دورية أكاديمية

68 Ga-EMP-100 PET/CT-a novel ligand for visualizing c-MET expression in metastatic renal cell carcinoma-first in-human biodistribution and imaging results.

التفاصيل البيبلوغرافية
العنوان: 68 Ga-EMP-100 PET/CT-a novel ligand for visualizing c-MET expression in metastatic renal cell carcinoma-first in-human biodistribution and imaging results.
المؤلفون: Mittlmeier LM; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. Lena.Mittlmeier@med.uni-muenchen.de.; Department of Urology, University Hospital, LMU Munich, Munich, Germany. Lena.Mittlmeier@med.uni-muenchen.de., Todica A; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Gildehaus FJ; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Unterrainer M; Department of Radiology, University Hospital, LMU Munich, Munich, Germany., Beyer L; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Brendel M; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Albert NL; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Ledderose ST; Institute of Pathology, LMU Munich, Munich, Germany., Vettermann FJ; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Schott M; Department of Urology, University Hospital, LMU Munich, Munich, Germany., Rodler S; Department of Urology, University Hospital, LMU Munich, Munich, Germany., Marcon J; Department of Urology, University Hospital, LMU Munich, Munich, Germany., Ilhan H; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany., Cyran CC; Department of Radiology, University Hospital, LMU Munich, Munich, Germany., Stief CG; Department of Urology, University Hospital, LMU Munich, Munich, Germany., Staehler M; Department of Urology, University Hospital, LMU Munich, Munich, Germany., Bartenstein P; Department of Nuclear Medicine, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
المصدر: European journal of nuclear medicine and molecular imaging [Eur J Nucl Med Mol Imaging] 2022 Apr; Vol. 49 (5), pp. 1711-1720. Date of Electronic Publication: 2021 Oct 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Berlin Country of Publication: Germany NLM ID: 101140988 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1619-7089 (Electronic) Linking ISSN: 16197070 NLM ISO Abbreviation: Eur J Nucl Med Mol Imaging Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer-Verlag Berlin, 2002-
مواضيع طبية MeSH: Carcinoma, Renal Cell*/diagnostic imaging , Kidney Neoplasms*/diagnostic imaging, Gallium Radioisotopes ; Humans ; Ligands ; Positron Emission Tomography Computed Tomography/methods ; Tissue Distribution
مستخلص: Background: 68 Ga-EMP-100 is a novel positron emission tomography (PET) ligand that directly targets tumoral c-MET expression. Upregulation of the receptor tyrosin kinase c-MET in renal cell carcinoma (RCC) is correlated with overall survival in metastatic disease (mRCC). Clinicopathological staging of c-MET expression could improve patient management prior to systemic therapy with for instance inhibitors targeting c-MET such as cabozantinib. We present the first in-human data of 68 Ga-EMP-100 in mRCC patients evaluating uptake characteristics in metastases and primary RCC.
Methods: Twelve patients with mRCC prior to anticipated cabozantinib therapy underwent 68 Ga-EMP-100 PET/CT imaging. We compared the biodistribution in normal organs and tumor uptake of mRCC lesions by standard uptake value (SUV mean ) and SUV max measurements. Additionally, metastatic sites on PET were compared to contrast-enhanced computed tomography (CT) and the respective, quantitative PET parameters were assessed and then compared inter- and intra-individually.
Results: Overall, 87 tumor lesions were analyzed. Of these, 68/87 (79.3%) were visually rated c-MET-positive comprising a median SUV max of 4.35 and SUV mean of 2.52. Comparing different tumor sites, the highest uptake intensity was found in tumor burden at the primary site (SUV max 9.05 (4.86-29.16)), followed by bone metastases (SUV max 5.56 (0.97-15.85)), and lymph node metastases (SUV max 3.90 (2.13-6.28)) and visceral metastases (SUV max 3.82 (0.11-16.18)). The occurrence of visually PET-negative lesions (20.7%) was distributed heterogeneously on an intra- and inter-individual level; the largest proportion of PET-negative metastatic lesions were lung and liver metastases. The highest physiological 68 Ga-EMP-100 accumulation besides the urinary bladder content was seen in the kidneys, followed by moderate uptake in the liver and the spleen, whereas significantly lower uptake intensity was observed in the pancreas and the intestines.
Conclusion: Targeting c-MET expression, 68 Ga-EMP-100 shows distinctly elevated uptake in mRCC patients with partially high inter- and intra-individual differences comprising both c-MET-positive and c-MET-negative lesions. Our first clinical results warrant further systemic studies investigating the clinical use of 68 Ga-EMP-100 as a biomarker in mRCC patients.
