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Breast Cancer MetastaticPhase 3DOTABREASTNCT06611891

Evaluation of Somatostatin Receptor Expression in PET 68Ga-DOTATOC in Patients Followed for Metastatic Breast Cancer

A Phase 3 study testing 68Ga-DOTATOC in people with Breast Cancer Metastatic, run by University Hospital, Grenoble at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

DOTABREAST: Evaluation of Somatostatin Receptor Expression in PET 68Ga-DOTATOC in Patients Followed for Metastatic Breast Cancer This is a prospective, monocentric, non-controlled, non-randomized, open-label, interventional study. Read more about this study

Who is it for?
Ages 18 to 99 years, women only
Conditions the study is for
Breast Cancer Metastatic
What is being tested?
68Ga-DOTATOC
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteFrance
Study dates
6 Jan 2025to Oct 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age over 18
  • Patients with metastatic breast cancer who have completed at least one first line of systemic therapy for metastatic breast cancer
  • Patient labeled on the primary lesion ER+HER2- (20)
  • Presence of metastatic liver and bone lesions identifiable with 18F-FDG PET-Scan
  • Presence of at least 10 identifiable secondary lesions in 18F-FDG PET-Scan
  • No therapeutic change between 18F-FDG PET-Scan and 68Ga-DOTATOC PET-Scan.
Show all 9Show fewer
  • Performing the PET scan with 68Ga-DOTATOC within a maximum of 21 days after the 18F-FDG PET-Scan
  • Person affiliated to or benefiting from social security
  • Person who has given written informed consent

Who cannot join

  • Patients followed or with history of other active neoplastic pathology (including neuroendocrine tumor)
  • Known allergy to 68Ga-DOTATOC or its excipients
  • Subject refusing to sign the consent to participate
  • Minor subject
  • Subject excluded from another study
  • Persons referred to Articles L1121-5 to L1121-8 of the Public Health Code (CSP)
  • Subject cannot be contacted in case of emergency

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • CHU Grenoble Alpes

    Grenoble, 38043

    Loic DJAILEB, MD, PHD, 0476765455, ldjaileb@chu-grenoble.fr

    Emmanuelle JACQUET, MD, PHD, 0476765451, ejacquet1@chu-grenoble.fr

    Recruiting

Other trials in France

About this study

DOTABREAST: Evaluation of Somatostatin Receptor Expression in PET 68Ga-DOTATOC in Patients Followed for Metastatic Breast Cancer

This is a prospective, monocentric, non-controlled, non-randomized, open-label, interventional study.

Read the detailed description

In women, breast cancer is the 1st largest cancer and accounted for 31% of new cancer cases in women in 2017. With 11,913 deaths in 2015, breast cancer is the 1st largest cancer death in women (19%) and the 3rd largest cancer death (men and women included) after lung and colorectal cancer. At initial diagnosis at any stage, approximately 31% of patients have regional lymph node involvement and 5 to 10% present metastatic involvement from the outset. Progression to a metastatic form occurs in about 20% of cases. The risk of metastatic evolution is variable depending on the histological subtype and is a major prognostic event directly impacting overall survival. DOTATOC-68Ga PET scans allows in vivo evaluation of SST2 somatostatin receptor expression. Its use is widely validated in clinical practice for the assessment of extension of neuroendocrine tumors. It is also being used to evaluate the feasibility of SST2-targeted internal radiotherapy therapy with Lutathera (177Lu-Oxodotreotide) in patients with metastatic small intestine neuroendocrine tumours.

Being tested
68Ga-DOTATOC
Keywords
Breast Cancer Metastatic, Somatostatin Receptor Expression, PET-SCAN, 68Ga-DOTATOC, Nuclear Oncology, 177-Lu-Oxodotreotide, DOTATOC

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 68Ga-DOTATOCDrug

    Slow direct intravenous injection

Study groups in NCT06611891
Study groupRoleWhat they receive
Performing a 68Ga-Dotatoc PET scan in patients followed for metastatic breast cancer.Experimental1. Prescreening of the patient followed for metastatic breast cancer during the routine care 2. V1 Selection: Patient's selection in the Nuclear Medicin or Oncology department 3. V2 Inclusion: The day of the 68Ga-Dotatoc PET scan in the Nuclear Medicin department 4. V3 End of study visit, the same day after the 68Ga-Dotatoc PET scan.
Receives: Drug: 68Ga-DOTATOC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Presence of lesions expressing SST2 receptors in 68Ga-DOTATOC in patients followed for metastatic breast cancer

    Krenning Score >2

    Measured: Baseline (during the PET examination)

Secondary outcomes (13)
  1. Distribution of SST2 receptor overexpression by 68Ga-DOTATOC PET compared to 18F-FDG PET lesions.

