Detection and Outcomes in Metastatic Invasive Lobular Breast Cancer Through Novel F-18 FAP PET

NCT ID: NCT07285993

Last Updated: 2025-12-16

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

PHASE2

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-30

Study Completion Date

2027-12-30

Brief Summary

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This study is a pilot clinical imaging trial of a prospective, head-to-head comparison of 18F-Fibroblast Activation Protein Inhibitor (FAPI)-74 PET/CT versus standard-of-care 18F-Fluorodeoxyglucose (FDG) PET/CT in 15 patients with metastatic invasive lobular breast cancer (ILC). Patients will undergo both 18F-FDG PET/CT and 18F-FAPI-74 PET/CT within a 2-week period (14 days + 7 days) to compare lesions, tumor detection rates, and PET lesion intensity, as well as to assess the clinical value of the PET scans from the treating physician's and the patient's perspective.

Detailed Description

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Conditions

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Breast Cancer Metastatic Invasive Lobular Breast 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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18F-FAPI-74 PET/CT and 18F-FDG PET/CT

Study participants will undergo both standard-of-care whole body 18F-FDG PET/CT scan and investigational whole-body scan 18F-FAPI-74 PET/CT.

Group Type EXPERIMENTAL

18F-FAPI-74

Intervention Type DRUG

FAPI scans will be performed as hybrid PET/CT examinations for attenuation correction and lesion localization. Each patient will be injected intravenously with 7 mCi +/- 2 mCi of 18F-FAPI-74 followed by a 20-minute (+/-10 min) uptake period.

18F-FDG

Intervention Type DRUG

FDG PET/CT will be performed per standard-of-care protocol at Mount Sinai Hospital. Patients will fast for at least 6 hours before FDG administration and plasma glucose levels will be checked to ensure \< 200 mg/dL. Each patient will be injected intravenously with 15 mCi +/- 20% of 18F-FDG.

PET/CT

Intervention Type PROCEDURE

FAPI PET/CT images will be acquired from the top of skull to mid-thigh. FDG PET/CT images will be acquired from the skull base to mid-thigh after a 60-min uptake period. Outside FDG PET/CT performed at another institutional can be accepted, if image quality and acquisition is comparable to standard-of-care protocol at Mount Sinai Hospital.

Interventions

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18F-FAPI-74

FAPI scans will be performed as hybrid PET/CT examinations for attenuation correction and lesion localization. Each patient will be injected intravenously with 7 mCi +/- 2 mCi of 18F-FAPI-74 followed by a 20-minute (+/-10 min) uptake period.

Intervention Type DRUG

18F-FDG

FDG PET/CT will be performed per standard-of-care protocol at Mount Sinai Hospital. Patients will fast for at least 6 hours before FDG administration and plasma glucose levels will be checked to ensure \< 200 mg/dL. Each patient will be injected intravenously with 15 mCi +/- 20% of 18F-FDG.

Intervention Type DRUG

PET/CT

FAPI PET/CT images will be acquired from the top of skull to mid-thigh. FDG PET/CT images will be acquired from the skull base to mid-thigh after a 60-min uptake period. Outside FDG PET/CT performed at another institutional can be accepted, if image quality and acquisition is comparable to standard-of-care protocol at Mount Sinai Hospital.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Provision of signed and dated informed consent form
* Stated willingness to comply with all study procedures and lifestyle considerations and availability for the duration of the study
* Females; Age \> 18 years of age
* Diagnosis of invasive lobular breast cancer, with pathologically confirmed metastatic disease.
* ECOG performance status 0-2
* No planned change in anticancer therapy between FDG and FAPI PET scans

Exclusion Criteria

* Patients who are pregnant or lactating
* Patients who cannot undergo PET/CT scanning
* Patients with total serum bilirubin or serum creatinine \> 1.5 times the upper limit of normal
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Society of Nuclear Medicine and Molecular Imaging

