ClinicalTrials.gg
Status unknownNCT03768479PETUpdated Dec 11, 2018

The Value of 18F-FES-PET/CT in Predicting Fulvestrant Efficacy in Breast Cancer

An interventional study of 18F-FES-PET in Estrogen Receptor-positive Breast Cancer and Fulvestrant, sponsored by First Affiliated Hospital Xi'an Jiaotong University. Status unknown at 1 site in China. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-12-11.

Sponsored by First Affiliated Hospital Xi'an Jiaotong University · Not applicable, Interventional, and Other

The sponsor has not verified this record recently (last verified Jun 2018), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Mar 2017, registered Nov 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

This study is focused on the value of 18F-FES-PET in predicting the Fulvestrant efficacy in hormone receptor-positive breast cancer. The imaging agent involved in this study is 16α-[18F]-fluoro-17β-estradiol (18F-FES).

Read the detailed description

This study is an open, multi-center and prospective clinical study, It is the first time investigators are examining this imaging agent in Chinese patients with breast cancer.

The Chinese FDA has approved 18F-FES as an investigational tracer in a selective few research studies. The Chinese FDA has not approved this tracer for any use outside of research. In this research study, the investigators are investigating the use of a PET tracer called 18F-FES in patients with breast cancer.

The purpose is to take images that can measure the amount of a protein called Estrogen Receptor, or 'ER' in breast tumors. The expression level of ER is tightly correlated with the Fulvestrant efficacy in patients with breast cancer. The investigators will take the pictures of the participant's residual tumor lesions using a PET/CT scanner with 18F-FES used as the tracer before and after the first cycle of Fulvestrant treatment. The investigators are trying to clarify the relationship between the clinical Fulvestrant efficacy and the amount change of 18F-FES uptake by breast tumor around the first cycle of Fulvestrant treatment.

This could help them to predict the efficacy of endocrine therapy by monitoring the dynamic levels of ER in advance, and potentially help guide treatment of breast tumors in the future.

18F-FES was initially developed to image the primary breast tumor. In previous studies of 18F-FES conducted in humans, there were no adverse events (there have been no problems). While this is not the first time 18F-FES has been used in humans, it is the first study in which the investigators study its predictive value in the treatment efficacy in breast cancer.

02

Conditions studied

  • Estrogen Receptor-positive Breast Cancer
  • Fulvestrant
03

In context

Lead sponsor

First Affiliated Hospital Xi'an Jiaotong University is the lead sponsor of 314 studies on the registry; 87 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Be at least 18 years or older (required for legal consent)
  • Have Eastern Cooperative Oncology Group (ECOG) performance status ≤2 (Karnofsky ≥60%, see Appendix A)
  • Pathologically diagnosed metastatic breast cancer
  • Fulvestrant used as the first-line treatment
  • Have primary breast tumor that is at least 2 cm in diameter as measured in any dimension on either mammogram, ultrasound, or breast MRI
  • Have the ability to understand and the willingness to sign a written informed consent document.

Exclusion criteria

Exclusion Criteria:

General Exclusion Criteria

  • Previously treated metastatic breast cancer
  • Concurrent malignancy of any type
  • Impaired elimination (as defined as having problems with urination)
  • Participation in a research study/studies involving radiation exposure within the past 12 months
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, major kidney or liver disease, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnancy
  • Currently lactating (either breast feeding or breast pumping)

General PET/CT Safety Exclusion Criteria:

  • Electrical implants such as cardiac pacemakers or perfusion pumps
  • Ferromagnetic implants such as aneurysm clips, surgical clips, prostheses, artificial hearts, valves with steel parts, metal fragments, shrapnel, metallic tattoos anywhere on the body, tattoos near the eye, steel implants, ferromagnetic objects such as jewelry or metal clips in clothing
  • Pre-existing medical conditions including a likelihood of developing seizures or claustrophobic reactions, and any greater than normal potential for cardiac arrest
  • Inability to lie comfortably on a bed inside a PET camera for 90 minutes as assessed by physical examination and medical history (e.g. back pain, arthritis)
  • Pregnancy: A negative serum pregnancy test is required on the day of the PET procedure for female subjects of child-bearing age.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    FES-Fulvestrant

    Patients with ER positive breast cancer receive Fulvestrant as the first line treatment enrolled in the study would receive 18F-FES-PET/CT imaging before and after cycle 1 treatment with the first line Fulvestrant.

    Device: 18F-FES-PET

Interventions

  • Device18F-FES-PET

    18F-FES-PET/CT imaging before and after cycle 1 treatment with the first line Fulvestrant

06

What researchers measure

Primary outcomes

  1. the change percentage of 18F-FES SUV

    The change percentage of 18F-FES standard uptake value (SUV) before and after cycle 1 of Fulvestrant treatment

    Time frame: At end of cycle 1 of Fulvestrant treatment (each cycle is 28 days)

Secondary outcomes

  1. The correlation between the change percentage of 18F-FES SUV and the clinical efficacy

    To find the correlation between the change percentage of 18F-FES SUV and the clinical efficacy, and further to determine the cutoff of 18F-FES SUV change percentage that could predict beneficial efficacy of Fulvestrant in breast cancer

    Time frame: From the enrollment time to the time of disease progression or 2 years' followup which comes first

Other outcomes

  1. clinical efficacy: RECIST criteria

    The therapeutic efficacy of Fulvestrant in breast cancer patients, record as complete response (CR), partial response (PR), stable disease (SD) and progression disease (PD) according to RECIST criteria

    Time frame: From the enrollment time to the time of disease progression or 2 years' followup which comes first

07

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shaanxi 710061, China
    Recruiting
08

References and documents

Publications

  • van Kruchten M, de Vries EG, Glaudemans AW, van Lanschot MC, van Faassen M, Kema IP, Brown M, Schroder CP, de Vries EF, Hospers GA. Measuring residual estrogen receptor availability during fulvestrant therapy in patients with metastatic breast cancer. Cancer Discov. 2015 Jan;5(1):72-81. doi: 10.1158/2159-8290.CD-14-0697. Epub 2014 Nov 7. PubMed 25380844 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2017 (actual). Primary completion is estimated for Dec 2018, 21 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 26, 2018
First posted
Dec 7, 2018
StartActual
Mar 5, 2017
Primary completionEst.
Dec 2018
CompletionEst.
Mar 2019
Last update
Dec 11, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03768479
Responsible party
Sponsor
First posted
Dec 7, 2018
Start date
Mar 5, 2017
Primary completion
Dec 2018 (estimated)
Completion
Mar 2019 (estimated)
Last update
Dec 11, 2018

Study contacts

Jin Yang
Contact
yangjin@xjtu.edu.cn
0086-029-85324600
Jin Jin
Contact
yangjin@xjtu.edu.cn
0086-029-85324600
Jin Yang
principal investigator · First Affiliated Hospital of Xi'an Jiaotong U
Jin Jin
principal investigator · First Affiliated Hospital of Xi'an Jiaotong U

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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