CD46 targeted ²¹²Pb alpha particle radioimmunotherapy for prostate cancer treatment

Journal Article · Sat Mar 11 00:00:00 EST 2023 · Journal of Experimental & Clinical Cancer Research

DOI:https://doi.org/10.1186/s13046-023-02636-x· OSTI ID:2424944

Li, Jun ^[1]; Huang, Tao ^[2]; Hua, Jun ^[3]; Wang, Qiong ^[4]; Su, Yang ^[5]; Chen, Ping ^[1]; Bidlingmaier, Scott ^[5]; Li, Allan ^[5]; Xie, Zhongqiu ^[2]; Bidkar, Anil P. ^[5]; Shen, Sui ^[6]; Shi, Weibin ^[2]; Seo, Youngho ^[5]; Flavell, Robert R. ^[5]; Gioeli, Daniel ^[2]; Dreicer, Robert ^[2]; Li, Hui ^[2]; Liu, Bin ^[5]; He, Jiang ^[2]

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1. Univ. of Virginia, Charlottesville, VA (United States); Peking University Shenzhen Hospital, Guangdong (China)
2. Univ. of Virginia, Charlottesville, VA (United States)
3. Univ. of Virginia, Charlottesville, VA (United States); Chongqing Univ. (China)
4. Southern Medical University, Guangzhou (China); Univ. of Virginia, Charlottesville, VA (United States)
5. Univ. of California, San Francisco, CA (United States)
6. Univ. of Alabama, Birmingham, AL (United States)

We recently identified CD46 as a novel prostate cancer cell surface antigen that shows lineage independent expression in both adenocarcinoma and small cell neuroendocrine subtypes of metastatic castration resistant prostate cancer (mCRPC), discovered an internalizing human monoclonal antibody YS5 that binds to a tumor selective CD46 epitope, and developed a microtubule inhibitor-based antibody drug conjugate that is in a multi-center phase I trial for mCRPC (NCT03575819). Here we report the development of a novel CD46-targeted alpha therapy based on YS5. We conjugated ²¹²Pb, an in vivo generator of alpha-emitting ²¹²Bi and ²¹²Po, to YS5 through the chelator TCMC to create the radioimmunoconjugate, ²¹²Pb-TCMC-YS5. We characterized ²¹²Pb-TCMC-YS5 in vitro and established a safe dose in vivo. We next studied therapeutic efficacy of a single dose of ²¹²Pb-TCMC-YS5 using three prostate cancer small animal models: a subcutaneous mCRPC cell line-derived xenograft (CDX) model (subcu-CDX), an orthotopically grafted mCRPC CDX model (ortho-CDX), and a prostate cancer patient-derived xenograft model (PDX). In all three models, a single dose of 0.74 MBq (20 µCi) ²¹²Pb-TCMC-YS5 was well tolerated and caused potent and sustained inhibition of established tumors, with significant increases of survival in treated animals. A lower dose (0.37 MBq or 10 µCi ²¹²Pb-TCMC-YS5) was also studied on the PDX model, which also showed a significant effect on tumor growth inhibition and prolongation of animal survival. These results demonstrate that ²¹²Pb-TCMC-YS5 has an excellent therapeutic window in preclinical models including PDXs, opening a direct path for clinical translation of this novel CD46-targeted alpha radioimmunotherapy for mCRPC treatment.

• Research Organization: USDOE Office of Science (SC), Office of Isotope R&D and Production (IRP)
• Sponsoring Organization: National Institutes of Health (NIH); USDOE
• OSTI ID: 2424944
• Journal Information: Journal of Experimental & Clinical Cancer Research, Journal Name: Journal of Experimental & Clinical Cancer Research Journal Issue: 1 Vol. 42; ISSN 1756-9966
• Publisher: Springer Nature
• Country of Publication: United States
• Language: English

Related Subjects

212Pb
62 RADIOLOGY AND NUCLEAR MEDICINE
CD46 epitope
Human monoclonal antibody
Prostate cancer
Prostate cancer patient-derived xenograft model
Radioimmunotherapy
Targeted alpha therapy
mCRPC