UNKNOWN

Sponsor Role collaborator

Randy Yeh

OTHER

Sponsor Role lead

Responsible Party

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Randy Yeh

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Randy Yeh, MD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Countries

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United States

Central Contacts

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Ilda Bander

Role: CONTACT

(212) 241-0763

Rashmi Unawane

Role: CONTACT

(212) 824-2385

References

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Choi ES, Oh AY, In CB, Ryu JH, Jeon YT, Kim HG. Effects of recruitment manoeuvre on perioperative pulmonary complications in patients undergoing robotic assisted radical prostatectomy: A randomised single-blinded trial. PLoS One. 2017 Sep 6;12(9):e0183311. doi: 10.1371/journal.pone.0183311. eCollection 2017.

Reference Type BACKGROUND
PMID: 28877238 (View on PubMed)

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.

Reference Type BACKGROUND
PMID: 31912902 (View on PubMed)

Fischer S, Dethlefsen S, Klockgether J, Tummler B. Phenotypic and Genomic Comparison of the Two Most Common ExoU-Positive Pseudomonas aeruginosa Clones, PA14 and ST235. mSystems. 2020 Dec 8;5(6):e01007-20. doi: 10.1128/mSystems.01007-20.

Reference Type BACKGROUND
PMID: 33293405 (View on PubMed)

Davis AA, Gerratana L, Clifton K, Medford AJ, Velimirovic M, Hensing WL, Bucheit L, Shah AN, D'Amico P, Reduzzi C, Zhang Q, Dai CS, Denault EN, Bagegni NA, Opyrchal M, Ademuyiwa FO, Bose R, Gradishar WJ, Behdad A, Ma CX, Bardia A, Cristofanilli M. Circulating tumour DNA characterisation of invasive lobular carcinoma in patients with metastatic breast cancer. EBioMedicine. 2022 Dec;86:104316. doi: 10.1016/j.ebiom.2022.104316. Epub 2022 Nov 1.

Reference Type BACKGROUND
PMID: 36332363 (View on PubMed)

Dumans-Nizard V, Le Guen M, Sage E, Chazot T, Fischler M, Liu N. Thoracic Epidural Analgesia With Levobupivacaine Reduces Remifentanil and Propofol Consumption Evaluated by Closed-Loop Titration Guided by the Bispectral Index: A Double-Blind Placebo-Controlled Study. Anesth Analg. 2017 Aug;125(2):635-642. doi: 10.1213/ANE.0000000000001996.

Reference Type BACKGROUND
PMID: 28537969 (View on PubMed)

Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010 Apr;79(4):252-67. doi: 10.1016/j.ijmedinf.2009.12.005. Epub 2010 Jan 15.

Reference Type BACKGROUND
PMID: 20079686 (View on PubMed)

Niikura N, Costelloe CM, Madewell JE, Hayashi N, Yu TK, Liu J, Palla SL, Tokuda Y, Theriault RL, Hortobagyi GN, Ueno NT. FDG-PET/CT compared with conventional imaging in the detection of distant metastases of primary breast cancer. Oncologist. 2011;16(8):1111-9. doi: 10.1634/theoncologist.2011-0089. Epub 2011 Jul 17.

Reference Type BACKGROUND
PMID: 21765193 (View on PubMed)

Dashevsky BZ, Goldman DA, Parsons M, Gonen M, Corben AD, Jochelson MS, Hudis CA, Morrow M, Ulaner GA. Appearance of untreated bone metastases from breast cancer on FDG PET/CT: importance of histologic subtype. Eur J Nucl Med Mol Imaging. 2015 Oct;42(11):1666-1673. doi: 10.1007/s00259-015-3080-z. Epub 2015 May 14.

