Abstract
The primary limitation of IgG antibodies for radioimmunotherapy of solid tumors is their prolonged serum half-life, leading to dose-limiting bone marrow toxicity at doses providing inadequate radiation to the tumor. A humanized CH2 domain-deleted variant of the anti-TAG-72 antibody CC49 (HuCC49ΔCH2) has faster blood clearance, compared to the IgG, while retaining tumor targeting. We compared the pharmacokinetics and tumor uptake of 111In-HuCC49ΔCH2 in BALB/c mice and a colon carcinoma (LS-174T) mouse xenograft with that of 111In-labeled chimeric CC49 (cCC49), an antibody with pharmacokinetics similar to the humanized CC49 parent. Immunoconjugates of HuCC49ΔCH2 and cCC49 prepared with the 111In chelator Mx-DTPA (1-isothiocyantobenzyl-3-methyldiethylenetriaminepentaacetic acid) retained low nM affinity and radiolabeling protocols provided greater than 95% radioincorporation with 111In while retaining greater than 80% immunoreactivity. Blood clearance of 111In-HuCC49ΔCH2 in BALB/c mice was monoexponential (t1/2 5.4 hours) and faster than 111In-cCC49 (biexponential clearance; t1/2Δ 1.5 hours; t1/2β 162 hours). The 111In-HuCC49ΔCH2 also cleared more rapidly from the blood in the murine xenograft. At 1 hour postinjection, blood concentrations for 111In-HuCC49ΔCH2 and 111In-cCC49 were comparable (25.5 injected dose per g [%ID/g] and 21.3 %ID/g, respectively); tumor uptake for 111In- HuCC49ΔCH2 was 7.9 %ID/g, compared to 7.5 %ID/g for 111In-cCC49. However, at 24 hours, blood concentration for 111In-HuCC49ΔCH2 was less than 111In-cCC49 (0.9 %ID/g versus 5.2 %ID/g, respectively) with comparable tumor retention (14.4 %ID/g versus 19.0 %ID/g, respectively). Faster blood clearance of 111In-HuCC49ΔCH2 and tumor localization comparable to that of 111In-cCC49 provided a fourfold improved tumor-to-blood ratio for 111In-HuCC49ΔCH2 at 24 hours postinjection.
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