, {'value': '112', 'groupId': 'OG001'}, {'value': '119', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '23', 'groupId': 'OG000'}, {'value': '19', 'groupId': 'OG001'}, {'value': '25', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Baseline', 'description': 'Biomarker levels of phosphatidylinositol 3-kinase (PI3K) catalytic subunit (PIK3CA) were assessed in participants at baseline.', 'unitOfMeasure': 'Percentage of participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Translational Data Set. Note that evaluable samples were not available for all participants.'}, {'type': 'SECONDARY', 'title': 'Percentage of Participants With the Indicated Biomarker Expression - PTEN.', 'denoms': [{'units': 'Participants', 'counts': [{'value': '123', 'groupId': 'OG000'}, {'value': '114', 'groupId': 'OG001'}, {'value': '112', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Biomarker: PTEN by Cell Signalling Technology - PTEN Normal (%)', 'categories': [{'measurements': [{'value': '74', 'groupId': 'OG000'}, {'value': '70', 'groupId': 'OG001'}, {'value': '75', 'groupId': 'OG002'}]}]}, {'title': 'Biomarker: PTEN by Cell Signalling Technology - PTEN Loss (%)', 'categories': [{'measurements': [{'value': '26', 'groupId': 'OG000'}, {'value': '30', 'groupId': 'OG001'}, {'value': '25', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Baseline', 'description': 'Biomarker levels of phosphate and tensin homolog deleted from chromosome 10 (PTEN) were assessed in participants at baseline.', 'unitOfMeasure': 'Percentage of participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Translational Data Set. Note that evaluable samples were not available for all participants.'}, {'type': 'SECONDARY', 'title': 'Ratio (95% CI) of Geometric Means in p95HER2 Expression in HR Positive Patients With pCR vs no pCR', 'denoms': [{'units': 'Participants', 'counts': [{'value': '97', 'groupId': 'OG000'}, {'value': '93', 'groupId': 'OG001'}, {'value': '91', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '1.0', 'groupId': 'OG000', 'lowerLimit': '0.50', 'upperLimit': '1.87'}, {'value': '1.6', 'groupId': 'OG001', 'lowerLimit': '1.0', 'upperLimit': '2.71'}, {'value': '2.1', 'groupId': 'OG002', 'lowerLimit': '1.2', 'upperLimit': '3.7'}]}]}], 'paramType': 'GEOMETRIC_MEAN', 'timeFrame': 'Baseline', 'description': 'Ratio (95% CI) of geometric means in p95 human epidermal growth factor receptor (p95HER2) expression in hormone-receptor (HR) positive patients with pathological complete response (pCR) vs no pCR', 'unitOfMeasure': 'Ratio', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED', 'populationDescription': 'Translational Data Set. Note that evaluable samples were not available for all participants.'}, {'type': 'SECONDARY', 'title': 'Percentage of Participants With Circulating Tumor Cells (CTC) in the Bloodstream', 'denoms': [{'units': 'Participants', 'counts': [{'value': '19', 'groupId': 'OG000'}, {'value': '12', 'groupId': 'OG001'}, {'value': '20', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'categories': [{'measurements': [{'value': '21', 'groupId': 'OG000'}, {'value': '17', 'groupId': 'OG001'}, {'value': '25', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Measurement performed at one or more of the time points: baseline, week 2 or week 18', 'description': 'Circulating tumor cells (CTCs) are cells that have detached from a primary tumor and circulate in the bloodstream. In the adjuvant phase, after surgery all participants received 3 courses of adjuvant 5-fluorouracil, epirubicin and cyclophosphamide, followed by lapatinib 1500 mg or trastuzumab 2 mg/kg or lapatinib 1000/750 mg plus trastuzumab 2 mg/kg given prior to surgery in the neoadjuvant setting for an additional 34 weeks.', 'unitOfMeasure': 'Percentage of Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Translational Data Set. Note that evaluable samples were not available for all participants.'}, {'type': 'POST_HOC', 'title': 'All Collected Deaths', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'OG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'OG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'classes': [{'title': 'Total Deaths', 'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'OG000'}, {'value': '149', 'groupId': 'OG001'}, {'value': '152', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '31', 'groupId': 'OG000'}, {'value': '32', 'groupId': 'OG001'}, {'value': '26', 'groupId': 'OG002'}]}]}, {'title': 'On-Treatment Deaths (n=151,148,149)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '151', 'groupId': 'OG000'}, {'value': '148', 'groupId': 'OG001'}, {'value': '149', 'groupId': 'OG002'}]}], 'categories': [{'measurements': [{'value': '2', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '1', 'groupId': 'OG002'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'on-treatment: up to week 31; post-treatment: up to year 10', 'description': 'On treatment deaths were collected from FPFT up to 30 days after study drug discontinuation, which was approximately 31 weeks. Deaths post treatment survival follow up were collected after the on treatment period, up to 10 years.', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Safety population (for on-treatment deaths) and ITT (for total deaths)'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'FG001', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'FG002', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}], 