A

EPITHELIAL CELL ADHESION MOLECULE (EPCAM)-FLUORESCENCE IMAGING MOLECULE FOR THE DETECTION OF GASTROINTESTINAL TUMORS AND CANCER POSITIVE LYMPH NODES

Espacenet Family 86142939

Abstract

Herein is provided a novel molecule and infusion solutions containing the molecule useful for the detection and imaging of EpCAM positive tumors as well as lymph nodes, such as, but not limited to, lower GI (i.e. colorectal) and upper GI (i.e. gastric and esophageal) cancers. The molecule is comprised of an antibody or antibody fragment capable of specifically targeting EpCAM conjugated to a NIR fluorescent dye. A preferred antibody fragment is VB5-845D and a preferred NIR fluorescent dye is IRDye 800CW. Aspects of the invention provide a method of intraoperative tumor visualization of EpCAM expressing primary tumors and lymph nodes.

Inventors 3

  1. Alexander L. Vahrmeijer Aachen author as filed: Vahrmeijer, Alexander Lucas
  2. Cornelis F.M. Sier Aachen author as filed: Sier, Cornelis Frederikus Maria
  3. Kuppen, Petrus Johannes Karel

Inventors are linked to an Aachen author when surname and first name match exactly one author.

Applicants

  • ACADEMISCH ZIEKENHUIS LEIDEN H.O.D.N. LUMC GBS Leiden

Cited papers 13 in the database

Non-patent literature as cited (50)
  • - PARKIN DMBRAY FFERLAY JPISANI P: "Global cancer statistics", CA CANCER J CLIN, vol. 55, no. 2, 2002, pages 74 - 108
  • - WU HWANG WTONG SWU C: "Nucleostemin regulates proliferation and migration of gastric cancer and correlates with its malignancy", INT J CLIN EXP MED, vol. 8, no. 10, 2015, pages 17634 - 43
  • - HOHENBERGER WWEBER KMATZEL KPAPADOPOULOS TMERKEL S: "Standardized surgery for colonic cancer: complete mesocolic excision and central ligation--technical notes and outcome", COLORECTAL DIS, vol. 11, no. 4, 2009, pages 354 - 64, XP072205615, DOI: 10.1111/j.1463-1318.2008.01735.x
  • - MAAS MNELEMANS PJVALENTINI VDAS PRODEL CKUO LJ ET AL.: "Long-term outcome in patients with a pathological complete response after chemoradiation for rectal cancer: a pooled analysis of individual patient data", LANCET ONCOL, vol. 11, no. 9, 2010, pages 835 - 44, XP027598724, DOI: 10.1016/S1470-2045(10)70172-8
  • - AL-SUKHNI EATTWOOD KMATTSON DMGABRIEL ENURKIN SJ: "Predictors of Pathologic Complete Response Following Neoadjuvant Chemoradiotherapy for Rectal Cancer", ANN SURG ONCOL, vol. 23, no. 4, 2016, pages 1177 - 86, XP035897612, DOI: 10.1245/s10434-015-5017-y
  • - COCCOLINI FNARDI MMONTORI GCERESOLI MCELOTTI ACASCINU S ET AL.: "Neoadjuvant chemotherapy in advanced gastric and esophago-gastric cancer. Meta-analysis of randomized trials", INT J SURG, vol. 51, 2018, pages 120 - 7
  • - MIAO ZFLIU XYWANG ZNZHAO TTXU YYSONG YX ET AL.: "Effect of neoadjuvant chemotherapy in patients with gastric cancer: a PRISMA-compliant systematic review and meta-analysis", BMC CANCER, vol. 18, no. 1, 2018, pages 118
  • - VAN DER VALK MJM, HILLING DE, BASTIAANNET E, MEERSHOEK-KLEIN KRANENBARG E, BEETS GL,FIGUEIREDO NL: "Long-term outcomes of clinical complete responders after neoadjuvant treatment for rectal cancer in the International Watch & Wait Database (IWWD): an international multicentre registry study", LANCET, vol. 391, no. 10139, 2018, pages 2537 - 45
  • - SONG ZWU YYANG JYANG DFANG X: "Progress in the treatment of advanced gastric cancer", TUMOUR BIOL, vol. 39, no. 7, 2017, pages 1010428317714626
