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CompletedNCT04277338HE3-G3Updated Jun 24, 2026

Molecular Imaging of HER2 Expression in Breast Cancer Using 99mTc-HE3-G3

A Phase 1 interventional study of SPECT in Primary Breast Cancer, sponsored by Tomsk National Research Medical Center of the Russian Academy of Sciences. Completed at 1 site in Russia. Open to female participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-24.

Sponsored by Tomsk National Research Medical Center of the Russian Academy of Sciences · Phase 1, Interventional, and Diagnostic

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

The study should evaluate distribution of 99mTc-HE3-G3 in patients with primary HER2-positive and HER2-negative breast cancer.

The primary objective are:

  1. To assess distribution of 99mTc-HE3-G3 in normal tissues and in tumours over time;
  2. To evaluate dosimetry of 99mTc-HE3-G3;
  3. To obtain initial information concerning safety and tolerability of 99mTc-HE3-G3 after single intravenous injection:

The secondary objective are:

1.To compare the tumour imaging data with the concerning HER2 expression obtained by immunohistochemistry (IHC) or fluorescent in situ hybridisation (FISH) analysis of biopsy samples.

Read the detailed description

Overall goal of the project: To determine HER2 expression level in primary breast cancer and possibly in axillary lymph node metastases before neoadjuvant trastuzumab therapy.

Phase I. Distribution of 99mTc-HE3-G3 in patients with primary breast cancer. The study should evaluate distribution of 99mTc-HE3-G3 in patients with primary HER2-positive and HER2-negative breast cancer.

The primary objective are:

  1. To assess distribution of 99mTc-HE3-G3 in normal tissues and in tumours over time;
  2. To evaluate dosimetry of 99mTc-HE3-G3;
  3. To obtain initial information concerning safety and tolerability of 99mTc-HE3-G3 after single intravenous injection:

The secondary objective are:

1. To compare the tumour imaging data with the concerning HER2 expression obtained by immunohistochemistry (IHC) or fluorescent in situ hybridisation (FISH) analysis of biopsy samples:

Methodology:

Open-label, exploratory, single centre study. The subjects will receive a single injection of the labelled tracer.

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Conditions studied

  • Primary Breast Cancer

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Keywords

  • 99mTc-HE3-G3
  • Breast Cancer
  • HER2 expression
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In context

Breast Neoplasms

12,543 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 30 is below the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Tomsk National Research Medical Center of the Russian Academy of Sciences is the lead sponsor of 73 studies on the registry; 19 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 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Subject is > 18 years of age
  2. Diagnosis of primary breast cancer with possible lymph node metastases
  3. Availability of results from HER2 status previously determined on material from the primary tumor, either

    1. HER2-positive, defined as a immunohistochemical test score of 3+ or FISH positive or
    2. HER2-negative, defined as a immunohistochemical test score of 0 or 1+; or else if 2+ then FISH negative
  4. Volumetrically quantifiable tumour lesions on CT or MRI, with at least one lesion > 1.0 cm in greatest diameter outside of the liver and kidneys
  5. Hematological, liver and renal function test results within the following limits:

    • White blood cell count: > 2.0 x 10\^9/L
    • Haemoglobin: > 80 g/L
    • Platelets: > 50.0 x 10\^9/L
    • Bilirubin =\< 2.0 times Upper Limit of Normal
    • Serum creatinine: Within Normal Limits
  6. A negative pregnancy test (serum beta-human chorionic gonadotropin, beta-HCG) at screening for all patients of childbearing potential. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception for at least 30 days after study termination
  7. Subject is capable to undergo the diagnostic investigations to be performed in the study
  8. Informed consent

Exclusion criteria

Exclusion Criteria:

  1. Second, non-breast malignancy
  2. Active current autoimmune disease or history of autoimmune disease
  3. Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening)
  4. Known HIV positive or chronically active hepatitis B or C
  5. Administration of other investigational medicinal product within 30 days of screening
  6. Ongoing toxicity > grade 2 from previous standard or investigational therapies, according to US National Cancer Institute's
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Study design

Phase
Phase 1
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    The tested injected doses of 99mTc-HE3-G3 1000 μg

    At least five (5) evaluable subjects with HER2-positive status and at least five (5) subjects with HER2-negative status have to be enrolled in the study for each tested protein dose. The tested injected dose 1000 μg. Subjects withdrawn from the study for any reason will be replaced.

