Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer

Introduction: Antibodies labeled with alpha-emitter astatine-211 have previously shown effective in intraperitoneal (i.p.) treatments of ovarian cancer. In the present work we explore the use of investigational farletuzumab, aimed at the folate receptor alpha. The aim was to evaluate the biodistribu...

Full description

Bibliographic Details
Main Authors: Stig Palm, Tom Bäck, Emma Aneheim, Andreas Hallqvist, Ragnar Hultborn, Lars Jacobsson, Holger Jensen, Sture Lindegren, Per Albertsson
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Translational Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S193652332030365X
_version_ 1818595860087308288
author Stig Palm
Tom Bäck
Emma Aneheim
Andreas Hallqvist
Ragnar Hultborn
Lars Jacobsson
Holger Jensen
Sture Lindegren
Per Albertsson
author_facet Stig Palm
Tom Bäck
Emma Aneheim
Andreas Hallqvist
Ragnar Hultborn
Lars Jacobsson
Holger Jensen
Sture Lindegren
Per Albertsson
author_sort Stig Palm
collection DOAJ
description Introduction: Antibodies labeled with alpha-emitter astatine-211 have previously shown effective in intraperitoneal (i.p.) treatments of ovarian cancer. In the present work we explore the use of investigational farletuzumab, aimed at the folate receptor alpha. The aim was to evaluate the biodistribution and therapeutic effect of 211At-farletuzumab in in-vitro and in-vivo experiments and, using models for radiation dosimetry, to translate the findings to expected clinical result. The activity concentration used for therapy in mice (170 kBq/mL) was chosen to be in agreement with an activity concentration that is anticipated to be clinically relevant in patients (200 MBq/L). Methods: For biodistribution, using intravenous injections and mice carrying subcutaneous (s.c.) tumors, the animals were administered either 211At-farletuzumab (n = 16); or with a combination of 125I-farletuzumab and 211At-MX35 (n = 12). At 1, 3, 10 and 22 h, mice were euthanized and s.c.-tumors and organs weighted and measured for radioactivity. To evaluate therapeutic efficacy, mice were inoculated i.p. with 2 × 106 NIH:OVCAR-3 cells. Twelve days later, the treatments were initiated by i.p.-administration. Specific treatment was given by 211At-labeled farletuzumab (group A; n = 22, 170 kBq/mL) which is specific for OVCAR-3 cells. Control treatments were given by either 211At-labeled rituximab which is unspecific for OVCAR-3 (group B; n = 22, 170 kBq/mL), non-radiolabeled farletuzumab (group C; n = 11) or PBS only (group D; n = 8). Results: The biodistribution of 211At-farletuzumab was similar to that with 125I as radiolabel, and also to that of 211At-labeled MX35 antibody. The tumor-free fraction (TFF) of the three control groups were all low (PBS 12%, unlabeled specific farletuzumab 9% and unspecific 211At-rituximab 14%). TFF following treatment with 211At-farletuzumab was 91%. Conclusion: The current investigation of intraperitoneal therapy with 211At-farletuzumab, delivered at clinically relevant 211At-mAb radioactivity concentrations and specific activities, showed a 6 to 10-fold increase (treated versus controls) in antitumor efficacy. This observation warrants further clinical testing.
first_indexed 2024-12-16T11:22:43Z
format Article
id doaj.art-8b5b24b491734c9ea4620f2acfedf29f
institution Directory Open Access Journal
issn 1936-5233
language English
last_indexed 2024-12-16T11:22:43Z
publishDate 2021-01-01
publisher Elsevier
record_format Article
series Translational Oncology
spelling doaj.art-8b5b24b491734c9ea4620f2acfedf29f2022-12-21T22:33:25ZengElsevierTranslational Oncology1936-52332021-01-01141100873Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancerStig Palm0Tom Bäck1Emma Aneheim2Andreas Hallqvist3Ragnar Hultborn4Lars Jacobsson5Holger Jensen6Sture Lindegren7Per Albertsson8Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Corresponding author at: Dept of Radiation Physics, University of Gothenburg, Gula Stråket 2B, SE-413 45 Gothenburg, Sweden.Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Oncology, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Oncology, Gothenburg, Sweden; Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenCyclotron and PET Unit, KF-3982, Rigshospitalet, Copenhagen, DenmarkDepartment of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Oncology, Gothenburg, Sweden; Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenIntroduction: Antibodies labeled with alpha-emitter astatine-211 have previously shown effective in intraperitoneal (i.p.) treatments of ovarian cancer. In the present work we explore the use of investigational farletuzumab, aimed at the folate receptor alpha. The aim was to evaluate the biodistribution and therapeutic effect of 211At-farletuzumab in in-vitro and in-vivo experiments and, using models for radiation dosimetry, to translate the findings to expected clinical result. The activity concentration used for therapy in mice (170 kBq/mL) was chosen to be in agreement with an activity concentration that is anticipated to be clinically relevant in patients (200 MBq/L). Methods: For biodistribution, using intravenous injections and mice carrying subcutaneous (s.c.) tumors, the animals were administered either 211At-farletuzumab (n = 16); or with a combination of 125I-farletuzumab and 211At-MX35 (n = 12). At 1, 3, 10 and 22 h, mice were euthanized and s.c.-tumors and organs weighted and measured for radioactivity. To evaluate therapeutic efficacy, mice were inoculated i.p. with 2 × 106 NIH:OVCAR-3 cells. Twelve days later, the treatments were initiated by i.p.-administration. Specific treatment was given by 211At-labeled farletuzumab (group A; n = 22, 170 kBq/mL) which is specific for OVCAR-3 cells. Control treatments were given by either 211At-labeled rituximab which is unspecific for OVCAR-3 (group B; n = 22, 170 kBq/mL), non-radiolabeled farletuzumab (group C; n = 11) or PBS only (group D; n = 8). Results: The biodistribution of 211At-farletuzumab was similar to that with 125I as radiolabel, and also to that of 211At-labeled MX35 antibody. The tumor-free fraction (TFF) of the three control groups were all low (PBS 12%, unlabeled specific farletuzumab 9% and unspecific 211At-rituximab 14%). TFF following treatment with 211At-farletuzumab was 91%. Conclusion: The current investigation of intraperitoneal therapy with 211At-farletuzumab, delivered at clinically relevant 211At-mAb radioactivity concentrations and specific activities, showed a 6 to 10-fold increase (treated versus controls) in antitumor efficacy. This observation warrants further clinical testing.http://www.sciencedirect.com/science/article/pii/S193652332030365X
spellingShingle Stig Palm
Tom Bäck
Emma Aneheim
Andreas Hallqvist
Ragnar Hultborn
Lars Jacobsson
Holger Jensen
Sture Lindegren
Per Albertsson
Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
Translational Oncology
title Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
title_full Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
title_fullStr Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
title_full_unstemmed Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
title_short Evaluation of therapeutic efficacy of 211At-labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
title_sort evaluation of therapeutic efficacy of 211at labeled farletuzumab in an intraperitoneal mouse model of disseminated ovarian cancer
url http://www.sciencedirect.com/science/article/pii/S193652332030365X
work_keys_str_mv AT stigpalm evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT tomback evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT emmaaneheim evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT andreashallqvist evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT ragnarhultborn evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT larsjacobsson evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT holgerjensen evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT sturelindegren evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer
AT peralbertsson evaluationoftherapeuticefficacyof211atlabeledfarletuzumabinanintraperitonealmousemodelofdisseminatedovariancancer