Abstract: |
Introduction: The in vitro and in vivo behavior of the radiolabeled monoclonal antibody MORAb-003 was investigated as a prelude to a clinical trial. Methods: The cellular retention of 111In- and 131I-labeled MORAb-003 was investigated using IGROV1 and SW620 cells. Biodistribution studies in tumor-bearing mice were performed with the more favorable agent. Results: Five 1,4,7,10-tetraazacyclododecane-N,N′,N″,N′″-tetraacetic acid (DOTA) molecules were conjugated to MORAb-003 with no apparent loss of immunoreactivity. Radiolabeled MORAb-003 had a high affinity for the folate receptor alpha (FRA) expressed by both IGROV1 and SW620 cells and was found to bind to around 8×105 and 7×105 sites/cell, respectively. Both cancer cell lines were found to internalize both 131I- and 111In-labeled MORAb-003, but 111In was retained and 131I was released as iodide. In athymic mice, 111In-DOTA-MORAb-003 was cleared from the blood with a single exponential biological clearance rate of 110 h. The uptake in SW620 tumors was 32±5%ID/g after 4 days. The clearance rate of activity from normal organs such as liver, kidney and spleen was similar to the blood clearance and was 5.36%ID/g, 4.03%ID/g and 4.36%ID/g at 1 day postinjection and 2.14%ID/g, 1.65%ID/g and 3.74%ID/g after 8 days, respectively. In a pilot clinical study, the biodistribution and tumor targeting of 111In-MORAb-003 was assessed in three patients undergoing treatment with cold MORAb-003. Conclusion: MORAb-003 is an attractive antibody for radioimmunoscintigraphy and possibly radioimmunotherapy of FRA-expressing cancers in addition to its potential direct therapeutic effects. © 2008 Elsevier Inc. All rights reserved. |
Keywords: |
controlled study; unclassified drug; human cell; clinical trial; case report; nonhuman; radiopharmaceuticals; ovarian neoplasms; animal cell; mouse; animals; mice; animal tissue; neoplasm recurrence, local; protein targeting; animal experiment; animal model; drug evaluation, preclinical; cell line, tumor; immunoreactivity; monoclonal antibody; drug dose escalation; antibodies, monoclonal; indium radioisotopes; iodine 131; drug distribution; drug uptake; isotope labeling; tissue distribution; iodine radioisotopes; mice, nude; pilot projects; carrier proteins; drug clearance; metabolic clearance rate; phase 1 clinical trial; drug half life; indium 111; drug binding; 1,4,7,10 tetraazacyclododecane 1,4,7,10 tetraacetic acid; drug conjugation; monoclonal antibody morab 003; receptors, cell surface; folate receptor alpha; neoplasms, glandular and epithelial; immunoconjugates; folate receptor; heterocyclic compounds, 1-ring; radioimmunodetection; dota; in-111; in-131; biological transport, active
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