# Patent

## Title
Gastrin receptor-avid peptide conjugates

## Abstract

A compound for use as a therapeutic or diagnostic radiopharmaceutical includes a group capable of complexing a medically useful metal attached to a moiety which is capable of binding to a gastrin releasing peptide receptor. A method for treating a subject having a neoplastic disease includes administering to the subject an effective amount of a radiopharmaceutical having a metal chelated with a chelating group attached to a moiety capable of binding to a gastrin releasing peptide receptor expressed on tumor cells with subsequent internalization inside of the cell. A method of forming a therapeutic or diagnostic compound includes reacting a metal synthon with a chelating group covalently linked with a moiety capable of binding a gastrin releasing peptide receptor.

## Background
CROSS-RELATED REFERENCE SECTION
This application is a divisional application of U.S. patent application Ser. No. 10/122,611, filed Apr. 12, 2002 now U.S. Pat. No. 6,921,526, which claims priority to U.S. patent application Ser. No. 09/537,423, filed Mar. 29, 2000 now abandoned, which is a Divisional of U.S. patent application Ser. No. 09/064,499, filed Apr. 22, 1998, now U.S. Pat. No. 6,200,546, which claims the benefit of priority under 35 U.S.C. Section 119(a–d) of U.S. Provisional Patent Application Ser. No. 60/044,049, filed Apr. 22, 1997, all of which are incorporated herein by reference.


GRANT REFERENCE
The research carried out in connection with this invention was supported in part by a grant from the Department of Energy (DOE), grant number DE-FG02-89ER60875, a grant from the U.S. Department of Veterans Affairs Medical Research Division and the Department of Radiology MU-C2-02691. The Government has certain rights in the invention.


TECHNICAL FIELD
This invention relates to radionuclide-labeled compounds useful as radiopharmaceuticals. More particularly, the present invention relates to conjugates of bombesin (BBN) analogues and a metal complexing group which, when complexed to a radionuclide, are useful therapeutic and imaging agents for cancer cells that express gastrin releasing peptide (GRP) receptors.
BACKGROUND OF THE INVENTION
Detection and treatment of cancers using radiopharmaceuticals that selectively target cancers in human patients has been employed for several decades. Unfortunately, only a limited number of site-directed radiopharmaceuticals that exhibit highly specific in vivo localization in or near cancer cells are currently in routine use, as being approved by the United States Food and Drug Administration (FDA). There is a great deal of interest in developing new radioactive drugs due to the emergence of more sophisticated biomolecular carriers that have high affinity and high specificity for in vivo targeting of tumors. Several types of agents are being developed and have been investigated including monoclonal antibodies (MAbs), antibody fragments (FAB's and (FAB)2's), receptor-avid peptides [Bushbaum, 1995; Fischman et al., 1993; Schubiger et al. 1996].
The potential utility of using radiolabeled receptor-avid peptides for producing radiopharmaceuticals is best exemplified by 111In DTPA-conjugated octreotide (an FDA approved diagnostic imaging agent, Octreoscan®, marketed in the United States. by Mallinckrodt Medical, Inc.) [Lowbertz et al. 1994]. This radiopharmaceutical is an 111In-DTPA conjugate of Octreotide, a small peptide analogue of the human hormone somatostatin. This drug specifically binds to somatostatin receptors that are over-expressed on neuroendocrine cancers (e.g., carcinoid Ca, neuroblastoma, etc.) as well as others [Krenning et al., 1994]. Since indium-111 (111In) is not the ideal radionuclide for scintigraphic imaging, other somatostatin analogues and other receptor-avid biomolecules that are labeled with 99mTc (the optimal radionuclide for diagnostic imaging) are being studied and developed [Eckelman, 1995; Vallabhajosula et al., 1996].
Bombesin (BBN) is a 14 amino acid peptide that is an analogue of human gastrin releasing peptide (GRP) that binds to GRP receptors with high specificity and has an affinity similar to GRP [Davis et al., 1992]. GRP receptors have been shown to be over-expressed or uniquely expressed on several types of cancer cells. Binding of GRP receptor agonists (also autocrine factors) increases the rate of cell division of these cancer cells. For this reason, a great deal of work has been, and is being pursued to develop BBN or GRP analogues that are antagonists [Davis et al., 1992; Hoffken, 1994; Moody et al., 1996; Coy et al., 1988; Cai et al., 1994]. These antagonists are designed to competitively inhibit endogenous GRP binding to GRP receptors and reduce the rate of cancer cell proliferation [Hoffken, 1994]. Treatment of cancers using these antagonists with these non-radioactive peptides requires chronic injection regimens (e.g., daily, using large quantities of the drug).
In designing an effective receptor-avid radiopharmaceutical for use as a diagnostic or therapeutic agent for cancer, it is important that the drug have appropriate in vivo targeting and pharmacokinetic properties [Fritzberg et al., 1992; Eckelman et al., 1993]. For example, it is essential that the radiolabeled receptor-avid peptide have high specific uptake by the cancer cells (e.g., via GRP receptors). In addition, it is necessary that once the radionuclide localizes at a tumor site, it must remain there for an extended time to deliver a highly localized radiation dose to the tumor. In order to achieve sufficiently high specific uptake of radiolabeled BBN analogues in tumors, the binding affinity of promising derivatives must be high (i.e., Kd≅1–5 nmolar or less) with prolonged retention of radioactivity [Eckelman et al., 1995; Eckelman, et al., 1993]. Work with 125I-BBN derivatives has shown, however, that for cancer cells that bind the 125I-BBN derivatives (whether they be agonists or antagonists), the radioactivity is either washed off or expelled from the cells (in vitro) at a rapid rate [Hoffman et al., 1997]. Thus, these types of derivatives have a low probability of remaining “trapped” at the tumor site (in vivo) sufficiently long to be effective therapeutic or diagnostic agents.
Developing radiolabeled peptides that are cleared efficiently from normal tissues is also an important and especially critical factor for therapeutic agents. When labeling biomolecules (e.g., MAb, FAB's or peptides) with metallic radionuclides (via a chelate conjugation), a large percentage of the metallic radionuclide (in some chemical form) usually becomes “trapped” in either the kidney or liver parenchyma (i.e., is not excreted into the urine or bile) [Duncan et al., 1997; Mattes, 1995]. For the smaller radiolabeled biomolecules (i.e., peptides or FAB's), the major route of clearance of activity is through the kidneys which in turn retain high levels of the radioactive metal (i.e., normally >10–15% of the injected dose) [Duncan et al., 1997]. This presents a major problem that must be overcome in the development of therapeutic agents that incorporate metallic radionuclides, otherwise the radiation dose to the kidneys would be excessive. For example, 111In-octreotide, the FDA approved diagnostic agent, exhibits high uptake and retention in kidneys of patients [Eckelman et al., 1995]. Even though the radiation dose to the kidneys is higher than desirable, it is tolerable in that it is a diagnostic radiopharmaceutical (it does not emit alpha- or beta-particles), and the renal dose does not produce observable radiation induced damage to the organ.
It has now been found that conjugating BBN derivatives which are agonists in non-metallated conjugates which that exhibit binding affinities to GRP receptors that are either similar to or approximately an order of magnitude lower than the parent BBN derivative. [Li et al., 1996a] These data coupled with our recent results show that it is now possible to add radiometal chelates to BBN analogues, which are agonists, and retain GRP receptor binding affinities that are sufficiently high (i.e., approx. 1–5 nmolar Kd's) for further development as potential radiopharmaceuticals. These agonist conjugates are transported intracellularly after binding to cell surface GRP receptors and retained inside of the cells for extended time periods. In addition, in vivo studies in normal mice have shown that retention of the radioactive metal in the kidneys was low (i.e., <5%) with the majority of the radioactivity excreted into the urine.
According to one aspect of the present invention, there is provided a BBN conjugate consisting of essentially a radio-metal chelate covalently appended to the receptor binding region of BBN [e.g., BBN(8–14)] to form radiolabeled BBN analogues that have high specific binding affinities with GRP receptors. These analogues are retained for long times inside of GRP expressing cancer cells. Furthermore, their clearance from the bloodstream, into the urine with minimal kidney retention, is efficient. Preferably, the radiometals are selected from 99mTc, 186/188Re, 105Rh, 153Sm, 166Ho, 90Y or 199Au, all of which hold the potential for diagnostic (i.e., 99mTc) or therapeutic (i.e., 186/188Re, 105Rh, 153Sm, 166Ho, 90Y, and 199Au) utility in cancer patients [Schubiger et al, 1996; Eckelman, 1995; Troutner, 1978].
SUMMARY OF THE INVENTION
In accordance with the present invention, there is provided a compound for use as a therapeutic or diagnostic radiopharmaceutical which includes a group which is capable of complexing a metal attached to a moiety capable of binding to a gastrin releasing peptide receptor.
Additionally, in accordance with the present invention, a method for treating a subject having a neoplastic disease which includes the step of administering to the subject an effective amount of a radiopharmaceutical having a metal chelated with a chelating group attached to a moiety capable of binding to a gastrin releasing peptide receptor on a cancer cell, subsequently intracellularly transported and residualized inside the cell, is disclosed.
Additionally, in accordance with the present invention, a method of forming a therapeutic or diagnostic compound including the step of reacting a metal synthon with a chelating group covalently linked with a moiety capable of binding a gastrin releasing peptide receptor is disclosed.



