WO2019018815A1 - USE OF 99MTC-TILMANOCEPT AND ASSOCIATED MOLECULAR CONSTRUCTS FOR THE IDENTIFICATION AND DIAGNOSIS OF MALIGNANT TUMORS, AND FOR THE MONITORING OF ANTI-TUMOR THERAPEUTIC INTERVENTIONS - Google Patents

USE OF 99MTC-TILMANOCEPT AND ASSOCIATED MOLECULAR CONSTRUCTS FOR THE IDENTIFICATION AND DIAGNOSIS OF MALIGNANT TUMORS, AND FOR THE MONITORING OF ANTI-TUMOR THERAPEUTIC INTERVENTIONS Download PDF

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Publication number
WO2019018815A1
WO2019018815A1 PCT/US2018/043176 US2018043176W WO2019018815A1 WO 2019018815 A1 WO2019018815 A1 WO 2019018815A1 US 2018043176 W US2018043176 W US 2018043176W WO 2019018815 A1 WO2019018815 A1 WO 2019018815A1
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WO
WIPO (PCT)
Prior art keywords
composition
tumor
imaging
subject
tumors
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2018/043176
Other languages
English (en)
French (fr)
Inventor
Frederick O COPE
Bonnie Chandler Abbruzzese
David Allen RALPH
Allison KISSLING
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Navidea Biopharmaceuticals Inc
Original Assignee
Navidea Biopharmaceuticals Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Navidea Biopharmaceuticals Inc filed Critical Navidea Biopharmaceuticals Inc
Priority to CA3070494A priority Critical patent/CA3070494A1/en
Priority to CN201880061342.0A priority patent/CN111447955A/zh
Priority to EP18834762.9A priority patent/EP3655107A4/en
Priority to JP2020502669A priority patent/JP2020528059A/ja
Publication of WO2019018815A1 publication Critical patent/WO2019018815A1/en
Priority to IL272123A priority patent/IL272123A/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/06Macromolecular compounds, carriers being organic macromolecular compounds, i.e. organic oligomeric, polymeric, dendrimeric molecules
    • A61K51/065Macromolecular compounds, carriers being organic macromolecular compounds, i.e. organic oligomeric, polymeric, dendrimeric molecules conjugates with carriers being macromolecules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/0002General or multifunctional contrast agents, e.g. chelated agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0013Luminescence
    • A61K49/0017Fluorescence in vivo
    • A61K49/0019Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules
    • A61K49/0021Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules the fluorescent group being a small organic molecule
    • A61K49/0032Methine dyes, e.g. cyanine dyes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0013Luminescence
    • A61K49/0017Fluorescence in vivo
    • A61K49/005Fluorescence in vivo characterised by the carrier molecule carrying the fluorescent agent
    • A61K49/0054Macromolecular compounds, i.e. oligomers, polymers, dendrimers

