HER2 Targeted Molecular Imaging in mBC and Other Metastatic Solid Carcinomas Using 68Ga-ABS011

Last updated: June 1, 2026
Sponsor: Abscint NV/SA
Overall Status: Active - Recruiting

Phase

2

Condition

Breast Cancer

Metastatic Cancer

Neoplasm Metastasis

Treatment

68Ga-NOTA-ABSCINT-HER2 PET/CT

Clinical Study ID

NCT06369831
ABS011-1
2024-511419-22-00
  • Ages > 18
  • All Genders

Study Summary

This phase II study aims to confirm the diagnostic performance and accuracy of 68Ga-ABS011 PET/CT in determining the HER2 expression status, and to evaluate 68Ga-ABS011's ability to drive changes in therapeutic treatment. 68Ga-ABS011 will be compared to the current standard of care (SOCa) diagnostic methods including immunohistochemistry (IHC), in situ hybridization (ISH) and imaging tools used for treatment response follow-up including Fluorodeoxyglucose F-18 (18F-FDG) positron emitted tomography (PET) and contrast enhanced computed tomography (ceCT).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Adult (≥ 18 years at the time of informed consent signature) male or female patient

  2. Patient with confirmed de novo or pre-treated metastatic solid tumors (multipleprevious treatment lines in metastatic setting are allowed).

2.1. Patients with documented hormone receptor positive/HER2 negative,triple-negative or HER2 positive mBC that could become eligible for commerciallyavailable HER2 targeted monotherapy (i.e. through confirmation of HER2 IHC non-0status assessed during the course of the study) or 2.2 Other metastatic solidtumors, not necessarily eligible for commercially available HER2 targetedmonotherapy .

  1. Patient presenting with at least one target biopsiable, FDG positive , non-livermetastatic lesion of ≥15 mm defined on ceCT (as part of screening 18F-FDG PET/ceCTassessment).

  2. Patient willing to undergo at least one tumor biopsy.

  3. Male patients able to father children and female patients of childbearing potentialagree to use effective methods of contraception during the diagnostic and SOCatreatment follow-up study phases.

  4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 to

  5. Ability and willingness of the research participant to provide written informedconsent.

Exclusion

Exclusion Criteria:

  1. Primary (non-metastatic) solid tumor cancer.

  2. Patient not willing to undergo at least one tumor biopsy. Note: A recent biopsy andaccompanied locally assessed IHC/ISH analyses, completed before screening, will notbe accepted for study purposes.

  3. 18F-FDG PET/ceCT completed before screening and patient not willing to repeat thisassessment.

  4. Metastatic setting 18F-FDG PET/ceCT indicating that the identified tumor lesionscannot be biopsied due their location and/or tissue type and/or an increased riskfor serious comorbidities.

  5. Brain and liver metastases are the sole sites of metastatic disease.

  6. Life expectancy lower than 3 months.

  7. Pregnancy or breastfeeding.

  8. Inadequate organ function, suggested by clinically relevant abnormal laboratoryresults:

  9. Significantly impaired renal function defined as estimated GlomerularFiltration Rate (GFR) <30 ml/min/1.73m2.

  10. Absolute neutrophil count <1,500 cells/mm3.

  11. Total bilirubin ~1.5 x Upper Limit of Normal (ULN) (unless the patient hasdocumented Gilbert's syndrome).

  12. Aspartate aminotransferase (AST)/serum glutamic-oxaloacetic transaminase (SGOT)or Alanine aminotransferase (ALT)/ serum glutamic pyruvic transaminase (SGPT) >5.0 x ULN.

  13. Patients with a known hypersensitivity to any of the investigational medicinalproduct (IMP) components or packaging.

  14. Patients with increased risks of bleeding or other complications from biopsies (e.g.patients under anticoagulation therapy for whom temporary discontinuation of thistherapy cannot be safely performed).

  15. Patients with a known hypersensitivity or contraindication for iodinated contrastmedia (iCM) which cannot be controlled by taking prophylactic measures (e.g.temporary treatment interruption or introduction of adequate pre-medication).

  16. Patients who cannot undergo PET/CT scanning (including but not limited to body sizeand claustrophobia).

  17. Any condition that in the opinion of the investigator may significantly interferewith study compliance (including but not limited to psychological or psychiatric,social or geographical condition potentially hampering compliance with the studyrequirements).

Study Design

Total Participants: 60
Treatment Group(s): 1
Primary Treatment: 68Ga-NOTA-ABSCINT-HER2 PET/CT
Phase: 2
Study Start date:
September 12, 2024
Estimated Completion Date:
September 30, 2026

Study Description

Lesion sampling error resulting tumor heterogeneity is probably the biggest pitfall when determining the HER2 status. Moreover, IHC expression or gene amplification can be affected by procedural differences and sample handling differences that are influenced by the experience and training of the pathologist's team. Last but not least, immunohistochemistry interpretation remains a semiquantitative subjective scoring which is susceptible to considerable interobserver variability.

68Ga-ABS011, is a NOTA (chelating agent to label sdAbs with radionuclides) linked single domain antibody (sdAb) with the capability to bind HER2 tumor antigens very fast, while the unbound fraction is rapidly cleared from the blood. ABS011 is labeled with gallium-68, a short-lived isotope (68Ga, t1/2: 68 min). Combining rapid targeting of HER2, fast clearance and low radiation burden make 68Ga-ABS011 is suited for specific tumor marker whole body PET/CT imaging. The available preclinical and clinical results with 68Ga-ABS011 (or its first generation product), including a phase I and a phase II clinical trials, did not reveal any safety signals. Extended safety assessments, including anti-drug antibody (ADA) serum evaluations after 2 consecutive administrations, supported the previously observed low immunogenicity risk profile with these sdAbs. Besides safety, this tracer showed potential in the assessment of inter-lesional HER2 expression heterogeneity and also displayed some higher sensitive and more specific determination of disease extent compared to 18F-FDG.

Whole body mapping of HER2, an antigen present in multiple cancer types, might (I) Reduce tumor lesion sampling errors and resultingly reduce false negative HER2 IHC outcomes, potentially broadening the therapeutic and interventional treatment options for the patient; (II) Enable identification of inter-and intratumor heterogeneity; and (III) Support follow-up of HER2 targeted treatment response, and accompanied treatment decisions.

Connect with a study center

  • Medizinische Universität Innsbruck

    Innsbruck, Tyrol A-6020
    Austria

    Active - Recruiting

  • AZ Delta CHIREC

    Brussels, Brussels Capital 1070
    Belgium

    Active - Recruiting

  • Cliniques Universitaires Saint-Luc

    Brussels, Brussels Capital 1070
    Belgium

    Active - Recruiting

  • Free University Brussels (VUB)

    Brussels, Brussels Capital 1070
    Belgium

    Active - Recruiting

  • Institut Jules Bordet

    Brussels, Brussels Capital 1070
    Belgium

    Active - Recruiting

  • OLV Aalst

    Aalst, East-Flanders 9300
    Belgium

    Completed

  • AZ Delta

    Brussels, 1070
    Belgium

    Site Not Available

  • University Hospital Gasthuisberg

    Leuven,
    Belgium

    Active - Recruiting

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