UCSF Pilot Award to Help Develop Improved Method for 225Ac Radioimmunotherapy of Prostate Cancer

UCSF Pilot Award to Help Develop Improved Method for 225Ac Radioimmunotherapy of Prostate Cancer

Sep. 18, 2022, 6:00 a.m.

University of California's, San Francisco (UCSF) advanced targeted alpha therapy (TAT) agent called 225Ac-DOTA-YS5, can treat prostate cancer while allowing verification of its activity in prostate cancer models, according to Kondapa Naidu Boppa, Ph.D., assistant professional researcher in UCSF’s Department of Radiology and Biomedical Imaging. In the case of the UCSF advancement, the TAT uses radioimmunotherapy, helping to deliver high doses of highly lethal alpha participants to the targeted tumors. At UCSF, thus far, this particular agent has been used to target an antigen highly expressed in prostate cancer known as CD46. Now, UCSF researchers have received a pilot reward to develop further and improve the imaging and therapeutic agent targeting prostate cancer. Specifically, Kondapa Naidu Bobba, and Bin Liu, Ph.D., a professor in the UCSF Department of Anesthesia, secured a UCSF Resource Allocation Program (RAP) contribution: a “Pilot Award in Precision Imaging of Cancer and Therapy” for the formal study titled “Development of an improved method for 225Ac radioimmunotherapy of prostate cancer.”

What follows is a brief breakdown of this UCSF breakthrough.

This UCSF advancement falls into a category of imaging and therapeutic agents helping to better target and destroy tumors while minimizing the associated toxicity. For example, there is an emerging technology in which radiation is selectively targeted to tumors using molecular targeting radioligand therapy. This approach enables effective tumor treatment with minimal toxicity as compared to before.

TAT is an example of a highly targeted approach, delivering a highly lethal payload of alpha particles targeting tumors.

So what is 225Ac-DOTA-YS5 (YS5) developed at UCSF?

An imaging and therapeutic agent developed by UCSF investigators, specifically, it’s a targeted alpha therapy or “TAT” agent using radioimmunotherapy and is employed at high doses to zap tumors. With TAT, highly specific targeting immunoglobulins labeled with alpha emitters such as 225Ac are administered, which turn out to be effective for tumor control.

Is YS5 a clinical-stage agent?

Yes. The agent has been used in multiple clinical trials, such as NCT03575819 and NCT05011188 for mCRPC and  NCT03650491 for multiple myeloma.

Are there toxicity concerns?

Yes, because YS5 is a full-length human IgG1. Current YS5-based TAT agents have a long-circulating half-life, which may raise the concern of off-target toxicity.

What’s the UCSF position on minimizing potential toxicity?

In a recent entry from UCSF Radiology, increasing the ratio of tumor to normal tissue radiation delivery is a central goal for the development of radionuclide therapies to maximize therapeutic effect while minimizing toxicity.

What category does this UCSF breakthrough fall under?

This is an emerging technology in which radiation is selectively targeted to tumors using molecular targeting, enabling effective tumor treatment with minimal toxicity in many cases. Called Radioligand therapy, when paired with high-quality PET imaging agents utilizing the same targeting agent, this method allows physicians to "see what they treat" using the theranostic strategy.

UCSF has developed a TAT agent and again employs radioimmunotherapy to deliver high doses of the highly lethal alpha particles to the cancerous tumor target. In this case, immunoglobulins labeled with alpha emitters, in this example 225Ac, are administered, which further improves tumor control.

What will the internal UCSF grant help the investigators refine?

According to Dr. Bobba, the funding helps improve this agent with an aim of both maximizing therapeutic benefit while minimizing toxicity. One key area of importance, according to the co-principal investigator Dr. Bobba is the “use of novel linker technology to connect the therapeutic radioisotope 225Ac with highly specific targeting antibody YS5 for the treatment of prostate cancer.”

What is the unit in UCSF overseeing the research?

The grant-winning Dr. Bobba’s research is conducted in UCSF’s Radiology department’s Molecular Imaging Lab, also called the Flavell lab. This lab’s PI is Robert Flavell, MD, Ph.D., chief of Molecular Imaging & Therapeutics.

Members of this laboratory integrate new chemistry, chemical biology, imaging, and clinical methods with the aim of improving new methodologies to help advance patient care.

What other UCSF investigators received RAP funding?

Michael Evans, Ph.D. and Henry Vanbrocklin, Ph.D.

Lead Research/Investigator

Kondapa Naidu Boppa, Ph.D., assistant professional researcher in UCSF’s Department of Radiology and Biomedical Imaging.

Bin Liu, Ph.D., professor in the UCSF Department of Anesthesia.


 

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