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  • Image-Based Dosimetry in Do...
    Allen, Kevin J H; Kwon, Ohyun; Hutcheson, Matthew R; Grudzinski, Joseph J; Cain, Stuart M; Cruz, Frederic A; Vinayakamoorthy, Remitha M; Sun, Ying S; Fairley, Lindsay; Prabaharan, Chandra B; Dickinson, Ryan; MacDonald-Dickinson, Valerie; Uppalapati, Maruti; Bednarz, Bryan P; Dadachova, Ekaterina

    Pharmaceuticals, 07/2023, Letnik: 16, Številka: 7
    Journal Article

    Osteosarcoma (OS) represents the most common primary bone tumor in humans and in companion dogs, being practically phenotypically identical. There is a need for effective treatments to extend the survival of patients with OS. Here, we examine the dosimetry in beagle dogs and cross-reactivity with human tissues of a novel human antibody, IF3, that targets the insulin growth factor receptor type 2 (IGF2R), which is overexpressed on OS cells, making it a candidate for radioimmunotherapy of OS. ZrZr-DFO-IF3 was injected into three healthy beagle dogs. PET/CT was conducted at 4, 24, 48, and 72 h. RAPID analysis was used to determine the dosimetry of LuLu-CHXA"-IF3 for a clinical trial in companion dogs with OS. IF3 antibody was biotinylated, and a multitude of human tissues were assessed with immunohistochemistry. PET/CT revealed that only the liver, bone marrow, and adrenal glands had high uptake. Clearance was initially through renal and hepatobiliary excretion in the first 72 h followed by primarily physical decay. RAPID analysis showed bone marrow to be the dose-limiting organ with a therapeutic range for Lu calculated to be 0.487-0.583 GBq. Immunohistochemistry demonstrated the absence of IGF2R expression on the surface of healthy human cells, thus suggesting that radioimmunotherapy with LuLu-CHXA"-IF3 will be well tolerated. Image-based dosimetry has defined a safe therapeutic range for canine clinical trials, while immunohistochemistry has suggested that the antibody will not cross-react with healthy human tissues.