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Enrolling by Invitation

NCT Number: NCT07292571

Evaluation of Different Types of HER2 Expression in Breast Cancer Using [99mTc]Tc -ZHER2:4107

The study should evaluate the [99mTc]Tc -ZHER2:4107 accumulation in primary tumour of breast cancer patients with different HER2 expression

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Key information

Age range

18 year–80 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Cancer Research Institute of Tomsk National Research Medical Center of the Russian Academy of Sciences

Tomsk, Russia

About this study

To determine different HER2 expression in primary breast cancer patients before any system or local treatment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subject is > 18 years of age
  • Availability of results from HER2 status previously determined on material from the primary tumor and metastatic LN, either a. HER2-positive, defined as a DAKO HercepTest™ score of 3+ or FISH positive or b. HER2-negative, defined as a DAKO HercepTest™ score of 0 or 1+; or else if 2+ then FISH negative
  • Hematological, liver and renal function test results within the following limits:
  • White blood cell count: > 2.0 x 109/L
  • Hemoglobin: > 80 g/L
  • Platelets: > 50.0 x 109/L
  • ALT, ALP, AST: =< 5.0 times Upper Limit of Normal
  • Bilirubin =< 2.0 times Upper Limit of Normal
  • Serum creatinine: Within Normal Limits
  • A negative pregnancy test for all patients of childbearing potential. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception for at least 30 days after study termination
  • Subject is capable to undergo the diagnostic investigations to be performed in the study
  • Informed consent

Exclusion criteria

  • Any system therapy (chemo-/targeted therapy)
  • Second, non-breast malignancy
  • Active current autoimmune disease or history of autoimmune disease
  • Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening), known HIV positive or chronically active hepatitis B or C
  • Administration of other investigational medicinal product within 30 days of screening
  • Ongoing toxicity > grade 2 from previous standard or investigational therapies, according to US National Cancer Institute's

Treatment and study plan

Injection of [99mTc]Tc-ZHER2:4107, SPECT/CT

Drug

One single injection of [99mTc]Tc-ZHER2:4107, followed by SPECT/CT imaging 2 hours after injection

Other names: SPECT/CT Imaging Using Technetium-99m-labelled Affibody [99mTc]Tc -ZHER2:4107

Primary outcomes

  1. [99mTc]Tc -ZHER2:4107 uptake in primary breast tumor

    Time frame: 2 hours

    SPECT/СT-based [99mTc]Tc -ZHER2:4107 uptake in primary breast tumor with different HER2 expression (SUVmax)

  2. [99mTc]Tc -ZHER2:4107 background uptake

    Time frame: 2 hours

    SPECT-based [99mTc]Tc -ZHER2:41 background uptake value (SUVmax)

  3. Tumor-to-background ratio

    Time frame: 2 hours

    The SPECT/CT-based tumor-to-background ratio will be calculated as follows: the value of [99mTc]Tc -ZHER2:41 uptake coinciding with tumor lesions (counts) will be divided by the value of [99mTc]Tc -ZHER2:41 uptake coinciding with the regions without pathological findings (SUVmax)

Secondary outcomes

  1. Differentiation of HER2 expression in primary tumors

    Time frame: 2 hours

    To evaluate the threshold values of [99mTc]Tc -ZHER2:4107 accumulation for differentiation of HER2 expression in primary tumors in breast cancer patients

Sponsors and collaborators

Lead sponsor

Tomsk National Research Medical Center of the Russian Academy of Sciences

Other

Collaborators

  • Uppsala University

Registry information

Official study title

SPECT/CT Imaging of Different Types of HER2 Expression in Breast Cancer Using Technetium-99m-labelled Affibody [99mTc]Tc -ZHER2:4107

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 18, 2025
Registry last updated
Jun 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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