  • - OLSON MTLY QPMOHS AM: "Fluorescence Guidance in Surgical Oncology: Challenges, Opportunities, and Translation", MOL IMAGING BIOL, vol. 21, no. 2, 2019, pages 200 - 18, XP036750971, DOI: 10.1007/s11307-018-1239-2
  • - VAHRMEIJER ALHUTTEMAN MVAN DER VORST JRVAN DE VELDE CJFRANGIONI JV: "Image-guided cancer surgery using near-infrared fluorescence", NAT REV CLIN ONCOL, vol. 10, no. 9, 2013, pages 507 - 18
  • - BOOGERD LSHANDGRAAF HJLAM HDHUURMAN VAFARINA-SARASQUETA AFRANGIONI JV ET AL.: "Laparoscopic detection and resection of occult liver tumors of multiple cancer types using real-time near-infrared fluorescence guidance", SURG ENDOSC, vol. 31, no. 2, 2017, pages 952 - 61, XP036137913, DOI: 10.1007/s00464-016-5007-6
  • - SCHAAFSMA BEMIEOG JSHUTTEMAN MVAN DER VORST JRKUPPEN PJLOWIK CW ET AL.: "The clinical use of indocyanine green as a near-infrared fluorescent contrast agent for image-guided oncologic surgery", J SURG ONCOL, vol. 104, no. 3, 2011, pages 323 - 32
  • - BOOGERD LSFHOOGSTINS CESSCHAAP DPKUSTERS MHANDGRAAF HJMVAN DER VALK MJM ET AL.: "Safety and effectiveness of SGM-101, a fluorescent antibody targeting carcinoembryonic antigen, for intraoperative detection of colorectal cancer: a dose-escalation pilot study", LANCET GASTROENTEROL HEPATOL, vol. 3, no. 3, 2018, pages 181 - 91
  • - HOOGSTINS CESBOOGERD LSFSIBINGA MULDER BGMIEOG JSDSWIJNENBURG RJVAN DE VELDE CJH ET AL.: "Image-Guided Surgery in Patients with Pancreatic Cancer: First Results of a Clinical Trial Using SGM-101, a Novel Carcinoembryonic Antigen-Targeting, Near-Infrared Fluorescent Agent", ANN SURG ONCOL, vol. 25, no. 11, 2018, pages 3350 - 7, XP036742415, DOI: 10.1245/s10434-018-6655-7
  • - HOOGSTINS CETUMMERS QRGAARENSTROOM KNDE KROON CDTRIMBOS JBBOSSE T ET AL.: "A Novel Tumor-Specific Agent for Intraoperative Near-Infrared Fluorescence Imaging: A Translational Study in Healthy Volunteers and Patients with Ovarian Cancer", CLIN CANCER RES, vol. 22, no. 12, 2016, pages 2929 - 38
  • - ISHIZAWA TBANDAI YIJICHI MKANEKO JHASEGAWA KKOKUDO N: "Fluorescent cholangiography illuminating the biliary tree during laparoscopic cholecystectomy", BR J SURG, vol. 97, no. 9, 2010, pages 1369 - 77
  • - DE VALK KSHANDGRAAF HJDEKEN MMSIBINGA MULDER BGVALENTIJN ARTERWISSCHA VAN SCHELTINGA AG ET AL.: "A zwitterionic near-infrared fluorophore for real-time ureter identification during laparoscopic abdominopelvic surgery", NAT COMMUN, vol. 10, no. 1, 2019, pages 3118
  • - SCHAAP DPDE VALK KSDEKEN MMMEIJER RPJBURGGRAAF JVAHRMEIJER AL ET AL.: "Carcinoembryonic antigen-specific, fluorescent image-guided cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for metastatic colorectal cancer", BR J SURG, 2020
  • - TJALMA JJJKOLLER MLINSSEN MDHARTMANS EDE JONGH SJORRITSMA-SMIT A ET AL.: "Quantitative fluorescence endoscopy: an innovative endoscopy approach to evaluate neoadjuvant treatment response in locally advanced rectal cancer", GUT, vol. 69, no. 3, 2020, pages 406 - 10
  • - PATRIARCA CMACCHI RMMARSCHNER AKMELLSTEDT H: "Epithelial cell adhesion molecule expression (CD326) in cancer: a short review", CANCER TREAT REV, vol. 38, no. 1, 2012, pages 68 - 75, XP028121663, DOI: 10.1016/j.ctrv.2011.04.002