    Drug: SPECT

  • Experimental
    The tested injected doses of 99mTc-HE3-G3 2000 μg

    At least five (5) evaluable subjects with HER2-positive status and at least five (5) subjects with HER2-negative status have to be enrolled in the study for each tested protein dose. The tested injected dose 2000 μg. Subjects withdrawn from the study for any reason will be replaced.

    Drug: SPECT

  • Experimental
    The tested injected doses of 99mTc-HE3-G3 3000 μg

    At least five (5) evaluable subjects with HER2-positive status and at least five (5) subjects with HER2-negative status have to be enrolled in the study for each tested protein dose. The tested injected dose 3000 μg. Subjects withdrawn from the study for any reason will be replaced.

    Drug: SPECT

Interventions

  • DrugSPECT

    One single injection of 99mTc-HE3-G3, followed by gamma camera imaging directly postinjection and after 2, 4, 6 and 24 hours.

06

What researchers measure

Primary outcomes

  1. Gamma camera-based whole-body 99mTc-HE3-G3 uptake value (%)

    Whole-body 99mTc-HE3-G3 uptake coinciding with normal organs and tissues will be assessed using gamma camera and calculated as percentage (%) of the injected dose of the radiopharmaceutical

    Time frame: 6 hours

  2. SPECT-based 99mTc-HE3-G3 uptake value in tumor lesions (counts)

    99mTc-HE3-G3 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts

    Time frame: 6 hours

  3. SPECT-based 99mTc-HE3-G3background uptake value (counts)

    Focal uptake of 99mTc-HE3-G3 in the regions without pathological findings will be assessed with SPECT and measured in counts

    Time frame: 6 hours

  4. Tumor-to-background ratio (SPECT)

    The SPECT-based tumor-to-background ratio will be calculated as follows: the value of 99mTc-HE3-G3 uptake coinciding with tumor lesions (counts) will be divided by the value of 99mTc-HE3-G3 uptake coinciding with the regions without pathological findings (counts)

    Time frame: 6 hours

Secondary outcomes

  1. Safety attributable to 99mTc-HE3-G3 injections (physical findings)

    The safety attributable to 99mTc-HE3-G3 injections will be evaluated based on the assessments of physical examination, vital signs, and ECG (% of cases with abnormal findings relative to baseline)

    Time frame: 24 hours

  2. Safety attributable to 99mTc-HE3-G3 injections (laboratory tests)

    The safety attributable to 99mTc-HE3-G3 injections will be evaluated based on the blood and urine laboratory tests (% of cases with abnormal findings relative to baseline)

    Time frame: 24 hours

  3. Safety attributable to 99mTc-HE3-G3 injections (incidence and severity of adverse events)

    The safety attributable to 99mTc-HE3-G3 injections will be evaluated based on the rate of adverse events (%)

    Time frame: 24 hours

  4. Safety attributable to 99mTc-HE3-G3 injections (concomitant medication)

    The safety attributable to 99mTc-HE3-G3 injections will be evaluated based on the rate of administration of concomitant medication (%)

    Time frame: 24 hours

07

Study locations

1 site
  • TomskNRMC
    Tomsk, Russia
08

References and documents

Publications

  • Bragina O, Chernov V, Schulga A, Konovalova E, Garbukov E, Vorobyeva A, Orlova A, Tashireva L, Sorensen J, Zelchan R, Medvedeva A, Deyev S, Tolmachev V. Phase I Trial of 99mTc-(HE)3-G3, a DARPin-Based Probe for Imaging of HER2 Expression in Breast Cancer. J Nucl Med. 2022 Apr;63(4):528-535. doi: 10.2967/jnumed.121.262542. Epub 2021 Aug 12. PubMed 34385343 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04277338
Lead sponsor
Tomsk National Research Medical Center of the Russian Academy of Sciences
Collaborators
Institute of Bioorganic Chemistry, Russian Academy of Sciences, Uppsala University
Responsible party
Sponsor
First posted
Feb 20, 2020
Start date
Feb 10, 2020
Primary completion
Feb 10, 2021
Completion
Oct 4, 2021
Last update
Jun 24, 2026

Study contacts

Vladimir I Chernov
principal investigator · Tomsk NRMC

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 completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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