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Trial Title: 68Ga-FAPI-46 PET/CT for Predicting Histological Response in Triple-negative Breast Cancer (FAP-IT)

NCT ID: NCT06349512

Condition: Triple Negative Breast Cancer

Conditions: Official terms:
Breast Neoplasms
Triple Negative Breast Neoplasms
FAPI-46

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Prospective multicenter study evaluating the prediction of histological response after neoadjuvant pembrolizumab in combination with chemotherapy by pre-treatment 68Ga-FAPI-46 PET/CT imaging in patients with early-stage high-risk TNBC.

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: 68Ga-FAPI-46 PET/CT imaging
Description: The 68Ga-FAPI-46 PET/CT scan will be performed for each patient pre-therapy and on the same machine as the 18F-FDG PET/CT scan and within 14 days before the start of treatment.
Arm group label: Triple Negative Breast Cancer

Summary: Prospective multicenter study evaluating the prediction of histological response after neoadjuvant pembrolizumab in combination with chemotherapy by pre-treatment 68Ga-FAPI-46 PET/CT imaging in patients with early-stage high-risk TNBC.

Detailed description: Prospective multicenter study evaluating the prediction of histological response of pembrolizumab in combination with neoadjuvant chemotherapy by pre-treatment 68Ga-FAPI-46 PET/CT imaging in patients with early-stage high-risk TNBC. Patients will receive the newly established standard of care of neoadjuvant pembrolizumab 200 mg Q3W given with 4 cycles of paclitaxel + carboplatin, then with 4 cycles of doxorubicin or epirubicin + cyclophosphamide. After definitive surgery, patients will receive adjuvant pembrolizumab for 9 cycles or until recurrence or unacceptable toxicity. The 68Ga-FAPI-46 PET/CT scan will be performed for each patient pre-therapy and on the same machine as the 18F-FDG PET/CT scan and within 14 days before the start of treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Female with age ≥ 18 years, 2. Patients with previously untreated, non-metastatic, centrally confirmed TNBC (stage T1c N1-2 or T2-4 N0-2 per AJCC) for whom a neoadjuvant treatment with chemotherapy + pembrolizumab is the recommended option as standard of care, 3. Patients with measurable targets according to RECIST/PERCIST criteria, 4. Patients without distant metastasis based on staging 18F-FDG PET/CT, 5. Patients with tumor tissue available, 6. Patients who provided a signed written informed consent, 7. Patient ability to comply with protocol requirements, 8. Patients covered by a health insurance system. Exclusion Criteria: 1. Pregnant and lactating women, 2. Patients with prior anti-PD(L)1 immunotherapy, 3. Patients with any contra-indication to chemo-immunotherapy standard of care therapy, per investigator assessment, 4. Patients with altered mental status or psychiatric disorder that, in the opinion of the investigator, would preclude a valid patient informed consent, 5. Patients who have difficulty undergoing trial procedures for geographic, social or psychological reasons, 6. Patients who are not affiliated to a social security system, or who are deprived of liberty, or under guardianship. 7. Person deprived of liberty or under guardianship

Gender: Female

Gender based: Yes

Gender description: Only female are included

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Hôpital Privé d'Antony

Address:
City: Antony
Zip: 92160
Country: France

Status: Not yet recruiting

Contact:
Last name: GACHET, MD

Investigator:
Last name: Julie GACHET, MD
Email: Principal Investigator

Facility:
Name: Institut Curie -site Paris

Address:
City: Paris
Zip: 75005
Country: France

Status: Not yet recruiting

Contact:
Last name: Alexandre DE MOURA, MD

Investigator:
Last name: Alexandre DE MOURA, MD
Email: Principal Investigator

Facility:
Name: GH Diaconesses Croix Saint-Simon

Address:
City: Paris
Zip: 75020
Country: France

Status: Not yet recruiting

Contact:
Last name: DELBALDO DELBALDO, MD

Investigator:
Last name: DELBALDO DELBALDO, MD
Email: Principal Investigator

Facility:
Name: Institut Curie -site St Cloud

Address:
City: Saint-cloud
Zip: 92210
Country: France

Status: Recruiting

Contact:
Last name: Nina JEHANNO, MD

Investigator:
Last name: Nina JEHANNO, MD
Email: Principal Investigator

Facility:
Name: HIA Begin

Address:
City: Saint-mande
Zip: 94160
Country: France

Status: Not yet recruiting

Contact:
Last name: Audrey LEROY, MD

Investigator:
Last name: Audrey LEROY, MD
Email: Principal Investigator

Facility:
Name: Hôpital FOCH

Address:
City: Suresnes
Zip: 92150
Country: France

Status: Not yet recruiting

Contact:
Last name: SEKKATE, MD

Investigator:
Last name: Sakina SEKKATE, MD
Email: Principal Investigator

Start date: October 14, 2024

Completion date: November 30, 2027

Lead sponsor:
Agency: Institut Curie
Agency class: Other

Source: Institut Curie

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06349512

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