Definitions

  • a composition as described herein can have a high affinity for CD206 on TAMs.
  • High affinity binding of CD206 and its ligands can rely on multivalent interactions between sugars displayed on the ligands and multiple CBDs on CD206.
  • the term "subject” can be a vertebrate, such as a mammal, a fish, a bird, a reptile, or an amphibian.
  • the subject of the herein disclosed methods can be a human, non- human primate, horse, pig, rabbit, dog, sheep, goat, cow, cat, guinea pig or rodent.
  • the term does not denote a particular age or sex. Thus, adult and newborn subjects, as well as fetuses, whether male or female, are intended to be covered.
  • the subject is a mammal.
  • a patient refers to a subject afflicted with a disease or disorder.
  • patient includes human and veterinary subjects.
  • the effective daily dose can be divided into multiple doses for purposes of administration. Consequently, single dose compositions can contain such amounts or submultiples thereof to make up the daily dose.
  • the dosage can be adjusted by the individual physician in the event of any contraindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products.
  • Preferred carbocyclic groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclohexenyl, and cycloheptyl. More preferred carbocyclic groups include cyclopropyl and cyclobutyl. The most preferred carbocyclic group is cyclopropyl.
  • Certain materials, compounds, compositions, and components disclosed herein can be obtained commercially or readily synthesized using techniques generally known to those of skill in the art.
  • the starting materials and reagents used in preparing the disclosed compounds and compositions are either available from commercial suppliers such as Aldrich Chemical Co., (Milwaukee, Wis.), Acros Organics (Morris Plains, N.J.), Fisher Scientific (Pittsburgh, Pa.), or Sigma (St.
  • suitable diagnostic moieties include, but are not limited to: -contrast agents suitable for magnetic resonance imaging (MRI), such as gadolinium (Gd 3+ ), paramagnetic and superparamagnetic materials such as superparamagnetic iron oxide;
  • MRI magnetic resonance imaging
  • gadolinium (Gd 3+ ) paramagnetic and superparamagnetic materials
  • superparamagnetic iron oxide superparamagnetic iron oxide
  • the linker may be a straight chain or branched.
  • bifunctional linkers include:
  • a backbone comprised of dextran
  • the imaging of a subject can be done using planar gamma imaging wherein an image comprises visual indications of uptake of said compound in one or more tumors in the subject.
  • the method is for imaging tumors that are not a result of breast cancer.
  • the composition further comprises a therapeutic agent.
  • Certain embodiments described herein comprise a composition for detecting one or more metastasized tumors, comprising: 99m Tc-tilmanocept, wherein said composition is used for detecting one or more metastasized tumors. Certain embodiments can comprise a composition used for quantifying the size of a tumor, including estimating its mass and size.
  • Certain embodiments can comprise a composition comprising a dextran backbone having one or more CD206 targeting moieties and one or more therapeutic moieties attached thereto.
  • Certain methods can comprise the steps of administering a composition comprising a dextran backbone having one or more CD206 targeting moieties and one or more diagnostic moieties to a subject; imaging the subject using SPECT/CT; and determining the presence of tumor-associated macrophages.
  • Certain embodiments may further comprise the step of quantifying the number of tumor- associated macrophages.
  • Certain embodiments comprise the step of identifying the presence of tumors.
  • Certain embodiments comprise the step of identifying metastases of previously-existing tumors.
  • Certain embodiments comprise the step of administering a composition as described herein comprising a therapeutic agent for
  • Mannosylated constructs such as the ones discussed herein, including 99m Tc tilmanocept, and FDG are both molecular markers relevant to tumor biology and progressions.
  • the results shown in Fig. 6 show that 99m Tc tilmanocept binding may detect TAMS surrounding liver metastases.
  • the diagnostic, prognostic, and therapeutic implications of TAM imaging in metastasized liver CRC remains to be determined, but mannosylated-based agents may serve to aid in targeting TAMs with a therapeutic payload, where response may be directly monitored through mannosylated-construct imaging.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
PCT/US2018/043176 2017-07-21 2018-07-20 USE OF 99MTC-TILMANOCEPT AND ASSOCIATED MOLECULAR CONSTRUCTS FOR THE IDENTIFICATION AND DIAGNOSIS OF MALIGNANT TUMORS, AND FOR THE MONITORING OF ANTI-TUMOR THERAPEUTIC INTERVENTIONS Ceased WO2019018815A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CA3070494A CA3070494A1 (en) 2017-07-21 2018-07-20 Use of 99mtc-tilmanocept and related molecular constructs for identifying and diagnosing malignant tumors and for monitoring therapeutic anti-tumor interventions
CN201880061342.0A CN111447955A (zh) 2017-07-21 2018-07-20 99mTc-替马诺塞和相关的分子构建体用于鉴定和诊断恶性肿瘤和用于监测治疗性抗肿瘤干预的用途
EP18834762.9A EP3655107A4 (en) 2017-07-21 2018-07-20 Use of 99mtc-tilmanocept and related molecular constructs for identifying and diagnosing malignant tumors and for monitoring therapeutic anti-tumor interventions
JP2020502669A JP2020528059A (ja) 2017-07-21 2018-07-20 悪性腫瘍を同定および診断するためならびに治療的抗腫瘍介入をモニターするための、99mTcチルマノセプトおよび関連する分子構造の使用
IL272123A IL272123A (en) 2017-07-21 2020-01-19 Use of 99mtc-tilmanocept and related molecular constructs for identifying and diagnosing malignant tumors and for monitoring therapeutic anti-tumor interventions