'periods': [{'title': 'Overall Study', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '152'}, {'groupId': 'FG001', 'numSubjects': '154'}, {'groupId': 'FG002', 'numSubjects': '149'}]}, {'type': 'COMPLETED', 'comment': 'Completed follow-up per protocol event free. Includes subjects who had a follow-up visit or phone call ≥ 9 years + 6 months after randomization and had no EFS events', 'achievements': [{'groupId': 'FG000', 'numSubjects': '73'}, {'groupId': 'FG001', 'numSubjects': '58'}, {'groupId': 'FG002', 'numSubjects': '61'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '79'}, {'groupId': 'FG001', 'numSubjects': '96'}, {'groupId': 'FG002', 'numSubjects': '88'}]}], 'dropWithdraws': [{'type': 'Randomized but did not receive treatment', 'reasons': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '3'}, {'groupId': 'FG002', 'numSubjects': '1'}]}, {'type': 'Lost to Follow-up', 'reasons': [{'groupId': 'FG000', 'numSubjects': '22'}, {'groupId': 'FG001', 'numSubjects': '26'}, {'groupId': 'FG002', 'numSubjects': '18'}]}, {'type': 'Withdrew completely', 'reasons': [{'groupId': 'FG000', 'numSubjects': '23'}, {'groupId': 'FG001', 'numSubjects': '33'}, {'groupId': 'FG002', 'numSubjects': '34'}]}, {'type': 'Died during clinical follow-up', 'reasons': [{'groupId': 'FG000', 'numSubjects': '25'}, {'groupId': 'FG001', 'numSubjects': '29'}, {'groupId': 'FG002', 'numSubjects': '32'}]}, {'type': 'Not dead but were last followed-up prior to 9 years + 6 months after randomization', 'reasons': [{'groupId': 'FG000', 'numSubjects': '4'}, {'groupId': 'FG001', 'numSubjects': '2'}, {'groupId': 'FG002', 'numSubjects': '2'}]}, {'type': 'Died after clinical follow-up ended', 'reasons': [{'groupId': 'FG000', 'numSubjects': '1'}, {'groupId': 'FG001', 'numSubjects': '2'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'Withdrew (survival only) - alive at end of survival follow-up', 'reasons': [{'groupId': 'FG000', 'numSubjects': '1'}, {'groupId': 'FG001', 'numSubjects': '1'}, {'groupId': 'FG002', 'numSubjects': '1'}]}]}]}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '154', 'groupId': 'BG000'}, {'value': '149', 'groupId': 'BG001'}, {'value': '152', 'groupId': 'BG002'}, {'value': '455', 'groupId': 'BG003'}]}], 'groups': [{'id': 'BG000', 'title': 'Lapatinib 1500 mg', 'description': 'Oral lapatinib (1500 milligrams \\[mg\\] daily) for 6 weeks, followed by lapatinib plus weekly paclitaxel (80 mg per meters squared \\[mg/m\\^2\\]) intravenous (IV) for an additional 12 weeks'}, {'id': 'BG001', 'title': 'Trastuzumab 2 mg/kg', 'description': 'Trastuzumab (4 mg/kilograms \\[kg\\] IV load followed by 2 mg/kg IV weekly) for 6 weeks, followed by trastuzumab plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'BG002', 'title': 'Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg', 'description': 'Oral lapatinib 1000 mg daily plus trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for 6 weeks, followed by lapatinib 750 mg daily plus trastuzumab (2 mg/kg IV weekly) plus weekly paclitaxel (80 mg/m\\^2 IV) for an additional 12 weeks'}, {'id': 'BG003', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '50.0', 'groupId': 'BG000', 'lowerLimit': '28', 'upperLimit': '79'}, {'value': '49.0', 'groupId': 'BG001', 'lowerLimit': '23', 'upperLimit': '77'}, {'value': '50.0', 'groupId': 'BG002', 'lowerLimit': '25', 'upperLimit': '80'}, {'value': '50.0', 'groupId': 'BG003', 'lowerLimit': '23', 'upperLimit': '80'}]}]}], 'paramType': 'MEDIAN', 'unitOfMeasure': 'Years', 'dispersionType': 'FULL_RANGE'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '154', 'groupId': 'BG000'}, {'value': '149', 'groupId': 'BG001'}, {'value': '152', 'groupId': 'BG002'}, {'value': '455', 'groupId': 'BG003'}]}, {'title': 'Male', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '0', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race/Ethnicity, Customized', 'classes': [{'title': 'American Indian or Alaska Native', 'categories': [{'measurements': [{'value': '13', 'groupId': 'BG000'}, {'value': '14', 'groupId': 'BG001'}, {'value': '15', 'groupId': 'BG002'}, {'value': '42', 'groupId': 'BG003'}]}]}, {'title': 'Asian - Central/South', 'categories': [{'measurements': [{'value': '7', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}, {'value': '17', 'groupId': 'BG003'}]}]}, {'title': 'Asian - East', 'categories': [{'measurements': [{'value': '30', 'groupId': 'BG000'}, {'value': '28', 'groupId': 'BG001'}, {'value': '31', 'groupId': 'BG002'}, {'value': '89', 'groupId': 'BG003'}]}]}, {'title': 'Asian - South East', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '2', 'groupId': 'BG002'}, {'value': '2', 'groupId': 'BG003'}]}]}, {'title': 'Black or African American/African Heritage', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG001'}, {'value': '4', 'groupId': 'BG002'}, {'value': '8', 'groupId': 'BG003'}]}]}, {'title': 'White - Arabic/North African Heritage', 'categories': [{'measurements': [{'value': '6', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '3', 'groupId': 'BG002'}, {'value': '14', 'groupId': 'BG003'}]}]}, {'title': 'White - Caucasian European Heritage', 'categories': [{'measurements': [{'value': '97', 'groupId': 'BG000'}, {'value': '93', 'groupId': 'BG001'}, {'value': '92', 'groupId': 'BG002'}, {'value': '282', 'groupId': 'BG003'}]}]}, {'title': 