The purpose of this project is to extend work that Summa Medicalb Corporation (S MC) has performed in the area of radioimmunoimaging (RII) with Tc-99m labeled antibodies for the in vivo detection of human malignancy using external gamma scintigraphy. SMC developed d this new technique for the radiolabeling of antibodies and antibody fragments with Tc-99m and created an instant "cold" kit product that is suitable for clinical studies. Clinical trials, using affinity purified sheep polyclonal and murine monoclonal IgG and F(abl)-) fragments, were conducted in Vancouver, Canada under the first approved IND Application for the use of Tc-99m labeled antibodies to human chorionic gonadotropin (hCG). The results of the initial clinical studies were very encouraging in that a significant percentage of human tumors expressing hCG have been imaged at diverse sites in the body using the RII technique. However, the sensitivity of this technique may need to be improved by increasing the total percentage of radionuclide injected that specifically targets to tumor sites.SMC plans to test a novel approach termed radioimmunoamplification that is designed to increase the sensitivity of the RII technique. This new approach should also help to solve the limitation to sensitivity posed by tumor-antigen heterogeneity. In the present proj ect, a double antibody approach is to be tested using appropriate antibodies directed against tumor associated antigens, followed by the administration, after an appropriate time interval, of a second antibody that will be radiolabeled with Tc-99m that should target to the first antibody. Two different human colorectal tumor lines will be grown in nude mice, both which express carcinoembryonic antigen (CEA). The mice will be injected with a goat anti-CEA followed by the Tc-99m labeled F(ab')2 fra ment of an anti-goat IgG. Immunohistochemical staining and blodistribution studies will be performed to demonstrate in vivo localization and radio-immunoamplification. The results of these studies will be used to design a program for the development of new products suitable for human clinical trials and which demonstrate significant advantage over current approaches to RII.
Thesaurus Terms: Diagnosis, Diagnostic Tests, Design, Development And Evaluation Of Diagnostic Tests, Immunological Tests And Immunoassay, Radioimmunoassay, Neoplasms Diagnosis, Immunodiagnosis Of Neoplasms, Neoplasms Diagnosis, Radioisotope Diagnosis Immunological Preparations, Monoclonal Antibodies, Neoplasms Immunology, Tumor Antigens, Radioisotopes, Technetium National Cancer Institute