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Research ArticleClinical Investigations

First-in-Human Imaging with 89Zr-Df-IAB2M Anti-PSMA Minibody in Patients with Metastatic Prostate Cancer: Pharmacokinetics, Biodistribution, Dosimetry, and Lesion Uptake

Neeta Pandit-Taskar, Joseph A. O’Donoghue, Shutian Ruan, Serge K. Lyashchenko, Jorge A. Carrasquillo, Glenn Heller, Danny F. Martinez, Sarah M. Cheal, Jason S. Lewis, Martin Fleisher, Jennifer S. Keppler, Robert E. Reiter, Anna M. Wu, Wolfgang A. Weber, Howard I. Scher, Steven M. Larson and Michael J. Morris
Journal of Nuclear Medicine December 2016, 57 (12) 1858-1864; DOI: https://doi.org/10.2967/jnumed.116.176206
Neeta Pandit-Taskar
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
2Department of Radiology, Weill Cornell Medical College, New York, New York
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Joseph A. O’Donoghue
3Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York
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Shutian Ruan
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
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Serge K. Lyashchenko
4Radiochemistry and Molecular Imaging Probes Core, Memorial Sloan Kettering Cancer Center, New York, New York
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Jorge A. Carrasquillo
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
2Department of Radiology, Weill Cornell Medical College, New York, New York
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Glenn Heller
5Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
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Danny F. Martinez
6Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
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Sarah M. Cheal
7Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York
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Jason S. Lewis
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
2Department of Radiology, Weill Cornell Medical College, New York, New York
4Radiochemistry and Molecular Imaging Probes Core, Memorial Sloan Kettering Cancer Center, New York, New York
7Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York
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Martin Fleisher
8Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
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Jennifer S. Keppler
9ImaginAb, Inc., Inglewood, California; and
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Robert E. Reiter
9ImaginAb, Inc., Inglewood, California; and
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Anna M. Wu
9ImaginAb, Inc., Inglewood, California; and
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Wolfgang A. Weber
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
2Department of Radiology, Weill Cornell Medical College, New York, New York
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Howard I. Scher
6Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
10Department of Medicine, Weill Cornell Medical College, New York, New York
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Steven M. Larson
1Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
2Department of Radiology, Weill Cornell Medical College, New York, New York
7Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York
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Michael J. Morris
6Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
10Department of Medicine, Weill Cornell Medical College, New York, New York
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  • FIGURE 1.
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    FIGURE 1.

    Structure of intact antibody and IAB2M.

  • FIGURE 2.
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    FIGURE 2.

    Study schema. p.i. = after injection.

  • FIGURE 3.
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    FIGURE 3.

    Serum (A) and WB clearance (B) of 89Zr-IAB2M shown in aggregate mean values of biologic (i.e., decay-corrected) activity retention. %ID = percentage injected dose.

  • FIGURE 4.
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    FIGURE 4.

    Biodistribution of 89Zr-IAB2M in a patient: 10 mg of IAB2M mass (A), 20 mg of IAB2M mass (B), and 50 mg of IAB2M mass (C).

  • FIGURE 5.
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    FIGURE 5.

    (A) Normal-organ uptake. (B) Lesion uptake.

  • FIGURE 6.
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    FIGURE 6.

    Lesion targeting with 89Zr-IAB2M in mPC patient. (A) 99mTc-MDP bone scan shows lesions in vertebrae and ribs. (B) 18F-FDG PET scan shows uptake in left femur and faint uptake in vertebral lesions. (C) 89Zr-IAB2M imaging shows more images than bone scanning or 18F-FDG (arrows).

  • FIGURE 7.
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    FIGURE 7.

    89Zr-IAB2M vs. 89Zr-J591: serum clearance (A) and lesion uptake (B).

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    TABLE 1

    WB and Serum Kinetic Parameters

    Parameter10 mg20 mg50 mgOverall mean ± SD
    WB biologic half-life (h)143 (119–257)222 (165–365)236 (211–450)225 ± 82
    WB effective half-life (h)51 (47–60)58 (53–65)59 (57–67)57 ± 5
    Serum A1 (%/L)8 (5–14)12 (6–23)13 (9–16)12 ± 5
    Serum α effective half-life (h)3.1 (1.2–5.7)5.0 (1.9–8.0)6.3 (2.2–8.9)5 ± 3
    Serum A2 (%/L)18 (15–27)18 (14–29)18 (13–27)19 ± 5
    Serum β effective half-life (h)19 (17–27)22 (19–27)28 (25–32)24 ± 5
    • Data are median, with range in parentheses.