'Missing', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Number of participants with tumor cells of the indicated histologic grade', 'classes': [{'title': 'Well differentiated', 'categories': [{'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}, {'value': '12', 'groupId': 'BG003'}]}]}, {'title': 'Moderately differentiated', 'categories': [{'measurements': [{'value': '56', 'groupId': 'BG000'}, {'value': '53', 'groupId': 'BG001'}, {'value': '63', 'groupId': 'BG002'}, {'value': '172', 'groupId': 'BG003'}]}]}, {'title': 'Poorly differentiated', 'categories': [{'measurements': [{'value': '73', 'groupId': 'BG000'}, {'value': '68', 'groupId': 'BG001'}, {'value': '64', 'groupId': 'BG002'}, {'value': '205', 'groupId': 'BG003'}]}]}, {'title': 'Differentiation cannot be assessed', 'categories': [{'measurements': [{'value': '22', 'groupId': 'BG000'}, {'value': '23', 'groupId': 'BG001'}, {'value': '20', 'groupId': 'BG002'}, {'value': '65', 'groupId': 'BG003'}]}]}, {'title': 'Missing', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Histologic grade, also called differentiation, refers to how much the tumor cells resemble normal cells of the same tissue type.', 'unitOfMeasure': 'Participants'}, {'title': 'Number of participants with lymph nodes (LNs) of the indicated clinical N stage', 'classes': [{'title': 'N0', 'categories': [{'measurements': [{'value': '34', 'groupId': 'BG000'}, {'value': '41', 'groupId': 'BG001'}, {'value': '48', 'groupId': 'BG002'}, {'value': '123', 'groupId': 'BG003'}]}]}, {'title': 'N1', 'categories': [{'measurements': [{'value': '95', 'groupId': 'BG000'}, {'value': '85', 'groupId': 'BG001'}, {'value': '80', 'groupId': 'BG002'}, {'value': '260', 'groupId': 'BG003'}]}]}, {'title': 'N2 (including N2a and N2b)', 'categories': [{'measurements': [{'value': '19', 'groupId': 'BG000'}, {'value': '13', 'groupId': 'BG001'}, {'value': '15', 'groupId': 'BG002'}, {'value': '47', 'groupId': 'BG003'}]}]}, {'title': 'N3 (including N3a, N3b, and N3c)', 'categories': [{'measurements': [{'value': '6', 'groupId': 'BG000'}, {'value': '7', 'groupId': 'BG001'}, {'value': '6', 'groupId': 'BG002'}, {'value': '19', 'groupId': 'BG003'}]}]}, {'title': 'Nx', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG001'}, {'value': '3', 'groupId': 'BG002'}, {'value': '6', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Clinical N stage is an evaluation/staging of LN status through physical examination. N0, no regional LN metastasis; N1, metastasis to movable ipsilateral axillary LNs (IALNs); N2a, metastasis in IALNs fixed to one another (matted) or the other structures; N2b, metastasis only in clinically apparent ipsilateral internal mammary nodes and in the absence of clinically evident axillary LN metastasis; N3a, metastasis in ipsilateral infraclavicular LNs; N3b, metastasis in ipsilateral internal mammary LNs fixed and axillary LN; N3c, metastasis in ipsilateral subclavicar LNs; Nx, not assessed.', 'unitOfMeasure': 'Participants'}, {'title': 'Number of participants with the indicated IHC results', 'classes': [{'title': 'Not applicable', 'categories': [{'measurements': [{'value': '60', 'groupId': 'BG000'}, {'value': '53', 'groupId': 'BG001'}, {'value': '61', 'groupId': 'BG002'}, {'value': '174', 'groupId': 'BG003'}]}]}, {'title': 'Equivocal: Score of 2+', 'categories': [{'measurements': [{'value': '9', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '8', 'groupId': 'BG002'}, {'value': '22', 'groupId': 'BG003'}]}]}, {'title': 'Positive: Score of 3+', 'categories': [{'measurements': [{'value': '81', 'groupId': 'BG000'}, {'value': '89', 'groupId': 'BG001'}, {'value': '76', 'groupId': 'BG002'}, {'value': '246', 'groupId': 'BG003'}]}]}, {'title': 'Negative: Score of 0-1+', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '3', 'groupId': 'BG002'}, {'value': '4', 'groupId': 'BG003'}]}]}, {'title': 'Non interpretable', 'categories': [{'measurements': [{'value': '4', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '4', 'groupId': 'BG002'}, {'value': '9', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'An Immunohistochemistry (IHC) test gives a score of 0 to 3+, which indicates the amount of Human Epidermal Growth Factor (HER2) receptor proteins on the cancer cells in the sample tissue. A positive score (3+) indicates that HER2 receptor protein is present, a negative score (0-1+) indicates that no HER2 receptor protein is present, and an equivocal score (2+) indicates uncertainty and a result that is open for interpretation. Equivocal results require additional testing. "Not applicable" refers to the number of participants who did not have IHC testing done.', 'unitOfMeasure': 'Participants'}, {'title': 'Number of participants with the indicated FISH results', 'classes': [{'title': 'Not applicable', 'categories': [{'measurements': [{'value': '38', 'groupId': 'BG000'}, {'value': '42', 'groupId': 'BG001'}, {'value': '41', 'groupId': 'BG002'}, {'value': '121', 'groupId': 'BG003'}]}]}, {'title': 'Amplified', 'categories': [{'measurements': [{'value': '115', 'groupId': 'BG000'}, {'value': '105', 'groupId': 'BG001'}, {'value': '109', 'groupId': 'BG002'}, {'value': '329', 'groupId': 'BG003'}]}]}, {'title': 'Not amplified', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '2', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}, {'value': '4', 'groupId': 'BG003'}]}]}, {'title': 'Not interpretable', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'The