ImmunoPET to help stratify patients for targeted therapies and to improve drug development

Malignant tumours usually display intratumoral heterogeneity as well as phenotypic and genotypic heterogeneity among patients. Consequently, there is the need to develop treatments appropriate to each patient [1]. Screening of tumour phenotypes requires biopsy, a procedure that is invasive and limited to accessible tumour sites. Moreover, it is difficult to obtain repeated biopsies from the same lesions to explore changes in properties and heterogeneity during therapy. There is therefore the need for new noninvasive diagnostic technologies such as molecular imaging to assess whole-body tumour phenotypes to allow more specific therapeutic strategies to be developed.

[1]  V. Prasad,et al.  Molecular Imaging of HER2-Expressing Malignant Tumors in Breast Cancer Patients Using Synthetic 111In- or 68Ga-Labeled Affibody Molecules , 2010, Journal of Nuclear Medicine.

[2]  K. Polyak,et al.  Tumorigenesis: it takes a village , 2015, Nature Reviews Cancer.

[3]  R. Boellaard,et al.  89Zr-cetuximab PET imaging in patients with advanced colorectal cancer , 2015, Oncotarget.

[4]  E. D. de Vries,et al.  Everolimus Reduces 89Zr-Bevacizumab Tumor Uptake in Patients with Neuroendocrine Tumors , 2014, The Journal of Nuclear Medicine.

[5]  Yasuyoshi Watanabe,et al.  64Cu-DOTA-Trastuzumab PET Imaging in Patients with HER2-Positive Breast Cancer , 2013, The Journal of Nuclear Medicine.

[6]  W. Cai,et al.  ImmunoPET for assessing the differential uptake of a CD146-specific monoclonal antibody in lung cancer , 2016, European Journal of Nuclear Medicine and Molecular Imaging.

[7]  Marc C. Huisman,et al.  Immuno-Positron Emission Tomography with Zirconium-89-Labeled Monoclonal Antibodies in Oncology: What Can We Learn from Initial Clinical Trials? , 2016, Front. Pharmacol..

[8]  J. Humm,et al.  Preoperative characterisation of clear-cell renal carcinoma using iodine-124-labelled antibody chimeric G250 (124I-cG250) and PET in patients with renal masses: a phase I trial. , 2007, The Lancet. Oncology.

[9]  W. Oyen,et al.  Molecular imaging as a tool to investigate heterogeneity of advanced HER2-positive breast cancer and to predict patient outcome under trastuzumab emtansine (T-DM1): the ZEPHIR trial. , 2016, Annals of oncology : official journal of the European Society for Medical Oncology.

[10]  E. D. de Vries,et al.  Antibody positron emission tomography imaging in anticancer drug development. , 2015, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[11]  Johan R de Jong,et al.  Development and Characterization of Clinical-Grade 89Zr-Trastuzumab for HER2/neu ImmunoPET Imaging , 2009, Journal of Nuclear Medicine.

[12]  R. Boellaard,et al.  Pilot study of 89Zr-bevacizumab positron emission tomography in patients with advanced non-small cell lung cancer , 2014, EJNMMI Research.

[13]  Steven P. Larson,et al.  Positron emission tomography/computed tomography identification of clear cell renal cell carcinoma: results from the REDECT trial. , 2013, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[14]  C. Bodet-Milin,et al.  Tumor Immunotargeting Using Innovative Radionuclides , 2015, International journal of molecular sciences.

[15]  E. D. de Vries,et al.  TGF-β Antibody Uptake in Recurrent High-Grade Glioma Imaged with 89Zr-Fresolimumab PET , 2015, The Journal of Nuclear Medicine.

[16]  W. Oyen,et al.  Immuno-PET of Cancer: A Revival of Antibody Imaging , 2011, The Journal of Nuclear Medicine.