Safety and Efficacy of Ga68-IAC PET/CT for Diagnosis and Clinical Management in Metastatic Breast Cancer Patients

NCT ID: NCT04480619

Last Updated: 2025-07-16

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

NOT_YET_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-30

Study Completion Date

2027-08-30

Brief Summary

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This is a phase I/IIa, open label, multicenter interventional study of Gallium-68 radiolabeled Integrin Adhesion Complex antagonist conjugate (Ga-68-IAC) Positron Emission Tomography (PET/CT) imaging, intended for diagnosis, and clinical management of patients with Metastatic breast cancer.

Detailed Description

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This is a prospective non blinded trial, Phase I/IIa, multicenter, study in a total of up to 25 subjects with angiogenic therapy indication for breast cancer. All patients with confirmed diagnoses will undergo \[18F\]Fluoro-deoxyglucose (18F-FDG) PET/CT (6-12 mCi) and Ga-68-IAC PET/CT 2-5 mCi to evaluate safety, biodistribution, and response to treatment in metastatic breast cancer patients.

Conditions

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Angiogenic Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Ga-68-AC PET/CT
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Ga-68-IAC PET/CT

Companion Ga-68 PET diagnostic for tumor targeted therapy

Group Type EXPERIMENTAL

Ga-68-IAC

Intervention Type DIAGNOSTIC_TEST

Clinical management and diagnosis of Metastatic Breast Cancer.

Interventions

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Ga-68-IAC

Clinical management and diagnosis of Metastatic Breast Cancer.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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Ga-68-IAC PET/CT

Eligibility Criteria

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Inclusion Criteria

* Patients with solid tumors (either 3+ by immunohistochemistry or with evidence of gene amplification (\>2.0) by fluorescence in situ hybridization (FISH))

* At least 18 years of age
* Able to provide informed consent.

Karnofsky score greater than 50

* Females of childbearing potential must have a negative pregnancy test at screening/baseline
* AIP-301 Ga-68 positive scan define by SUV greater than 10.
* Adequate organ function, defined as:

1. Absolute neutrophil count (ANC) ≥ 1.5 x 109/L.
2. Hemoglobin (Hb) ≥9 g/dl (transfusion or use of EPO is permitted).
3. Platelets \> 100,000/mm3
4. Creatinine ≤ 1.5 x normal value based on the Cock Gault (CG) equation.
5. AST or ALT ≤ 2.5 x ULN (or ≤5 x ULN in case of liver metastasis)
6. Alkaline phosphatase ≤2.5 x ULN. Alkaline phosphatase may be more than 2.5 x ULN only in the case of bone metastases, and AST and ALT less than 1.5 x ULN.
7. Total bilirubin ≤1.5 mg/dl (higher bilirubin levels are permitted if the patient has Gilbert's syndrome).

Baseline LVEF ≥50% measured using echocardiogram or equilibrium

isotopic ventriculography (MUGA).

Exclusion Criteria

* • Serum creatinine \>3.0 mg/dL (270 μM/L)

* Hepatic enzyme levels more than 5 times upper limit of normal.
* Known severe allergy or hypersensitivity to IV radiographic contrast.
* Use of any other investigational product or device within 30 days prior to dosing or known requirement for any other investigational agent prior to completion of all scheduled study assessments.
* Patients with a body weight of 400 pounds or more or not able to enter the bore of the PET/CT scanner due to BMI, because of the compromise in image quality with CT, PET/CT and MRI that will result.
* Inability to lie still for the entire imaging time (e.g. cough, severe arthritis, etc.).
* Inability to complete the needed investigational and standard-of-care imaging examinations due to other reasons (severe claustrophobia, radiation phobia, etc.)
* Recognized concurrent active infection (e.g., HIV)
* Previous Grade 3 or higher allergic reaction to Trastuzumab that resulted in discontinuation of Trastuzumab therapy. Any additional medical condition, serious intercurrent illness, or other extenuating circumstance that, in the opinion of the Investigator, may significantly interfere with study compliance.

* Adult patients who require monitored anesthesia for PET scanning
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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All India Institute of Medical Sciences

OTHER

Sponsor Role collaborator

Post Graduate Institute of Medical Education and Research, Chandigarh

OTHER

Sponsor Role collaborator

University of Witwatersrand, South Africa

OTHER

Sponsor Role collaborator

US Department of Veterans Affairs

FED

Sponsor Role collaborator

Advanced Imaging Projects, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Postgraduate Institute of Medical and Research

Chandigarh, , India

Site Status

All India Institute of Medical Sciences

New Delhi, , India

Site Status

University of Witwatersrand

Johannesburg, , South Africa

Site Status

Countries

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India South Africa

Central Contacts

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Stanley Satz, Ph.D.

Role: CONTACT

561-561 286-6842

Rose Satz

Role: CONTACT

5617578666

Facility Contacts

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B.R. Mittal, M.D./Ph.D.

Role: primary

C.S. Ball

Role: primary

01126546477

Mboyo Vangu, M.D./Ph.D.

Role: primary

0832670004

References

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Baum RP, Kulkarni HR, Muller D, Satz S, Danthi N, Kim YS, Brechbiel MW. First-In-Human Study Demonstrating Tumor-Angiogenesis by PET/CT Imaging with (68)Ga-NODAGA-THERANOST, a High-Affinity Peptidomimetic for alphavbeta3 Integrin Receptor Targeting. Cancer Biother Radiopharm. 2015 May;30(4):152-9. doi: 10.1089/cbr.2014.1747.

Reference Type RESULT
PMID: 25945808 (View on PubMed)

Kim YS, Nwe K, Milenic DE, Brechbiel MW, Satz S, Baidoo KE. Synthesis and characterization of alphavbeta(3)-targeting peptidomimetic chelate conjugates for PET and SPECT imaging. Bioorg Med Chem Lett. 2012 Sep 1;22(17):5517-22. doi: 10.1016/j.bmcl.2012.07.024. Epub 2012 Jul 14.

Reference Type RESULT
PMID: 22853992 (View on PubMed)

Other Identifiers

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145314

Identifier Type: -

Identifier Source: org_study_id

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