Cited by 98Radiopharmaceutical Chemistry and ApplicationsRadioactivity and Radon MeasurementsEffects of Radiation Exposure

Efforts to Control the Errant Products of a Targeted In vivo Generator

Singh Jaggi, Jaspreet, Kappel, Barry J., McDevitt, Michael R., Sgouros, George, Flombaum, Carlos D., Cabassa, Catalina, Scheinberg, David A.·2005·Cancer Research

Abstract

Alpha-particle immunotherapy by targeted alpha-emitters or alpha-emitting isotope generators is a novel form of extraordinarily potent cancer therapy. A major impediment to the clinical use of targeted actinium-225 (225Ac) in vivo generators may be the radiotoxicity of the systemically released daughter radionuclides. The daughters, especially bismuth-213 (213Bi), tend to accumulate in the kidneys. We tested the efficacy of various pharmacologic agents and the effect of tumor burden in altering the pharmacokinetics of the 225Ac daughters to modify their renal uptake. Pharmacologic treatments in animals were started before i.v. administration of the HuM195-225Ac generator. 225Ac, francium-221 (221Fr), and 213Bi biodistributions were calculated in each animal at different time points after 225Ac generator injection. Oral metal chelation with 2,3-dimercapto-1-propanesulfonic acid (DMPS) or meso-2,3-dimercaptosuccinic acid (DMSA) caused a significant reduction (P < 0.0001) in the renal 213Bi uptake; however, DMPS was more effective than DMSA (P < 0.001). The results with DMPS were also confirmed in a monkey model. The renal 213Bi and 221Fr activities were significantly reduced by furosemide and chlorothiazide treatment (P < 0.0001). The effect on renal 213Bi activity was further enhanced by the combination of DMPS with either chlorothiazide or furosemide (P < 0.0001). Competitive antagonism by bismuth subnitrate moderately reduced the renal uptake of 213Bi. The presence of a higher target-tumor burden significantly prevented the renal 213Bi accumulation (P = 0.003), which was further reduced by DMPS treatment (P < 0.0001). Metal chelation, diuresis with furosemide or chlorothiazide, and competitive metal blockade may be used as adjuvant therapies to modify the renal accumulation of 225Ac daughters.

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Crossref · 10.1158/0008-5472.can-04-3096

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Authors
Singh Jaggi, J., Kappel, B. J., McDevitt, M. R., Sgouros, G., Flombaum, C. D., Cabassa, C., & Scheinberg, D. A.
Affiliations
  • 1Molecular Pharmacology and Chemistry Program;
  • Memorial Sloan Kettering Cancer Center (US)
  • Johns Hopkins University (US)
Venue
Cancer Research
Published
2005-06-01
Volume
65
Issue
11
Pages
4888-4895
ISSN
  • 0008-5472 (ISSN-L)
  • 1538-7445
OpenAlex
W2135368140
Cited by
98
References
41
Citations by year
2026: 4 · 2025: 5 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 4 · 2020: 9 · 2019: 4 · 2018: 9 · 2017: 2 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 5 · 2012: 4
FWCI
4.34
Type
journal article
Language
en
Open access
closed
Locations
  • Cancer Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (P01 33049)
  • National Cancer Institute (R01CA055349, R01-CA 55349)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiopharmaceutical Chemistry and Applications
  • Health Sciences › Health Professions › Radiological and Ultrasound Technology › Radioactivity and Radon Measurements
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
Keywords
targeted alpha therapy, actinium-225, bismuth-213, francium-221, metal chelation, DMPS, DMSA, furosemide, chlorothiazide, diuresis, bismuth subnitrate, tumor burden
MeSH terms
Actinium, Alpha Particles, Animals, Antibodies, Monoclonal, Immunotoxins, Bismuth, Chelating Agents, Succimer, Female, Francium, Kidney, Lymphoma, Macaca fascicularis, Male, Mice, Inbred BALB C, Unithiol, Radioimmunotherapy, Mice, SCID, Mice

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