Application of Immuno-PET in Antibody–Drug Conjugate Development

Targeted therapies hold great promise for cancer treatment and may exhibit even greater efficacy when combined with patient selection tools. The clinical impact of identifying likely responders includes reducing the number of unnecessary and ineffective therapies as well as more accurately determini...

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Main Authors: Kendra S. Carmon PhD, Ali Azhdarinia PhD
Format: Article
Language:English
Published: SAGE Publishing 2018-10-01
Series:Molecular Imaging
Online Access:https://doi.org/10.1177/1536012118801223
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author Kendra S. Carmon PhD
Ali Azhdarinia PhD
author_facet Kendra S. Carmon PhD
Ali Azhdarinia PhD
author_sort Kendra S. Carmon PhD
collection DOAJ
description Targeted therapies hold great promise for cancer treatment and may exhibit even greater efficacy when combined with patient selection tools. The clinical impact of identifying likely responders includes reducing the number of unnecessary and ineffective therapies as well as more accurately determining drug effects. Positron emission tomography (PET) imaging using zirconium-89 radiolabeled monoclonal antibodies (mAbs), also referred to as zirconium-89 ( 89 Zr)-immuno-PET, provides a potential biomarker to measure target expression and verify optimal delivery of targeted agents to tumors. Antibody–drug conjugates (ADCs) combine the high affinity and specificity of mAbs with the potency of cytotoxic drugs to target tumor-expressing antigen and destroy cancer cells. Thus, 89 Zr-immuno-PET of whole-body biodistribution, pharmacokinetics, and tumor targeting of antibodies and ADCs to predict toxicity and efficacy could help guide individualized treatment. Here, we review how 89 Zr-immuno-PET is being used as a companion diagnostic with the development of ADCs. Furthermore, we discuss how 89 Zr-immuno-PET may be utilized in future clinical trials as an adjunct tool with novel ADCs to select cancer patients who have the greatest potential to benefit from treatment and improve ADC dosing regimens.
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spelling doaj-art-5175c22d4faf48e49d6d41f329d0b8e12025-01-02T02:58:11ZengSAGE PublishingMolecular Imaging1536-01212018-10-011710.1177/1536012118801223Application of Immuno-PET in Antibody–Drug Conjugate DevelopmentKendra S. Carmon PhD0Ali Azhdarinia PhD1 Institute of Molecular Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA Institute of Molecular Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USATargeted therapies hold great promise for cancer treatment and may exhibit even greater efficacy when combined with patient selection tools. The clinical impact of identifying likely responders includes reducing the number of unnecessary and ineffective therapies as well as more accurately determining drug effects. Positron emission tomography (PET) imaging using zirconium-89 radiolabeled monoclonal antibodies (mAbs), also referred to as zirconium-89 ( 89 Zr)-immuno-PET, provides a potential biomarker to measure target expression and verify optimal delivery of targeted agents to tumors. Antibody–drug conjugates (ADCs) combine the high affinity and specificity of mAbs with the potency of cytotoxic drugs to target tumor-expressing antigen and destroy cancer cells. Thus, 89 Zr-immuno-PET of whole-body biodistribution, pharmacokinetics, and tumor targeting of antibodies and ADCs to predict toxicity and efficacy could help guide individualized treatment. Here, we review how 89 Zr-immuno-PET is being used as a companion diagnostic with the development of ADCs. Furthermore, we discuss how 89 Zr-immuno-PET may be utilized in future clinical trials as an adjunct tool with novel ADCs to select cancer patients who have the greatest potential to benefit from treatment and improve ADC dosing regimens.https://doi.org/10.1177/1536012118801223
spellingShingle Kendra S. Carmon PhD
Ali Azhdarinia PhD
Application of Immuno-PET in Antibody–Drug Conjugate Development
Molecular Imaging
title Application of Immuno-PET in Antibody–Drug Conjugate Development
title_full Application of Immuno-PET in Antibody–Drug Conjugate Development
title_fullStr Application of Immuno-PET in Antibody–Drug Conjugate Development
title_full_unstemmed Application of Immuno-PET in Antibody–Drug Conjugate Development
title_short Application of Immuno-PET in Antibody–Drug Conjugate Development
title_sort application of immuno pet in antibody drug conjugate development
url https://doi.org/10.1177/1536012118801223
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