Fluorescent In Situ Hybridization (FISH) assay was used to determine the overexpression and/or amplification of HER2 in the invasive component of the primary tumor. Amplified indicates that the cell is overexpressing copies of the HER2 gene. Not amplified indicates that there is no overexpression of copies of the HER2 gene. "Not applicable" refers to the number of participants who did not have the FISH assay performed.', 'unitOfMeasure': 'Participants'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 455}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2008-01-05', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2021-08', 'completionDateStruct': {'date': '2019-12-23', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2021-08-24', 'studyFirstSubmitDate': '2007-11-01', 'resultsFirstSubmitDate': '2011-05-26', 'studyFirstSubmitQcDate': '2007-11-01', 'lastUpdatePostDateStruct': {'date': '2021-09-21', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2011-10-12', 'studyFirstPostDateStruct': {'date': '2007-11-05', 'type': 'ESTIMATED'}, 'resultsFirstPostDateStruct': {'date': '2011-10-13', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2010-05-27', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Number of Participants With Pathological Complete Response (pCR) at the Time of Surgery', 'timeFrame': 'Weeks 20 to 22', 'description': 'Pathological complete response is defined as no invasive cancer in the breast or only non-invasive in situ cancer in the breast specimen. Surgical breast and axillary node resection specimens were evaluated for pathologic tumor response according to National Surgical Adjuvant Breast and Bowel Project (NSABP) guidelines, which do not take into account the histological nodal status.'}], 'secondaryOutcomes': [{'measure': 'Number of Participants With Overall Response at Week 6', 'timeFrame': 'Week 6', 'description': 'The number of participants with overall response (complete response and/or partial response) was evaluated using World Health Organization (WHO) criteria by clinical examination and by mammography and breast echography with bi-dimensional measurements at Week 6. As per WHO criteria: complete response is defined as the disappearance of all lesions; partial response is defined as a greater than 50% decrease in the sum of products of the greatest length and width of the largest lesion; progressive disease is defined as a greater than 25% increase in the sum of products of all measurable lesions.'}, {'measure': 'Overall Response at the Time of Surgery', 'timeFrame': 'Time of surgery (Weeks 20 to 22)', 'description': 'The number of participants with overall response (complete response and/or partial response) was evaluated using WHO criteria by clinical examination and mammography and breast echography with bi-dimensional measurements at the time of surgery (Weeks 20 to 22). As per WHO criteria: complete response is defined as the disappearance of all lesions; partial response is defined as a greater than 50% decrease in the sum of products of the greatest length and width of the largest lesion; progressive disease is defined as a greater than 25% increase in the sum of products of all measurable lesions.'}, {'measure': 'Number of Participants With Negative Lymph Nodes at the Time of Surgery', 'timeFrame': 'Time of surgery (Weeks 20 to 22)', 'description': 'Participants were assessed for node-negative lymph nodes at the time of surgery. As per the pathological TNM (Tumor, Node, Metastases) classification (pTNM) of malignant tumors: pN, absence or presence and extent of regional lymph node metastasis. Node-negative (pN0) participants had no regional lymph node metastasis. Although not assessed in this measure, pT is the extent of primary tumor, and pM is the absence or presence of distant metastasis.'}, {'measure': 'Number of Participants With Actual Indicated Surgery', 'timeFrame': 'At surgery (Weeks 20 to 22)', 'description': 'Participants were assessed for the type of surgery they underwent for breast cancer. Non-conservative surgery is defined as a radical or modified radical mastectomy. Conservative surgery is comprised of a lumpectomy, a quadrantectomy/segmentectomy, or a partial mastectomy. Participants who were not assessed as being candidates for non-conservative or conservative surgery were classified as non-operable.'}, {'measure': 'Mean Change From Baseline in Tumor Size at Week 6 and at Surgery', 'timeFrame': 'Week 6 and surgery (Weeks 20 to 22)', 'description': 'Mean change from baseline in tumor in tumor size. Change from baseline in tumor size was defined as tumor size at Week 6/ surgery (Weeks 20 to 22) minus tumor size at baseline. The difference in treatment arms was estimated for Lapatinib 1500 mg versus Trastuzumab 2 mg/kg and for Lapatinib 1000/750 mg + Trastuzumab 2 mg/kg versus Trastuzumab 2 mg/kg.'}, {'measure': 'Number of Participants Starting Paclitaxel Before Completing 6 Weeks of Treatment With Either Lapatinib or Trastuzumab', 'timeFrame': 'Week 6', 'description': 'Participants with progressive disease at 4 week assessment that were permitted to commence treatment with paclitaxel.'