  • - SPIZZO GFONG DWURM MENSINGER COBRIST PHOFER C ET AL.: "EpCAM expression in primary tumour tissues and metastases: an immunohistochemical analysis", J CLIN PATHOL, vol. 64, no. 5, 2011, pages 415 - 20
  • - WENT PTLUGLI AMEIER SBUNDI MMIRLACHER MSAUTER G ET AL.: "Frequent EpCam protein expression in human carcinomas", HUM PATHOL, vol. 35, no. 1, 2004, pages 122 - 8, XP002592037, DOI: 10.1016/S0046-8177(03)00502-1
  • - SPIZZO GOBRIST PENSINGER CTHEURL IDUNSER MRAMONI A ET AL.: "Prognostic significance of Ep-CAM AND Her-2/neu overexpression in invasive breast cancer", INT J CANCER, vol. 98, no. 6, 2002, pages 883 - 8
  • - WENT PVASEI MBUBENDORF LTERRACCIANO LTORNILLO LRIEDE U ET AL.: "Frequent high-level expression of the immunotherapeutic target Ep-CAM in colon, stomach, prostate and lung cancers", BR J CANCER, vol. 94, no. 1, 2006, pages 128 - 35, XP002450071, DOI: 10.1038/sj.bjc.6602924
  • - BOOGERD LSVAN DER VALK MJBOONSTRA MCPREVOO HAHILLING DEVAN DE VELDE CJ ET AL.: "Biomarker expression in rectal cancer tissue before and after neoadjuvant therapy", ONCO TARGETS THER, vol. 11, 2018, pages 1655 - 64
  • - BOOGERD LSF, BOONSTRA MC, PREVOO H, HANDGRAAF HJM, KUPPEN PJK, VAN DE VELDE CJH: "Fluorescence-guided tumor detection with a novel anti-EpCAM targeted antibody fragment:Preclinical validation.", SURG ONCOL., vol. 28, 2019, pages 1 - 8, XP085620581, DOI: 10.1016/j.suronc.2018.10.004
  • - VAN DRIEL PBBOONSTRA MCPREVOO HAVAN DE GIESSEN MSNOEKS TJTUMMERS QR ET AL.: "EpCAM as multi-tumour target for near-infrared fluorescence guided surgery", BMC CANCER, vol. 16, no. 1, 2016, pages 884
  • - WANG YYLI LZHAO ZSWANG YXYE ZYTAO HQ: "L1 and epithelial cell adhesion molecules associated with gastric cancer progression and prognosis in examination of specimens from 601 patients", J EXP CLIN CANCER RES, vol. 32, 2013, pages 66, XP021165352, DOI: 10.1186/1756-9966-32-66
  • - HOOGSTINS CBURGGRAAF JJKOLLER MHANDGRAAF HBOOGERD LVAN DAM G ET AL.: "Setting Standards for Reporting and Quantification in Fluorescence-Guided Surgery", MOL IMAGING BIOL, vol. 21, no. 1, 2019, pages 11 - 8, XP036705396, DOI: 10.1007/s11307-018-1220-0
  • - HERNOT SVAN MANEN LDEBIE PMIEOG JSDVAHRMEIJER AL: "Latest developments in molecular tracers for fluorescence image-guided cancer surgery", LANCET ONCOL, vol. 20, no. 7, 2019, pages 354 - 67
  • - WITTRUP KDTHURBER GMSCHMIDT MMRHODEN JJ: "Practical theoretic guidance for the design of tumor-targeting agents", METHODS ENZYMOL., vol. 503, 2012, pages 255 - 68
  • - FREISE ACWU AM: "In vivo imaging with antibodies and engineered fragments", MOL IMMUNOL, vol. 67, no. 2, 2015, pages 142 - 52
  • - BEETS GLFIGUEIREDO NFBEETS-TAN RG: "Management of Rectal Cancer Without Radical Resection", ANNU REV MED, vol. 68, 2017, pages 169 - 82
  • - RENEHAN AGMALCOMSON LEMSLEY RGOLLINS SMAW AMYINT AS ET AL.: "Watch-and-wait approach versus surgical resection after chemoradiotherapy for patients with rectal cancer (the OnCoRe project): a propensity-score matched cohort analysis", LANCET ONCOL, vol. 17, no. 2, 2016, pages 174 - 83, XP029407521, DOI: 10.1016/S1470-2045(15)00467-2
  • - BREUGOM AJVAN DE VELDE CJ: "Is it time for watchful waiting for rectal cancer", LANCET ONCOL, vol. 16, no. 8, 2015, pages 875 - 6
  • - VAN DER VALK MJMHILLING DEVAN DE VELDE CJH: "What is there to learn for watch-and-wait in rectal cancer", LANCET GASTROENTEROL HEPATOL, vol. 2, no. 7, 2017, pages 467 - 8
