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Molecular Imaging of HER2 Expression in Breast Cancer Using [123I] I-(HE)3-G3

Primary Purpose

Primary Breast Cancer

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
SPECT
Sponsored by
Tomsk National Research Medical Center of the Russian Academy of Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Primary Breast Cancer

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Subject is > 18 years of age Availability of results from HER2 status previously determined on material from the primary tumor and metastatic LN, either a. HER2-positive, defined as a DAKO HercepTest™ score of 3+ or FISH positive or b. HER2-negative, defined as a DAKO HercepTest™ score of 0 or 1+; or else if 2+ then FISH negative Hematological, liver and renal function test results within the following limits: White blood cell count: > 2.0 x 109/L Hemoglobin: > 80 g/L Platelets: > 50.0 x 109/L ALT, ALP, AST: =< 5.0 times Upper Limit of Normal Bilirubin =< 2.0 times Upper Limit of Normal Serum creatinine: Within Normal Limits A negative pregnancy test for all patients of childbearing potential. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception for at least 30 days after study termination Subject is capable to undergo the diagnostic investigations to be performed in the study Informed consent Exclusion Criteria: Any system therapy (chemo-/targeted therapy) Second, non-breast malignancy Active current autoimmune disease or history of autoimmune disease Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening) 4. 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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    The tested injected doses of [123I] I-(HE)3-G3 3000 μg

    Arm Description

    At least five (5) evaluable subjects with HER2-positive status and at least five (5) subjects with HER2-negative status have to be enrolled in the study for each tested protein dose. The tested injected dose 3000 μg. Subjects withdrawn from the study for any reason will be replaced

    Outcomes

    Primary Outcome Measures

    Gamma camera-based whole-body [123I] I-(HE)3-G3 uptake value (%)
    Whole-body [123I] I-(HE)3-G3 uptake coinciding with normal organs and tissues will be assessed using gamma camera and calculated as percentage (%) of the injected dose of the radiopharmaceutical
    SPECT-based [99mTc]Tc-G3-(G3S)3C uptake value in tumor lesions (counts) [123I] I-(HE)3-G3 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts
    SPECT-based [99mTc]Tc-G3-(G3S)3C uptake value in tumor lesions (counts) [123I] I-(HE)3-G3 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts
    SPECT-based [123I] I-(HE)3-G3 background uptake value (counts)
    Focal uptake of [123I] I-(HE)3-G3 in the regions without pathological findings will be assessed with SPECT and measured in counts
    Tumor-to-background ratio (SPECT)
    The SPECT-based tumor-to-background ratio will be calculated as follows: the value of [123I] I-(HE)3-G3 uptake coinciding with tumor lesions (counts) will be divided by the value of [123I] I-(HE)3-G3 uptake coinciding with the regions without pathological findings (counts)

    Secondary Outcome Measures

    Safety attributable to [123I] I-(HE)3-G3 injections (physical examination) (% of cases with abnormal findings relative to baseline)
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of physical examination (% of cases with abnormal findings relative to baseline)
    Safety attributable to [123I] I-(HE)3-G3 injections (vital signs) (% of cases with abnormal findings relative to baseline)
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of vital signs (% of cases with abnormal findings relative to baseline)
    Safety attributable to [123I] I-(HE)3-G3 injections (ECG) (% of cases with abnormal findings relative to baseline)
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of ECG (% of cases with abnormal findings relative to baseline)
    Safety attributable to [123I] I-(HE)3-G3 injections (laboratory tests) (% of cases with abnormal findings relative to baseline)
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the blood and urine laboratory tests (% of cases with abnormal findings relative to baseline)
    Safety attributable to [123I] I-(HE)3-G3 injections (% of incidence and severity of adverse events)
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the rate of adverse events (%)

    Full Information

    First Posted
    June 19, 2023
    Last Updated
    July 28, 2023
    Sponsor
    Tomsk National Research Medical Center of the Russian Academy of Sciences
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05923177
    Brief Title
    Molecular Imaging of HER2 Expression in Breast Cancer Using [123I] I-(HE)3-G3
    Official Title
    SPECT Imaging of Human Epidermal Growth Factor Receptor 2 (HER2) Expression in Breast Cancer Using Iodine -123-labelled Designed Ankyrin Repeat Proteins HE3-G3 ([123I] I-(HE)3-G3)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 1, 2023 (Anticipated)
    Primary Completion Date
    September 1, 2024 (Anticipated)
    Study Completion Date
    September 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Tomsk National Research Medical Center of the Russian Academy of Sciences

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study should evaluate distribution of [123I] I-(HE)3-G3 in patients with primary HER2-positive and HER2-negative breast cancer
    Detailed Description
    Overall goal of the project: To determine HER2 expression level in primary breast cancer before neoadjuvant system therapy. Phase I. Distribution of HE3-G3 ([123I] I-(HE)3-G3) in patients with primary breast cancer. The study should evaluate distribution of HE3-G3 ([123I] I-(HE)3-G3) in patients with primary HER2-positive and HER2-negative breast cancer.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Primary Breast Cancer