}, {'measure': 'Event-free Survival (EFS) - Median Clinical Follow-up', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Event free survival (EFS) is defined as the time from randomization to first EFS event. For subjects who had breast cancer surgery, EFS events were post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For subjects who did not have breast cancer surgery, EFS events were death during clinical follow-up or non-completion of any neoadjuvant investigational product due to disease progression.'}, {'measure': 'Event-free Survival (EFS) - Events and Censoring', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Event free survival (EFS) is defined as the time from randomization to first EFS event. For subjects who had breast cancer surgery, EFS events were post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For subjects who did not have breast cancer surgery, EFS events were death during clinical follow-up or non-completion of any neoadjuvant investigational product due to disease progression.'}, {'measure': 'Overall Survival (OS) - Median Survival Follow-up', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Overall survival is defined as the period from randomization until death (from any cause). OS was assessed annually for up to 10 years after the randomization of the last participant into the study.'}, {'measure': 'Overall Survival (OS) - Deaths and Censoring', 'timeFrame': 'From randomization up to approximately year 10', 'description': 'Overall survival is defined as the period from randomization until death (from any cause). OS was assessed annually for up to 10 years after the randomization of the last participant into the study.'}, {'measure': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and Event-free Survival (EFS) - Median Clinical Follow-up (EFS Landmark Population)', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nClinical follow-up is the period during which the patient is monitored such that all recurrence or second primary malignancy (SPM) or contralateral breast cancer (CBC) events would be reported. Patients are considered in clinical follow-up from randomisation until one of the following occurs: lost to follow-up, withdrawal of consent, end of follow-up due to completion of year 10 visit, termination of study follow-up, or death."}, {'measure': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and Event-free Survival (EFS) - Number of Participants With EFS Events (EFS Landmark Population)', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nFor patients who had breast cancer surgery, EFS events are post-surgery breast cancer relapse, second primary malignancy or death without recurrence. For patients who do not undergo breast cancer surgery, EFS events are death during clinical follow-up or non-completion of any neo-adjuvant investigational product due to disease progression or second primary malignancy or contralateral breast cancer."}, {'measure': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and and Overall Survival (OS) - Median Clinical Follow-up (OS Landmark Population)', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis.\n\nPatients are considered in survival follow-up from randomisation until one of the following occurs: lost to follow-up, withdrawal of consent, end of follow-up due to completion of year 10 visit, termination of study follow-up, or death. For subjects with no death recorded in the database, time to death is censored."}, {'measure': 'Assess Associations Between Locoregional Pathological Complete Response (pCR) and and Overall Survival (OS) - Number of Participants Who Died (OS Landmark Population)', 'timeFrame': 'up to year 10', 'description': "The landmark date is 30 weeks after a subject's randomization. Subjects with missing pCR status were not included in the landmark analysis. Includes deaths due to any cause."}, {'measure': 'To Assess Safety Via a Comparison of the Three Treatment Arms - to Measure On-treatment Primary Cardiac Endpoints', 'timeFrame': 'Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to maximum duration of 31 weeks.'}, {'measure': 'Metabolic Response Rate Determined by Positron Emission Tomography/Computed Tomography (PET/CT)', 'timeFrame': 'Week 2 and Week 6', 'description': 'Metabolic Response Rate determined by Positron Emission Tomography/Computed Tomography (PET/CT)'}, {'measure': 'Percentage of Participants With the Indicated Biomarker Expression - PIK3CA.', 'timeFrame': 'Baseline', 'description': 'Biomarker levels of phosphatidylinositol 3-kinase (PI3K) catalytic subunit (PIK3CA) were assessed in participants at baseline.'}, {'measure': 'Percentage of Participants With the Indicated Biomarker Expression - PTEN.', 'timeFrame': 'Baseline', 'description': 'Biomarker levels of phosphate and tensin homolog deleted from chromosome 10 (PTEN) were assessed in participants at baseline.'}, {'measure': 'Ratio (95% CI) of Geometric Means in p95HER2 Expression in HR Positive Patients With pCR vs no pCR', 'timeFrame': 'Baseline', 'description': 'Ratio (95% CI) of geometric means in p95 human epidermal growth factor receptor (p95HER2) expression in hormone-receptor (HR) positive patients with pathological complete response (pCR) vs no pCR'}, {'measure': 'Percentage of Participants With Circulating Tumor Cells (CTC) in the Bloodstream', 'timeFrame': 'Measurement performed at one or more of the time points: baseline, week 2 or week 18', 'description': 'Circulating tumor cells (CTCs) are cells that have detached from a primary tumor and circulate in the bloodstream. In the adjuvant phase, after surgery all participants received 3 courses of adjuvant 5-fluorouracil, epirubicin and cyclophosphamide, followed by lapatinib 1500 mg or trastuzumab 2 mg/kg or lapatinib 1000/750 mg plus trastuzumab 2 mg/kg given prior to surgery in the neoadjuvant setting for an additional 34 weeks.'