The blood kinetics and tumour localization of a conjugate of methotrexate (MTX) and MAb 791T136 were examined i n nude mice with human tumour xenografts. The antibod moiety of the conjugate was detected by labelling with l2J and the drug moiety was assayed using a radioimmunoassay for methotrexate. After radioiodination, the drug moiety was co-precipitable with the radiolabel when TCA or rabbit antimouse IgG antiserum was used. Following i.v. injection, serum kinetics of both the antibody and the drug moieties of the conjugate were essentially similar, and the integrity of serumborne conjugate was confirmed by the co-precipitation of radiolabel and drug. The radiolabelled antibody moiety of the conjugate localized in tumour xenografts, with 5-7% of the injected dose being present per gram of tissue within 6 hr of injection, and the levels were maintained for up to 4 days. Analysis of tumour levels of the M T X moiety showed a progressive uptake over the 4-day observation period with up t o 4% of the injected dose being present per gram of tumour when the experiment was terminated. Parallel studies with free M T X showed rapid clearance from the blood and a maximum of 0.35% of the dose/g of tumour 30 min after injection.Control immunoglobulin conjugated t o M T X did not show tumour localization of either the antibody or the drug moieties. These studies confirm that in vivo M T X remains bound t o antibody in this type of drug antibody conjugate and demonstrate site-specific targeting of this therapeutic agent.The tumour localization of MAbs directed against human tumour-associated antigens has now been extensively documented both experimentally and clinically (Pimm, 1987). These observations have re-awakened interest in the use of antibodies as site-specific targeting agents for cancer therapy (Embleton, 1987;Baldwin and Byers, 1987). There are now reports of antibody conjugate synthesis with a number of widely used anti-tumor agents including anthracyclines (Pimm et al., 1982b;Gallego et al., 1984), anti-metabolites such as methotrexate (Garnett et al., 1983;Kulkarni et al., 1985; Kanellos et al., 1985), and vinca alkaloids (Rowland et al., 1985, 1986).Although there are reports of therapeutic effects with a number of these conjugates, at least in tumour xenograft systems (Kanellos ef al., Kulkarni et al., 1985;Rowland et al., 1985Rowland et al., , 1986Smyth et al., 1986) little attention has been paid to the pharmacokinetics of drugs conjugated to antibodies and, most importantly, there is little information on the comparative tumour levels of these drugs achieved after administration in free form or as conjugate. In the present studies the in vivo distribution of conjugates of methotrexate and the MAb (791T/ 36) has been examined in mice bearing human osteosarcoma xenografts. This has involved assessment of blood and tumour levels of both the drug and antibody moieties of the conjugate in comparison with drug linked to control immunoglobulin or given in free form.
MATERIAL AND METHODS
Monoclonal antibodyThe ...