Genetic signature of prostate cancer mouse models resistant to optimized hK2 targeted α-particle therapy

Mesude Bicak1, Katharina Lückerath2,3, Teja Kalidindi4

  • 1Department of Genetics and Genomic Sciences, Icahn Institute for Data Science and Genome Technology, Icahn School of Medicine at Mount Sinai, New York, NY 10029.

Insights

This study optimized Actinium-225-labeled hu11B6 antibody treatments for prostate cancer. While IgG3 offered functional enhancement, a single high dose showed slightly better progression-free survival and reduced aggressive gene expression.

Area of Science:

  • Oncology
  • Immunotherapy
  • Radiopharmaceuticals

Background:

  • Hu11B6 is a monoclonal antibody targeting human kallikrein-related peptidase 2 (hK2) in prostate cancer cells.
  • Actinium-225-labeled hu11B6-IgG1 ([225Ac]hu11B6-IgG1) demonstrated promising therapeutic efficacy in preclinical models.
  • Optimizing targeted alpha radioimmunotherapy requires exploring antibody variants and dosing strategies.

Purpose of the Study:

  • To evaluate IgG3 subclass for enhanced hK2-targeted alpha radioimmunotherapy.
  • To compare the therapeutic efficacy of single high-dose versus fractionated dosing of [225Ac]hu11B6.
  • To analyze genomic signatures of prostate cancer progression following targeted alpha therapy.

Main Methods:

  • Utilized Actinium-225-labeled hu11B6-IgG3 and hu11B6-IgG1 in rodent models.
  • Compared single high-activity administration versus fractionated activity dosing.
  • Employed RNA sequencing to identify genomic alterations in progressed tumors.

Main Results:

  • [225Ac]hu11B6-IgG3 showed functional enhancement but no improved therapeutic efficacy over IgG1.
  • A single high activity dose resulted in slightly increased progression-free survival compared to fractionated dosing.
  • No treatment-associated toxicity was observed in tumor-free animals.
  • RNA sequencing revealed upregulation of aggressive prostate cancer genes (e.g., MMP7, ETV1) and downregulation of KLK3 and FOLH1, indicating treatment efficacy.

Conclusions:

  • Actinium-225-labeled hu11B6-IgG3 is a functionally enhanced but not therapeutically superior alternative to IgG1.
  • Single high-dose administration of [225Ac]hu11B6 may offer a slight survival benefit over fractionated dosing.
  • Targeted alpha therapy with [225Ac]hu11B6 demonstrates efficacy by altering gene expression profiles in progressing prostate cancer.