Reference Type BACKGROUND
PMID: 25971426 (View on PubMed)

Hogan MP, Goldman DA, Dashevsky B, Riedl CC, Gonen M, Osborne JR, Jochelson M, Hudis C, Morrow M, Ulaner GA. Comparison of 18F-FDG PET/CT for Systemic Staging of Newly Diagnosed Invasive Lobular Carcinoma Versus Invasive Ductal Carcinoma. J Nucl Med. 2015 Nov;56(11):1674-80. doi: 10.2967/jnumed.115.161455. Epub 2015 Aug 20.

Reference Type BACKGROUND
PMID: 26294295 (View on PubMed)

Broudic M, Bodet LM, Dumont R, Joram N, Jacqmarcq O, Caillon J, Flamant C, Thomas C, Tallet A, Piloquet H, Lepelletier D, Gras-Le Guen C, Launay E. A 1-year survey of catheter-related infections in a pediatric university hospital: A prospective study. Arch Pediatr. 2020 Feb;27(2):79-86. doi: 10.1016/j.arcped.2019.11.004. Epub 2019 Nov 29.

Reference Type BACKGROUND
PMID: 31791827 (View on PubMed)

Ciriello G, Gatza ML, Beck AH, Wilkerson MD, Rhie SK, Pastore A, Zhang H, McLellan M, Yau C, Kandoth C, Bowlby R, Shen H, Hayat S, Fieldhouse R, Lester SC, Tse GM, Factor RE, Collins LC, Allison KH, Chen YY, Jensen K, Johnson NB, Oesterreich S, Mills GB, Cherniack AD, Robertson G, Benz C, Sander C, Laird PW, Hoadley KA, King TA; TCGA Research Network; Perou CM. Comprehensive Molecular Portraits of Invasive Lobular Breast Cancer. Cell. 2015 Oct 8;163(2):506-19. doi: 10.1016/j.cell.2015.09.033.

Reference Type BACKGROUND
PMID: 26451490 (View on PubMed)

Singh M, Jonnalagadda S. Design and characterization of 3D printed, neomycin-eluting poly-L-lactide mats for wound-healing applications. J Mater Sci Mater Med. 2021 Apr 8;32(4):44. doi: 10.1007/s10856-021-06509-7.

Reference Type BACKGROUND
PMID: 33830338 (View on PubMed)

Garin-Chesa P, Old LJ, Rettig WJ. Cell surface glycoprotein of reactive stromal fibroblasts as a potential antibody target in human epithelial cancers. Proc Natl Acad Sci U S A. 1990 Sep;87(18):7235-9. doi: 10.1073/pnas.87.18.7235.

Reference Type BACKGROUND
PMID: 2402505 (View on PubMed)

Dwyer TJ, Daviskas E, Zainuldin R, Verschuer J, Eberl S, Bye PTP, Alison JA. Effects of exercise and airway clearance (positive expiratory pressure) on mucus clearance in cystic fibrosis: a randomised crossover trial. Eur Respir J. 2019 Apr 18;53(4):1801793. doi: 10.1183/13993003.01793-2018. Print 2019 Apr.

Reference Type BACKGROUND
PMID: 30846472 (View on PubMed)

Marchete R, Oliveira S, Bagne L, Silva JIS, Valverde AP, Aro AA, Figueira MM, Fronza M, Bressam TM, Goes VFF, Gaspari de Gaspi FO, Dos Santos GMT, Andrade TAM. Anti-inflammatory and antioxidant properties of Alternanthera brasiliana improve cutaneous wound healing in rats. Inflammopharmacology. 2021 Oct;29(5):1443-1458. doi: 10.1007/s10787-021-00862-3. Epub 2021 Sep 21.

Reference Type BACKGROUND
PMID: 34546478 (View on PubMed)

Pase MP, Himali JJ, Mitchell GF, Beiser A, Maillard P, Tsao C, Larson MG, DeCarli C, Vasan RS, Seshadri S. Association of Aortic Stiffness With Cognition and Brain Aging in Young and Middle-Aged Adults: The Framingham Third Generation Cohort Study. Hypertension. 2016 Mar;67(3):513-9. doi: 10.1161/HYPERTENSIONAHA.115.06610. Epub 2016 Jan 11.

