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临床试验/NCT01858116
NCT01858116已完成1 期

An Exploratory Study to Evaluate [68Ga]ABY-025 for PET Imaging of HER2 Expression in Subjects With Metastatic Breast Cancer

Biomedical Radiation Sciences1 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2013年4月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
16
试验地点
1
主要终点
PET image analysis: Standardized Uptake Value (SUV) and uptake kinetics of [68Ga]ABY-025 in breast cancer lesions and normal tissues

研究概览

简要总结

The study will evaluate [68Ga]ABY-025 for PET imaging of HER2 expression in subjects with HER2-positive or HER2-negative breast cancer.

详细描述

Open-labeled, exploratory, single center study.

  1. Group 1 (dose-finding) Six subjects with HER2-positive primary tumor status and four subjects with HER2-negative status. [68Ga]ABY-025 PET with low dose (100 μg) of ABY-025 peptide is performed, followed by a repeated PET within three weeks using high dose (500 μg) ABY-025 peptide (radioactivity maximum 500 MBq). A third [68Ga]ABY-025 PET will be performed in the HER2-positive subgroup only, when signs of progressive disease are found at routine clinical evaluation or else latest after 12 months regardless of disease status, then using the ABY-025 peptide dose previously determined to be preferable.
  2. Group 2 Ten subjects with HER2-positive primary tumor status. [68Ga]ABY-025 PET is performed using the ABY-025 peptide dose determined to be preferable during the dose-finding part of the study, followed by a second [68Ga]ABY-025 PET investigation at signs of progressive disease or else latest after 9 months.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subject is > 18 years of age
  • Diagnosis of invasive breast cancer with metastases
  • Availability of results from HER2 status previously determined on material from the primary tumor, either
  • HER2-positive, defined as a DAKO HercepTest™ score of 3+ or FISH positive or
  • HER2-negative, defined as a DAKO HercepTest™ score of 0 or 1+ or else; if 2+ then FISH negative
  • Volumetrically quantifiable metastasis lesions on CT or MRI, with at least one lesion >= 10 mm in smallest diameter and suitable for biopsy
  • ECOG performance status of =< 2
  • Life expectancy of at least 12 weeks
  • Hematological, liver and renal function test results within the following limits:
  • White blood cell count: > 2.0 x 10^9/L Haemoglobin: > 80 g/L Platelets: > 50.0 x 10^9/L ALT, ALP, AST: =< 5.0 times Upper Limit of Normal Bilirubin =< 2.0 times Upper Limit of Normal Serum creatinine: Within Normal Limits or else normal clearance
  • A negative pregnancy test (serum beta-human chorionic gonadotropin, beta-HCG) at screening for all female patients of childbearing potential, who must use a medically acceptable form of contraception from study start until at least 30 days after study termination
  • Subject is able to participate in the diagnostic investigations to be performed in the study
  • Informed consent

排除标准

  • Manifest second, non-breast malignancy
  • Known HIV positive or chronically active hepatitis B or C
  • Administration of other investigational medicinal product within 30 days of screening
  • Ongoing toxicity > grade 2 from previous standard or investigational therapies, according to US National Cancer Institute's "Common Terminology Criteria for Adverse Events v4.0 [CTCAE]"
  • Other ongoing severe disease that may influence the patient's ability to participate in the study
  • Pregnant or breast-feeding

研究组 & 干预措施

[68Ga]ABY-025

Experimental

干预措施: [68Ga]ABY-025 (Drug)

结局指标

主要结局

PET image analysis: Standardized Uptake Value (SUV) and uptake kinetics of [68Ga]ABY-025 in breast cancer lesions and normal tissues

时间窗: Day 0

次要结局

  • Blood radioactivity kinetics and dosimetry of [68Ga]ABY-025(Day 0)
  • SUV in metastases where biopsy results with HER2 status by IHC/FISH are available(Day 0)
  • Uptake of [68Ga]ABY-025 coinciding with metastatic lesions visible on [18F]FDG PET and focal uptake in regions without pathological findings on [18F]FDG PET(Day 0)
  • SUV for each measured lesion and number of detectable lesions, obtained with a low (100 μg) or high (500 μg) injected amount of ABY-025 peptide in the same subject(Day 0 & 1-3 weeks)
  • Incidence and severity of adverse events(Day 0 to 42)
  • SUVs for all measured lesions obtained with a low (100 μg) or high (500 μg) injected where biopsy results with HER2 status by IHC and FISH are available(Day 0)
  • Anti-Drug Antibody assay at 3 and 6 weeks(Day 0 to 42)
  • SUV for each measured lesion, and appearance or disappearance of lesions, after progression or 9-12 months therapy(Up to 1 year)

研究者

发起方
Biomedical Radiation Sciences
申办方类型
Other
责任方
Principal Investigator
主要研究者

Dr. Henrik Lindman, Oncology

Chief Physician

Uppsala University Hospital

研究点 (1)

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