Simultaneous Imaging and Therapy Using Epitope-Specific Anti-Epidermal Growth Factor Receptor (EGFR) Antibody Conjugates

Matuzumab and nimotuzumab are anti-EGFR monoclonal antibodies that bind to different epitopes of domain III of EGFR. We developed <sup>89</sup>Zr-matuzumab as a PET probe for diagnosis/monitoring of response to treatment of a noncompeting anti-EGFR nimotuzumab antibody drug conjugate (AD...

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Main Authors: Anjong Florence Tikum (Author), Anand Krishnan Nambisan (Author), Jessica Pougoue Ketchemen (Author), Hanan Babeker (Author), Musharraf N. Khan (Author), Emina E. Torlakovic (Author), Humphrey Fonge (Author)
Format: Book
Published: MDPI AG, 2022-09-01T00:00:00Z.
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Summary:Matuzumab and nimotuzumab are anti-EGFR monoclonal antibodies that bind to different epitopes of domain III of EGFR. We developed <sup>89</sup>Zr-matuzumab as a PET probe for diagnosis/monitoring of response to treatment of a noncompeting anti-EGFR nimotuzumab antibody drug conjugate (ADC) using mouse colorectal cancer (CRC) xenografts. We developed <sup>89</sup>Zr-matuzumab and performed quality control in EGFR-positive DLD-1 cells. The K<sub>D</sub> of matuzumab, DFO-matuzumab and <sup>89</sup>Zr-matuzumab in DLD-1 cells was 5.9, 6.2 and 3 nM, respectively. A competitive radioligand binding assay showed that <sup>89</sup>Zr-matuzumab and nimotuzumab bound to noncompeting epitopes of EGFR. MicroPET/CT imaging and biodistribution of <sup>89</sup>Zr-matuzumab in mice bearing EGFR-positive xenografts (HT29, DLD-1 and MDA-MB-231) showed high uptake that was blocked with pre-dosing with matuzumab but not with the noncompeting binder nimotuzumab. We evaluated nimotuzumab-PEG<sub>6</sub>-DM1 ADC in CRC cells. IC<sub>50</sub> of nimotuzumab-PEG<sub>6</sub>-DM1 in SNU-C2B, DLD-1 and SW620 cells was dependent on EGFR density and was up to five-fold lower than that of naked nimotuzumab. Mice bearing the SNU-C2B xenograft were treated using three 15 mg/kg doses of nimotuzumab-PEG<sub>6</sub>-DM1, and <sup>89</sup>Zr-matuzumab microPET/CT was used to monitor the response to treatment. Treatment resulted in complete remission of the SNU-C2B tumor in 2/3 mice. Matuzumab and nimotuzumab are noncompeting and can be used simultaneously.
Item Description:10.3390/pharmaceutics14091917
1999-4923