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89Zr-atezolizumab PET Scan and Lobular Breast Cancer

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StatusRekrutacyjny
Sponsorzy
University Medical Center Groningen

Słowa kluczowe

Abstrakcyjny

The exploratory single center feasibility ImaGelato study is conducted as an imaging side study to the Dutch GELATO trial (Assessing efficacy of carboplatin and atezolizumab in metastatic lobular breast cancer). Ten patients with lobular metastatic breast cancer, who are included in the GELATO trial at the UMCG, are eligible for the ImaGelato study.
All patients will undergo two Zirconium-89 (89Zr)-atezolizumab positron emission tomography (PET) scans, one at baseline and one after two doses carboplatin induction treatment. The 89Zr-atezolizumab PET scan will be performed 4 days after tracer injection. Procedures within the ImaGelato study will be completed after the two 89Zr-atezolizumab PET scans, but patients will continue treatment with carboplatin combined with atezolizumab in the GELATO trial.

Daktyle

Ostatnia weryfikacja: 12/31/2019
Pierwsze przesłane: 04/22/2019
Szacowana liczba przesłanych rejestracji: 01/06/2020
Wysłany pierwszy: 01/09/2020
Ostatnia aktualizacja przesłana: 01/06/2020
Ostatnia opublikowana aktualizacja: 01/09/2020
Rzeczywista data rozpoczęcia badania: 12/17/2019
Szacowana data zakończenia podstawowej działalności: 04/30/2021
Szacowana data zakończenia badania: 04/30/2021

Stan lub choroba

Lobular Metastatic Breast Cancer

Interwencja / leczenie

Other: 89Zr-atezolizumab PET scan

Faza

-

Grupy ramion

RamięInterwencja / leczenie
Experimental: 89Zr-atezolizumab PET scan
All patients will undergo two 89Zr-atezolizumab PET scans, one at baseline and one after two doses carboplatin induction treatment. The 89Zr-atezolizumab PET scan will be performed 4 days after tracer injection. Procedures within the ImaGelato study will be completed after the two 89Zr-atezolizumab PET scans, but patients will continue treatment with carboplatin combined with atezolizumab in the GELATO trial.
Other: 89Zr-atezolizumab PET scan
Patients receive a total amount of 10 mg unlabeled atezolizumab, this will be added to the tracer to prevent rapid clearance during imaging. A labeled dose of 37 Megabequerell (MBq) 89Zr-atezolizumab (±10%; 1 Millicurie) will then be administered. The tracer will be administered intravenously (i.v.). All patients will undergo two 89Zr-atezolizumab PET scans, one at baseline and one after two doses carboplatin induction treatment. After each tracer injection, 89Zr-atezolizumab PET scans will be performed on day 4 (96 ± 6h after tracer administration).

Kryteria kwalifikacji

Wiek kwalifikujący się do nauki 18 Years Do 18 Years
Płeć kwalifikująca się do naukiFemale
Przyjmuje zdrowych wolontariuszytak
Kryteria

Inclusion Criteria:

1. A patient must meet the inclusion criteria of the GELATO trial

2. Able to give written informed consent and to comply with the ImaGelato protocol

Exclusion Criteria:

1. Contra-indication for 89Zr-atezolizumab PET scan

2. Any approved anti-cancer therapy, including chemotherapy or hormonal therapy within ≤14 days prior to the first 89Zr-atezolizumab injection. Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to the first 89Zr-atezolizumab injection.

Wynik

Podstawowe miary wyników

1. Change in tumor uptake between 89Zr-atezolizumab PET scan at baseline and after two carboplatin induction treatments, defined as decline or increase of standardized uptake value [2 years]

Change in tumor uptake between 89Zr-atezolizumab PET scan at baseline and after two carboplatin induction treatments, defined as decline or increase of standardized uptake value (SUV) of 30% or more, described as per lesion and per patient. For the two different time points we will calculate the SUV for all lesions and patients. Relative decrease or increase in SUV units between different time points will be calculated for all lesions and patients, and recorded as percentage of SUV decrease or increase.

Miary wyników wtórnych

1. The relation between standardized uptake value (SUV) on 89Zr-atezolizumab PET scan, to response to carboplatin-atezolizumab [2 years]

Relation of 89Zr-atezolizumab tumor uptake (at baseline, after carboplatin induction, and change between the two scans) per lesion and per patient with response to carboplatin-atezolizumab per lesion and per patient. For the 89Zr-atezolizumab PET scans, uptake will be quantified with SUV units for both time points.

2. The relation of 89Zr-atezolizumab tumor uptake at baseline and after two courses of carboplatin, with tumor biopsy assessments [2 years]

Relation of 89Zr-atezolizumab tumor uptake at baseline and after carboplatin induction, with tumor biopsy assessments (for example PD-L1 immunohistochemistry (IHC)). We will investigate whether PD-L1 expression is associated with 89Zr-atezolizumab uptake. The relationship between tumor PD-L1 expression (measured in pre-treatment biopsy and induction treatment biopsy), and 89Zr-atezolizumab tumor uptake will be described.

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