(© 2021. The Author(s).)
References: Choueiri TK, et al. Cabozantinib versus everolimus in advanced renal-cell carcinoma. N Engl J Med. 2015;373(19):1814–23. (PMID: 10.1056/NEJMoa1510016)
Choueiri TK, et al. Cabozantinib versus everolimus in advanced renal cell carcinoma (METEOR): final results from a randomised, open-label, phase 3 trial. Lancet Oncol. 2016;17(7):917–27. (PMID: 10.1016/S1470-2045(16)30107-3)
Choueiri TK, et al. Nivolumab plus cabozantinib versus sunitinib for advanced renal-cell carcinoma. N Engl J Med. 2021;384(9):829–41. (PMID: 10.1056/NEJMoa2026982)
Hsieh JJ, et al. Renal cell carcinoma. Nat Rev Dis Primers. 2017;3(1):1–19. (PMID: 10.1038/nrdp.2017.9)
Ljungberg B, et al. The epidemiology of renal cell carcinoma. Eur Urol. 2011;60(4):615–21. (PMID: 10.1016/j.eururo.2011.06.049)
Vaishampayan U. Cabozantinib as a novel therapy for renal cell carcinoma. Curr Oncol Rep. 2013;15(2):76–82. (PMID: 10.1007/s11912-012-0289-x)
Bellon SF, et al. c-Met inhibitors with novel binding mode show activity against several hereditary papillary renal cell carcinoma-related mutations. J Biol Chem. 2008;283(5):2675–83. (PMID: 10.1074/jbc.M705774200)
Gibney G, et al. c-Met is a prognostic marker and potential therapeutic target in clear cell renal cell carcinoma. Ann Oncol. 2013;24(2):343–9. (PMID: 10.1093/annonc/mds463)
Macher-Goeppinger S, et al. MET expression and copy number status in clear-cell renal cell carcinoma: prognostic value and potential predictive marker. Oncotarget. 2017;8(1):1046. (PMID: 10.18632/oncotarget.13540)
Miyata Y, Kanetake H, Kanda S. Presence of phosphorylated hepatocyte growth factor receptor/c-Met is associated with tumor progression and survival in patients with conventional renal cell carcinoma. Clin Cancer Res. 2006;12(16):4876–81. (PMID: 10.1158/1078-0432.CCR-06-0362)
Kim JH, Kim BJ, Kim HS. Clinicopathological impacts of high c-Met expression in renal cell carcinoma: a meta-analysis and review. Oncotarget. 2017;8(43):75478–87. (PMID: 10.18632/oncotarget.20796)
Bedke J, et al. Updated European Association of Urology guidelines on renal cell carcinoma: nivolumab plus cabozantinib joins immune checkpoint inhibition combination therapies for treatment-naïve metastatic clear-cell renal cell carcinoma. Eur Urol. 2021;79(3):339–42. (PMID: 10.1016/j.eururo.2020.12.005)
D’Angelo A, et al. An overview of the clinical use of cabozantinib in the treatment of advanced non-clear-cell renal cell carcinoma (NCCRCC). Crit Rev Oncol Hematol. 2020;149:102921. (PMID: 10.1016/j.critrevonc.2020.102921)
Ljungberg B, et al. European association of urology guidelines on renal cell carcinoma: the 2019 update. Eur Urol. 2019;75(5):799–810. (PMID: 10.1016/j.eururo.2019.02.011)
Pozzessere C, et al. Renal cell carcinoma: the oncologist asks, can PSMA PET/CT answer? Curr Urol Rep. 2019;20(11):68. (PMID: 10.1007/s11934-019-0938-9)
Fendler WP, et al. 68 Ga-PSMA PET/CT: Joint EANM and SNMMI procedure guideline for prostate cancer imaging: version 1.0. Eur J Nucl Med Mol Imaging. 2017;44(6):1014–24. (PMID: 10.1007/s00259-017-3670-z)
Pozzessere C, et al. Renal cell carcinoma: the oncologist asks, can PSMA PET/CT answer? Curr Urol Rep. 2019;20(11):1–10. (PMID: 10.1007/s11934-019-0938-9)
Ahn T, et al. A review of prostate-specific membrane antigen (PSMA) positron emission tomography (PET) in renal cell carcinoma (RCC). Mol Imag Biol. 2019;21(5):799–807. (PMID: 10.1007/s11307-018-01307-0)
Rowe SP, et al. Imaging of metastatic clear cell renal cell carcinoma with PSMA-targeted 18 F-DCFPyL PET/CT. Ann Nucl Med. 2015;29(10):877–82. (PMID: 10.1007/s12149-015-1017-z)
