Article
作者: Zatorska, Danuta ; Zhang, Hanwen ; Modi, Shanu ; Bromberg, Jacqueline ; Larson, Steven M. ; Fox, Josef J. ; Jhaveri, Komal ; Zanzonico, Pat B. ; Ochiana, Stefan O. ; Dunphy, Mark P.S. ; Schöder, Heiko M. ; Pillarsetty, Nagavarakishore ; Beattie, Bradley J. ; Lewis, Jason S. ; Uddin, Mohammad M. ; Burnazi, Eva M. ; Taldone, Tony ; Pressl, Christina ; Grkovski, Milan ; Hudis, Clifford A. ; Norton, Larry ; Chiosis, Gabriela ; Lyashchenko, Serge K.
Purpose::124I-PU-H71 is an investigational first-in-class radiologic agent specific for imaging tumor epichaperome formations. The intracellular epichaperome forms under cellular stress and is a clinically validated oncotherapeutic target. We conducted a first-in-human study of microdose 124I-PU-H71 for PET to study in vivo biodistribution, pharmacokinetics, metabolism, and safety; and the feasibility of epichaperome-targeted tumor imaging.
Experimental Design::Adult patients with cancer (n = 30) received 124I-PU-H71 tracer (201±12 MBq, <25 μg) intravenous bolus followed by PET/CT scans and blood radioassays.
Results::124I-PU-H71 PET detected tumors of different cancer types (breast, lymphoma, neuroblastoma, genitourinary, gynecologic, sarcoma, and pancreas). 124I-PU-H71 was retained by tumors for several days while it cleared rapidly from bones, healthy soft tissues, and blood. Radiation dosimetry is favorable and patients suffered no adverse effects.
Conclusions::Our first-in-human results demonstrate the safety and feasibility of noninvasive in vivo detection of tumor epichaperomes using 124I-PU-H71 PET, supporting clinical development of PU-H71 and other epichaperome-targeted therapeutics.