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Lapatinib', 'ErbB2+', 'Early Breast Cancer', 'Neoadjuvant', 'breast carcinoma', 'breast cancer', 'breast lump', 'HER2 positive metastatic breast cancer', 'breast cancer positive for human epidermal growth factor receptor 2 (HER2) HER2 positive metastatic breast cancer', 'breast cancer progression', 'estrogen-receptor (ER) positive(+) breast cancer', "Paget's disease"], 'conditions': ['Neoplasms, Breast']}, 'referencesModule': {'references': [{'type': 'BACKGROUND', 'citation': 'Baselga J, Piccart M, Gelber R, di CosimoS, Viale G, Koehler M, Rojo F. Neo-ALTTO (Neoadjuvant Lapatinib and/or Trastuzumab Treatment Optimisation) study [BIG 1-06 /solti/EGF106903]: a phase III translational study for HER2-overexpressing early breast cancer. [Lancet]. 2012;S140-6736(11):'}, {'pmid': '39613746', 'type': 'DERIVED', 'citation': 'Rediti M, Venet D, Joaquin Garcia A, Maetens M, Vincent D, Majjaj S, El-Abed S, Di Cosimo S, Ueno T, Izquierdo M, Piccart M, Pusztai L, Loi S, Salgado R, Viale G, Rothe F, Sotiriou C. Identification of HER2-positive breast cancer molecular subtypes with potential clinical implications in the ALTTO clinical trial. Nat Commun. 2024 Nov 29;15(1):10402. doi: 10.1038/s41467-024-54621-3.'}, {'pmid': '35610260', 'type': 'DERIVED', 'citation': 'Chumsri S, Li Z, Serie DJ, Norton N, Mashadi-Hossein A, Tenner K, Brauer HA, Warren S, Danaher P, Colon-Otero G, Partridge AH, Carey LA, Hilbers F, Van Dooren V, Holmes E, Di Cosimo S, Werner O, Huober JB, Dueck AC, Sotiriou C, Saura C, Moreno-Aspitia A, Knutson KL, Perez EA, Thompson EA. Adaptive immune signature in HER2-positive breast cancer in NCCTG (Alliance) N9831 and NeoALTTO trials. NPJ Breast Cancer. 2022 May 24;8(1):68. doi: 10.1038/s41523-022-00430-0.'}, {'pmid': '34921525', 'type': 'DERIVED', 'citation': 'Pizzamiglio S, Cosentino G, Ciniselli CM, De Cecco L, Cataldo A, Plantamura I, Triulzi T, El-Abed S, Wang Y, Bajji M, Nuciforo P, Huober J, Ellard SL, Rimm DL, Gombos A, Daidone MG, Verderio P, Tagliabue E, Di Cosimo S, Iorio MV. What if the future of HER2-positive breast cancer patients was written in miRNAs? An exploratory analysis from NeoALTTO study. Cancer Med. 2022 Jan;11(2):332-339. doi: 10.1002/cam4.4449. Epub 2021 Dec 17.'}, {'pmid': '29902299', 'type': 'DERIVED', 'citation': 'Powles RL, Redmond D, Sotiriou C, Loi S, Fumagalli D, Nuciforo P, Harbeck N, de Azambuja E, Sarp S, Di Cosimo S, Huober J, Baselga J, Piccart-Gebhart M, Elemento O, Pusztai L, Hatzis C. Association of T-Cell Receptor Repertoire Use With Response to Combined Trastuzumab-Lapatinib Treatment of HER2-Positive Breast Cancer: Secondary Analysis of the NeoALTTO Randomized Clinical Trial. JAMA Oncol. 2018 Nov 1;4(11):e181564. doi: 10.1001/jamaoncol.2018.1564. Epub 2018 Nov 8.'}, {'pmid': '27684533', 'type': 'DERIVED', 'citation': 'Fumagalli D, Venet D, Ignatiadis M, Azim HA Jr, Maetens M, Rothe F, Salgado R, Bradbury I, Pusztai L, Harbeck N, Gomez H, Chang TW, Coccia-Portugal MA, Di Cosimo S, de Azambuja E, de la Pena L, Nuciforo P, Brase JC, Huober J, Baselga J, Piccart M, Loi S, Sotiriou C. RNA Sequencing to Predict Response to Neoadjuvant Anti-HER2 Therapy: A Secondary Analysis of the NeoALTTO Randomized Clinical Trial. JAMA Oncol. 2017 Feb 1;3(2):227-234. doi: 10.1001/jamaoncol.2016.3824.'}, {'pmid': '26181252', 'type': 'DERIVED', 'citation': 'Salgado R, Denkert C, Campbell C, Savas P, Nuciforo P, Aura C, de Azambuja E, Eidtmann H, Ellis CE, Baselga J, Piccart-Gebhart MJ, Michiels S, Bradbury I, Sotiriou C, Loi S. Tumor-Infiltrating Lymphocytes and Associations With Pathological Complete Response and Event-Free Survival in HER2-Positive Early-Stage Breast Cancer Treated With Lapatinib and Trastuzumab: A Secondary Analysis of the NeoALTTO Trial. JAMA Oncol. 2015 Jul;1(4):448-54. doi: 10.1001/jamaoncol.2015.0830.'}, {'pmid': '25851628', 'type': 'DERIVED', 'citation': 'Nuciforo PG, Aura C, Holmes E, Prudkin L, Jimenez J, Martinez P, Ameels H, de la Pena L, Ellis C, Eidtmann H, Piccart-Gebhart MJ, Scaltriti M, Baselga J. Benefit to neoadjuvant anti-human epidermal growth factor receptor 2 (HER2)-targeted therapies in HER2-positive primary breast cancer is independent of phosphatase and tensin homolog deleted from chromosome 10 (PTEN) status. Ann Oncol. 2015 Jul;26(7):1494-500. doi: 10.1093/annonc/mdv175. Epub 2015 Apr 7.'}, {'pmid': '25130998', 'type': 'DERIVED', 'citation': 'de Azambuja E, Holmes AP, Piccart-Gebhart M, Holmes E, Di Cosimo S, Swaby RF, Untch M, Jackisch C, Lang I, Smith I, Boyle F, Xu B, Barrios CH, Perez EA, Azim HA Jr, Kim SB, Kuemmel S, Huang CS, Vuylsteke P, Hsieh RK, Gorbunova V, Eniu A, Dreosti L, Tavartkiladze N, Gelber RD, Eidtmann H, Baselga J. Lapatinib with trastuzumab for HER2-positive early breast cancer (NeoALTTO): survival outcomes of a randomised, open-label, multicentre, phase 3 trial and their association with pathological complete response. Lancet Oncol. 2014 Sep;15(10):1137-46. doi: 10.1016/S1470-2045(14)70320-1. Epub 2014 Aug 14.'}, {'pmid': '22785351', 'type': 'DERIVED', 'citation': 'Yarden Y, Pines G. The ERBB network: at last, cancer therapy meets systems biology. Nat Rev Cancer. 