BRIEF DESCRIPTION OF THE DRAWINGS
Other advantages of the present invention will be readily appreciated as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings wherein:
FIG. 1 illustrates a radiometal conjugate according to the present invention;
FIG. 2 is an ORTEP drawing of the {Rh[16]aneS4-olCl2}+, illustrating the crystal structure a Rhodium macrocycle;
FIG. 3 illustrates a coupling reaction wherein a spacer group is coupled to a bombesin agonist binding moiety;
FIG. 4 illustrates a coupling reaction for coupling a metal chelate to a peptide;
FIG. 5 illustrates several iodinated bombesin analogues including their IC50's;
FIG. 6 illustrates several tethered bombesin analogues;
FIG. 7 illustrates several [16]aneS4 bombesin analogues;
FIG. 8 is a graph illustrating IC50 analysis wherein %-I-125-BBN total uptake versus molar concentration of displacing ligand is shown;
FIG. 9 illustrates several Rhodium-[16]aneS4 bombesin analogues;
FIG. 10 illustrates an HPLC chromatogram of Rhodium-BBN-37 wherein (A) illustrates 105RhCl2-BBN-37 and (B) illustrates RhCl2-BBN-37;
FIG. 11 is a graph illustrating 125I-Tyr4-bombesin internalization efflux from Swiss 3T3 cells;
FIG. 12 illustrates I-125 bombesin internalization efflux in I-125 free buffer wherein 125I-Tyr4-BBN vs. 125I-Lys3-BBN efflux from Swiss 3T3 cells is shown;
FIG. 13 is a graph illustrating the efflux of 105Rh-BBN-37 from Swiss 3T3 cells;
FIG. 14 illustrates several 105Rhodium bombesin analogues including their IC50's;
FIG. 15 is a graph illustrating 105Rh-BBN-61 efflux from Swiss 3T3 cells;
FIG. 16 is a graph illustrating the efflux of 105Rh-BBN-22 vs. 105Rh-BBN-37 from Swiss 3T3 cells;
FIG. 17 are graphs illustrating Pancreatic CA cell binding wherein (A) illustrates the efflux 125I-Tyr4-BBN from CF PAC1 cells and (B) illustrates the efflux of 105Rh-BBN-37 from CF PAC1 cells; and
FIG. 18 are graphs illustrating Prostate CA cell binding wherein (A) illustrates the efflux of 125I-Tyr4-BBN from PC-3 cells and (B) illustrates the efflux of 105Rh-BBN-37 from PC-3 cells.
FIG. 19 illustrates 5 [16]aneS4 bombesin analogues.
FIG. 20 illustrates 4 Rhodium-[16]aneS4 bombesin analogues.
FIG. 21 illustrates 3 different N3S-BFCA conjugates of BBN(7–14).
FIG. 22 illustrates on HPLC chromatogram of 99mTc-BBN-122.
FIG. 23 is a graph illustrating 99mTC-BBN-122 internalization efflux from human prostate cancer cells (PC-3 cells).
FIG. 24 is a graph illustrating 99mTc-BBN-122 internalization efflux from human pancreatic tumor cells (CFPAC-1 cells).
FIG. 25 is a graph illustrating 99mTc-RP-414-BBN-42 retention in PC-3 prostate cancer cells.
FIG. 26 is a graph illustrating 99mTc-42 retention in CFPAC-1 pancreatic cancer cells.



DETAILED DESCRIPTION OF THE INVENTION
According to the present invention, compounds for use as diagnostic and/or therapeutic radiopharmaceuticals include a group capable of complexing a metal attached to a moiety capable of binding to a gastrin releasing peptide (GRP) receptor as shown in FIG. 1. The moiety capable of specific binding to the GRP receptor is a GRP agonist. A GRP agonist would activate or produce response by the GRP receptor upon interaction with the GRP receptor and would be subsequently internalized inside of the cell by endocytosis. In contrast, a GRP antagonist would counteract the effect of an agonist and would not be internalized inside of the cell.
More specifically, the GRP agonist is a compound such as selected amino acid sequences or peptidomimetics which are known to activate the cell following binding with high affinity and selectivity to GRP receptors and that can be covalently linked to the metal complexing group. Many examples of specific modifications of the BBN(8–14) that can be made to produce sequences with high antagonistic and agonistic binding affinity for GRP repectors have been reported by numerous investigations [Davis et al., 1992; Hoffken, 1994; Moody et al., 1996; Coy et al., 1988; Cai et al., 1994; Moody et al., 1995; Leban et al., 1994; Cai et al., 1992].
In a preferred embodiment of the present invention, the metal complexing group or moiety is a chelating agent or chelator which complexes to metals such as 105Rh—, 186/188Re—, 99mTc, 153Sm, 166Ho, 90Y or 199Au. The chelating agent or chelator is attached or bound to the GRP agonist “binding region” to produce a conjugate that retains its capability for high affinity and specific binding to GRP receptors.
In a more preferred embodiment of the present invention, the GRP agonist is a bombesin (BBN) analogue and/or a derivative thereof. The BBN derivative or analog thereof preferably contains either the same primary structure of the BBN binding region [i.e., BBN(8–14)] similar primary structures, with specific amino acid substitutions, that will specifically bind to GRP receptors with better or similar binding affinities as BBN alone (i.e., Kd≅1–5 nmolar) Compounds containing this BBN binding region (or binding moiety), when covalently linked to other groups (e.g., a radiometal chelate), are also referred to as BBN conjugates.
In general, the compounds of the present invention have a structure of the general formula:

X—Y—B

wherein X is a group capable of complexing a metal, such as a radiometal; Y is a covalent bond on a spacer group; and B is a bombesin agonist binding moiety.