    Lesion-by-lesion analysis of lesion fixation intensity on 68Ga-DOTATOC PET (Krenning score (requires comparison to the liver and spleen (or kidney if not applicable) and calculated between 0 and 4) and PET quantification parameters).

    Measured: Baseline (during the PET examination)

  2. Disease proportion with SST2 receptor overexpression by 68Ga-DOTATOC PET compared to known metastatic disease by 18F-FDG PET

    Disease volume per patient with overexpression of SST2 receptors in 68Ga-DOTATOC PET compared to metabolic volume in 18F-FDG PET

    Measured: Baseline (during the PET examination)

  3. Expression of SST2 receptors of lesions as a function of different metastatic sites, via the Krenning score

    Krenning Score (from 0 to 4, 0 is none and 4 is greater than that of spleen, lesion with very low or no DOTATOC uptake (Score 0 or 1) are consider as a negative lesion, lesion with DOTATOC uptake ≥ 2 are consider as a positive lesion)

    Measured: Baseline (during the PET examination)

  4. Expression of SST2 receptors of lesions as a function of different metastatic sites, via the PET quantification parameters.

    PET quantification parameters (SUV max and SUV mean)

    Measured: Baseline (during the PET examination)

  5. Correlation between the metabolic activity of 18F-FDG PET lesions and the expression of SST2 receptors in 68Ga-DOTATOC PET per lesion and per patient.

    Comparison between 68Ga-DOTATOC PET and 18F-FDG PET (Krenning score and PET quantification parameter) per lesion and per patient.

    Measured: Baseline (during the PET examination)

  6. Clinica predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET per patient

    Clinical data prior to PET at 68Ga-DOTATOC per patient

    Measured: Baseline (during the PET examination)

  7. Biological predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET per patient

    Biological data prior to PET at 68Ga-DOTATOC per patient

    Measured: Baseline (during the PET examination)

  8. Histological predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET per patient

    Histological data prior to PET at 68Ga-DOTATOC per patient

    Measured: Baseline (during the PET examination)

  9. Imaging predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET per patient

    Imaging data prior to PET at 68Ga-DOTATOC per patient

    Measured: Baseline (during the PET examination)

  10. Clinical predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET by lesion

    Clinical data prior to PET at 68Ga-DOTATOC per lesion

    Measured: Baseline (during the PET examination)

  11. Biological predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET by lesion

    Biological data prior to PET at 68Ga-DOTATOC per lesion

    Measured: Baseline (during the PET examination)

  12. Histological predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET by lesion

    Histological data prior to PET at 68Ga-DOTATOC per lesion

    Measured: Baseline (during the PET examination)

  13. Imaging predictors of overexpression of SST2 receptors in 68Ga-DOTATOC PET by lesion

    Imaging data prior to PET at 68Ga-DOTATOC per lesion

    Measured: Baseline (during the PET examination)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Sep 2024
  2. Study start6 Jan 2025
  3. Primary completionOct 2025 (estimated)
  4. Study completionOct 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Model description
25 patients: 25 patients with breast cancer labeled on the primary lesion ER+HER2-
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06611891
Sponsor's protocol ID
38RC21.0432
Acronym
DOTABREAST
Status last verified
Feb 2025
First submitted
20 Apr 2023
Last updated
4 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dalm SU, Schrijver WA, Sieuwerts AM, Look MP, Ziel-van der Made AC, de Weerd V, Martens JW, van Diest PJ, de Jong M, van Deurzen CH. Prospects of Targeting the Gastrin Releasing Peptide Receptor and Somatostatin Receptor 2 for Nuclear Imaging and Therapy in Metastatic Breast Cancer. PLoS One. 2017 Jan 20;12(1):e0170536. doi: 10.1371/journal.pone.0170536. eCollection 2017.

