Breast Cancer
Conditions
Brief summary
The purpose of this study is to evaluate the biodistribution and dosimetry of single dose of 99mTc-glycopeptide (99mTc-GP, 20-25 mCi) in 3 different doses of GP (5, 10and 20 mg)in patients with breast cancer at pre-chemotherapy.
Detailed description
Cohorts of 3 will be treated each at different dose levels and images will be taken at 4 time points. For dosimetry estimates, there will be a 20-24 hr time point post-administration of 99mTc-GP for the first 3 patients. If the biodistribution and dosimetry can be adequately quantified without the 20-24 hr scan in 3 patients, then we will eliminate that 4th scan for all other patients. Urine and blood samples will be collected at 5 time points, and an additional blood and urine sample will be collected for dosimetry analysis at 30\ 60 min.
Interventions
one injection of Technetium Glycopeptide to yield a target activity of 20-25 mCi to be given by slow IV push (over 3-5 minutes) 5 mg, 10 mg & 20 mg of GP will be injected
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with newly diagnosed stage I-IV breast cancer (tumor size * 2cm in imaging examinations) who are scheduled to start systemic therapy. * Patients must have histological diagnosis of invasive breast cancer. * Extent of disease will be determined by physical examination and conventional radiological studies. * Must be age 18 or older. * ECOG performance status 0-2. * Patients with history of prior malignancies must be disease-free for at least 5 years of study entry. * Normal hematological function: WBC \> 3000/ul, absolute neutrophil count \> 1500/ul, platelets \> 100,000/ul, and Hgb \> 10 gms (transfusion to achieve Hgb \> 10 gms is acceptable). * Serum total bilirubin \< 1.5 mg/dl and SGPT \< 1.5 X normal. * Adequate kidney function (creatinine \< 1.5 mg/dL).
Exclusion criteria
* Patients who received previous chemotherapy for the newly diagnosed breast cancer. * No evidence of primary breast lesion (e.g. T0, Tx). * Pregnant women or sexually active women of childbearing potential who are not practicing adequate contraception are excluded. * Patients with myocardial infarction within 6 months of study entry; unstable angina pectoris; uncontrolled congestive heart failure; uncontrolled arrhythmia are excluded. * Patients with history of hypersensitivity/allergy to Chitosan/Chitin related shellfish foods.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the best dose of 99mTc-GP in imaging based upon safety data and tumor-to background (T/B) count density ratios. | from 99mTc-GP injection through 30 days |
Secondary
| Measure | Time frame |
|---|---|
| To determine the optimal time to imaging after injection of 99mTc-GP based upon tumor to-background (T/B) count density ratios at various times. | from 99mTc-GP injection through 30 days |
Countries
United States