2012 Jul 12;12(8):553-63. doi: 10.1038/nrc3309.'}, {'pmid': '22257673', 'type': 'DERIVED', 'citation': 'Baselga J, Bradbury I, Eidtmann H, Di Cosimo S, de Azambuja E, Aura C, Gomez H, Dinh P, Fauria K, Van Dooren V, Aktan G, Goldhirsch A, Chang TW, Horvath Z, Coccia-Portugal M, Domont J, Tseng LM, Kunz G, Sohn JH, Semiglazov V, Lerzo G, Palacova M, Probachai V, Pusztai L, Untch M, Gelber RD, Piccart-Gebhart M; NeoALTTO Study Team. Lapatinib with trastuzumab for HER2-positive early breast cancer (NeoALTTO): a randomised, open-label, multicentre, phase 3 trial. Lancet. 2012 Feb 18;379(9816):633-40. doi: 10.1016/S0140-6736(11)61847-3. Epub 2012 Jan 17.'}]}, 'descriptionModule': {'briefSummary': 'This is a randomised, open label multicenter Phase III study comparing the efficacy of neoadjuvant lapatinib plus paclitaxel, versus trastuzumab plus paclitaxel, versus concomitant lapatinib and trastuzumab plus paclitaxel given as neoadjuvant treatment in HER2/ErbB2 over-expressing and/or amplified primary breast cancer.\n\nPatients will be randomised to receive either: lapatinib 1500 mg daily, trastuzumab 4 mg/kg intravenous (IV) load followed by 2 mg/kg IV weekly, or lapatinib 1000 mg daily with trastuzumab 4 mg/kg IV load followed by 2 mg/kg IV weekly for a total of 6 weeks. After this biological window, patients on monotherapy arms will continue on the same targeted therapy plus weekly paclitaxel 80 mg/m\\^2 for a further 12 weeks, up to definitive surgery. In the combination arm, patients will receive lapatinib 750 mg daily in combination with trastuzumab 2 mg/kg IV plus weekly paclitaxel 80mg/m\\^2 IV for a further 12 weeks, up to definitive surgery. After surgery, patients will receive three courses of adjuvant chemotherapy with 5-Fluorouracil Epirubicin Cyclophosphamide (FEC) followed by the same targeted therapy as in the biological window of the neoadjuvant setting for a further 34 weeks (in the combination arm, lapatinib dose will be 1000 mg daily in combination with trastuzumab). The planned total duration of the anti-HER2 therapy one year.\n\nPrimary objective is to evaluate and compare the rate of pathological complete response (pCR) at the time of surgery in patients with HER2/ErbB2 overexpressing or amplified operable breast cancer randomised to lapatinib followed by lapatinib plus paclitaxel versus trastuzumab followed by trastuzumab plus paclitaxel versus lapatinib in combination with trastuzumab followed by lapatinib, trastuzumab plus paclitaxel.', 'detailedDescription': 'This was a parallel group, three-arm, randomized, multicenter, open-label phase III study. The study compared the efficacy and tolerability of neoadjuvant lapatinib and paclitaxel, versus trastuzumab and paclitaxel, versus the combination of lapatinib with trastuzumab and paclitaxel given as neoadjuvant treatment in HER2/ErbB2 over-expressing and/or amplified primary breast cancer. Subjects were randomized to receive lapatinib, trastuzumab or lapatinib plus trastuzumab for a total of 6 weeks. After this biological window, subjects continued on the same targeted therapy plus weekly paclitaxel for a further 12 weeks, until definitive surgery (total neoadjuvant therapy duration of 18 weeks). Paclitaxel could be initiated at Week 4 if there is evidence of progressive disease (PD) at that time. Within 6 weeks after surgery, subjects received 3 cycles of adjuvant 5-flourouracil, epirubicin and cyclophosphamide (FEC) followed by the same targeted therapy as in the biological window of the neoadjuvant phase for a further 34 weeks (to complete 52 weeks of anti-HER2 therapy).\n\nAfter completing 52 weeks of (neo-)/adjuvant anti-HER2 therapy, subjects were scheduled to attend post-treatment follow-up every 3 months during the first year (months 12, 15, 18, 21, and 24), every 6months in Years 3 to 5 inclusive, and annually thereafter up to Year 10. Each subject was to be followed for 10 Years. All subjects were to be followed for EFS and OS up to 10 years from last subject randomized.'}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Female gender;\n* Age ≥18 years;\n* Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1\n* Histologically confirmed invasive breast cancer:\n* Primary tumour greater than 2 cm diameter, measured by clinical examination and mammography or echography,\n* Any N,\n* No evidence of metastasis (M0) (isolated supraclavicular node involvement allowed);\n* Over expression and/or amplification of HER2 in the invasive component of the primary tumour \\[Wolff et al 2006\\] and confirmed by a certified laboratory prior to randomisation\n* Known hormone receptor status.