Phase 1
N=20
Fluciclovine and PSMA PET/CT for the Classification and Improved Staging of Invasive Lobular Breast Cancer
Anatomic Stage IV Breast Cancer AJCC v8 · Invasive Breast Lobular Carcinoma · Metastatic Breast Lobular Carcinoma · Prognostic Stage IV Breast Cancer AJCC v8
Bottom Line
View on ClinicalTrials.gov: NCT04750473 ↗Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Jan 2025
Primary outcome: Primary: Verified Detection Rate for Metastasis — 5.9; 5.5 SUVMax
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Computed Tomography (Procedure); Fluciclovine F18 (Drug); Gallium Ga 68 Gozetotide (Drug); Positron Emission Tomography (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Emory University
- Primary completion
- Mar 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Verified Detection Rate for Metastasis |
5.9; 5.5 | — |
| PRIMARY Verified Detection Rate for Invasive Lobular Breast Cancer |
7.8; 4.6 | — |
Summary
This phase I trial studies how well fluciclovine positron emission tomography (PET)/computed tomography (CT) and PSMA PET/CT work in helping doctors understand and classify invasive lobular breast cancer in patients with invasive lobular breast cancer that is suspicious for or has spread to other places in the body (metastasized). Fluciclovine and PSMA are radiotracers used in PET/CT imaging scans that emit radiation. The PET/CT scan than picks up the radiation being released to create a picture from within the body. Information learned from this study may help researchers learn how to better identify metastatic disease in invasive lobular breast cancer patients which will impact appropriate staging.
Eligibility Criteria
Inclusion Criteria
- Treatment naive biopsy proven ILC patients with ILC
- Either: a) clinical or imaging suspicion of metastatic disease; or b) proven metastatic disease but in whom there is suspicion of an even greater tumor burden that could change therapy approach
- Ability and willingness to undergo biopsy if needed per standard of care for possible metastasis which could change therapy approach
Exclusion Criteria
- Pregnancy. Qualitative or quantitative serum or urine pregnancy test will be done in women of childbearing potential within 24 hours before PET
- A female of childbearing potential (FCBP) is a sexually mature woman who: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 12 consecutive months (if age > 55 years); if the female subject is 1 year her reproductive status has to be verified by additional lab tests ( 40 in women not on estrogen replacement therapy)
Data sourced from ClinicalTrials.gov (NCT04750473). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.