Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 and up Women only

Monitoring HER2-positive breast cancer treatment with advanced imaging techniques

Official title: Monitoring HER2+ Breast Cancer Neoadjuvant Treatment With Advanced PET/MRI

Run by University of Alabama at Birmingham · NCT04332588 · Data updated 2026-11-12

This study is testing a new imaging agent to see if it can help track how well HER2-positive breast cancer patients are responding to their treatment with trastuzumab during chemotherapy.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment25 (estimated)
SponsorUniversity of Alabama at Birmingham
Academic / other
Drugs / interventionstrastuzumab, chemotherapy
Locations1 site (Birmingham, Alabama)
StatusRecruiting
StartedMarch 25, 2022
Main results expectedAugust 2027
Study endsAugust 2027
Registry record updatedAugust 17, 2026
Trial IDNCT04332588 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 75 with locally advanced HER2-positive breast cancer who are eligible for neoadjuvant therapy and have measurable disease.

Probably not a fit

Patients who are not eligible include those who are pregnant, lactating, or unable to provide informed consent, as well as those exceeding the weight limit for the imaging equipment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of an investigational imaging agent, [18F]FMISO, in conjunction with PET/MRI imaging to monitor the response of HER2-positive breast cancer patients to trastuzumab (Herceptin) during neoadjuvant chemotherapy. Participants will undergo a series of imaging visits based on their treatment cohort, which will include pre-study assessments and PET/MRI scans after the administration of the imaging agent. The study is designed to enhance understanding of treatment responses in HER2-positive breast cancer, although it will not alter current treatment plans for participants.

Why it matters

Potential benefit: If successful, this study could improve the monitoring and prediction of treatment responses in HER2-positive breast cancer, leading to more personalized treatment strategies.

How similar studies have gone: While this approach is innovative, similar imaging techniques have shown promise in other studies, suggesting potential for success in this context.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients must be ≥ 18 years old and ≤ 75 years old
2. HER2+ breast cancer determined on primary tumor by a local pathology laboratory and defined as IHC score 3+ and/or positive by ISH (defined by ISH ratio of ≥ 2.0 for the number of HER2 gene copies to the number of chromosome 17 copies). Only one positive result is required for eligibility
3. Locally advanced stage II-III HER2+ breast cancer patients eligible for neoadjuvant therapy who are naïve to beginning treatment
4. Estimated life expectancy of greater than one year
5. Patients must have one lesion with RECIST measurable disease (great than 1 cm in diameter)

Exclusion Criteria:

1. Inability to provide informed consent F
2. Weight over 350 lbs., due to the scanner bore size
3. Lactating, known or suspected pregnancy. Women with child-bearing potential must a have a negative serum β-hCG pregnancy test within 48 hours or a negative urine β-hCG pregnancy test within 48 hours of each PET imaging study.
4. Contraindication for MRI study (e.g. non-removable metal implants or certain tattoos)
5. Unable to lie still on the imaging table for one (1) hour
6. contraindication for gadolinium-based contrast agent, ProHance (gadoteridol)

Where it's running

  • The University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting

Study contacts

  • Principal investigator: Jonathan McConathy, MD, PhD — University of Alabama at Birmingham
  • Study coordinator: Anna Sorace, PhD
  • Email: asorace@uabmc.edu
  • Phone: 205-934-3116

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.