68Ga-MY6349 PET/CT imaging to assess Trop2 expression in multiple types of cancer

  • 0Department of Nuclear Medicine and Minnan PET Center, Xiamen Key Laboratory of Radiopharmaceuticals, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

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Summary

This summary is machine-generated.

This study introduces 68Ga-MY6349 PET/CT, a new imaging tool for assessing trophoblast cell-surface antigen 2 (Trop2) expression in various cancers. The tracer shows promise for improved cancer diagnosis, staging, and personalized treatment decisions.

Area Of Science

  • Oncology
  • Radiochemistry
  • Molecular Imaging

Background

  • Trophoblast cell-surface antigen 2 (Trop2) is overexpressed in many epithelial cancers, making it a potential therapeutic and diagnostic target.
  • A novel Trop2-specific radiotracer, 68Ga-MY6349, has been developed for positron emission tomography/computed tomography (PET/CT).

Purpose Of The Study

  • To evaluate the clinical utility of 68Ga-MY6349 PET/CT in a prospective trial across 15 cancer types.
  • To compare the diagnostic performance of 68Ga-MY6349 PET/CT with established imaging modalities like 18F-FDG PET/CT and 68Ga-PSMA-11 PET/CT.

Main Methods

  • A prospective translational study involving 90 patients with 15 different cancer types undergoing 68Ga-MY6349 PET/CT.
  • Paired imaging was performed in 78 patients (68Ga-MY6349 vs. 18F-FDG PET/CT) and 12 prostate cancer patients (68Ga-MY6349 vs. 68Ga-PSMA-11 PET/CT).
  • Immunohistochemistry was used to correlate Trop2 expression levels with radiotracer uptake.

Main Results

  • 68Ga-MY6349 PET/CT demonstrated high, albeit heterogeneous, tumor uptake across various cancer types, correlating well with Trop2 expression levels.
  • The tracer showed superior tumor uptake compared to 18F-FDG PET/CT in breast, prostate, and thyroid cancers.
  • In prostate cancer, 68Ga-MY6349 PET/CT offered comparable lesion uptake but improved tumor-to-background contrast over 68Ga-PSMA-11 PET/CT, revealing more metastatic lesions.

Conclusions

  • 68Ga-MY6349 PET/CT serves as a noninvasive method for assessing tumor Trop2 expression.
  • This imaging approach can enhance cancer diagnosis, staging, and guide personalized treatment strategies, particularly for Trop2-targeted therapies.