The metal bound to the metal complexing group can be any suitable metal chosen for a specific therapeutic or diagnostic use including transition metals and γ and β emitting isotopes. Preferably, the metal is a radiometal such as 105Rh—, 99mTc—, 186/188Re, 153Sm—, 166Ho—, 90Y—, and 199Au— whose chelates can be covalently linked (i.e., conjugated) to the specific BBN binding region via the N-terminal end of the primary binding sequence (e.g., BBN-8 or Trp8) as shown in FIG. 1.
In a preferred embodiment, the radiometal complexes are positioned by being spaced apart from or remotely from the amino acid Trp8 by the spacer groups. The spacer groups can include a peptide (i.e., ≧1 amino acid in length), a hydrocarbon spacer of C1–C10 or a combination of thereof. Preferably, the hydrocarbon spacer has is a C3–C9 group. The resulting radio-labeled BBN conjugates retain high binding affinity and specificity for GRP receptors and are subsequently internalized inside of the cell.
The BBN conjugates can further incorporate a spacer group or component to couple the binding moiety to the metal chelator (or metal binding backbone) while not adversely affecting either the targeting function of the BBN-binding moiety or the metal complexing function of the metal chelating agent.
The term “spacer group” or “linker” refers to a chemical group that serves to couple the BBN binding moiety to the metal chelator while not adversely affecting either the targeting function of the BBN binding moiety or the metal complexing function of the metal chelator. Suitable spacer groups include peptides (i.e., amino acids linked together) alone, a non-peptide group (e.g., hydrocarbon chain) or a combination of an amino acid sequence and a non-peptide spacer. The type of spacer group used in most of the experimental studies described below in the Examples section were composed of a combination of L-glutamine and hydrocarbon spacers. A pure peptide spacer could consist of a series of amino acids (e.g., diglycine, triglycine, gly-gly-glu, etc.), in which the total number of atoms between the N-terminal residue of the BBN binding moiety and the metal chelator in the polymeric chain is ≦12 atoms.
The spacer can also include a hydrocarbon chain [i.e., R1—(CH2)n—R2] wherein n is 0–10, preferably n=3 to 9, R1 is a group (e.g., H2N—, HS—, —COOH) that can be used as a site for covalently linking the ligand backbone or the preformed metal chelator or metal complexing backbone; and R2 is a group that is used for covalent coupling to the N-terminal NH2-group of the BBN binding moiety (e.g., R2 is an activated COOH group). Several chemical methods for conjugating ligands (i.e., chelators) or preferred metal chelates to biomolecules have been well described in the literature [Wilbur, 1992; Parker, 1990; Hermanson, 1996; Frizberg et al., 1995]. One or more of these methods could be used to link either the uncomplexed ligand (chelator) or the radiometal chelate to the spacer group or to link the spacer group to the BBN(8–14) derivatives. These methods include the formation of acid anhydrides, aldehydes, arylisothiocyanates, activated esters, or N-hydroxysuccinimides [Wilbur, 1992; Parker, 1990; Hermanson, 1996; Frizberg et al., 1995].
The term “metal complexing chelator” refers to a molecule that forms a complex with a metal atom that is stable under physiological conditions. That is, the metal will remain complexed to the chelator backbone in vivo. More particularly, a metal complexing chelator is a molecule that complexes to a radionuclide metal to form a metal complex that is stable under physiological conditions and which also has at least one reactive functional group for conjugation with the BBN agonist binding moiety. Metal complexing chelators can include monodentate and polydentate chelators [Parker, 1990; Frizberg et al., 1995; Lister-James et al., 1997; Li et al., 1996b; Albert et al., 1991; Pollak et al., 1996; de Jong et al., 1997; Smith et al., 1997]. Metal complexing chelators include tetradentate metal chelators which can be macrocyclic and have a combination of four nitrogen and/or sulphur metal-coordinating atoms [Parker et al., 1990; Li et al., 1996b] and are designated as N4, S4, N3S, N2S2, NS3, etc. as shown in FIG. 2. A number of suitable multidentate chelators that have been used to conjugate proteins and receptor-avid molecules have been reported [Frizberg et al., 1995; Lister-James et al., 1997; Li et al., 1996b; Albert et al., 1991; Pollak et al., 1996; de Jong et al., 1997]. These multidentate chelators can also incorporate other metal-coordinating atoms such as oxygen and phosphorous in various combinations. The metal binding complexing moiety can also include “3+1” chelators [Seifert et al., 1998].
For diagnostic purposes, metal complexing chelators preferably include chelator backbones for complexing the radionuclide metal 99mTc. For therapeutic purposes, metal complexing chelators preferably include chelator backbones that complex the radionuclide metals 105Rh, 186/188Re, 153Sm, 90Y, 166Ho, and 199Au [Schubiger et al., 1996; Hoffken, 1994].
As was briefly described above, the term “bombesin agonist” or “BBN agonist” refers to compounds that bind with high specificity and affinity to GRP receptors, and upon binding to the GRP receptor, are intracellularly internalized. Suitable compounds include peptides, peptidomimetics and analogues and derivatives thereof. In particular, previous work has demonstrated that the region on the BBN peptide structure required for binding to GRP receptors spans from residue 8 through 14 [Davis et al., 1992; Hoffken, 1994; Moody et al., 1996; Coy, 1988; Cai et al., 1994]. The presence of methionine (Met) at position BBN-14 will generally confer agonistic properties while the absence of this residue at BBN-14 generally confers antagonistic properties [Hoffken, 1994].
It is well documented in the art that there are a few and selective number of specific amino acid substitutions in the BBN (8–14) binding region (e.g., D-Ala11 for L-Gly11 or D-Trp8 for L-Trp8), which can be made without decreasing binding affinity [Leban et al., 1994; Qin et al., 1994; Jensen et al., 1993]. In addition, attachment of some amino acid chains or other groups to the N-terminal amine group at position BBN-8 (i.e., the Trp8 residue) can dramatically decrease the binding affinity of BBN analogues to GRP receptors [Davis et al., 1992; Hoffken, 1994; Moody et al., 1996; Coy, et al., 1988; Cai et al., 1994]. In a few cases, it is possible to append additional amino acids or chemical moieties without decreasing binding affinity. The effects of conjugating various side chains to BBN-8 on binding affinity, therefore, is not predicable.
The BBN conjugates of the present invention can be prepared by various methods depending upon the selected chelator. The peptide portion of the conjugate can be most conveniently prepared by techniques generally established and known in the art of peptide synthesis, such as the solid-phase peptide synthesis (SPPS) approach. Solid-phase peptide synthesis (SPPS) involves the stepwise addition of amino acid residues to a growing peptide chain that is linked to an insoluble support or matrix, such as polystyrene. The C-terminal residue of the peptide is first anchored to a commercially available support with its amino group protected with an N-protecting agent such as a t-butyloxycarbonyl group (tBoc) or a fluorenylmethoxycarbonyl (FMOC) group. The amino protecting group is removed with suitable deprotecting agents such as TFA in the case of tBOC or piperidine for FMOC and the next amino acid residue (in N-protected form) is added with a coupling agent such as dicyclocarbodiimide (DCC). Upon formation of a peptide bond, the reagents are washed from the support. After addition of the final residue, the peptide is cleaved from the support with a suitable reagent such as trifluoroacetic acid (TFA) or hydrogen fluoride (HF).
