ImmunoTEP au 68-Ga- IMP-288 for Patients With a Recurrence of HER2 Negative Breast Carcinoma Expressing CEA

NCT ID: NCT01730612

Last Updated: 2018-07-27

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

PHASE1/PHASE2

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2017-05-31

Brief Summary

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Main objective: To determine the optimal molar doses of the biospecific antibody TF2 and 68 Ga-IMP-288 and the optimal time for pretargeting for immuno-PET in patients with breast carcinoma.

Secondary objectives: To study the sensitivity of the immuno-PET, compare its performance to standard imaging methods, evaluate the safety of 150 MBq of 68 Ga-IMP-288; study the development of immunization against TF2 or complex TF2-IMP-288;

Detailed Description

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* 4 or 5 cohorts of 3 patients receiving different doses of TF2 IMP-288 with different interval time. A last cohort (4 or 5 ): maximum of 21 additional patients with the optimal schedule.

Cohort I: TF2 120 nmol / 6 nmol IMP-288 / 24 hours

Cohort II: based on the results of the cohort I :

1. Good signal of the tumor but high background: increased interval time, 120 nmol TF2 / 6 nmol of IMP-288 / 30 hours
2. Low signal of the tumor: reduction of the interval time, 120 nmol TF2 / 6 nmol IMP-288 / 18 hours
3. Good signal of the tumor and good background signal : dose reduction, 60 nmol TF2 / 3nmol IMP- 288 / 24 hours

Cohort III: based on results of cohort II:

\- Good signal of the tumor : dose reduction, 120 nmol TF2 / 3 nmol IMP-288 / 30 h

Cohort IV : based on results of cohort III Cohort V : Based on results of cohort IV

• A last Cohort (VI) : 19 patients with the optimal schedule of injection : 120 nmol TF2 / 3 nmol IMP-288 / 30 h or 120 nmol TF2 / 6 nmol IMP-288 / 30 h

• In the four weeks prior to the immuno-PET:

\- Clinical examination,

\- CEA and CA15-3,

\- thoraco abdominal pelvic scan, bone scan, FDG-PET,

\- immunohistochemistry ACE on the tumor if possible,

\- Anti-Antibodies if the patient has already received MAb,

\- pregnancy test within 2 days prior to immuno-PET,

\- (creatinine \> 2.5 normal) D0: Injection of TF2 D1 to D4: injection of 68 Ga-IMP-288 (depending of the cohort) D0 to D4 : pharmacokinetics, imaging

Evaluation at 1 month of Immuno-PET:

• Assessment of the clinical oncologist and

\- histological biopsy and / or surgery performed according to the results of imaging and assessment of the potential clinical impact

Evaluation at 3 and 6 months of immuno-PET:

based on the results of immuno-PET, evaluation and therapeutic decision of the oncologist,

\- Imaging (ultrasound, bone scintigraphy, CT or PET FDG),

\- markers
* Anti-Antibody Search
* For patient with a cancer treatment a new immuno-PET can be proposed

Conditions

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HER2 Negative Breast Carcinoma Expressing CEA

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Interventions

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TF2 - 68 Ga-IMP-288:

ImmunoTEP

Intervention Type DRUG

Other Intervention Names

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TF2: trivalent recombinant humanized antibody recognizing the ACE and the peptide histamine-succinyl-glycine IMP-288 (HSG) 68 Ga-IMP-288: di-HSG peptide-DOTA-labeled with Gallium 68

Eligibility Criteria

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Inclusion Criteria

* Breast carcinoma, HER2 + (Dako) and HER2 + (fish) metastatic at least after treatment with current consensus
* ≥ 18 years
* Negative pregnancy test for women of childbearing age. Women of childbearing age should take effective contraception continuously for 3 months.
* Karnofsky ≥ 70 or ECOG 0-1

•• ACE of the tumor by immunohistochemistry or positive plasma CEA ≥ 10 ng / mL
* At least one measurable lesion on CT
* creatinine \< 2.5
* Informed consent signed
* Social insurance

Exclusion Criteria

* Pregnancy or breastfeeding

* Serious illness or co-morbidity risk assessed
* History of cancer within 5 years except skin cancer other than melanoma or carcinoma in situ of the cervix
* Presence of anti-antibodies in patients who have previously received antibodies
* Known hypersensitivity to antibodies or proteins
* intellectual disability to sign the informed consent
* Not controlled diabetes
* Persons protected by law
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

Gilead Sciences

INDUSTRY

Sponsor Role collaborator

Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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francoise Bodere, PhD, MD

Role: PRINCIPAL_INVESTIGATOR

Nantes Hospital

Locations

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Hospital

Nantes, , France

Site Status

Institut de Cancérologie de l'Ouest

Saint-Herblain, , France

Site Status

Countries

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France

Other Identifiers

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BRD/10/04-O

Identifier Type: -

Identifier Source: org_study_id

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