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    10 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    The tested injected doses of [123I] I-(HE)3-G3 3000 μg
    Arm Type
    Experimental
    Arm Description
    At least five (5) evaluable subjects with HER2-positive status and at least five (5) subjects with HER2-negative status have to be enrolled in the study for each tested protein dose. The tested injected dose 3000 μg. Subjects withdrawn from the study for any reason will be replaced
    Intervention Type
    Drug
    Intervention Name(s)
    SPECT
    Other Intervention Name(s)
    [123I] I-(HE)3-G3
    Intervention Description
    One single injection of [123I] I-(HE)3-G3, followed by gamma camera imaging directly postinjection and after 2, 4, 6, 24 and 48 hours.
    Primary Outcome Measure Information:
    Title
    Gamma camera-based whole-body [123I] I-(HE)3-G3 uptake value (%)
    Description
    Whole-body [123I] I-(HE)3-G3 uptake coinciding with normal organs and tissues will be assessed using gamma camera and calculated as percentage (%) of the injected dose of the radiopharmaceutical
    Time Frame
    6 hours
    Title
    SPECT-based [99mTc]Tc-G3-(G3S)3C uptake value in tumor lesions (counts) [123I] I-(HE)3-G3 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts
    Description
    SPECT-based [99mTc]Tc-G3-(G3S)3C uptake value in tumor lesions (counts) [123I] I-(HE)3-G3 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts
    Time Frame
    6 hours
    Title
    SPECT-based [123I] I-(HE)3-G3 background uptake value (counts)
    Description
    Focal uptake of [123I] I-(HE)3-G3 in the regions without pathological findings will be assessed with SPECT and measured in counts
    Time Frame
    6 hours
    Title
    Tumor-to-background ratio (SPECT)
    Description
    The SPECT-based tumor-to-background ratio will be calculated as follows: the value of [123I] I-(HE)3-G3 uptake coinciding with tumor lesions (counts) will be divided by the value of [123I] I-(HE)3-G3 uptake coinciding with the regions without pathological findings (counts)
    Time Frame
    6 hours
    Secondary Outcome Measure Information:
    Title
    Safety attributable to [123I] I-(HE)3-G3 injections (physical examination) (% of cases with abnormal findings relative to baseline)
    Description
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of physical examination (% of cases with abnormal findings relative to baseline)
    Time Frame
    48 hours
    Title
    Safety attributable to [123I] I-(HE)3-G3 injections (vital signs) (% of cases with abnormal findings relative to baseline)
    Description
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of vital signs (% of cases with abnormal findings relative to baseline)
    Time Frame
    48 hours
    Title
    Safety attributable to [123I] I-(HE)3-G3 injections (ECG) (% of cases with abnormal findings relative to baseline)
    Description
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the assessments of ECG (% of cases with abnormal findings relative to baseline)
    Time Frame
    48 hours
    Title
    Safety attributable to [123I] I-(HE)3-G3 injections (laboratory tests) (% of cases with abnormal findings relative to baseline)
    Description
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the blood and urine laboratory tests (% of cases with abnormal findings relative to baseline)
    Time Frame
    48 hours
    Title
    Safety attributable to [123I] I-(HE)3-G3 injections (% of incidence and severity of adverse events)
    Description
    The safety attributable to [123I] I-(HE)3-G3 injections will be evaluated based on the rate of adverse events (%)
    Time Frame
    48 hours

    10. Eligibility

    Sex
    Female
    Gender Based
    Yes
    Gender Eligibility Description
    Women with primary breast cancer
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject is > 18 years of age Availability of results from HER2 status previously determined on material from the primary tumor and metastatic LN, either a. HER2-positive, defined as a DAKO HercepTest™ score of 3+ or FISH positive or b. HER2-negative, defined as a DAKO HercepTest™ score of 0 or 1+; or else if 2+ then FISH negative Hematological, liver and renal function test results within the following limits: White blood cell count: > 2.0 x 109/L Hemoglobin: > 80 g/L Platelets: > 50.0 x 109/L ALT, ALP, AST: =< 5.0 times Upper Limit of Normal Bilirubin =< 2.0 times Upper Limit of Normal Serum creatinine: Within Normal Limits A negative pregnancy test for all patients of childbearing potential. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception for at least 30 days after study termination Subject is capable to undergo the diagnostic investigations to be performed in the study Informed consent Exclusion Criteria: Any system therapy (chemo-/targeted therapy) Second, non-breast malignancy Active current autoimmune disease or history of autoimmune disease Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening) 4. 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
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Olga Bragina, Dsc
    Phone
    +79627761423
    Email
    rungis@mail.ru
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Olga Bragina, Dsc
    Organizational Affiliation
    Tomsk NRMC
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Molecular Imaging of HER2 Expression in Breast Cancer Using [123I] I-(HE)3-G3

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