The spacer groups and chelator components are then coupled to form a conjugate by reacting the free amino group of the Trp8 residue of the BBN binding moiety with an appropriate functional group of the chelator, metal chelator or spacer group, such as a carboxyl group or activated ester.
The BBN conjugate can also incorporate a metal complexing chelator backbone that is peptidic and compatible with solid-phase peptide synthesis. In this case, the chelator backbone can be added to the BBN binding moiety in the same manner as described above or, more conveniently, the metal complexing chelator backbone coupled to the BBN binding moeity can be synthesized in toto starting from the C-terminal residue of the peptide and ending with the N-terminal residue of the metal complexing chelator structure.
The chelator backbones used in accordance with the present invention are commercially available or they could be made by methods similar to those outlined in the literature [Frizberg et al., 1995; Lister-James et al., 1997; Li et al., 1996b; Albert et al., 1991; Pollak et al., 1996; de Jong et al., 1997; Smith et al., 1997; Seifert et al., 1998]. Attachment of the spacer groups to functionalizable atoms appended to the ligand backbone can be performed by standard methods known to those skilled in the art. For example, the HOBt/HBTU activated —COOH group on 5-aminovaleric acid (5-AVA) was reacted with the N-terminal amine on Gln7 to produce an amide linkage as shown in FIG. 3. Similarly, the —COOH group attached to the characterized [16]aneS4 ligand was conjugated to the amine group on the hydrocarbon spacer (shown below) by reaction of the HOBt/HBTU activated carboxyl group appended to the [16]aneS4 macrocycle with the terminal amine group on 5-AVA to form BBN-37 as shown in FIG. 4. Other standard conjugation reactors that produce covalent linkages with amine groups can also be used [Wilbur, 1992; Parker, 1990].
The chelating framework, conjugated via Trp8, complexes the radiometals should form a 1:1 chelator to metal ratio. Since 99mTc has a short half-life (6 hour) and is a diagnostic radionuclide, the method of forming the 99mTc-BBN analogues should permit complexation (either directly or by transmetallation) of 99mTc to the conjugated chelating framework in a one-step, high yield reaction (exemplified below in the Experimental Section).
In contrast, the longer half lives of the therapeutic radionuclides (e.g., 105Rh, 186/188Re, 153Sm, 166Ho, 90Y, or 199Au) permit formation of the corresponding radiolabeled BBN analogues by either a one step high yield complexation step or by preforming a 105Rh—, 186/188Re—, 153Sm, 66Ho, 90Y or 199Au chelate synthon followed by conjugation of the preformed complex to the N-terminal end of the BBN binding moiety. In all cases, the resulting specific activity of the final radiolabeled BBN derivative must be high (i.e., >1 Ci/μmole).
Re- and Tc-conjugates
Re and Tc are both in row VIIB of the Periodic Table and they are chemical congeners. Thus, for the most part, the complexation chemistry of these two metals with ligand frameworks that exhibit high in vitro and in vivo stabilities are the same [Eckelman, 1995]. Many 99mTc or 186/188Re complexes, which are employed to form stable radiometal complexes with peptides and proteins, chelate these metals in their +5 oxidation state [Lister-James et al., 1997]. This oxidation state makes it possible to selectively place 99mTc— or 186/188Re into ligand frameworks already conjugated to the biomolecule, constructed from a variety of 99mTc(V) and/or 186/188Re(V) weak chelates (e.g., 99mTc-glucoheptonate, citrate, gluconate, etc.) [Eckelman, 1995; Lister-James et al., 1997; Pollak et al., 1996]. Tetradentate ligand frameworks have been shown to form well-defined, single chemical species in high specific activities when at least one thiol group or at least one hydroxymethylene phosphine group is present on the ligand backbone [Smith et al., 1997].
Ligands which form stable Tc(V) or Re(V) tetradentate complexes containing, but not limited to, amino N-atoms, amido-N-atoms, carboxy-O-atoms and thioether-S-atoms, are donor atoms that can also be present [Eckelman, 1995; Fritzberg et al., 1992; Parker, 1990; Frizberg et al., 1995; Pollak et al., 1996; Seifert et al., 1998]. Depending upon the mix of donor atoms (groups), the overall complex charge normally ranges from −1 to +1.
Incorporation of the metal within the conjugate can be achieved by various methods commonly known in the art of coordination chemistry. When the metal is technetium-99m, the following general procedure can be used to form a technetium complex. A peptide-chelator conjugate solution is formed by initially dissolving the conjugate in aqueous alcohol such as ethanol. The solution is then degassed to remove oxygen. When an —SH group is present in the peptide, the thiol protecting group are removed with a suitable reagent, for example with sodium hydroxide, and are then neutralized with an organic acid such as acetic acid (pH 6.0–6.5). In the labeling step, sodium pertechnetate obtained from a molybdenum generator is added to a solution of the conjugate with a sufficient amount of a reducing agent, such as stannous chloride, to reduce technetium and is then heated. The labeled conjugate can be separated from the contaminants 99mTcO4− and colloidal 99mTcO2 chromatographically, for example with a C-18 Sep Pak cartridge [Millipore Corporation, Waters Chromatography Division, 34 Maple Street, Milford, Mass. 01757].
In an alternative method, the labeling can be accomplished by a transchelation reaction. The technetium source is a solution of technetium complexed with labile ligands facilitating ligand exchange with the selected chelator. Examples of suitable ligands for transchelation includes tartrate, citrate, gluconate, and heptagluconate. It will be appreciated that the conjugate can be labeled using the techniques described above, or alternatively, the chelator itself may be labeled and subsequently coupled to the peptide to form the conjugate; a process referred to as the “prelabeled chelate” method.
When labeled with diagnostically and/or therapeutically useful metals, peptide-chelator conjugates or pharmaceutically acceptable salts, esters, amides, and prodrugs of the present invention can be used to treat and/or detect cancers, including tumors, by procedures established in the art of radiodiagnostics and radiotherapeutics. [Bushbaum, 1995; Fischman et al., 1993; Schubiger et al., 1996; Lowbertz et al., 1994; Krenning et al., 1994]. A conjugate labeled with a radionuclide metal, such as technetium-99m, can be administered to a mammal, including human patients or subjects, by intravenous or intraperitoneal injection in a pharmaceutically acceptable carrier and/or solution such as salt solutions like isotonic saline. The amount of labeled conjugate appropriate for administration is dependent upon the distribution profile of the chosen conjugate in the sense that a rapidly cleared conjugate may be administered in higher doses than one that clears less rapidly. Unit doses acceptable for Tc-99m imaging radiopharmaceuticals inflammation are in the range of about 5–40 mCi for a 70 kg individual. In vivo distribution and localization can be tracked by standard scintigraphic techniques at an appropriate time subsequent to administration; typically between thirty minutes and 180 minutes depending upon the rate of accumulation at the target site with respect to the rate of clearance at non-target tissue.
The compounds of the present invention can be administered to a patient alone or as part of a composition that contains other components such as excipients, diluents, and carriers, all of which are well-known in the art. The compounds can be administered to patients either intravenously or intraperitoneally.
