16α-18F-fluor-17β-estradiol PET/CT for Visualisation of Estrogen Receptor Positive Liver Metastases From Breast Cancer

NCT ID: NCT04150731

Last Updated: 2023-12-04

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

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-23

Study Completion Date

2023-06-28

Brief Summary

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Breast cancer (BC) is the most common cancer diagnosis among women and the incidence is increasing. Prognosis and treatment are dependent on the expression of estrogen receptors (ER) in the tumor. ER status is determined by immunohistochemistry (IHC) on biopsy tissue. The ER expression can change over time and be heterogeneous.

The IHC score on ER expression is subjective and can lead to intra and inter observer variability. A new computer image analysis software that can give the exact percentage of colored tumor cells on sectional tumor cuts has been developed.

It is also possible to quantify the ER expression non invasive by using the tracer 16α-18F-flour-17β-estradiol (FES) and in vivo positron emission tomography (PET) scans. FES-PET/CT has a high background activity in the liver which complicates the visualization of liver metastases. Theoretically, a new whole body parametric scan method makes it possible to distinguish background activity from uptake in liver metastases.

Malignant tumors often have an increased perfusion, and previous studies have found that tumors with low metabolism relative to blood flow have the longest disease free survival (DFS). To the best of our knowledge, no previous studies have examined the correlation between ER expression and blood flow.

Detailed Description

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Conditions

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Breast Cancer

Keywords

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Breast cancer Liver metastases FES-PET/CT Dynamic scan

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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Breast cancer and FES

Only one arm: All included are patients with disseminated breast cancer and all have an experimental FES-PET/CT done

Group Type EXPERIMENTAL

16α-18F-fluor-17β-estradiol

Intervention Type RADIATION

16α-18F-fluor-17β-estradiol PET/CT scan

Interventions

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16α-18F-fluor-17β-estradiol

16α-18F-fluor-17β-estradiol PET/CT scan

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Patients with known disseminated breast cancer
* Metastatic ER+ HER2- breast cancer with metastases in the liver, at least two separate liver foci visualised on CT
* Diagnostic CT scan done in connection with clinical control
* Treatment with aromatase inhibitors, and potential additional treatment
* Postmenopausal

Exclusion Criteria

* Treatment with Tamoxifen or Fulvestrant completed within 5 weeks prior to FES-PET/CT
* ER- metastases
* Life expectancy under three months
* Claustrophobia
* Any pain which makes it impossible to lie in the scanner for 90 minutes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GCP-unit at Aarhus University Hospital, Aarhus, Denmark

OTHER

Sponsor Role collaborator

REDCap

UNKNOWN

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mette A Pedersen, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Nuclear Medicine & PET-centre. Aarhus University Hospital, Denmark

Locations

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Department of Nuclear Medicine & PET Centre, Aarhus University Hospital

Aarhus N, , Denmark

Site Status

Countries

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Denmark

References

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Pedersen MA, Munk OL, Dias AH, Steffensen JH, Moller AL, Johnsson AL, Hansen KV, Bender D, Jakobsen S, Busk M, Gormsen LC, Tramm T, Borgquist S, Vendelbo MH. Dynamic whole-body [18F]FES PET/CT increases lesion visibility in patients with metastatic breast cancer. EJNMMI Res. 2024 Mar 4;14(1):24. doi: 10.1186/s13550-024-01080-y.

Reference Type DERIVED
PMID: 38436824 (View on PubMed)

Other Identifiers

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2020FES

Identifier Type: -

Identifier Source: org_study_id