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Research for the Molecular Imaging of the HER2 Targeting Tracer

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ClinicalTrials.gov Identifier: NCT04547309
Recruitment Status : Recruiting
First Posted : September 14, 2020
Last Update Posted : September 14, 2020
Sponsor:
Information provided by (Responsible Party):
Hua Zhu, Beijing Cancer Hospital

Study Description
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Brief Summary:
To use the molecular PET radionuclide (Ga-68 or F-18) labelled HER2 Affibody to detect the expression of HER2 in the primary and metastatic lesions in patients with HER2 positive or suspicious positive tumors; to detect the expression heterogeneity of HER2 in the lesions and inter-lesions; to observe the change of HER2 expression in the course of treatment. To provide an approach for screening patients high expression of HER2, efficacy monitoring, drug resistance and early warning of recurrence and metastasis to achieve the individualized antitumor treatment of targeted drugs.

Condition or disease Intervention/treatment Phase
HER2 Positive or Suspicious Positive Tumors Radiation: 68Ga/18F-HER2 Affibody PET/CT scan Not Applicable

Detailed Description:

HER2 is an important biomarker and directly influences the treatment effect. The guidelines indicate that only HER2-positive patients are eligible for trastuzumab therapy.HER2 positivity is defined as a HER2 score of 3+ by IHC or FISH. However, gastroscopic biopsies are spatiotemporally limited because of the highly heterogeneous expression of HER2. And this procedure is invasive and may substantially increase the incidence of side effects. Additionally, patients with false-negative HER2 results miss the chance for targeted therapy. Moreover, HER2 status can change during the disease process.Thus, a noninvasive, whole-body, HER2-targeted imaging method may be valuable for choosing patients suitable for anti-HER2 therapy and monitoring the therapeutic efficacy. Direct labeling of HER2 antibodies with radionuclides allows clinicians to monitor HER2-targeted therapy and assists in patient staging. With the feasibility of a long half-life and decay time, positron emission tomography (PET) nuclides, such as 64Cu (T1/2= 12.7 h) and 89Zr (T1/2= 78.4 h), can label trastuzumab for the clinical PET imaging of HER2 in GC and breast cancer. Because of the long half-life of 89Zr, 89Zr-trastuzumab is estimated to produce a dosimetry exposure of 0.5 mSv/MBq (compared with the 0.019 mSv/MBq of 18FDG) in patients. Additionally, imaging needs to be performed several days after injection due to the slow blood clearance of antibodies.

In this study, 68Ga-HER2 Affibody or 18F-HER2 Affibody PET/CT imaging will be performed in patients with HER2-positive tumors to access the potential of 68Ga-HER2 Affibody or 18F-HER2 Affibody PET/CT to screen patients who can benefit from HER2 target treatment.

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Research for the Molecular Imaging of the HER2 Targeting Tracer
Actual Study Start Date : September 7, 2020
Estimated Primary Completion Date : August 30, 2023
Estimated Study Completion Date : August 30, 2023
Arms and Interventions
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Arm Intervention/treatment
Experimental: 68Ga/18F-HER2 Affibody PET/CT scan Radiation: 68Ga/18F-HER2 Affibody PET/CT scan
HER2 Affibody, labeled with PET radio-nuclide ( 68Ga or F-18) will be used as a molecular imaging tracer for PET/CT scan. All participants will undergo 68Ga/18F-HER2 Affibody PET/CT scan.


Outcome Measures
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Primary Outcome Measures :
  1. SUV [ Time Frame: 3 years ]
    The uptake of the tracer in the primary and metastatic tumor lesions by measuring standardized uptake value (SUV) on PET/CT


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Aged > 18 years old; ECOG 0 or 1;
  2. Patients with HER2 positive or suspicious positive tumors;
  3. Has at least one measurable target lesion according to CT or MRI;
  4. Life expectancy ≥ 12 weeks.

Exclusion Criteria:

  1. Significant hepatic or renal dysfunction;
  2. Is pregnant or ready to pregnant;
  3. Cannot keep their states for half an hour;
  4. Refused to join the clinical research;
  5. Suffering from claustrophobia or other mental disorders;
  6. Any other situation that researchers considered it unsuitable to participate in the trial.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04547309


Locations
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China, Beijing
Hua Zhu Recruiting
Beijing, Beijing, China, 100142
Contact: Shunlian Zhou    010-88196391    zhoushunlian@163.com   
Sponsors and Collaborators
Beijing Cancer Hospital
More Information
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Responsible Party: Hua Zhu, Associate Professor, Beijing Cancer Hospital
ClinicalTrials.gov Identifier: NCT04547309    
Other Study ID Numbers: 2018KT61/2019KT114
First Posted: September 14, 2020    Key Record Dates
Last Update Posted: September 14, 2020
Last Verified: September 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No