There are numerous advantages associated with the present invention. The compounds made in accordance with the present invention forms a stable, well-defined 99mTc or 186/188Re conjugate analogues of BBN agonists. Similar BBN against analogues can also be made by using appropriate chelator frameworks for the respective radiometals, to form stable-well-defined products labeled with 153Sm, 90Y, 166Ho, 105Rh or 199Au. The radiolabeled BBN agonist conjugates selectively bind to neoplastic cells expressing GRP receptors become internalized and are retained in the tumor cells for extended time periods. Incorporating the spacer group between the metal chelator and the BBN agonist binding moiety maximizes the uptake and retention of the radioactive metal inside of the neoplasts or cancer cells. The radioactive material that does not reach (i.e., does not bind) the cancer cells is preferentially excreted efficiently into the urine with minimal radiometal retention in the kidneys.
The following examples are presented to illustrate specific embodiments and demonstrate the utility of the present invention.
EXPERIMENTAL SECTION
EXAMPLE I
Synthesis and In Vitro Binding Assessment of Synthetic BBN Analogues Employing Hydrocarbon Chain Spacers
A. Synthesis:
Many BBN analogues were synthesized by Solid Phase Peptide Synthesis (SPPS). Each peptide was prepared by SPPS using an Applied Biosystems Model 432A peptide synthesizer. After cleavage of each BBN analogue from the resin using Trifluoracetic acid (TFA), the peptides were purified by C18 reversed-phase HPLC using a Vydac HS54 column and CH3CN/H2O containing 0.1% TFA as the mobile phase. After collection of the fraction containing the desired BBN peptide (approx. 80–90% yield in most cases), the solvent was evaporated. The identity of each BBN peptide was confirmed by FAB-mass spectrometry, Department of Chemistry—Washington University, St. Louis, Mo.
Various amino acid sequences (in some cases including different chemical moieties) were conjugated to the N-terminal end of the BBN binding region (i.e., to BBN-8 or Trp8). BBN analogue numbers 9,15,15i, 16, 16i and 18 were synthesized as examples of N-terminal modified peptides as shown in FIG. 5.
Various tethered N-terminal (via Trp8) BBN analogues were also synthesized by SPPS as exemplified by BBN-40, BBN-41, BBN-42, BBN-43, BBN-44, BBN-45, and BBN-49 as shown in FIG. 6. In these particular tethered peptides, a Glu residue was attached to Trp8 followed by attachment of FmOC protected terminal amine groups separated from a —COOH group by 3-, 4-, 5-, 6-, 8- and 11-carbon chain (CH) spacers (FIG. 6). These FmOC protected acids were added as the terminal step during the SPPS cycle. As described previously, each of the BBN analogues was purified by reversed-phase HPLC and characterized by high resolution Mass Spectroscopy. Peptide 49 employed only glutamine as the spacer group.
The [16]aneS4 macrocyclic ligand was conjugated to selected tethered BBN analogues shown in FIG. 6. The —OCH2COOH group on the [16]aneS4 macrocycle derivative was activated via HOBt/HBTU so that it efficiently formed an amide bond with the terminal NH2 group on the spacer side arm (following deprotection). The corresponding [16]aneS4 tethered BBN derivatives were produced and examples of 4 of these derivatives (i.e., BBN-22, -37, -46 and -47) are shown in FIG. 7. As previously described, each [16]aneS4 BBN derivative was purified by reversed phase HPLC and characterized by FAB Mass Spectroscopy.
B. In Vitro Binding Affinities
The binding affinities of the synthetic BBN derivatives were assessed for GRP receptors on Swiss 3T3 cells and, in some cases, on a variety of human cancer cell lines, that express GRP receptors. The IC50's of each derivative was determined relative to (i.e., in competition with) 125I-Tyr4-BBN (the Kd for 125I-Tyr4-BBN for GRP receptors in Swiss 3T3 cells is reported to be 1.6±0.4 nM) [Zueht et al., 1991]. The cell binding assay methods used to measure the IC50's is standard and was used by techniques previously reported [Jensen et al., 1993; Cai et al., 1994; Cai et al., 1992]. The methods used for determining IC50's with all GRP receptor binding of GRP receptors on all cell lines was similar. The specific method used to measure IC50's on Swiss 3T3 cells is briefly described as follows:
Swiss 3T3 mouse fibroblasts are grown to confluence in 48 well microtiter plates. An incubation media was prepared consisting of HEPES (11.916 g/l), NaCl (7.598 g/l), KCl (0.574 g/l), MgCl2 (1.106 g/l), EGTA (0.380 g/l), BSA (5.0 g/l), chymostatin (0.002 g/l), soybean trypsin inhibitor (0.200 g/l), and bacitracin (0.050 g/l). The growth media was removed, the cells were washed twice with incubation media, and incubation media was returned to the cells. 125-Tyr4-BBN (0.01 uCi) was added to each well in the presence of increasing concentrations of the appropriate competitive peptide. Typical concentrations of displacing peptide ranged from 10−12 to 10−5 moles of displacing ligand per well. The cells were incubated at 37° C. for forty minutes in a 95% O2/5% CO2 humidified environment. At forty minutes post initiation of the incubation, the medium was discarded, and the cells were washed twice with cold incubation media. The cells were harvested from the wells following incubation in a trypsin/EDTA solution for five minutes at 37° C. Subsequently, the radioactivity, per well, was determined and the maximum % total uptake of the radiolabeled peptide was determined and normalized to 100%.
C. Results of Binding Affinity Measurements
The IC50 values measured for the BBN derivatives synthesized in accordance with this invention showed that appending a peptide side chain and other moieties via the N-terminal BBN-8 residue (i.e., Trp8) produced widely varying IC50 values. For example, see IC50 values shows for BBN 11, 15i, 16i, and 18 in FIGS. 5 and 8. The observations are consistent with previous reports showing highly variable IC50 values when derivatizing BBN(8–13) or BBN(8–14) with a predominantly short chain of amino acid residues [Hoffken, 1994]. In contrast, when a hydrocarbon spacer of 3- to 11-carbons was appended between BBN(7–14) and the [16]aneS4 macrocycle, the IC50's were found to be surprisingly relatively constant and in the 1–5 nM range (i.e., see IC50 values for BBN-22, -37, -46 and -47 as shown in FIG. 7). These data suggest that using relatively simple spacer groups to extend ligands some distance from the BBN binding region [e.g., BBN(8–14)] can produce derivatives that maintain binding affinities in the 1–5 nmolar range.
D. Cell Binding Studies
Results illustrated in FIG. 9 show that when the RhCl2-[16]aneS4 complex separated from Trp8 by only a glutamine (Glu7), the IC50 of this conjugate (i.e., Rh-BBN-22) was 37.5 nM. However, when a five (5) carbon spacer or an eight (8) carbon spacer was present (i.e., Rh-BBN-37 and Rh-BBN-47), the IC50's remained below 5 nM as shown in FIG. 9. These data demonstrate that a straight chain spacer (along with glu7) to move the +1 charged Rh—S4-chelate away from the BBN binding region will result in a metallated BBN analogue with sufficiently high binding affinities to GRP receptors for in vivo tumor targeting applications.
E. 105Radiolabeled BBN Analogues
