General Information of This Peptide-drug Conjugate (PDC)
PDC ID
PDC_00005
PDC Name
[177Lu]Lu-4
PDC Status
Investigative
Indication
In total 1 Indication(s)
Metastatic castration-resistant prostate cancer
Structure
Peptide Name
PSMA-617
 Peptide Info 
Receptor Name
Glutamate carboxypeptidase 2 (FOLH1)
 Receptor Info 
Drug Name
Lutetium-177
 Drug Info 
Therapeutic Target
Human Deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
rac-(R)-2-(2-aminoacetamido)-3-(4-(2-(((R)-1-carboxy-2-phenylethyl)amino)-2-oxoethoxy)phenyl)propanoic acid
 Linker Info 
Peptide Modified Type
The modification of binding with chemical molecules
Modified Segment
Urea
Formula
C56H75LuN10O24
#Ro5 Violations (Lipinski): 5 Molecular Weight 1449.205758
Lipid-water partition coefficient (xlogp) -6.684
Hydrogen Bond Donor Count (hbonddonor) 12
Hydrogen Bond Acceptor Count (hbondacc) 22
Rotatable Bond Count (rotbonds) 39
Full List of Activity Data of This Peptide-drug Conjugate
Revealed Based on the Cell Line Data
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Metastatic castration-resistant prostate cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
18.7 ± 0.3 nM
Administration Time 1 h
Evaluation Method Gamma counter assay
MOA of PDC
Prostate-specific membrane antigen (PSMA) is a promising target for the diagnosis and radionuclide therapy of prostate cancer. This study reports conversion of a previously reported 68Ga-imaging agent, [68Ga]Ga-P16-093, to a Lu-177 radionuclide therapeutic agent. Substitution of the HBED-CC metal chelating group with DOTA(GA)2 led to P17-087 (4) and P17-088 (7). Both agents showed excellent PSMA binding affinity (IC50 = 10-30 nM) comparable to that of recently FDA-approved [177Lu]Lu-PSMA-617 (Pluvicto). Biodistribution studies in PSMA expressing tumor bearing mice showed that [177Lu]Lu-4 exhibited very high tumor uptake and a fast blood clearance similar to those of [177Lu]Lu-PSMA-617. Conversely, [177Lu]Lu-7, containing an albumin binder, extended its blood half-life and exhibited significantly higher uptake and longer tumor residence time than [177Lu]Lu-4 and [177Lu]Lu-PSMA-617. The switch from chelator HBED-CC to DOTA(GA)2 and the switch from the imaging isotope gallium-68 to the therapeutic isotope lutetium-177 have successfully transformed a PSMA-targeting agent from diagnosis to promising radionuclide therapeutic agents.

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Description
The PSMA binding affinities were determined by a competitive binding assay using PSMA-overexpressing LNCaP human prostate carcinoma cell homogenates and a known high affinity 125I-labeled PSMA ligand, [125I]MIP-1095, as the radioligand. The IC50 values for the metal-free PSMA-inhibiting compounds and metal complexes are summarized in Table 1. PSMA-617 and P16-093 were included in this study as reference compounds. The PSMA affinities of 4 and 7 as well as their natLu-labeled complexes were comparable to those of the reference compounds and displayed excellent binding affinities (IC50 = 28.7, 15.4, 18.7, and 20.2 nM, respectively). The addition of the p-iodophenylbutanoyl group in compound 7 did not change the PSMA binding affinity because of the small molecular size and remote position from the PSMA binding site.

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In Vitro Model Prostate carcinoma LNCaP cell CVCL_0395
Half life period 162 ± 4.86 h
References
Ref 1 New PSMA-Targeting Ligands: Transformation from Diagnosis (Ga-68) to Radionuclide Therapy (Lu-177). J Med Chem. 2022 Oct 13;65(19):13001-13012. doi: 10.1021/acs.jmedchem.2c00852. Epub 2022 Sep 14.