PSA-Targeted Alpha-, Beta-, and Positron-Emitting Immunotheranostics in Murine Prostate Cancer Models and Nonhuman

Darren R Veach1,2, Claire M Storey3, Katharina Lückerath3,4,5,6

  • 1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.

Abstract

Insights

This study shows hu5A10, a novel antibody targeting prostate-specific antigen (PSA), effectively treats prostate cancer in preclinical models. Radiolabeled hu5A10 demonstrates theranostic potential for advanced prostate cancer therapy.

Area of Science:

  • Oncology
  • Radiopharmaceutical Therapy
  • Immunotherapy

Background:

  • Androgen receptor (AR) signaling inhibitors are standard prostate cancer treatments.
  • Therapeutic resistance to AR inhibitors is common due to AR functionality restoration.
  • Novel therapeutic strategies targeting AR are critically needed.

Purpose of the Study:

  • To investigate the theranostic potential of hu5A10, a humanized monoclonal antibody targeting free prostate-specific antigen (PSA, KLK3).
  • To evaluate the efficacy and biodistribution of radiolabeled hu5A10 in preclinical prostate cancer models.

Main Methods:

  • Radiolabeling hu5A10 with isotopes (89Zr, 90Y, 225Ac) for imaging and therapy.
  • In vivo studies using LNCaP-AR xenografts and KLK3_Hi-Myc transgenic mice.
  • Assessment of biodistribution, tumor uptake, therapeutic efficacy, and pharmacokinetics in mice and nonhuman primates (NHPs).

Main Results:

  • Radiolabeled hu5A10 showed specific tumor uptake correlating with PSA expression.
  • Treatment with 90Y- or 225Ac-labeled hu5A10 significantly reduced tumor burden and prolonged survival.
  • Complete responses were observed in a subset of animals treated with 225Ac-hu5A10.
  • 89Zr-hu5A10 PET visualized prostate in NHPs, consistent with mouse pharmacokinetics.

Conclusions:

  • Hu5A10 establishes a new theranostic agent for highly specific and effective targeting of AR in PSA-expressing tissues.
  • Preclinical data support the clinical translation of radiolabeled hu5A10 for prostate cancer treatment.
  • This approach offers a promising strategy for overcoming therapeutic resistance in prostate cancer.

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