The 105Rh conjugates of BBN-22, BBN-37, BBN-46 and BBN-47 were synthesized using a 105Rh-chloride reagent from the Missouri University Research Reactor (MURR). This reagent was obtained as 105Rh-chloride, a no-carrier-added (NCA) product, in 0.1–1M HCl. The pH of this reagent was adjusted to 4–5 using 0.1–1.0 M NaOH dropwise and it was added to approximately 0.1 mg of the [16]aneS4-conjugated BBN derivatives in 0.9% aqueous NaCl and 10% ethanol. After the sample was heated at 80° C. for one hour, the 105Rh-BBN analogues were purified using HPLC. In each case, a NCA or high specific activity product was obtained since the non-metallated S4-BBN conjugates eluted at a retention time well after the 105Rh-BBN conjugates eluted. For example, the retention time of 105Rh-BBN-37 was 7.1 min while BBN-37 eluted at 10.5 min from a C-18-reversed phase column eluted with CH3CN/H2O containing 0.1% TFA as shown in FIG. 10A–B.
EXAMPLE II
Retention of 105Rh-BBN Analogues in Cancer Cells
Once the radiometal has been specifically “delivered” to cancer cells (e.g., employing the BBN binding moiety that specifically targets GRP receptors on the cell surface), it is necessary that a large percentage of the “delivered” radioactive atoms remain associated with the cells for a period time of hours or longer to make an effective radiopharmaceutical for effectively treating cancer. One way to achieve this association is to internalize the radiolabeled BBN conjugates within the cancer cell after binding to cell surface GRP receptors.
In the past, all of the work with synthetic-BBN analogues for treatment of cancers focused on synthesizing and evaluating antagonists [Davis et al., 1992; Hoffken, 1994; Moody et al., 1996; Coy et al., 1988; Cai et al., 1994; Moody et al., 1995; Leban et al., 1994; Cai et al., 1992]. After evaluating synthetic BBN analogues that would be predicted to be either agonists or antagonists, applicants found that derivatives of BBN(8–14) (i.e., those with the methionine or amidated methionine at BBN-14) are rapidly internalized (i.e., in less than two minutes) after binding to the cell surface GRP receptors. Several radiolabeled BBN(8–14) analogues that were studied to determine their internalization and intracellular trapping efficiencies were radioiodinated (i.e., 125I) derivatives. The results of these studies demonstrated that despite rapid internalization after 125I-labeled BBN analogue binding to GRP receptors in Swiss 3T3 cells, the 125I was rapidly expelled from the cells [Hoffman et al., 1997] as shown in FIG. 11. Thus, these 125I-BBN derivatives were not suitable for further development.
In contrast, the 105Rh-BBN(8–14) derivatives that bind to GRP receptors are not only rapidly internalized, but there is a large percentage of the 105Rh activity that remains trapped within the cells for hours (and in some cell lines>twenty four hours). This observation indicates that these radiometallated BBN derivatives have real utility as radiopharmaceuticals for in vivo targeting of neoplasms expressing GRP receptors.
Experiments designed to determine the fraction of a radiotracer internalized within cells were performed by adding excess 125I- or 105Rh-BBN derivatives to the cell incubation medium. After establishment of equilibrium after a forty minute incubation, the media surrounding the cells was removed and the cells were washed with fresh media containing no radioactivity. After washing, the quantity of radioactivity associated with the cells was determined (i.e., total counts per min (TCPM) of 125I or 105Rh associated with the cells). The cells were then incubated in a 0.2M acetic acid solution (pH 2.5) which caused the surface proteins (incl., GRP receptors) to denature and release all surface bound radioactive materials. After removing this buffer and washing, the cells were counted again. The counts per minute (c.p.m.) associated with the cells at that point were only related to the 125I or 105Rh that remained trapped inside of the cells.
To determine intracellular retention, a similar method was employed. However, after washing the cells with fresh (non-radioactive) incubation media, the cells were incubated in the fresh media at different time periods after washing away all extracellular 125I- or 105Rh-BBN analogues. After each time period, the methods used to determine TOTAL c.p.m. and intracellular c.p.m. after washing with a 0.2M acetic acid solution at pH 2.5 were the same as described above and the percent 125I or 105Rh remaining trapped inside of the cells was calculated. FIG. 12 is a graph of results of efflux experiments using. Swiss 3T3 cells with 125I-Lys3-BBN. The results show that there is rapid efflux of the 125I from inside of these cells with less than 50% retained at fifteen minutes and by sixty minutes, less than 20% remained as shown in FIG. 12.
In contrast, studies with all of the 105Rh-[16]aneS4-BBN agonist derivatives that are internalized inside of the cells showed substantial intracellular retention of 105Rh by the GRP receptor expressing cells. For example, results of studies using 105Rh-BBN-37 (see FIG. 9) in conjunction with Swiss 3T3 cells showed that approximately 50% of the 105Rh activity remains associated with the cells at sixty minutes post-washing and approximately 30% of 105Rh remained inside of the cells after four hours as shown in FIG. 13. Note that at least 5% of the 105Rh is surface bound at ≧sixty minutes.
The 105Rh-BBN derivatives shown in FIG. 9 all have an amidated methionine at position BBN-14 and are expected to be agonists [Jensen et al., 1993]. Therefore, they would be predicted to rapidly internalize after binding to GRP receptors on the cell surface [Reile et al., 1994; Bjisterbosch et al., 1995; Smythe et al., 1991], which was confirmed by applicants' data. Referring to FIG. 14, 105Rh-BBN-61, a BBN analogue with no amino acid at position BBN-14 (i.e., a BBN(8–13) derivative), was synthesized and studied. This BBN analogue has a high bonding affinity (i.e., IC50=30 nM). This type of derivative is expected to be an antagonist and as such will not internalize [Jensen et al., 1993; Smythe et al., 1991]. Results of efflux studies with 105Rh-BBN-61 using Swiss 3T3 cells showed that immediately following washing with fresh incubation buffer (i.e., t=0), essentially all of the 105Rh associated with these cells is on the cell surface, as expected. Furthermore, after only one hour of incubation, less than 10% remained associated with these cells in any fashion (see FIGS. 15 and 16). These data indicate that 105Rh-antagonists with structures similar to the 105Rh-BBN agonists (i.e., those shown in FIG. 9) are not good candidates for development of radiopharmaceuticals since they are neither trapped in nor on the GRP receptor expressing cells to nearly the same extent as the radiometallated BBN agonists.
EXAMPLE III
Human Cancer Cell Line Studies
In vitro cell binding studies of 105Rh-BBN-37 with two different human cancer cell lines that express GRP receptors (i.e., the PC-3 and CF-PAC1 cell lines), which are tumor cells derived from patients with prostate CA and pancreatic CA, as shown in FIGS. 17A–B and 18A–B, respectively) were performed. Results of these studies demonstrated consistency with 105Rh-BBN-37 binding and retention studies using Swiss 3T3 cells. Specifically, the binding affinity of Rh-BBN-37 was high (i.e., IC50≅7 nM) with both human cancer cell lines as shown in Table 1. In addition, in all cells, the majority of the 105Rh-BBN-37 was internalized and perhaps a major unexpected result was that the retention of the 105Rh-tracer inside of the cells was significantly better than retention in Swiss 3T3 cells as shown in FIGS. 17 and 18. For example, it is particularly remarkable that the percentage of 105Rh-BBN-37 that remained associated with both the CFPAC-1 and PC-3 cell line was >80% at two hours after removing the extracellular activity by washing with fresh incubation buffer (see FIGS. 17 and 18).
EXAMPLE IV
In Vivo Studies
