Breast Cancer
Conditions
Keywords
Breast cancer, integrin α6, SPECT
Brief summary
A novel radiotracer 99mTc-RWY targeting Integrin α6 was developed, and the pilot first-in-human study for SPECT imaging of breast cancer was performed in seven healthy volunteers and two breast cancer patients to assess the safety and potential clinical applications of 99mTc-RWY.
Detailed description
Integrin α6 associates with the survival and migration of breast cancer cells, which emerges as a predictor of reduced overall survival and worse prognosis. In this study, we developed an integrin α6-targeted radiotracer 99mTc-RWY for SPECT imaging of breast cancer. The safety, biodistribution and radiation dosimetry were studied in seven healthy volunteers, and the clinical potential of 99mTc-RWY was examined in two breast cancer patients. A single dose of 11.1 MBq/kg 99mTc-RWY was injected intravenously. Visual and semiquantitative methods were used to assess the SPECT/CT images. The routine Hematoxylin-Eosin (HE) staining and immunohistochemistry (IHC) staining were subsequently carried out to confirm the Integrin α6 expression of tumors.
Interventions
99mTc-RWY were injected into volunteers and patients before the SPECT/CT scans .
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy volunteers. * Body mass index (BMI) at 19 to 25 \[Body mass index = body weight (kg)/ height squared (m2)\]; * Clinical laboratory tests (heart, liver, kidney, blood) indicators are in the normal range or abnormalities without clinical significance; * Informed written consents were obtained from all 9 subjects before the procedure. * Patients in suspicion of breast cancer by mammography or ultrasonography, and being able to provide basic information. Exclution Criteria: • The investigator judged that it is not suitable for clinical trials based on the overall situation of the volunteers and patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood Clearance | 1,3,5,10,15,30,60,120 minutes post-injection | The %ID (the radioactivity of the blood at each time period/the total injection activity) is calculated. |
| Excretion | 0-24 hours post-injection | The %ID (the radioactivity of the urine at each time period/the total injection activity) is calculated. |
| Biodistribution | 0.5,1,2,4,24 hours post-injection | Area under the activity-time curve from hour 0 to last measurable activity. |
| SPECT/CT imaging | post-injection | Image brightness is observed。 |
| Distributed in organs | 0.5,1,2,4,24 hours post-injection | The %ID (the radioactivity of the main organs at each time period/the total injection activity) is calculated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of adverse events | 1 week post-injection | Adverse events within 1 week after the injection and scanning were followed and assessed. |
Countries
China