Trial Outcomes & Findings for 64Cu DOTA-Trastuzumab PET/CT in Studying Patients With Gastric Cancer (NCT NCT01939275)

NCT ID: NCT01939275

Last Updated: 2025-02-28

Results Overview

The reading of the 64CuDOTA-trastuzumab-PET imaging of the study subjects were performed by two radiologists, one who read the first scan and the second nuclear radiologist read the remaining seven scans. To eliminate potential bias, the second nuclear radiologist was blinded to the HER2 status of the tumors as well as the location of the tumor until radiolabeled uptake was measured. XD (version 3.6; Miranda Medical) was used for image analysis.Tumor visualized as "hot" relative to adjacent tissue reported per radiologist as negative, positive, equivocal or unknown.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

Up to 1 year

Results posted on

2025-02-28

Participant Flow

Participant milestones

Participant milestones
Measure
Diagnostic (Copper Cu 64-DOTA-trastuzumab PET Scan)
Patients will receive 45 mg trastuzumab over 15 minutes prior to the administration of 64Cu -DOTA-trastuzumab, which includes 5 mg of trastuzumab. Imaging will be performed on a GE Discovery 16 Ste PET-CT scanner (axial field of view 15.4 cm). PET-CT images will be performed in 3D mode (septa retracted) and corrected for tissue attenuation based on co-registered CT acquired during the same examination. PET-CT images will be reconstructed with spatial resolution of approximately 9 mm full-width-at-half maximum using an iterative algorithm. Patients will be injected via a peripheral vein with 15 mCi of 64Cu-DOTA-trastuzumab. PET-CT scanning of 64Cu will be performed between 24 and 48 hours post injection. At 24 hours, the concentration of 64Cu-DOTA-trastuzumab will allow for whole body PET-CT imaging within the same amount of time required to image the abdomen and pelvis at 48 hours due to the half life of the radiotracer. PET-CT images will be compared to standard MRI or CT scans.
Overall Study
STARTED
8
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Diagnostic (Copper Cu 64-DOTA-trastuzumab PET Scan)
n=8 Participants
Patients will receive 45 mg trastuzumab over 15 minutes prior to the administration of 64Cu -DOTA-trastuzumab, which includes 5 mg of trastuzumab. Imaging will be performed on a GE Discovery 16 Ste PET-CT scanner (axial field of view 15.4 cm). PET-CT images will be performed in 3D mode (septa retracted) and corrected for tissue attenuation based on co-registered CT acquired during the same examination. PET-CT images will be reconstructed with spatial resolution of approximately 9 mm full-width-at-half maximum using an iterative algorithm. Patients will be injected via a peripheral vein with 15 mCi of 64Cu-DOTA-trastuzumab. PET-CT scanning of 64Cu will be performed between 24 and 48 hours post injection. At 24 hours, the concentration of 64Cu-DOTA-trastuzumab will allow for whole body PET-CT imaging within the same amount of time required to image the abdomen and pelvis at 48 hours due to the half life of the radiotracer. PET-CT images will be compared to standard MRI or CT scans.
Age, Continuous
64 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
2 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 1 year

The reading of the 64CuDOTA-trastuzumab-PET imaging of the study subjects were performed by two radiologists, one who read the first scan and the second nuclear radiologist read the remaining seven scans. To eliminate potential bias, the second nuclear radiologist was blinded to the HER2 status of the tumors as well as the location of the tumor until radiolabeled uptake was measured. XD (version 3.6; Miranda Medical) was used for image analysis.Tumor visualized as "hot" relative to adjacent tissue reported per radiologist as negative, positive, equivocal or unknown.

Outcome measures

Outcome measures
Measure
Diagnostic (Copper Cu 64-DOTA-trastuzumab PET Scan)
n=8 Participants
Patients will receive 45 mg trastuzumab over 15 minutes prior to the administration of 64Cu -DOTA-trastuzumab, which includes 5 mg of trastuzumab. Imaging will be performed on a GE Discovery 16 Ste PET-CT scanner (axial field of view 15.4 cm). PET-CT images will be performed in 3D mode (septa retracted) and corrected for tissue attenuation based on co-registered CT acquired during the same examination. PET-CT images will be reconstructed with spatial resolution of approximately 9 mm full-width-at-half maximum using an iterative algorithm. Patients will be injected via a peripheral vein with 15 mCi of 64Cu-DOTA-trastuzumab. PET-CT scanning of 64Cu will be performed between 24 and 48 hours post injection. At 24 hours, the concentration of 64Cu-DOTA-trastuzumab will allow for whole body PET-CT imaging within the same amount of time required to image the abdomen and pelvis at 48 hours due to the half life of the radiotracer. PET-CT images will be compared to standard MRI or CT scans.
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER2 Negative, Tumor Visual Negative
5 participants
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER 2 Positive, Tumor Visual Negative
1 participants
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER 2 Equivocal, Tumor Visual Negative
2 participants
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER2 Negative, Tumor Visual Positive
0 participants
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER 2 Positive, Tumor Visual Positive
0 participants
Number of HER2 Negative, Positive, or Equivocal Participants With Either Negative or Positive Tumor Readings
HER 2 Equivocal, Tumor Visual Positive
0 participants

Adverse Events

Diagnostic (Copper Cu 64-DOTA-trastuzumab PET Scan)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Diagnostic (Copper Cu 64-DOTA-trastuzumab PET Scan)
n=8 participants at risk
Patients will receive 45 mg trastuzumab over 15 minutes prior to the administration of 64Cu -DOTA-trastuzumab, which includes 5 mg of trastuzumab. Imaging will be performed on a GE Discovery 16 Ste PET-CT scanner (axial field of view 15.4 cm). PET-CT images will be performed in 3D mode (septa retracted) and corrected for tissue attenuation based on co-registered CT acquired during the same examination. PET-CT images will be reconstructed with spatial resolution of approximately 9 mm full-width-at-half maximum using an iterative algorithm. Patients will be injected via a peripheral vein with 15 mCi of 64Cu-DOTA-trastuzumab. PET-CT scanning of 64Cu will be performed between 24 and 48 hours post injection. At 24 hours, the concentration of 64Cu-DOTA-trastuzumab will allow for whole body PET-CT imaging within the same amount of time required to image the abdomen and pelvis at 48 hours due to the half life of the radiotracer. PET-CT images will be compared to standard MRI or CT scans.
Blood and lymphatic system disorders
Anemia
37.5%
3/8 • Number of events 3 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Sinus tachycardia
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Abdominal distension
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Abdominal pain
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Diarrhea
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Chills
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Edema limbs
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Fatigue
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Injury, poisoning and procedural complications
Bruising
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Alanine aminotransferase increased
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Aspartate aminotransferase increased
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Blood bilirubin increased
25.0%
2/8 • Number of events 2 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Platelet count decreased
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Weight loss
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Acidosis
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Anorexia
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypercalcemia
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypoalbuminemia
37.5%
3/8 • Number of events 3 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypocalcemia
25.0%
2/8 • Number of events 2 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypokalemia
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyponatremia
37.5%
3/8 • Number of events 3 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypophosphatemia
37.5%
3/8 • Number of events 3 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Headache
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Somnolence
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Sore throat
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Tachypnea
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Vascular disorders
Hypertension
12.5%
1/8 • Number of events 1 • Adverse events were collected over a period of 2 years and 4 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.

Additional Information

Paul Frankel, Ph.D.

City of Hope

Phone: 626-812-5265

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place