Positron Emission Tomography Using 3'-Deoxy-3'-(18F) Fluorothymidine in Treating Women With Locally Advanced Cancer in One Breast Who Are Receiving Chemotherapy

NCT ID: NCT00534274

Last Updated: 2014-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

97 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2013-09-30

Brief Summary

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RATIONALE: Diagnostic procedures, such as positron emission tomography (PET) using 3'-deoxy-3'-(18F) fluorothymidine, may be effective in assessing the response to chemotherapy before surgery in treating locally advanced breast cancer.

PURPOSE: This clinical trial is studying how well positron emission tomography using 3'-deoxy-3'-(18F) fluorothymidine works in treating women with locally advanced cancer in one breast who are receiving chemotherapy.

Detailed Description

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OBJECTIVES:

Primary

* Evaluate the efficacy of positron emission tomography (PET) utilizing 3'-deoxy-3'-(18F) fluorothymidine (\^18F-FLT) to correctly identify response to neoadjuvant chemotherapy in women with locally advanced unilateral breast cancer.
* Correlate PET-\^18F-FLT results with histological response.

Secondary

* Evaluate the correlation of early changes in tumor uptake of \^18F-FLT after the first course of chemotherapy with complete response after treatment completion.
* Evaluate the correlation of early changes in tumor uptake of \^18F-FLT with histologic response in biopsies obtained after 1 course of chemotherapy.
* Determine if the initial intensity of tumor uptake is a predictive value of response to chemotherapy.
* Determine if initial intensity of tumor uptake of \^18F-FLT varies according to histologic type of tumor, indices of proliferation, and tumor cellularity before therapy.
* Determine if the tumor uptake of \^18F-FLT during therapy varies according to histologic type of tumor, indices of proliferation, and tumor cellularity before therapy.
* Evaluate the role of TK1 on the kinetics of \^18 F-FLT.
* Analyze serum.
* Research biomarkers of genomics, transcription, and proteomics.
* Evaluate the toxicity of \^18F-FLT.

OUTLINE: This is a multicenter study.

Patients receive 3'-deoxy-3'-(18F) fluorothymidine (\^18F-FLT) IV and undergo positron emission tomography (PET) before the first and second courses of neoadjuvant chemotherapy. Patients receiving bisequential chemotherapy undergo \^18F-FLT-PET before the change in drugs (usually the fourth or fifth course). All patients undergo a final \^18F-FLT-PET after the last chemotherapy course but before surgery.

After completion of study therapy, patients are followed for 1 month.

Conditions

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Breast Cancer

Keywords

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stage II breast cancer stage IIIA breast cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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TEP FLT

Group Type EXPERIMENTAL

3'-deoxy-3'-[18F]fluorothymidine

Intervention Type OTHER

Interventions

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3'-deoxy-3'-[18F]fluorothymidine

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed unilateral breast cancer

* T2 or T3, any N, M0
* Unifocal by mammography and ultrasound
* Negative for c-erbB2 by immunohistochemistry (IHC)
* Planning neoadjuvant chemotherapy comprising anthracyclines and/or taxanes, alone or combined
* Measurable disease by ultrasound
* Hormone receptor status not specified


* ECOG performance status 0-1
* Female
* Menopausal status not specified
* Hematologic, hepatic, and renal function normal
* Not pregnant or nursing
* Fertile patients must use effective contraception


* See Disease Characteristics

Exclusion Criteria

* Bilateral disease
* Multifocal tumor
* Invasive grade I lobular cancer
* Metastatic disease
* Stage ≥ T4 disease
* Cutaneous invasion, major adherence, or inflammatory disease
* Tumor overexpressing c-erbB2 by IHC (HER 2+++)
* Suspected clinical or radiological lesion (examined or not)

PATIENT CHARACTERISTICS:


* Alcohol dependency or prior reaction to ethanol injection
* Impossible to receive study therapy due to geographical, social, or psychological reasons
* Prisoners or patients under supervision

PRIOR CONCURRENT THERAPY:


* Participation in another concurrent therapeutic study with an experimental drug
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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UNICANCER

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Olivier Couturier, MD

Role: STUDY_CHAIR

Centre Hospitalier Regional et Universitaire d'Angers

Locations

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Centre Hospitalier Regional et Universitaire d'Angers

Angers, , France

Site Status

Centre Paul Papin

Angers, , France

Site Status

Centre Hospitalier de la Cote Basque

Bayonne, , France

Site Status

Hopital Saint Andre

Bordeaux, , France

Site Status

CHU de Bordeaux - Hopital Pellegrin

Bordeaux, , France

Site Status

Polyclinique Bordeaux Nord Aquitaine

Bordeaux, , France

Site Status

CHU Hopital A. Morvan

Brest, , France

Site Status

Centre Regional Francois Baclesse

Caen, , France

Site Status

Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

Centre de Lutte Contre le Cancer Georges-Francois Leclerc

Dijon, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Marseille Institute of Cancer - Institut J. Paoli and I. Calmettes

Marseille, , France

Site Status

CHU de la Timone

Marseille, , France

Site Status

Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle

Montpellier, , France

Site Status

CHR Hotel Dieu

Nantes, , France

Site Status

Centre Regional Rene Gauducheau

Nantes-Saint Herblain, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Hopital de l'Archet CHU de Nice

Nice, , France

Site Status

Hopital Saint-Louis

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

Centre Henri Becquerel

Rouen, , France

Site Status

Centre Rene Huguenin

Saint-Cloud, , France

Site Status

Centre Hospitalier Universitaire Bretonneau de Tours

Tours, , France

Site Status

Countries

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France

Other Identifiers

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FRE-FNCLCC-FLT-01/0505

Identifier Type: -

Identifier Source: secondary_id

EU-20754

Identifier Type: -

Identifier Source: secondary_id

2005-005166-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

FLT01 - UC-0140/0505

Identifier Type: -

Identifier Source: org_study_id