Biomarkers to Detect Endocrine Therapy Resistance

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Wisconsin, Madison

About this trial

This pilot observational study is being done to identify possible biomarkers of response to endocrine therapy in patients with ER/PR+ metastatic lobular breast cancer (LBC) starting new endocrine therapy. 18F-fluorofuranylnorprogesterone Positron Emission Tomography/Computed Tomography (FFNP-PET/CT) and liquid biopsies will be performed at baseline and after 4 weeks of treatment. Baseline levels and dynamic on-treatment changes in estrogen signaling as measured by FFNP-PET/CT and circulating tumor cell (CTC) liquid biopsy will be correlated with clinical response to endocrine therapy and progression-free survival in the above cohort of patients.

Eligibility criteria

Qualifiers

Willing to provide informed consent

Individuals at least 18 years of age

Have biopsy-proven ER/PR-positive (defined as ER ≥1 percent and PR ≥1 percent by IHC) and HER2-negative advanced or metastatic LBC starting new standard of care endocrine therapy

Adequate organ function as indicated by standard laboratory tests (CBC, liver function tests or CMP) allowing for systemic breast cancer treatment per treating oncologist

Disqualifiers

Patients with active brain metastases

Patients with liver-only disease are not eligible due to high background liver activity related to the radiopharmaceutical's hepatobiliary route of elimination

Unable to lie flat during or tolerate PET/CT

Patients with a history of allergic reaction attributable to compounds of similar chemical or biologic composition to FFNP

Trial design

Treatments tested in this trial

  • 18F-fluorofuranylnorprogesterone
  • Liquid Biopsy
  • Positron Emission Tomography/Computed Tomography

Treatment groups

8 Participants
are divided into 1 treatment group