TABLE 1

Clinical Trials Involving 18F-FLT PET in Breast Cancer

TreatmentNo. of patientsTime pointOutcome
Chemotherapy14Baseline, 6 wk, 30 wkEarly response predicted late response (73)
Chemotherapy (FEC)142 at baseline, then 1 at day 718F-FLT uptake was repeatable in breast tumors, all chemotherapy responders had 18F-FLT PET response (22)
Docetaxel20Baseline, 2 wkEarly reductions were seen in 18F-FLT uptake, which were predictive of clinical response (74)
Capecitabine6Baseline, 1 hPharmacodynamic study showing changes in tumor tissue 18F-FLT uptake could be useful as a surrogate measure of TS inhibition (21)
Chemotherapy (FEC or FEC-T)17Baseline, before second cycleBaseline, after chemotherapy, or change in SUVmax did not correlate with pathologic response to chemotherapy. Baseline SUVmax did correlate with Ki-67 (20)
Chemotherapy (AT-CMF)15Baseline, after 1 cycle, and at the end of chemotherapyChange in primary tumor SUVmax after 1 cycle was able to predict residual cancer burden (75)
  • FEC = 5-fluorouracil, epirubicin, and cyclophosphamide; TS = thymidylate synthase; AT-CMF = adriamycin, docetaxel, cyclophosphamide, methotrexate, 5-fluorouracil.