Biodistribution studies were performed by intravenous (I.V.) injection of either 105Rh-BBN-22 or 105Rh-BBN-37 into normal mice. In these studies, unanesthetized CF-1 mice (15–22 g, body wt.) were injected I.V. via the tail vein with between one (1) to five (5) uCi (37–185 KBq) of the 105Rh-labeled agent. Organs, body fluids and tissues were excised from animals sacrificed at 30, 60 and 120 minutes post-injection (PI). The tissues were weighed, washed in saline (when appropriate) and counted in a NaI well counter. These data were then used to determine the percent injected dose (% ID) in an organ or fluid and the % ID per gram. The whole blood volume of each animal was estimated to be 6.5 percent of the body weight. Results of these studies are summarized in Tables 2 and 3.
Results from these studies showed that both the 105Rh-BBN-22 and 105Rh-BBN-37 were cleared from the blood stream, predominantly via the kidney into the urine. Specifically, 68.4±6.6% and 62.3±5.8% of the ID was found in urine at two hours PI of 105Rh-BBN-22 and 105Rh-BBN-37, respectively (see Tables 2 and 3). An unexpected finding was that the % ID of 105Rh that remained deposited in the kidneys of these animals was only 2.4±0.6% ID and 4.6±1.3% ID at two hours PI of 105Rh-BBN-22 and 105Rh-BBN-37 (see Tables 2 and 3). This is much less than would be expected from previously reported data where radiometallated peptides and small proteins have exhibited renal retention of the radiometal that is >10% ID and usually much >10% [Duncan et al., 1997]. The reason for reduced renal retention of 105Rh-BBN analogues is not known, however, this result demonstrates a substantial improvement over existing radiometallated peptides.
Biodistribution studies also demonstrated another important in vivo property of these radiometallated BBN analogues. Both 105Rh-BBN-22 and 105Rh-BBN-37 are efficiently cleared from organs and tissues that do not express GRP receptors (or those that do not have their GRP-receptors accessible to circulating blood). The biodistribution studies in mice demonstrated specific uptake of 105Rh-BBN-22 and 105Rh-BBN-37 in the pancreas while other non-excretory organs or tissues (i.e., heart, brain, lung, muscle, spleen) exhibited no uptake or retention (Tables 2 and 3). Both 105Rh-BBN-22 and 105Rh-BBN-37 were removed from the blood stream by both the liver and kidneys with a large fraction of the 105Rh removed by these routes being excreted into the intestines and the bladder, respectively. It is important to note that the % ID/gm in the pancreas of 105Rh-BBN-22 and 105Rh-BBN-37 was 3.9±1.3% and 9.9±5.4%, respectively at 2 hr, PI. Thus, the ratios of % ID/gm of 105Rh-BBN-22 in the pancreas relative to muscle and blood were 16.2 and 7.6, respectively. The ratios of % ID/gm of 105Rh-BBN-37 in the pancreas relative to muscle and blood were 25.4 and 29.1, respectively. These data demonstrated selective in vivo targeting of these radiometallated BBN analogues to cells expressing GRP receptors [Zhu et al., 1991; Qin et al., 1994] and efficient clearance from non-target tissues. If cancer cells that express GRP receptors are present in the body, these results indicate radiometallated BBN analogues will be able to target them with a selectivity similar to the pancreatic cells.
A comparison of the pancreatic uptake and retention of 105Rh-BBN-22 with 105Rh-BBN-37 demonstrated that 105Rh-BBN-37 deposits in the pancreas with a 2-fold better efficiency than 105Rh-BBN-22 (i.e., 3.6±1.2% ID and 2.3±1.0% ID) for 105Rh-BBN-37 at one and two hours PI, respectively, vs. 1.2±0.5% ID and 1.0±0.1% ID for 105Rh-BBN-22 at one and two hours PI). This data is consistent with the >2-fold higher uptake and retention of 105Rh-BBN-37 found in the in vitro studies shown in FIG. 16.
EXAMPLE V
Synthesis and In Vitro Binding Measurement of Synthetic BBN Conjugate Analogues Employing Amino Acid Chain Spacers
A. Synthesis
Five BBN analogues were synthesized by SPPS in which between 2 to 6 amino acid spacer groups were inserted to separate a S4-macrocyclic chelator from the N-terminal trp8 on BBN(8–14) (FIG. 19). Each peptide was prepared by SPPS using an Applied Biosystems Model 432A peptide synthesizer. After cleavage of each BBN analogue from the resin using Trifluoracetic acid (TFA), the peptides were purified by C18 reversed-phase HPLC using a Vydac HS54 column and CH3CN/H2O containing 0.1% TFA as the mobile phase. After collection of the fraction containing the desired BBN peptide, the solvent was evaporated. The identity of each BBN peptide was confirmed by FAB-mass spectrometry (Department of Chemistry—Washington University, St. Louis, Mo.).
Various amino acid sequences (in some cases containing different R group moieties) were conjugated to the N-terminal end of the BBN binding region (i.e., to BBN-8 or Trp8). BBN analogue numbers 96, 97, 98, 99 and 101 were synthesized as examples of N-terminal modified peptides in which the [16]aneS4 macrocycle BFCA was separated from trp8 on BBN(8–14) by various amino acid sequences as shown in FIG. 19.
The [16]aneS4 macrocyclic ligand was conjugated to selected tethered BBN analogues. The —OCH2COOH group on the [16]andS4 macrocycle derivative was activated via HOBt/HBTU so that it efficiently formed an amide bond with the terminal NH2 group on the spacer side arm (following deprotection). The corresponding [16]aneS4 tethered BBN derivatives were produced and examples of 5 of these derivatives (i.e., BBN-96, 97, 98, 99 and 101) are shown in FIG. 19. As previously described, each [16]aneS4 BBN derivative was purified by reversed phase HPLC and characterized by FAB Mass Spectroscopy.
B. In Vitro Binding Affinities
The binding affinities of the synthetic BBN derivatives were assessed for GRP receptors on Swiss 3T3 cells, PC-3 cells and CF PAC-1 cells. The IC50's of each of derivative was determined relative to (i.e., in competition with) 125I-Tyr4-BBN. The cell binding assay methods used to measure the IC50's is standard and was used by techniques previously reported [Jensen et al., 1993; Cai et al., 1992; Cai et al., 1994]. The methods used for determining IC50's with all BBN analogue binding to GRP repectors present on all three cell lines was similar. The specific method used to measure IC50's on Swiss 3T3 cells is briefly described as follows:
Swiss 3T3 mouse fibroblasts are grown to confluence in 48 well microliter plates. An incubation media was prepared consisting of HEPES (11.916 g/l), NaCl (7.598 g/l), KCl (0.574 g/l), MgCl2(1.106 g/l), EGTA (0.380 g/l), BSA (5.0 g/l), chymostatin (0.002 g/l), soybean trypsin inhibitor (0.200 g/l), and bacitracin (0.050 g/l). The growth media was removed, the cells were washed twice with incubation media, and incubation media was returned to the cells. 125I-Tyr4-BBN (0.01 μCi) was added to each well in the presence of increasing concentrations of the appropriate competitive peptide. Typical concentrations of displacing peptide ranged from 10−12 to 10−5 moles of displacing ligand per well. The cells were incubated at 37° C. for forty minutes in a 95% O2/5% CO2 humidified environment. At forty minutes post initiation of the incubation, the medium was discarded, and the cells were washed twice with cold incubation media. The cells were harvested from the wells following incubation in a trypsin/EDTA solution for five minutes at 37° C. Subsequently, the radioactivity, per well, was determined and the maximum % total uptake of the radiolabeled peptide was determined and normalized to 100%. A similar procedure was used in performing cell binding assays with both the PC-3 and CFa-PAC-1 human cancer cell lines.
C. Results of Binding Affinity Measurements
