RecruitingPhase 1NCT07121244

A Phase 1 Study of 68Ga-R11228 and 177Lu-R11228 in Breast Cancer

Phase 1 Study of 68Ga-R11228 and 177Lu-R11228 in Patients With Advanced Breast Cancer


Sponsor

Radionetics Oncology

Enrollment

62 participants

Start Date

Oct 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A phase 1 study of 68Ga-R11228 and 177Lu-R11228 in breast cancer.


Eligibility

Min Age: 18 Years

Inclusion Criteria14

  • Part A
  • Pathologically confirmed estrogen and/or progesterone receptor (ER/PR) positive and HER2 negative locoregionally recurrent or metastatic breast cancer
  • At least one target or non-target lesion per RECIST v1.1 criteria.
  • Male or non-pregnant, non-lactating female subjects age ≥18 years.
  • Part B
  • Pathologically confirmed estrogen and/or progesterone receptor (ER/PR) positive and HER2 negative locoregionally recurrent or metastatic breast cancer
  • Refractory to endocrine therapy. Note: there is no limit on prior number of lines of endocrine therapy or prior treatments with CDK4/6, AKT, PI3K and/or mTOR inhibitors.
  • Received or declined at least one line of chemotherapy or antibody drug conjugate in the locoregionally recurrent or metastatic setting
  • Progressive disease or intolerance to last treatment.
  • At least one target lesion per RECIST v1.1 criteria.
  • Male or non-pregnant, non-lactating female subjects age ≥18 years.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Life expectancy of at least six months.
  • Adequate bone marrow reserve, hepatic function and renal function.

Exclusion Criteria15

  • Part A
  • Study participant has not recovered from clinically significant adverse event(s) resulting from most recent anticancer therapy/intervention.
  • Known central nervous system (CNS) disease, except for those subjects with treated brain metastasis who are stable for at least 1 month, having no evidence of progression or hemorrhage after treatment and no ongoing requirement for corticosteroids, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\]) during the screening period.
  • Radiotherapy for breast cancer ≤ 28 days prior
  • Received a radionuclide within a period of less than 10 physical half-lives of the administered radionuclide prior to dosing with 68Ga-R11228.
  • Any condition that precludes the proper performance of imaging procedures required in this study.
  • Part B
  • Study participant has not recovered from clinically significant adverse event(s) resulting from most recent anticancer therapy/intervention
  • Treatment with anticancer therapy or with an investigational drug or device within 21 days or 5 half-lives of the agent (whichever is shorter)
  • Known central nervous system (CNS) disease, except for those subjects with treated brain metastasis who are stable for at least 1 month, having no evidence of progression or hemorrhage after treatment and no ongoing requirement for corticosteroids, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\]) during the screening period.
  • Radiotherapy for breast cancer ≤ 28 days
  • Prior systemic radionuclide therapeutic treatment.
  • Received a radionuclide within a period of less than 10 physical half-lives of the administered radionuclide prior to dosing with 68Ga-R11228.
  • Any unresolved NCI-CTCAE Version 5.0 Grade 2 or higher toxicity (except alopecia and Grade 2 platinum-therapy related neuropathy) from previous breast cancer treatment and/or from medical/surgical procedures or interventions.
  • Any condition that precludes the proper performance of imaging procedures required in this study.

Interventions

DRUG68Ga-R11228

68Ga-R11228 is a gallium-labeled small molecule radioligand that is designed to localize tumor lesions

DRUG177Lu-R11228

177Lu-R11228 is a lutetium-labeled small molecule radioligand designed to treat tumor lesions


Locations(7)

Indiana University Melvin and Bren Simon Cancer Center

Indianapolis, Indiana, United States

United Theranostics

Glen Burnie, Maryland, United States

United Theranostics Princeton

Princeton, New Jersey, United States

University Hospital Seidman Cancer Center

Cleveland, Ohio, United States

MD Anderson Cancer Center

Houston, Texas, United States

University of Utah - Huntsman Cancer Institute

Salt Lake City, Utah, United States

Melbourne Theranostic Innovation Centre (MTIC)

Melbourne, Australia

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NCT07121244


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