Novel Structural Modification Based on Evans Blue Dye to Improve Pharmacokinetics of a Somastostatin-Receptor-Based Theranostic Agent

Bioconjug Chem. 2018 Jul 18;29(7):2448-2454. doi: 10.1021/acs.bioconjchem.8b00341. Epub 2018 Jul 2.

Abstract

The development of somastatin (SS) peptide analogues for the detection and treatment of neuroendocrine tumors has been successful with the recent FDA approval of 68Ga-DOTA-TATE and 177Lu-DOTA-TATE. The structure of these peptide constructs contains the peptide binding motif that binds to the receptor with high affinity, a chelator to complex the radioactive metal, and a linker between the peptide and chelator. However, these constructs suffer from rapid blood clearance, which limits their tumor uptake. In this study, this design has been further improved by incorporating a modification to control the in vivo pharmacokinetics. Adding a truncated Evans Blue (EB) dye molecule into the construct provides a prolonged half-life in blood as a result of its low micromolar affinity to albumin. We compared 177Lu-DOTA-TATE to the modified 177Lu Evans Blue compound (177Lu-DMEB-TATE), in vitro and in vivo in mice bearing A427-7 xenografts. The tumor uptake of 177Lu-DMEB-TATE was significantly greater than the uptake of 177Lu-DOTA-TATE in the biodistribution and SPECT-imaging studies. The therapeutic effect of the 177Lu-DMEB-TATE construct was superior to the that of the 177Lu-DOTA-TATE construct at the doses evaluated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Cell Line, Tumor
  • Evans Blue / chemistry*
  • Heterografts
  • Humans
  • Lutetium
  • Mice
  • Neuroendocrine Tumors / diagnostic imaging*
  • Neuroendocrine Tumors / radiotherapy*
  • Octreotide / therapeutic use
  • Radioisotopes
  • Radiopharmaceuticals / chemistry
  • Radiopharmaceuticals / pharmacokinetics*
  • Theranostic Nanomedicine / methods*
  • Tissue Distribution
  • Tomography, Emission-Computed, Single-Photon

Substances

  • Antineoplastic Agents, Hormonal
  • Radioisotopes
  • Radiopharmaceuticals
  • Evans Blue
  • Lutetium
  • Lutetium-177
  • Octreotide