The aim of this Phase 1b/2 study is to investigate the safety, efficacy, and pharmacokinetics (PK) of a single dose of LS301-IT, a novel fluorescence imaging agent developed by Integro Theranostics (IT), administered by intravenous (IV) injection in female patients undergoing partial mastectomy for DCIS (whether or not undergoing planned SLNB) or Stage I-II primary invasive breast cancer undergoing SLNB. Safety is the primary objective of this study, followed by efficacy that will be assessed from fluorescence imaging observations and data.
This is a Phase 1b/Phase 2, open-label study to investigate the use of LS301-IT (investigational medicinal product \[IMP\]), a fluorescence imaging agent used for visualization of tumor margins and SLNs in female patients with DCIS or Stage I-II, primary invasive carcinoma of the breast, for which the patient's primary surgical treatment is partial mastectomy. Eligible patients will be enrolled into either: * Phase 1b (Period 1): dose finding (escalation/de-escalation), and dose timing adjustment; * Phase 2a (Period 2): expanded sample size based on acceptable dosing regimen, that being the dose level(s) and time interval between LS301-IT injection and surgery, determined in Period 1; or * Period 2b (Period 3): allow surgeon to make additional surgical decisions based on fluorescence imaging findings during surgery (Period 3 will not be opened until results are available from Periods 1 and 2 and further FDA consultation is obtained).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
The dose of LS301-IT planned to be administered to the first cohort of patients is 0.025 mg/kg. Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased (by 50% as necessary). The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Depending on the results the dose for subsequent cohorts will be increased to 0.05, 0.075, and 0.1 mg/kg; the dose may also be decreased. The optimal dose determined in Periods 1 and 2 will be administered to patients in Period 3.
Integro Theranostics Research Site #2
Scottsdale, Arizona, United States
Integro Theranostics Research Site #12
Washington D.C., District of Columbia, United States
Integro Theranostics Research Site #9
Weston, Florida, United States
Integro Theranostics Research Site #6
The Bronx, New York, United States
Integro Theranostics Clinical Research Site #8
Winston-Salem, North Carolina, United States
Integro Theranostics Research Site #10
Cleveland, Ohio, United States
Integro Theranostics Research Site #5
Philadelphia, Pennsylvania, United States
Integro Theranostics Research Site #3
Dallas, Texas, United States
Integro Theronostics Research Site #1
Houston, Texas, United States
Adverse Events
Number of participants with treatment-related adverse events
Time frame: 30 days
Pharmacodynamics
Tumor to non-tumor ratio fluorescence response
Time frame: during surgery
Pharmacodynamics
Surgeon's assessment using a semi-quantitative scoring system of fluorescence compared with intraoperative and postoperative pathology assessments.
Time frame: During surgery
Cmax
maximum observed plasma concentration main metabolite in plasma.
Time frame: 24 hours
AUCinf
area under the plasma concentration time curve from time 0 extrapolated to infinite time
Time frame: 24 hours
AUClast
area under the plasma concentration-time curve from time 0 to the last quantifiable plasma concentration
Time frame: 24 hours
Tmax
time to reach maximal plasma concentration (Tmax)
Time frame: 24 hours
t1/2
elimination/apparent terminal elimination half life
Time frame: 24 hours
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