PMID- 31618864 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 12 IP - 4 DP - 2019 Oct 15 TI - Synergistic Effect of a HER2 Targeted Thorium-227 Conjugate in Combination with Olaparib in a BRCA2 Deficient Xenograft Model. LID - 10.3390/ph12040155 [doi] LID - 155 AB - Targeted thorium-227 conjugates (TTCs) represent a novel class of therapeutic radiopharmaceuticals for the treatment of cancer. TTCs consist of the alpha particle emitter thorium-227 complexed to a 3,2-hydroxypyridinone chelator conjugated to a tumor-targeting monoclonal antibody. The high energy and short range of the alpha particles induce potent and selective anti-tumor activity driven by the induction of DNA damage in the target cell. Methods: The efficacy of human epidermal growth factor receptor 2 (HER2)-TTC was tested in combination in vitro and in vivo with the poly ADP ribose polymerase (PARP) inhibitor (PARPi), olaparib, in the human colorectal adenocarcinoma isogenic cell line pair DLD-1 and the knockout variant DLD-1 BRCA2 -/- Results: The in vitro combination effects were determined to be synergistic in DLD-1 BRCA2 -/- and additive in DLD-1 parental cell lines. Similarly, the in vivo efficacy of the combination was determined to be synergistic only in the DLD-1 BRCA2 -/- xenograft model, with statistically significant tumor growth inhibition at a single TTC dose of 120 kBq/kg body weight (bw) and 50 mg/kg bw olaparib (daily, i.p. for 4 weeks), demonstrating comparable tumor growth inhibition to a single TTC dose of 600 kBq/kg bw. Conclusions: This study supports the further investigation of DNA damage response inhibitors in combination with TTCs as a new strategy for the effective treatment of mutation-associated cancers. FAU - Wickstroem, Katrine AU - Wickstroem K AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. katrine.wickstroem@bayer.com. FAU - Karlsson, Jenny AU - Karlsson J AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. jenny.karlsson@bayer.com. FAU - Ellingsen, Christine AU - Ellingsen C AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. christine.ellingsen@bayer.com. FAU - Cruciani, Veronique AU - Cruciani V AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. veronique.cruciani@bayer.com. FAU - Kristian, Alexander AU - Kristian A AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. alexander.kristian@bayer.com. FAU - Hagemann, Urs B AU - Hagemann UB AD - Bayer AG, Pharmaceuticals Division, Berlin 13353, Germany. urs.hagemann@bayer.com. FAU - Bjerke, Roger M AU - Bjerke RM AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. roger.bjerke@bayer.com. FAU - Ryan, Olav B AU - Ryan OB AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. olav.ryan@bayer.com. FAU - Linden, Lars AU - Linden L AD - Bayer AG, Pharmaceuticals Division, Wuppertal 42113, Germany. lars.linden@bayer.com. FAU - Mumberg, Dominik AU - Mumberg D AD - Bayer AG, Pharmaceuticals Division, Berlin 13353, Germany. dominik.mumberg@bayer.com. FAU - Brands, Michael AU - Brands M AD - Bayer AG, Pharmaceuticals Division, Berlin 13353, Germany. michael.brands@bayer.com. FAU - Cuthbertson, Alan AU - Cuthbertson A AD - Thorium Conjugate Research, Bayer AS, Oslo 0283, Norway. alan.cuthbertson@bayer.com. LA - eng GR - 246531/030/Research Council of Norway/ PT - Journal Article DEP - 20191015 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC6958469 OTO - NOTNLM OT - DNA damage response OT - HER2-TTC OT - Thorium-227 OT - targeted Thorium-227 conjugate OT - targeted alpha therapy COIS- All authors are employed by Bayer AS or Bayer AG. No other potential conflicts of interest relevant to this article exist. Lars Linden, Dominik Mumberg, and Michael Brands are shareholders of Bayer Ag. EDAT- 2019/10/18 06:00 MHDA- 2019/10/18 06:01 PMCR- 2019/12/01 CRDT- 2019/10/18 06:00 PHST- 2019/09/18 00:00 [received] PHST- 2019/10/11 00:00 [revised] PHST- 2019/10/12 00:00 [accepted] PHST- 2019/10/18 06:00 [entrez] PHST- 2019/10/18 06:00 [pubmed] PHST- 2019/10/18 06:01 [medline] PHST- 2019/12/01 00:00 [pmc-release] AID - ph12040155 [pii] AID - pharmaceuticals-12-00155 [pii] AID - 10.3390/ph12040155 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2019 Oct 15;12(4):155. doi: 10.3390/ph12040155.