\n* Haematopoietic status:\n* Absolute neutrophil count ≥ 1,5 x 10\\^9/L,\n* Platelet count ≥ 100 x 10\\^9/L,\n* Hemoglobin at least 9 g/dl,\n* Hepatic status:\n* Serum total bilirubin ≤ 1.5 x upper limit of normal (ULN). In the case of known Gilbert's syndrome, a higher serum total bilirubin (\\< 2 x ULN) is allowed,\n* Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤ 2.5 times ULN,\n* Alkaline phosphatase ≤ 2.5 times ULN,\n* Renal status:\n* Creatinine ≤ 2.0 mg/dL,\n* Cardiovascular:\n* Baseline left ventricular ejection fraction (LVEF) ³ 50% measured by echocardiography (ECHO) or Multiple Gate Acquisition (MUGA) scan,\n* Negative serum pregnancy test, within 2-weeks (preferably 7 days) prior to randomization (For women of childbearing potential)\n* Fertile patients must use effective contraception (barrier method - condoms, diaphragm - also in conjunction with spermicidal jelly, or total abstinence. Oral, injectable, or implant hormonal contraceptives are not allowed)\n* Signed informed consent form (ICF)\n* Patient accepts to make available tumour samples for submission to central laboratory to conduct translational studies as part of this protocol\n\nExclusion Criteria:\n\n* Received any prior treatment for primary invasive breast cancer;\n* Previous (less than 10 years) or current history of malignant neoplasms, except for curatively treated:\n* Basal and squamous cell carcinoma of the skin;\n* Carcinoma in situ of the cervix.\n* Patients with a prior malignancy diagnosed more than 10 years prior to randomisation may enter the study. Patients must have been curatively treated with surgery alone. Radiation therapy or systemic therapy (chemotherapy or endocrine) are NOT permitted. Prior diagnoses of breast cancer or melanoma are excluded.\n* Diagnosis of inflammatory breast cancer;\n* Bilateral cancer;\n* This criterion has been deleted from the protocol Version 1. Patients with multi-focal cancer are no longer excluded.\n* Known history of uncontrolled or symptomatic angina, clinically significant arrhythmias, congestive heart failure, transmural myocardial infarction, uncontrolled hypertension (≥180/110), unstable diabetes mellitus, dyspnoea at rest, or chronic therapy with oxygen;\n* Concurrent disease or condition that would make the subject inappropriate for study participation or any serious medical disorder that would interfere with the subject's safety;\n* Unresolved or unstable, serious adverse events from prior administration of another investigational drug;\n* Active or uncontrolled infection;\n* Dementia, altered mental status, or any psychiatric condition that would prevent the understanding or rendering of ICF;\n* Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel. Subjects with ulcerative colitis are also excluded;\n* Concurrent neoadjuvant cancer therapy (chemotherapy, radiation therapy, immunotherapy, biologic therapy other than the trial therapies);\n* Concurrent treatment with an investigational agent or participation in another therapeutic clinical trial;\n* Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to trastuzumab or lapatinib or their excipients;\n* Pregnant or lactating women;\n* Concomitant use of CYP3A4 inhibitors or inducers"}, 'identificationModule': {'nctId': 'NCT00553358', 'acronym': 'Neo ALTTO', 'briefTitle': 'Neo ALTTO (Neoadjuvant Lapatinib and/or Trastuzumab Treatment Optimisation) Study', 'organization': {'class': 'INDUSTRY', 'fullName': 'Novartis'}, 'officialTitle': 'Neo ALTTO (Neoadjuvant Lapatinib and/or Trastuzumab Treatment Optimisation) Study: A Randomised, Multicenter Open-label Phase III Study of Neoadjuvant Lapatinib, Trastuzumab and Their Combination Plus Paclitaxel in Women With HER2/ErbB2 Positive Primary Breast Cancer', 'orgStudyIdInfo': {'id': 'EGF106903'}, 'secondaryIdInfos': [{'id': '2006-000564-81', 'type': 'EUDRACT_NUMBER'}, {'id': 'CLAP016B2302', 'type': 'OTHER', 'domain': 'Novartis'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Arm 1 Lapatinib', 'description': '1500 mg lapatinib for 6 weeks followed by lapatinib plus weekly paclitaxel for an additional 12 weeks. After definitive surgery, 3 cycles of adjuvant FEC followed by 34 weeks of adjuvant lapatinib.', 'interventionNames': ['Drug: Lapatinib', 'Drug: Paclitaxel']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Arm 2 Trastuzumab', 'description': '4 mg/kg IV loading dose followed by 2 mg/kg IV weekly trastuzumab for 6 weeks followed by 2 mg/kg trastuzumab plus weekly paclitaxel for an additional 12 weeks. After definitive surgery, 3 cycles of adjuvant FEC followed by 34 weeks of adjuvant trastuzumab (8 mg/kg loading dose followed by 6 mg/kg every 3 weeks).', 'interventionNames': ['Biological: Trastuzumab', 'Drug: Paclitaxel']}, {'type': 'EXPERIMENTAL', 'label': 'Arm 3 Lapatinib plus Trastuzumab', 'description': '1000 mg lapatinib plus 4 mg/kg IV loading dose followed by 2 mg/kg IV weekly trastuzumab for 6 weeks, followed by 750 mg lapatinib plus 2 mg/kg IV weekly trastuzumab plus weekly paclitaxel for an additional 12 weeks. After definitive surgery, 3 cycles of adjuvant FEC followed by 34 weeks of adjuvant lapatinib (1000 mg) in combination with trastuzumab (8 mg/kg loading dose followed by 6 mg/kg every 3 weeks).', 'interventionNames': ['Drug: Lapatinib', 'Biological: Trastuzumab', 'Drug: Paclitaxel']}], 'interventions': [{'name': 'Lapatinib', 'type': 'DRUG', 'description': 'Small molecule receptor tyrosine kinase inhibitor', 'armGroupLabels': ['Arm 1 Lapatinib', 'Arm 3 Lapatinib plus Trastuzumab']}, {'name': 'Trastuzumab', 'type': 'BIOLOGICAL', 'description': 'Therapeutic Monoclonal Antibody', 'armGroupLabels': ['Arm 2 Trastuzumab', 'Arm 3 Lapatinib plus Trastuzumab']}, {'name': 'Paclitaxel', 'type': 'DRUG', 'description': 'antimicrotubule agent', 'armGroupLabels': ['Arm 1 Lapatinib', 'Arm 2 Trastuzumab', 'Arm 3 Lapatinib plus Trastuzumab']}]}, 'contactsLocationsModule': {'locations': [{'zip': 'B1880BBF', 'city': 'Berazategui', 'state': 'Buenos Aires', 'country': 'Argentina', 'facility': 'Novartis 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