HER2-PET Imaging in HER2-low Breast Cancers

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This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

A strategy to target the oncogenic receptor HER2 using a version of the anti-HER2 therapeutic antibody trastuzumab coupled to desferrioxamine (DFO) and radiolabeled with zirconium-89 (\[89Zr\]-DFO-trastuzumab) has been successfully evaluated in our group in preclinical settings. Clinical studies by other groups in recent years have shown the potential of targeting HER2+ lesions with \[89Zr\]-DFO-trastuzumab in patients with HER2+ cancers. We now want to establish the diagnostic potential of a protocol adding \[89Zr\]-DFO-trastuzumab PET imaging to FDG PET already used in the clinic for the detection of HER2-expressing cancers, including low expression levels considered until now as HER2-negative (HER2-low, IHC score 1+ and 2+ without FISH amplification of the HER2 locus). The HER2-low status has recently gained relevance thanks to large studies showing the efficacy of immunotherapy combined with drugs such as Enhertu (trastuzumab-deruxtecan), while trastuzumab alone was traditionally only effective for HER2+ cancers (IHC score 2+/FISH+, or 3+). In particular, we aim to develop a method to assess whole-body intertumoral heterogeneity in HER2 expression in order to detect cases with heterogeneous diseases and thus better stage patients and guide the optimal choice of personalized and targeted treatment to use. More specifically, the project aims to image with \[89Zr\]-DFO-trastuzumab PET patients with cancer, particularly breast cancer, but also esophageal, gastric, ovarian, endometrial and lung cancer, and whose primary tumor status is HER2-low.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Rak piersi z przerzutami, który ma niski poziom białka HER2.
  • Pacjent ma co najmniej 18 lat.
  • Pacjent jest w stanie leżeć na plecach przez co najmniej 30 minut.
  • Pacjent zgadza się wziąć udział w badaniu na piśmie.

✗ Disqualifies

  • Ciąża lub karmienie piersią.
  • Problemy z wątrobą, które mogą wpłynąć na wydalanie środka kontrastowego.
  • Problemy z nerkami, które mogą wpłynąć na wydalanie środka kontrastowego.
  • Znana alergia lub nadwrażliwość na trastuzumab lub inne składniki używane w badaniu.

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
March 31, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (1)

Centre de recherche du CHUS

Sherbrooke, Canada

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/1/2026.

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