Peter L, et al. Molecular imaging of late somatostatin receptor–positive metastases of renal cell carcinoma in the pancreas by 68 Ga DOTATOC PET/CT: a rare differential diagnosis to multiple primary pancreatic neuroendocrine tumors. Clin Nucl Med. 2014;39(8):713–6. (PMID: 10.1097/RLU.0000000000000351)
Vamadevan S, et al. 68 Ga-DOTATATE uptake in a soft tissue metastasis from clear cell renal cell cancer. Clin Nucl Med. 2018;43(1):44–5. (PMID: 10.1097/RLU.0000000000001887)
Buckle T, et al. Translation of c-Met targeted image-guided surgery solutions in oral cavity cancer—initial proof of concept data. Cancers. 2021;13(11):2674. (PMID: 10.3390/cancers13112674)
Burggraaf J, et al. Detection of colorectal polyps in humans using an intravenously administered fluorescent peptide targeted against c-Met. Nat Med. 2015;21(8):955–61. (PMID: 10.1038/nm.3641)
de Vries HM, Bekers E, van Oosterom MN, Krakullukcu MB, van der Poel HG, van Leeuwen FW, et al. c-MET receptor-targeted fluorescence on the road to image-guided surgery in penile squamous cell carcinoma patients. J Nucl Med. 2021.
Assembly, W.M.A.G., World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. J Int Bioethique. 2004; 15(1): 124–9.
d’Amico A, et al. Effect of furosemide administration before F-18 fluorodeoxyglucose positron emission tomography/computed tomography on urine radioactivity and detection of uterine cervical cancer. Nuclear Medicine Review. 2014;17(2):83–6. (PMID: 10.5603/NMR.2014.0022)
Sheth S, et al. Current concepts in the diagnosis and management of renal cell carcinoma: role of multidetector CT and three-dimensional CT. Radiographics. 2001;21(suppl_1):S237–54. (PMID: 10.1148/radiographics.21.suppl_1.g01oc18s237)
Kabasakal EDL, Kanmaz MHB. 68 Ga-PSMA PET/CT imaging of metastatic clear cell renal cell carcinoma. Eur J Nucl Med Mol Imaging. 2014;41:1461–2. (PMID: 10.1007/s00259-014-2766-y)
Nakamoto Y, et al. Clinical utility of 68 Ga-DOTATOC positron emission tomography/computed tomography for recurrent renal cell carcinoma. Eur J Nucl Med Mol Imaging. 2019;46(7):1524–30. (PMID: 10.1007/s00259-019-04298-4)
Sawicki LM, et al. Evaluation of the outcome of lung nodules missed on 18F-FDG PET/MRI compared with 18F-FDG PET/CT in patients with known malignancies. J Nucl Med. 2016;57(1):15–20. (PMID: 10.2967/jnumed.115.162966)
Volpe A, et al. Techniques, safety and accuracy of sampling of renal tumors by fine needle aspiration and core biopsy. J Urol. 2007;178(2):379–86. (PMID: 10.1016/j.juro.2007.03.131)
Busch J, et al. Intrinsic resistance to tyrosine kinase inhibitors is associated with poor clinical outcome in metastatic renal cell carcinoma. BMC Cancer. 2011;11(1):1–5. (PMID: 10.1186/1471-2407-11-295)
Yakes FM, et al. Cabozantinib (XL184), a novel MET and VEGFR2 inhibitor, simultaneously suppresses metastasis, angiogenesis, and tumor growth. Mol Cancer Ther. 2011;10(12):2298–308. (PMID: 10.1158/1535-7163.MCT-11-0264)
Sierra JR, Tsao M-S. c-MET as a potential therapeutic target and biomarker in cancer. Ther Adv Med Oncol. 2011;3(1_suppl):S21–35. (PMID: 10.1177/1758834011422557)
فهرسة مساهمة: Keywords: Metastatic renal cell carcinoma; PET/CT imaging; Receptor tyrosin kinase; Receptor tyrosin kinase inhibitors; c-MET
المشرفين على المادة: 0 (Gallium Radioisotopes)
0 (Ligands)
تواريخ الأحداث: Date Created: 20211028 Date Completed: 20220411 Latest Revision: 20220518
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC8940803
DOI: 10.1007/s00259-021-05596-6
PMID: 34708249
قاعدة البيانات: MEDLINE
الوصف
تدمد:1619-7089
DOI:10.1007/s00259-021-05596-6