  • - WANG JQIN JJING SLIU QCHENG YWANG Y ET AL.: "Clinical complete response after chemoradiotherapy for carcinoma of thoracic esophagus: Is esophagectomy always necessary? A systematic review and meta-analysis", THORAC CANCER, vol. 9, no. 12, 2018, pages 1638 - 47
  • - STAHL MSTUSCHKE MLEHMANN NMEYER HJWALZ MKSEEBER S ET AL.: "Chemoradiation with and without surgery in patients with locally advanced squamous cell carcinoma of the esophagus", J CLIN ONCOL, vol. 23, no. 10, 2005, pages 2310 - 7
  • - DOSSA FCHESNEY TRACUNA SABAXTER NN: "A watch-and-wait approach for locally advanced rectal cancer after a clinical complete response following neoadjuvant chemoradiation: a systematic review and meta-analysis", LANCET GASTROENTEROL HEPATOL, vol. 2, no. 7, 2017, pages 501 - 13
  • - MARTENS MHMAAS MHEIJNEN LALAMBREGTS DMLEIJTENS JWSTASSEN LP ET AL.: "Long-term Outcome of an Organ Preservation Program After Neoadjuvant Treatment for Rectal Cancer", J NATL CANCER INST, vol. 108, no. 12, 2016
  • - DOMPER ARNAL MJFERRANDEZ ARENAS ALANAS ARBELOA A: "Esophageal cancer: Risk factors, screening and endoscopic treatment in Western and Eastern countries", WORLD J GASTROENTEROL, vol. 21, no. 26, 2015, pages 7933 - 43
  • - YAO K: "The endoscopic diagnosis of early gastric cancer", ANN GASTROENTEROL, vol. 26, no. 1, 2013, pages 11 - 22
  • - BALZAR MBRIAIRE-DE BRUIJN IHREES-BAKKER HAPRINS FAHELFRICH WDE LEIJ L ET AL.: "Epidermal growth factor-like repeats mediate lateral and reciprocal interactions of Ep-CAM molecules in homophilic adhesions", MOL CELL BIOL, vol. 21, no. 7, 2001, pages 2570 - 80, XP055101614, DOI: 10.1128/MCB.21.7.2570-2580.2001
  • - WINTER MJNAGTEGAAL IDVAN KRIEKEN JHLITVINOV SV: "The epithelial cell adhesion molecule (Ep-CAM) as a morphoregulatory molecule is a tool in surgical pathology", AM J PATHOL, vol. 163, no. 6, pages 2139 - 48, XP002592036
  • - DAI MYUAN FFU CSHEN GHU SSHEN G: "Relationship between epithelial cell adhesion molecule (EpCAM) overexpression and gastric cancer patients: A systematic review and meta-analysis", PLOS ONE, vol. 12, no. 4, 2017, pages e0175357
  • - BOOGERD LEONORA S F ET AL: "Fluorescence-guided tumor detection with a novel anti-EpCAM targeted antibody fragment: Preclinical validation", SURGICAL ONCOLOGY, BLACKWELL SCIENTIFIC PUBL., OXFORD, GB, vol. 28, 23 October 2018 (2018-10-23), pages 1 - 8, XP085620581, ISSN: 0960-7404, DOI: 10.1016/J.SURONC.2018.10.004
  • - VAN DRIEL P. B. A. A. ET AL: "EpCAM as multi-tumour target for near-infrared fluorescence guided surgery", BMC CANCER, vol. 16, no. 1, 14 November 2016 (2016-11-14), XP093055450, DOI: 10.1186/s12885-016-2932-7
  • [XYI] - ANONYMOUS .: "A phase I study assessing the safety and performance of VB5-845D-800CW, an fluorescent agent, for the intraoperative detection of gastrointestinal cancer", 26 October 2018 (2018-10-26), XP093060529, Retrieved from the Internet <URL:https://onderzoekmetmensen.nl/en/trial/27469> [retrieved on 20230704]
  • - VAHRMEIJER ALEXANDER L. ET AL: "Image-guided cancer surgery using near-infrared fluorescence", NATURE REVIEWS CLINICAL ONCOLOGY, vol. 10, no. 9, 23 July 2013 (2013-07-23), NY, US, pages 507 - 518, XP093060404, ISSN: 1759-4774, DOI: 10.1038/nrclinonc.2013.123

Cited patents 1