Clinical Trial · NCT01420146

Pilot Imaging Study With 89Zr-Trastuzumab in HER2-positive Metastatic Breast Cancer Patients

Overview

Evaluation of the diagnostic potential of HER2 imaging using zirconium 89 labelled trastuzumab.

Sponsor

Jules Bordet Institute

Phase

Phase 1

Contacts

Patrick Flamen, MD, PhD (PRINCIPAL_INVESTIGATOR)

ClinicalTrials.gov

NCT01420146

Drug / Compound

trastuzumab

Isotope(s):
Target(s):
  • HER2
Ligand Class: Antibodies
Chelator: DFO

Eligibility

Inclusion

  • Brain metastases are allowed provided they are controlled and they are not the sole site of metastatic disease.
  • Agreement from the patient to participate in this imaging study and if indicated agreement to biopsy one or two accessible lesions.
  • Patient planned to have metastatic site biopsy for HER2 status control.
  • Patients with FDG-PET positive metastatic lesions.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 to 1
  • For women of childbearing potential a pregnancy test will be done and an agreement to use a highly-effective non hormonal form of contraception.
  • All patients selected for this imaging study are patients scheduled to start trastuzumab-based therapy for advanced HER2 positive breast cancer (This includes trastuzumab alone, trastuzumab + chemotherapy, trastuzumab + endocrine therapy).
  • Histologically confirmed HER 2 positive (defined as FISH amplification ratio more than 2.2) invasive carcinoma of the breast (primary tumor at diagnosis) with locally recurrent or metastatic disease.

Exclusion

  • Patients who received lapatinib within the 7 days prior to HER immunoPET/CT.
  • Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol
  • Known severe hypersensitivity to trastuzumab
  • Patients with bone only metastases are not eligible
  • Current known infection with HIV, HBV, or HCV
  • Current severe, uncontrolled systemic disease (e.g., clinically significant cardiovascular, pulmonary, or metabolic disease)
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant or lactating women