2004
DOI: 10.1007/s00259-004-1664-0
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Pharmacokinetics and biodistribution of 177Lu-labeled multivalent single-chain Fv construct of the pancarcinoma monoclonal antibody CC49

Abstract: The results of this study demonstrate that the ITCB-DTPA conjugation and 177Lu-labeling of scFvs are feasible without influencing the antibody characteristics. 177Lu-labeled [sc(Fv)2]2 showed faster clearance and equivalent tumor uptake at 8 h compared with its IgG form, with a markedly reduced renal uptake in the presence of L-lysine. Therefore, 177Lu-labeled [sc(Fv)2]2 may be a potential radiopharmaceutical for the treatment of cancer.

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Cited by 30 publications
(28 citation statements)
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“…For example, a tetravalent scFv CC49 radiolabeled with 177 Lu demonstrated blood concentration at 24 hours postinjection was 0.5 %ID/g and tumor uptake was 5.5 %ID/g, resulting in a tumor-to-blood value of 11.0, compared to our value of 16.0 determined for 111 InHuCC49⌬C H 2. 51 Pavlinkova et al reported that 125 I-labeled dimeric scFv CC49 constructs were rapidly cleared from the blood with 0.07 %ID/g and tumor concentration of 5.62 %ID/g at 24 hours postinjection, resulting in a tumor-to-blood ratio of 80.3. 45 Although the dimeric scFv in that study provided a higher tumor-to-blood ratio than that observed for 111 In-HuCC49⌬C H 2 in our study, overall tumor uptake was lower for the scFv construct (14.4 %ID/g versus 5.62 %ID/g).…”
Section: Discussionmentioning
confidence: 99%
“…For example, a tetravalent scFv CC49 radiolabeled with 177 Lu demonstrated blood concentration at 24 hours postinjection was 0.5 %ID/g and tumor uptake was 5.5 %ID/g, resulting in a tumor-to-blood value of 11.0, compared to our value of 16.0 determined for 111 InHuCC49⌬C H 2. 51 Pavlinkova et al reported that 125 I-labeled dimeric scFv CC49 constructs were rapidly cleared from the blood with 0.07 %ID/g and tumor concentration of 5.62 %ID/g at 24 hours postinjection, resulting in a tumor-to-blood ratio of 80.3. 45 Although the dimeric scFv in that study provided a higher tumor-to-blood ratio than that observed for 111 In-HuCC49⌬C H 2 in our study, overall tumor uptake was lower for the scFv construct (14.4 %ID/g versus 5.62 %ID/g).…”
Section: Discussionmentioning
confidence: 99%
“…As the molecular size of the construct increases, the blood clearance rates are reduced and tumor uptake increases. A few constructs, such as the tetrabody (120 kD) described by Goel et al (61), have a blood clearance rate about 50 percent faster than IgG in mice, but with a similar tumor uptake, and studies with the 99m Tc-tetrabody suggest that even tumor/kidney ratios are favorable, but recent studies with 177 Lu-labeled tetrabodies showed a higher uptake in the kidneys than in the tumor (62,63). Thus, there is considerable diversity available at this time for antibodies with different targeting properties, but clinical studies will be required to determine which radionuclides would be appropriately matched with each construct, and if they will increase the therapeutic window for targeted radionuclide therapy.…”
Section: Recombinant Antibodiesmentioning
confidence: 96%
“…To keep the immunocompetence of antibody and simplify the labeling process, multiple labeling nuclides can be utilized. [4][5][6] Its application in tumor diagnosis and therapy is increasingly attended by researchers at home and abroad. For the present clinic, the majority of antibodies using RII are monoclonal; however, the experience shows that the monoclonal antibodies belong to the rodential heterogeneous protein and have the immunogenicity; therefore, the various degrees of human anti-mouse antibody reactions may happen in the patients' bodies, they decrease the efficiency of therapy and cause the toxic damages to the organ responsible for removal of antibodies [7] .…”
Section: IVmentioning
confidence: 99%