    PubMed 28107508
  • Hope TA, Bergsland EK, Bozkurt MF, Graham M, Heaney AP, Herrmann K, Howe JR, Kulke MH, Kunz PL, Mailman J, May L, Metz DC, Millo C, O'Dorisio S, Reidy-Lagunes DL, Soulen MC, Strosberg JR. Appropriate Use Criteria for Somatostatin Receptor PET Imaging in Neuroendocrine Tumors. J Nucl Med. 2018 Jan;59(1):66-74. doi: 10.2967/jnumed.117.202275. Epub 2017 Oct 12. No abstract available.

    PubMed 29025982
  • Ozelius L, Kramer PL, Moskowitz CB, Kwiatkowski DJ, Brin MF, Bressman SB, Schuback DE, Falk CT, Risch N, de Leon D, et al. Human gene for torsion dystonia located on chromosome 9q32-q34. Neuron. 1989 May;2(5):1427-34. doi: 10.1016/0896-6273(89)90188-8.

    PubMed 2576373
  • Virgolini I, Ambrosini V, Bomanji JB, Baum RP, Fanti S, Gabriel M, Papathanasiou ND, Pepe G, Oyen W, De Cristoforo C, Chiti A. Procedure guidelines for PET/CT tumour imaging with 68Ga-DOTA-conjugated peptides: 68Ga-DOTA-TOC, 68Ga-DOTA-NOC, 68Ga-DOTA-TATE. Eur J Nucl Med Mol Imaging. 2010 Oct;37(10):2004-10. doi: 10.1007/s00259-010-1512-3.

    PubMed 20596866
  • Strosberg J, El-Haddad G, Wolin E, Hendifar A, Yao J, Chasen B, Mittra E, Kunz PL, Kulke MH, Jacene H, Bushnell D, O'Dorisio TM, Baum RP, Kulkarni HR, Caplin M, Lebtahi R, Hobday T, Delpassand E, Van Cutsem E, Benson A, Srirajaskanthan R, Pavel M, Mora J, Berlin J, Grande E, Reed N, Seregni E, Oberg K, Lopera Sierra M, Santoro P, Thevenet T, Erion JL, Ruszniewski P, Kwekkeboom D, Krenning E; NETTER-1 Trial Investigators. Phase 3 Trial of 177Lu-Dotatate for Midgut Neuroendocrine Tumors. N Engl J Med. 2017 Jan 12;376(2):125-135. doi: 10.1056/NEJMoa1607427.

    PubMed 28076709
  • Frati A, Rouzier R, Lesieur B, Werkoff G, Antoine M, Rodenas A, Darai E, Chereau E. Expression of somatostatin type-2 and -4 receptor and correlation with histological type in breast cancer. Anticancer Res. 2014 Aug;34(8):3997-4003.

    PubMed 25075022
  • Dude I, Zhang Z, Rousseau J, Hundal-Jabal N, Colpo N, Merkens H, Lin KS, Benard F. Evaluation of agonist and antagonist radioligands for somatostatin receptor imaging of breast cancer using positron emission tomography. EJNMMI Radiopharm Chem. 2017;2(1):4. doi: 10.1186/s41181-017-0023-y. Epub 2017 Apr 17.

    PubMed 29503845
  • Sollini M, Erba PA, Fraternali A, Casali M, Di Paolo ML, Froio A, Frasoldati A, Versari A. PET and PET/CT with 68gallium-labeled somatostatin analogues in Non GEP-NETs Tumors. ScientificWorldJournal. 2014 Feb 13;2014:194123. doi: 10.1155/2014/194123. eCollection 2014.

    PubMed 24693229
  • Dalm SU, Haeck J, Doeswijk GN, de Blois E, de Jong M, van Deurzen CHM. SSTR-Mediated Imaging in Breast Cancer: Is There a Role for Radiolabeled Somatostatin Receptor Antagonists? J Nucl Med. 2017 Oct;58(10):1609-1614. doi: 10.2967/jnumed.116.189035. Epub 2017 Apr 27.

    PubMed 28450563

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 68Ga-DOTATOC in people with Breast Cancer Metastatic, run by University Hospital, Grenoble at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 4 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Marine FAURE (0476766872, MFaure6@chu-grenoble.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Presence of lesions expressing SST2 receptors in 68Ga-DOTATOC in patients followed for metastatic breast cancer (time frame: Baseline (during the PET examination)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06611891, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2025.

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