ImmunoPET helps predicting the efficacy of antibody-drug conjugates targeting TENB2 and STEAP1

Simon-Peter Williams1, Annie Ogasawara1, Jeff N Tinianow1

  • 1Genentech Research and Early Development, Genentech, Inc., South San Francisco, CA, 94080, USA.

Oncotarget
|March 31, 2016
PubMed

Insights

Antibody-drug conjugates (ADCs) efficacy in solid tumors is hard to monitor. 89Zr-immunoPET imaging can confirm ADC penetration, binding, and internalization, correlating with therapeutic efficacy in prostate cancer models.

Area of Science:

  • Oncology
  • Radiochemistry
  • Pharmacology

Background:

  • Antibody-drug conjugates (ADCs) are promising cancer therapeutics, but their in vivo performance is challenging to assess.
  • Understanding ADC penetration, binding, and internalization is crucial for predicting clinical efficacy.

Purpose of the Study:

  • To evaluate the utility of 89Zr-immunoPET for monitoring ADC behavior in vivo.
  • To correlate ADC tumor uptake with therapeutic efficacy in metastatic castration-resistant prostate cancer models.

Main Methods:

  • Studied monomethyl auristatin E (MMAE) ADCs targeting TENB2 and STEAP1 in four patient-derived prostate cancer models.
  • Assessed ADC efficacy via tumor growth inhibition studies.
  • Measured target expression (immunohistochemistry, flow cytometry) and antibody uptake (111In-mAbs, 89Zr-immunoPET, gamma counting).

Main Results:

  • Higher tumor antibody uptake correlated with greater ADC potency within each model.
  • Significant variability in model sensitivity observed; LuCaP77 showed weak efficacy despite high uptake and target expression.
  • Ex vivo analyses confirmed in vivo findings, demonstrating a link between target expression, uptake, and ADC efficacy.

Conclusions:

  • 89Zr-immunoPET imaging is a valuable tool for assessing critical ADC biological processes in vivo.
  • This imaging modality can identify ADC candidates with sufficient tumor penetration, binding, and internalization for efficacy.
  • Results highlight the importance of correlating imaging biomarkers with therapeutic outcomes in ADC development.

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