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Published on: February 17, 2022
PET imaging with small-molecule tyrosine kinase inhibitors: TKI-PET
Paul Slobbe1, Alex J Poot, Albert D Windhorst
1Department of Nuclear Medicine and PET Research, VU University Medical Center, Amsterdam, The Netherlands. p.slobbe@vumc.nl
Abstract:
The discovery and increased understanding of tumor targets has led to the development and approval of 12 small molecule tyrosine kinase inhibitors (TKIs). Despite tremendous efforts in TKI development, treatment efficacies with these therapeutics are still too low and improvements require a personalized medicine approach. Positron emission tomography (PET) with radiolabeled TKIs (TKI-PET) is a tracking, quantification and imaging method, which provides a unique understanding of the behavior of these drugs in vivo and of the interaction with their target(s). In this article we provide an overview of tracer synthesis and development because each TKI requires a tailor made approach. Moreover, we describe current preclinical work and the first proof-of-principle clinical studies on the application of TKI-PET, illustrating the potential of this approach for improving therapy efficacy and personalized cancer treatment.
Insights
Positron emission tomography (PET) with radiolabeled tyrosine kinase inhibitors (TKIs) enables precise tracking and quantification of drug behavior. This TKI-PET imaging approach shows promise for enhancing personalized cancer therapy efficacy.
Area of Science:
- Oncology
- Radiochemistry
- Pharmacology
Background:
- Small molecule tyrosine kinase inhibitors (TKIs) are crucial cancer therapeutics, but their efficacy is limited.
- Personalized medicine approaches are needed to improve treatment outcomes for TKIs.
Purpose of the Study:
- To provide an overview of tracer synthesis and development for TKI-PET.
- To describe preclinical and early clinical applications of TKI-PET for cancer treatment.
Main Methods:
- Overview of tailor-made tracer synthesis strategies for individual TKIs.
- Review of preclinical studies involving TKI-PET.
- Analysis of initial proof-of-principle clinical TKI-PET studies.
Main Results:
- Each TKI necessitates a unique, customized approach for radiolabeling and tracer development.
- Preclinical data demonstrate the feasibility of TKI-PET for in vivo drug tracking.
- Early clinical studies indicate TKI-PET's potential for understanding drug-target interactions.
Conclusions:
- TKI-PET offers a powerful method for in vivo drug tracking and quantification.
- This imaging technique has the potential to significantly improve personalized cancer treatment strategies.
- Further development and application of TKI-PET can enhance therapeutic efficacy.
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