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201762535752P 2017-07-21 2017-07-21
US62/535,752 2017-07-21

Publications (1)

Publication Number Publication Date
WO2019018815A1 true WO2019018815A1 (en) 2019-01-24

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2018/043176 Ceased WO2019018815A1 (en) 2017-07-21 2018-07-20 USE OF 99MTC-TILMANOCEPT AND ASSOCIATED MOLECULAR CONSTRUCTS FOR THE IDENTIFICATION AND DIAGNOSIS OF MALIGNANT TUMORS, AND FOR THE MONITORING OF ANTI-TUMOR THERAPEUTIC INTERVENTIONS

Country Status (7)

Country Link
US (1) US20190022259A1 (https=)
EP (1) EP3655107A4 (https=)
JP (1) JP2020528059A (https=)
CN (1) CN111447955A (https=)
CA (1) CA3070494A1 (https=)
IL (1) IL272123A (https=)
WO (1) WO2019018815A1 (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2022544836A (ja) * 2019-08-19 2022-10-21 ナビディア、バイオファーマスーティカルズ、インコーポレイテッド M2マクロファージおよび骨髄系由来サプレッサー細胞を除去するための組成物ならびに関連する方法

Families Citing this family (6)

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CA3127487A1 (en) * 2019-01-25 2020-07-30 Navidea Biopharmaceuticals, Inc. Compositions and methods for assessing macrophage mediated pathology
US20210145989A1 (en) * 2019-09-30 2021-05-20 Navidea Biopharmaceuticals, Inc. Compositions and related methods for blocking off-target localization of mannosylated dextrans and other cd206 ligands
EP4076540A4 (en) * 2020-07-08 2024-02-21 Navidea Biopharmaceuticals, Inc. Synthesis of uniformly defined molecular weight mannosylated dextrans and derivatives thereof
CA3192041A1 (en) * 2020-08-21 2022-02-24 Resolute Science, Inc. Compositions and methods for targeting tumor-associated macrophages
EP4472643A1 (en) 2022-02-04 2024-12-11 Navidea Biopharmaceuticals, Inc. Altering net charge on mannosylated dextrans to maximize target tissue uptake and off target competitive blocking
US20230302041A1 (en) * 2022-03-25 2023-09-28 Navidea Biopharmaceuticals, Inc. Competitive Self-Blocking with Unlabeled Manocept Imaging Agents

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US20150023876A1 (en) * 2013-07-22 2015-01-22 Navidea Biopharmaceuticals, Inc. Compositions, methods and kits for diagnosing and treating cd206 expressing cell-related disorders
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US5169933A (en) * 1988-08-15 1992-12-08 Neorx Corporation Covalently-linked complexes and methods for enhanced cytotoxicity and imaging
US20150023876A1 (en) * 2013-07-22 2015-01-22 Navidea Biopharmaceuticals, Inc. Compositions, methods and kits for diagnosing and treating cd206 expressing cell-related disorders
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Publication number Priority date Publication date Assignee Title
JP2022544836A (ja) * 2019-08-19 2022-10-21 ナビディア、バイオファーマスーティカルズ、インコーポレイテッド M2マクロファージおよび骨髄系由来サプレッサー細胞を除去するための組成物ならびに関連する方法

Also Published As

Publication number Publication date
US20190022259A1 (en) 2019-01-24
CA3070494A1 (en) 2019-01-24
EP3655107A4 (en) 2021-04-28
IL272123A (en) 2020-03-31
JP2020528059A (ja) 2020-09-17
EP3655107A1 (en) 2020-05-27
CN111447955A (zh) 2020-07-24

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