Positron Emission Tomography in Women With Advanced HER2-Positive Breast Cancer

NCT ID: NCT01093612

Last Updated: 2025-11-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-16

Study Completion Date

2026-09-08

Brief Summary

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RATIONALE: Diagnostic procedures, such as copper Cu 64-DOTA-trastuzumab-labeled PET, may help doctors to plan a better treatment

PURPOSE: This pilot trial is studying copper Cu 64-tetra-azacyclododecanetetra-acetic acid (DOTA)-trastuzumab-labeled positron emission tomography (PET) in women with human epidermal growth factor receptor 2 (HER2)-positive breast cancer.

Detailed Description

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PRIMARY OBJECTIVES:

I. Determine the dose of pre-administered cold antibody that optimizes image quality of 64Cu-DOTA-trastuzumab PET without increasing the radiation dose to the heart in women with metastatic HER2 positive breast cancer.

II. Determine whether tumor uptake on 64Cu-DOTA-trastuzumab PET correlates with tumor expression of HER2 in women with metastatic disease.

III. Perform an exploratory analysis of the relationship between uptake on 64Cu-DOTA-trastuzumab PET, HER2 overexpression, and inactivation of the PI3K/Akt pathway.

OUTLINE:

This is a part one dose-determining study followed by a part two study. PART ONE: Patients are randomized to 1 of 3 dose levels. Patients undergo a PET scan 24-48 hours after injection of 64 Cu-DOTA-trastuzumab. PART TWO: Patients undergo a PET scan 24-48 hours after injection of 64 Cu-DOTA-trastuzumab at the optimal dose as determined in part one of the study.

Conditions

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Breast Cancer Stage IV Breast Cancer

Keywords

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HER2-positive 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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Arm I

PART ONE: Patients are randomized to 1 of 3 dose levels. Patients undergo a PET scan 24-48 hours after injection of copper Cu 64-DOTA-trastuzumab. PART TWO: Patients undergo a PET scan 24-48 hours after injection of copper Cu 64-DOTA-trastuzumab.

Group Type EXPERIMENTAL

positron emission tomography

Intervention Type PROCEDURE

PET images performed on a GE Discovery 16 Ste PET-CT scanner

copper Cu 64-DOTA-trastuzumab

Intervention Type RADIATION

15 mCi of Cu 64-DOTA-trastuzumab, total trastuzumab dose less than 5 mg.

Biopsy

Intervention Type PROCEDURE

Correlative Studies

Immunohistochemistry staining method

Intervention Type OTHER

Correlative studies

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

mutation analysis

Intervention Type GENETIC

Correlative studies

Interventions

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positron emission tomography

PET images performed on a GE Discovery 16 Ste PET-CT scanner

Intervention Type PROCEDURE

copper Cu 64-DOTA-trastuzumab

15 mCi of Cu 64-DOTA-trastuzumab, total trastuzumab dose less than 5 mg.

Intervention Type RADIATION

Biopsy

Correlative Studies

Intervention Type PROCEDURE

Immunohistochemistry staining method

Correlative studies

Intervention Type OTHER

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

mutation analysis

Correlative studies

Intervention Type GENETIC

Other Intervention Names

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FDG-PET PET PET scan tomography, emission computed 64Cu-DOTA-trastuzumab biopsies immunohistochemistry

Eligibility Criteria

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Inclusion Criteria

* Patients may have received trastuzumab in the adjuvant, neoadjuvant, or metastatic setting, but cannot have received the drug within the prior 2 months.
* Participants must have normal cardiac ejection fraction.

Ineligibility

* Participants who have received trastuzumab within the prior 2 months
* Participants who are not considered candidates for trastuzumab
* Metastatic disease in a single site
* No metastatic site greater than or equal to 2 cm
* Concurrent malignancy other than skin cancer
* Inability to provide informed consent
* Participants who are pregnant
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joanne Mortimer

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope

Duarte, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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NCI-2010-00322

Identifier Type: REGISTRY

Identifier Source: secondary_id

BC095002

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

09101

Identifier Type: -

Identifier Source: org_study_id