PMID- 31953313 OWN - NLM STAT- MEDLINE DCOM- 20211101 LR - 20211101 IS - 1557-3265 (Electronic) IS - 1078-0432 (Linking) VI - 26 IP - 15 DP - 2020 Aug 1 TI - Probody Therapeutic Design of (89)Zr-CX-072 Promotes Accumulation in PD-L1-Expressing Tumors Compared to Normal Murine Lymphoid Tissue. PG - 3999-4009 LID - 10.1158/1078-0432.CCR-19-3137 [doi] AB - PURPOSE: Probody therapeutic CX-072 is a protease-activatable antibody that is cross-reactive with murine and human programmed death-ligand 1 (PD-L1). CX-072 can be activated in vivo by proteases present in the tumor microenvironment, thereby potentially reducing peripheral, anti-PD-L1-mediated toxicities. To study its targeting of PD-L1-expressing tissues, we radiolabeled CX-072 with the PET isotope zirconium-89 ((89)Zr). EXPERIMENTAL DESIGN: (89)Zr-labeled CX-072, nonspecific Probody control molecule (PbCtrl) and CX-072 parental antibody (CX-075) were injected in BALB/c nude mice bearing human MDA-MB-231 tumors or C57BL/6J mice bearing syngeneic MC38 tumors. Mice underwent serial PET imaging 1, 3, and 6 days after intravenous injection (pi), followed by ex vivo biodistribution. Intratumoral (89)Zr-CX-072 distribution was studied by autoradiography on tumor tissue sections, which were subsequently stained for PD-L1 by IHC. Activated CX-072 species in tissue lysates were detected by Western capillary electrophoresis. RESULTS: PET imaging revealed (89)Zr-CX-072 accumulation in MDA-MB-231 tumors with 2.1-fold higher tumor-to-blood ratios at 6 days pi compared with (89)Zr-PbCtrl. Tumor tissue autoradiography showed high (89)Zr-CX-072 uptake in high PD-L1-expressing regions. Activated CX-072 species were detected in these tumors, with 5.3-fold lower levels found in the spleen. Furthermore, (89)Zr-CX-072 uptake by lymphoid tissues of immune-competent mice bearing MC38 tumors was low compared with (89)Zr-CX-075, which lacks the Probody design. CONCLUSIONS: (89)Zr-CX-072 accumulates specifically in PD-L1-expressing tumors with limited uptake in murine peripheral lymphoid tissues. Our data may enable clinical evaluation of (89)Zr-CX-072 whole-body distribution as a tool to support CX-072 drug development (NCT03013491). CI - (c)2020 American Association for Cancer Research. FAU - Giesen, Danique AU - Giesen D AD - Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. FAU - Broer, Linda N AU - Broer LN AD - Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. FAU - Lub-de Hooge, Marjolijn N AU - Lub-de Hooge MN AUID- ORCID: 0000-0002-5390-2791 AD - Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. AD - Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. FAU - Popova, Irina AU - Popova I AD - CytomX Therapeutics, Inc., South San Francisco, California. FAU - Howng, Bruce AU - Howng B AD - CytomX Therapeutics, Inc., South San Francisco, California. FAU - Nguyen, Margaret AU - Nguyen M AUID- ORCID: 0000-0003-0878-5896 AD - CytomX Therapeutics, Inc., South San Francisco, California. FAU - Vasiljeva, Olga AU - Vasiljeva O AUID- ORCID: 0000-0003-3648-5460 AD - CytomX Therapeutics, Inc., South San Francisco, California. ovasiljeva@cytomx.com. FAU - de Vries, Elisabeth G E AU - de Vries EGE AUID- ORCID: 0000-0002-8949-7425 AD - Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. ovasiljeva@cytomx.com. FAU - Pool, Martin AU - Pool M AD - Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. LA - eng SI - ClinicalTrials.gov/NCT03013491 PT - Journal Article DEP - 20200117 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antibodies, Monoclonal) RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Radioisotopes) RN - 0 (Radiopharmaceuticals) RN - C6V6S92N3C (Zirconium) RN - NTM296JU95 (Zirconium-89) SB - IM MH - Animals MH - Antibodies, Monoclonal/administration & dosage/chemistry/*pharmacokinetics MH - Autoradiography MH - B7-H1 Antigen/*antagonists & inhibitors MH - Cell Line, Tumor MH - Drug Design MH - Humans MH - Immune Checkpoint Inhibitors/administration & dosage/chemistry/*pharmacokinetics MH - Male MH - Mice MH - Neoplasms/diagnostic imaging/*drug therapy/immunology/pathology MH - Positron-Emission Tomography MH - Radioisotopes/administration & dosage/chemistry/pharmacokinetics MH - Radiopharmaceuticals/administration & dosage/chemistry/*pharmacokinetics MH - Tissue Distribution MH - Tumor Microenvironment/drug effects/immunology MH - Xenograft Model Antitumor Assays MH - Zirconium/administration & dosage/chemistry/pharmacokinetics EDAT- 2020/01/19 06:00 MHDA- 2021/11/03 06:00 CRDT- 2020/01/19 06:00 PHST- 2019/09/25 00:00 [received] PHST- 2019/11/26 00:00 [revised] PHST- 2020/01/14 00:00 [accepted] PHST- 2020/01/19 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2020/01/19 06:00 [entrez] AID - 1078-0432.CCR-19-3137 [pii] AID - 10.1158/1078-0432.CCR-19-3137 [doi] PST - ppublish SO - Clin Cancer Res. 2020 Aug 1;26(15):3999-4009. doi: 10.1158/1078-0432.CCR-19-3137. Epub 2020 Jan 17.