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Trial Title: LS301-IT in Partial Mastectomy and Sentinel Lymph Node Biopsy (SLNB) for DCIS or Stage I-II Primary Invasive Breast Cancer

NCT ID: NCT05900986

Condition: Breast Cancer
DCIS
Invasive Duct Carcinoma of Breast

Conditions: Official terms:
Carcinoma
Breast Neoplasms
Carcinoma, Ductal
Carcinoma, Ductal, Breast

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: LS301-IT 0.025 mg/kg
Description: The dose of LS301-IT planned to be administered to the first cohort of patients is 0.025 mg/kg. Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased (by 50% as necessary). The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Arm group label: LS301-IT

Intervention type: Drug
Intervention name: LS301-IT 0.05 mg/kg
Description: Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Arm group label: LS301-IT

Intervention type: Drug
Intervention name: LS301-IT 0.075 mg/kg
Description: Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Arm group label: LS301-IT

Intervention type: Drug
Intervention name: LS301-IT 0.1 mg/kg
Description: Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Arm group label: LS301-IT

Summary: The aim of this Phase 1b/2 study is to investigate the safety, efficacy, and pharmacokinetics (PK) of a single dose of LS301-IT, a novel fluorescence imaging agent developed by Integro Theranostics (IT), administered by intravenous (IV) injection in female patients undergoing partial mastectomy for DCIS (whether or not undergoing planned SLNB) or Stage I-II primary invasive breast cancer undergoing SLNB. Safety is the primary objective of this study, followed by efficacy that will be assessed from fluorescence imaging observations and data.

Detailed description: This is a Phase 1b/Phase 2, open-label study to investigate the use of LS301-IT (investigational medicinal product [IMP]), a fluorescence imaging agent used for visualization of tumor margins and SLNs in female patients with DCIS or Stage I-II, primary invasive carcinoma of the breast, for which the patient's primary surgical treatment is partial mastectomy. Eligible patients will be enrolled into either: - Phase 1b (Period 1): dose finding (escalation/de-escalation), and dose timing adjustment; - Phase 2a (Period 2): expanded sample size based on acceptable dosing regimen, that being the dose level(s) and time interval between LS301-IT injection and surgery, determined in Period 1; or - Period 2b (Period 3): allow surgeon to make additional surgical decisions based on fluorescence imaging findings during surgery (Period 3 will not be opened until results are available from Periods 1 and 2 and further FDA consultation is obtained).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - DCIS (whether or not undergoing planned SLNB) or patients with Stage I-II, primary invasive carcinoma of the breast undergoing SLNB for which the patient's primary surgical treatment is single breast partial mastectomy. - ECOG performance status of 0 to 2 Exclusion Criteria: - Contraindications for surgery. - Simultaneous bilateral lumpectomies and bilateral partial mastectomies. - History of drug-related anaphylactic reactions, including those attributed to indocyanine green (ICG) or other agents used in the study - Prior chemotherapy, endocrine therapy, or biologic therapy for current clinically or biopsy proven breast cancer for Period 1. - Open surgery in the ipsilateral breast within a period of 1 year before administration of LS301-IT. - History of radiation therapy to the chest. - The lymphatic imaging agent ICG cannot be used prior to the partial mastectomy and SLNB procedures on the day of surgery.

Gender: Female

Gender based: Yes

Gender description: female with breast cancer

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Integro Theranostics Research Site #2

Address:
City: Scottsdale
Zip: 85260
Country: United States

Status: Active, not recruiting

Facility:
Name: Integro Theranostics Research Site #12

Address:
City: Washington
Zip: 20059
Country: United States

Status: Recruiting

Contact:

Phone: 314-325-1800
Email: npeterson@kingdomcapital.com

Facility:
Name: Integro Theranostics Research Site #9

Address:
City: Weston
Zip: 33331
Country: United States

Status: Recruiting

Contact:
Last name: Integro Study Line

Phone: 314-325-1800
Email: npeterson@kingdomcapital.com

Facility:
Name: Integro Theranostics Research Site #6

Address:
City: Bronx
Zip: 10461
Country: United States

Status: Recruiting

Contact:
Last name: Integro Study Line

Phone: 314-325-1800
Email: npeterson@kingdomcapital.com

Facility:
Name: Integro Theranostics Clinical Research Site #8

Address:
City: Winston-Salem
Zip: 27103
Country: United States

Status: Active, not recruiting

Facility:
Name: Integro Theranostics Research Site #10

Address:
City: Cleveland
Zip: 44195
Country: United States

Status: Active, not recruiting

Facility:
Name: Integro Theranostics Research Site #5

Address:
City: Philadelphia
Zip: 19107
Country: United States

Status: Recruiting

Contact:
Last name: Integro Study LIne

Phone: 314-325-1800
Email: npeterson@kingdomcapital.com

Facility:
Name: Integro Theranostics Research Site #3

Address:
City: Dallas
Zip: 75290
Country: United States

Status: Recruiting

Contact:
Last name: Integro Study Line

Phone: 314-325-1800
Email: npeterson@kingdomcapital.com

Facility:
Name: Integro Theronostics Research Site #1

Address:
City: Houston
Zip: 77030
Country: United States

Status: Active, not recruiting

Start date: July 14, 2023

Completion date: July 2025

Lead sponsor:
Agency: Integro Theranostics
Agency class: Industry

Source: Integro Theranostics

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05900986

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