Reference Type BACKGROUND
PMID: 26754644 (View on PubMed)

Peavy GM, Edland SD, Toole BM, Hansen LA, Galasko DR, Mayo AM. Phenotypic differences based on staging of Alzheimer's neuropathology in autopsy-confirmed dementia with Lewy bodies. Parkinsonism Relat Disord. 2016 Oct;31:72-78. doi: 10.1016/j.parkreldis.2016.07.008. Epub 2016 Jul 21.

Reference Type BACKGROUND
PMID: 27475955 (View on PubMed)

Ashworth I, Thielemans L, Chevassut T. Thrombocytopenia: the good, the bad and the ugly. Clin Med (Lond). 2022 May;22(3):214-217. doi: 10.7861/clinmed.2022-0146.

Reference Type BACKGROUND
PMID: 35584828 (View on PubMed)

Yokohama T, Iwasaki M, Oura D, Furuya S, Niiya Y. Increased muscle fiber fractional anisotropy value using diffusion tensor imaging after compression without fiber injury. Acta Radiol. 2023 Jan;64(1):139-146. doi: 10.1177/02841851211058282. Epub 2021 Dec 2.

Reference Type BACKGROUND
PMID: 34854736 (View on PubMed)

Bremner P, Giuliani M. Impact of resolution, colour, and motion on object identification in digital twins from robot sensor data. Front Robot AI. 2022 Oct 28;9:995342. doi: 10.3389/frobt.2022.995342. eCollection 2022.

Reference Type BACKGROUND
PMID: 36388249 (View on PubMed)

[Vasilii Mikhailovich Banshchikov (on his 80th birthday)]. Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(5):780-1. No abstract available. Russian.

Reference Type BACKGROUND
PMID: 352072 (View on PubMed)

Ishii H, Mukae H, Kadota J, Kaida H, Nagata T, Abe K, Matsukura S, Kohno S. High serum concentrations of surfactant protein A in usual interstitial pneumonia compared with non-specific interstitial pneumonia. Thorax. 2003 Jan;58(1):52-7. doi: 10.1136/thorax.58.1.52.

Reference Type BACKGROUND
PMID: 12511721 (View on PubMed)

LHutcheson JA, A Camden, D Charlevoix, T Cushing, M Jochelson, M Kruse, T Langdon, J Levin, C McKay, O Metzger, M Mitchell-Daniels, J Mouabbi, and B Neilsen. . Lobular Breast Cancer Alliance Inc. Survery of Individuals with Metastatatic Invasive Lobular Carcinoma [Poster]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium.

Reference Type BACKGROUND

Backhaus P, Gierse F, Burg MC, Buther F, Asmus I, Dorten P, Cufe J, Roll W, Neri D, Cazzamalli S, Millul J, Mock J, Galbiati A, Zana A, Schafers KP, Hermann S, Weckesser M, Tio J, Wagner S, Breyholz HJ, Schafers M. Translational imaging of the fibroblast activation protein (FAP) using the new ligand [68Ga]Ga-OncoFAP-DOTAGA. Eur J Nucl Med Mol Imaging. 2022 May;49(6):1822-1832. doi: 10.1007/s00259-021-05653-0. Epub 2021 Dec 27.

Reference Type BACKGROUND
PMID: 34957527 (View on PubMed)

Guyatt GH, Tugwell PX, Feeny DH, Drummond MF, Haynes RB. The role of before-after studies of therapeutic impact in the evaluation of diagnostic technologies. J Chronic Dis. 1986;39(4):295-304. doi: 10.1016/0021-9681(86)90051-2.

Reference Type BACKGROUND
PMID: 3958116 (View on PubMed)

Other Identifiers

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PRMC-25-041

Identifier Type: OTHER

Identifier Source: secondary_id

STUDY-25-00364

Identifier Type: -

Identifier Source: org_study_id