64Cu DOTA-Trastuzumab PET/CT in Studying Patients With Gastric Cancer

NCT ID: NCT01939275

Last Updated: 2025-02-28

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

COMPLETED

Clinical Phase

NA

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-19

Study Completion Date

2024-08-05

Brief Summary

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This pilot clinical trial studies copper Cu 64 (64Cu) tetra-azacyclododecanetetra-acetic acid (DOTA)-trastuzumab positron emission tomography (PET)/computed tomography (CT) in studying patients with gastric, or stomach cancer. Diagnostic procedures, such as copper Cu 64-DOTA-trastuzumab PET/CT, may help doctors study the characteristics of tumors and choose the best treatment.

Detailed Description

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PRIMARY OBJECTIVES:

I. To compare tumor uptake of 64Cu-DOTA-trastuzumab (copper Cu 64-DOTA-trastuzumab) in gastric cancer patients with pathologic evaluation of tumor human epidermal growth factor receptor 2 (HER2)/neu expression.

II. To compare copper Cu 64-DOTA-trastuzumab-PET-CT scan with standard radiographic imaging for staging patients with gastric cancer.

OUTLINE:

Patients receive copper Cu 64-DOTA-trastuzumab intravenously (IV) on day 1 and then undergo PET/CT scan on days 2 or 3.

After completion of study, patients are followed up for 15 days and periodically for up to 6 months.

Conditions

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Adenocarcinoma of the Gastroesophageal Junction Diffuse Adenocarcinoma of the Stomach Intestinal Adenocarcinoma of the Stomach Mixed Adenocarcinoma of the Stomach Recurrent Gastric Cancer Stage IA Gastric Cancer Stage IB Gastric Cancer Stage IIA Gastric Cancer Stage IIB Gastric Cancer Stage IIIA Gastric Cancer Stage IIIB Gastric Cancer Stage IIIC Gastric Cancer Stage IV Gastric 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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Diagnostic (copper Cu 64-DOTA-trastuzumab PET scan)

Patients receive copper Cu 64-DOTA-trastuzumab IV on day 1 and then undergo PET/CT scan on days 2 or 3.

Group Type EXPERIMENTAL

copper Cu 64-DOTA-trastuzumab

Intervention Type RADIATION

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

positron emission tomography

Intervention Type DEVICE

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

Computed Tomography

Intervention Type PROCEDURE

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

Interventions

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copper Cu 64-DOTA-trastuzumab

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

Intervention Type RADIATION

positron emission tomography

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

Intervention Type DEVICE

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

Computed Tomography

Undergo Copper Cu 64-DOTA-trastuzumab PET/CT scan

Intervention Type PROCEDURE

Other Intervention Names

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64Cu-DOTA-trastuzumab FDG-PET PET PET scan tomography, emission computed CAT CAT Scan Computerized Axial Tomography Computerized Tomography CT CT Scan tomography

Eligibility Criteria

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Inclusion Criteria

* Patient must have a histologic diagnosis of gastric or gastroesophageal junction adenocarcinoma
* Two patients must be HER2 3+ by immunohistochemistry (IHC) or fluorescence in situ hybridization (FISH) positive
* Either the primary tumor or at least one of the metastatic lesions must be \>= 2 cm
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* Life expectancy of \>= 3 months
* Women of childbearing potential must have a negative serum pregnancy test within 14 days of copper Cu 64-DOTA administrations and must have agreed to use an effective contraceptive method; women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control or abstinence) prior to study entry and for four months following duration of study participation; should a woman become pregnant or suspect that she is pregnant while participating on the trial, she should inform her treating physician immediately
* CT/magnetic resonance imaging (MRI) scan must be obtained within 4 weeks prior to study entry
* Patients must have normal cardiac ejection fraction
* All subjects must have the ability to understand and the willingness to sign a written informed consent
* All toxicities should recover to grade 0 or 1 prior to day 1

Exclusion Criteria

* Impaired cardiac function including any one of the following: complete left bundle branch block or use of a permanent cardiac pacemaker, congenital long QT syndrome, presence of ventricular tachyarrhythmias, clinically significant resting bradycardia (\< 50 beats per minute), QT interval corrected by Fridericia's formula (QTcF) \> 450 msec on screening electrocardiogram (ECG), or right bundle branch block + left anterior hemiblock (bifascicular block)
* Presence of atrial fibrillation
* Previous history of angina pectoris or acute myocardial infarction (MI) within 6 months
* Congestive heart failure (New York Heart Association functional classification III-IV)
* Uncontrolled hypertension (mmHg \> 160 systolic or \> 90 diastolic)
* Patients should not have active infections or concurrent neoplastic disease except for skin cancer
* Patients may not be receiving any other investigational agents
* At the time of enrollment, patients may not have received any biological, chemotherapy, or radiation therapy
* Patients who may not have received trastuzumab within the prior 6 months for any other reason
* Patients who are pregnant
* Subjects, who in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

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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Yanghee Woo, MD

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

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-2013-01721

Identifier Type: REGISTRY

Identifier Source: secondary_id

13229

Identifier Type: OTHER

Identifier Source: secondary_id

13229

Identifier Type: -

Identifier Source: org_study_id

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