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    TABLE 2

    Absorbed Radiation Dose Estimates (mGy/MBq) of 89Zr-IAb2M to Organs

    All patients
    Target organMeanMinimum to maximumCohort I meanCohort II meanCohort III mean
    Adrenals0.53 (0.06)0.43–0.670.51 (0.05)0.57 (0.08)0.52 (0.05)
    Brain0.17 (0.04)0.11–0.240.15 (0.03)0.17 (0.04)0.19 (0.03)
    Breasts0.22 (0.03)0.17–0.280.21 (0.03)0.23 (0.04)0.24 (0.03)
    Gallbladder wall0.73 (0.11)0.52–0.940.71 (0.11)0.81 (0.11)0.68 (0.09)
    Lower large intestine wall0.49 (0.13)0.29–0.740.51 (0.15)0.49 (0.13)0.48 (0.14)
    Small intestine0.36 (0.06)0.26–0.460.34 (0.06)0.37 (0.07)0.36 (0.05)
    Stomach wall0.35 (0.05)0.27–0.430.33 (0.04)0.36 (0.06)0.36 (0.04)
    Upper large intestine wall0.45 (0.08)0.31–0.580.45 (0.09)0.46 (0.09)0.44 (0.09)
    Heart wall0.69 (0.09)0.52–0.850.63 (0.06)0.70 (0.12)0.74 (0.04)
    Kidneys1.36 (0.26)1.02–1.871.30 (0.23)1.53 (0.29)1.26 (0.18)
    Liver1.67 (0.3)0.99–2.341.71 (0.24)1.83 (0.32)1.46 (0.24)
    Lungs0.52 (0.08)0.39–0.710.53 (0.05)0.52 (0.11)0.50 (0.08)
    Muscle0.25 (0.04)0.19–0.330.23 (0.03)0.26 (0.05)0.27 (0.03)
    Pancreas0.5 (0.06)0.4–0.630.47 (0.05)0.52 (0.08)0.50 (0.04)
    Red marrow0.32 (0.05)0.23–0.410.29 (0.04)0.33 (0.07)0.34 (0.04)
    Osteogenic cells0.34 (0.07)0.23–0.460.30 (0.05)0.35 (0.09)0.36 (0.06)
    Skin0.17 (0.03)0.12–0.230.16 (0.03)0.18 (0.04)0.18 (0.03)
    Spleen0.76 (0.16)0.49–1.140.71 (0.10)0.76 (0.25)0.80 (0.08)
    Testes0.19 (0.04)0.13–0.270.17 (0.04)0.19 (0.05)0.21 (0.04)
    Thymus0.31 (0.05)0.22–0.390.28 (0.03)0.31 (0.06)0.33 (0.04)
    Thyroid0.21 (0.04)0.15–0.30.19 (0.04)0.22 (0.05)0.24 (0.04)
    Urinary bladder wall0.25 (0.05)0.18–0.360.23 (0.04)0.26 (0.06)0.28 (0.04)
    Total body0.3 (0.04)0.23–0.370.28 (0.04)0.31 (0.05)0.31 (0.04)
    Effective dose equivalent (mSv/MBq)0.54 (0.07)0.43–0.680.52 (0.05)0.57 (0.09)0.53 (0.04)
    Effective dose (mSv/MBq)0.41 (0.06)0.3–0.510.40 (0.05)0.43 (0.08)0.41 (0.04)

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Journal of Nuclear Medicine: 57 (12)
Journal of Nuclear Medicine
Vol. 57, Issue 12
December 1, 2016
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First-in-Human Imaging with 89Zr-Df-IAB2M Anti-PSMA Minibody in Patients with Metastatic Prostate Cancer: Pharmacokinetics, Biodistribution, Dosimetry, and Lesion Uptake
Neeta Pandit-Taskar, Joseph A. O’Donoghue, Shutian Ruan, Serge K. Lyashchenko, Jorge A. Carrasquillo, Glenn Heller, Danny F. Martinez, Sarah M. Cheal, Jason S. Lewis, Martin Fleisher, Jennifer S. Keppler, Robert E. Reiter, Anna M. Wu, Wolfgang A. Weber, Howard I. Scher, Steven M. Larson, Michael J. Morris
Journal of Nuclear Medicine Dec 2016, 57 (12) 1858-1864; DOI: 10.2967/jnumed.116.176206

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First-in-Human Imaging with 89Zr-Df-IAB2M Anti-PSMA Minibody in Patients with Metastatic Prostate Cancer: Pharmacokinetics, Biodistribution, Dosimetry, and Lesion Uptake
Neeta Pandit-Taskar, Joseph A. O’Donoghue, Shutian Ruan, Serge K. Lyashchenko, Jorge A. Carrasquillo, Glenn Heller, Danny F. Martinez, Sarah M. Cheal, Jason S. Lewis, Martin Fleisher, Jennifer S. Keppler, Robert E. Reiter, Anna M. Wu, Wolfgang A. Weber, Howard I. Scher, Steven M. Larson, Michael J. Morris
Journal of Nuclear Medicine Dec 2016, 57 (12) 1858-1864; DOI: 10.2967/jnumed.116.176206
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