Study Stopped
Slow accrual
PET/CT Guided Fulvestrant Therapy for Patients With Recurrent or Metastatic Breast Cancer
A Phase II Clinical Trial to Evaluate 18F-Fluoroestradiol Positron Emission Tomography / Computerized Tomography (PET/CT) Guided Fulvestrant Therapy for Patients With Recurrent or Metastatic Breast Cancer
1 other identifier
interventional
17
1 country
4
Brief Summary
Purpose: To determine whether \[18F\]FES can predict clinical benefit (defined as complete response, partial response and stable disease ≥ 6 months) to fulvestrant (250 mg IM q 28 days) in post-menopausal women with recurrent or metastatic ER+ breast cancer who are candidates for further hormonal therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable breast-cancer
Started Nov 2010
Longer than P75 for not_applicable breast-cancer
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 30, 2008
CompletedFirst Posted
Study publicly available on registry
January 1, 2009
CompletedStudy Start
First participant enrolled
November 30, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 17, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedNovember 16, 2021
November 1, 2021
3.8 years
December 30, 2008
November 15, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical Benefit Rate (CBR)
CBR is defined as a patient having a best overall response of a complete response (CR), partial response (PR), or stable disease for at least 24 weeks.
24 weeks
Study Arms (1)
PET/CT Guided FES Therapy
EXPERIMENTALAll subjects will be seen at baseline and then monthly until month 6 of fulvestrant therapy unless clinical or radiological progression or unacceptable toxicity earlier than month 6.
Interventions
A18F-FDG PET/CT scan performed at baseline, prior to starting the fulvestrant treatment, to identify the sites involved by the subject's cancer.
A 18F-FES PET/CT scan performed at baseline, prior to starting the fulvestrant treatment, to determine the hormone receptor content of the sites involved by the breast cancer.
A 18F-FES PET/CT scan performed after three (3) monthly injections of fulvestrant to determine whether estrogen uptake is blocked by fulvestrant.
Eligibility Criteria
You may qualify if:
- post-menopausal (≥ 60 years old, or age ≥ 45 years with amenorrhea for \> 12 months or follicle stimulating hormone and estrogen levels within post-menopausal range, or prior bilateral oophorectomy)
- hormone receptor positive (ER and/or PgR) disease as determined locally
- WHO performance status 0-2
- life expectancy of ≥ 3 months
- the presence of at least one measurable or evaluable (non-measurable) lesion
- informed consent prior to any study procedures
You may not qualify if:
- life threatening metastatic visceral disease
- brain or leptomeningeal metastases
- prior exposure to fulvestrant
- history of bleeding diathesis or need for long term anti-coagulation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
BC Cancer Agency - Southern Interior
Kelowna, British Columbia, V1Y 5L3, Canada
BC Cancer Agency - Fraser Valley
Surrey, British Columbia, V3V 1Z2, Canada
BC Cancer Agency - Vancouver Centre
Vancouver, British Columbia, V5Z 4E6, Canada
BC Cancer Agency - Vancouver Island
Victoria, British Columbia, V8R 6V5, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stephen Chia, MD
BC Cancer Agency - Vancouver Centre
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 30, 2008
First Posted
January 1, 2009
Study Start
November 30, 2010
Primary Completion
September 17, 2014
Study Completion
July 1, 2018
Last Updated
November 16, 2021
Record last verified: 2021-11