The IC50 values measured for the BBN derivatives synthesized in accordance with this invention showed that appending a chelator via amino acid chain spacer groups via the N-terminal BBN-8 residue (i.e., Trp8) produced a variation of IC50 values. For example, see IC50 values shown for BBN 96, 97, 98 and 101 in FIG. 19. The observations are consistent with previous reports showing variable IC50 values when derivatizing BBH(8–13) with a predominantly short chain of amino acid residues [Hoffken, 1994]. When the amino acid spacer groups used in BBN-98, 99 and 101 were appended between BBN(7–14) and the [16]aneS4 macrocyle, the IC50's were found to be surprisingly constant and in the 1–6 nM range for all three cell lines (i.e., see IC50 values shown in FIG. 19). These data suggest that using relatively simple spacer groups composed entirely of selected amino acid sequences to extend ligands some distance from the BBN region [e.g., BBN(8–14) can produce derivatives that maintain binding affinities in the 1–6 nmolar range.
D. Cell Binding Studies with Rh-BBN-Conjugates
Results illustrated in FIG. 20 show that when the corresponding RhCl2 [16]aneS4 complex was separated from Trp8 on BBH(8–14) by the four different amino acid spacer groups (see FIG. 20), the IC50's of all four analogues (i.e., BBN-97, -98, -99, -101) were between 0.73 and 5.29 nmolar with GRP receptors on the PC-3 and CF PAC-1 cell lines. The IC50's for these same Rh-BBN conjugates were somewhat higher with the Swiss 3T3 cell line (FIG. 20). These data demonstrate that amino acid chain with spacer groups used to move the +1 charged Rh—S4-chelate away from the BBN binding region will result in a metallated BBN analogue with sufficiently high binding affinities to GRP receptors for in vivo tumor targeting applications.
EXAMPLE VI
Synthesis and In Vitro Binding Assessment of a 99mTc-Labeled Synthetic BBN Analogue
A. Synthesis
Several tetradentate chelating frameworks have been used to form stable 99mTc or 188Re labeled peptide and protein conjugates [Eckelman, 1995; Li et al., 1996b; Parker, 1990; Lister-James et al., 1997]. Many of these ligand systems contain at least one thiol (—SH) donor group to maximize rates of formation and stability (both in vitro and in vivo) of the resultant Tc(V) or Re(V) complexes [Parker, 1990; Eckelman, 1995]. Results from a recent report indicates that the bifunctional chelating agent (BFCA) (dimethylglycyl-L-seryl-L-cyteinyl-glycinamide (N3S-BFCA) is capable of forming a well-defined complex with ReO+3 and TcO+3 [Wong et al., 1997]. Since this ligand framework can be synthesized by SPPS techniques, this N3S-BFCA was selected for use in forming of Tc-99m-BBN-analogue conjugates. Three different N3S-BFCA conjugates of BBN(7–14) were synthesized (BBN-120, -121 and -122) as shown in FIG. 21 by SPPS. BBN-120, BBN-121 and BBN-122 represent a series of analogues where the N3S-BFCA is separated from the BBN(7–14) sequence by a 3, 5 and 8 carbon spacer groups (FIG. 21). Each peptide was synthesized and purified using the SPPS and chromatographic procedures outlined in Example 1. The thiol group on cystein was protected using the ACM group, which is not cleaved during cleavage of these BBN-conjugates from the resin using TFA. The identity of BBN-120, -121 and -122 was confirmed by FAB mass spectrometry. Synthesis and purification of the N3S-BFCA could also be readily accomplished using SPPS methods, followed by HPLC purification (see Example 1). The ACM group was used to protect the thiol group on cysteine during synthesis and cleavage from the resin.
B. In Vitro Binding Affinities
Synthesis of 99mTc-BBN-122 (FIG. 22) was prepared by two methods [i.e., (1) by transchelation of 99mTcO+3 from 99mTc-gluconate or (2) by formation of the “preformed” 99mTc-BFCA complex followed by —COOH activation with tetrafluorophenyl and subsequent reaction with the C5-carbon spacer group appended to BBN(7–14)]. In both cases, the 99mTc-labeled peptide formed is shown in FIG. 22. The structure of this Tc-BBN-122 conjugate was determined by using non-radioactive Re (the chemical congener of Tc). In these studies, the “preformed” ReO+3 complex with the N3S-BFCA was prepared by reduction of ReO4; with SnCl2 in the presence of excess N3S-BFCA dissolved in sodium phosphate buffered water at pH 6–6.5 by a method previously published [Wong et al., 1997]. After purification of the ReO—N3S-BFCA complex, the structure of this chelate was shown (by Mass-Spect) to be identical to that previously reported [Wong et al., 1997].
The ReO—N3—S-BFCA complex was converted to the activated trifluorophenyl (TFP) ester by adding 10 mg of the complex to 6 mg (dry) EDC and the 50 μl of TFP. After the solution was vortexed for one minute, CH3CN was added until disappearance of cloudiness. The solution was incubated for one hour at RT and purified by reversed-phase HPLC. To prepare the ReO—N3S-BFCA complex BBN-122 conjugate (FIG. 22), one μl of the HPLC fraction containing the ReO—N3S-BFCA complex was added to a solution containing 1 mg of the C8-tethered BBN(7–14) peptide in 0.2 N NaHCO3 at pH 9.0. After incubation of this solution for one hour at RT, the sample was analyzed and purified by reversed-phase HPLC. The yield of Re-BBN-122 was approximately 30–35%.
The method for preparation of the corresponding 99mTc-BBN-122 conjugate, using the “preformed” 99mTcO—N3S-BFCA complex, was the same as described above with the “preformed” ReO—N3S-BFCA complex. In this case, 99mTc04, from a 99Mo/99mTc generator, was reduced with an aqueous saturated stannous tartrate solution in the presence of excess N3S-BFCA. The yields of the 99mTc-BBN-122 product using this “preformed” method were approximately 30–40%. Reversed phase HPLC analysis of the 99mTc-BBN-122, using the same gradient elution program1 as used for analysis of the Re-BBN-122 conjugate, showed that both the 99mTc-BBN-122 and 188Re-BBN-122 had the same retention time (i.e., 14.2–14.4 min) (See FIG. 22). This provides strong evidence that the structure of both the 99mTc-BBN-122 and Re-BBN-122 are identical.
The binding affinities of BBN-122 and Re-BBN-122 were assessed for GRP receptors on Swiss 3T3 cells, PC-3 cells and CFPAC-1 cells that express GRP receptors. The IC50's of each derivative was determined relative to (i.e., in competition with) 125I-Tyr4-BBN (the Kd for 125I-Tyr4-BBN for GRP receptors in Swiss 3T3 cells is reported to be 1.6±0.4 nM) [Zhu et al., 1991]. The cell binding assay methods used to measure the IC50's is standard and was used by techniques previously reported [Leban et al., 1994; Cai et al., 1994; Cai et al., 1992]. The methods used for determining IC50's with all GRP receptor binding of GRP receptors on all cell lines was similar and has been described previously for the other BBN-analogues and Rh-BBN analogues described in this document.
C. Results of Binding Affinity Measurements
The IC50 values measured for BBN-122 and Re-BBN-122 synthesized in accordance with this invention showed that appending an














Time (minutes)
% A/% B



















0
95/5



25
 30/70



35
95/5










8-carbon hydrocarbon chain spacer linked to the N2S1-BFCA and the corresponding Re complex (i.e., Trp8) produced BBN conjugates with IC50 values in a 1–5 nmolar range (See Table A). When 99mTc-BBN-122 was incubated with these same cells, it was shown that ≧nmolar concentrations of BBN displaced this 99mTc conjugate by >90%. This result demonstrates that 99mTc-BBN-122 has high and specific binding affinity for GRP receptors. These data suggest that using relatively simple spacer groups to extend the N3S ligand framework and the corresponding Tc- or Re—N3S1, complexes some distance from the BBN binding region can produce derivatives that maintain binding affinities in the 1–5 nmolar range.

Table A.

Summary of IC50 values for GRP receptor binding for the non-metallated BBN-122 conjugate or the Re-BBN-122 conjugate in two cell lines (PC-3 and CF-PAC-1 cell lines that express GRP receptors). The IC50 values were measured using cell binding assays relative to 125I-Tyr4-BBN.














IC50 (nmolar)












Conjugate
PC-3
CF-PAC1







BBN-122
3.59 ± 0.75
5.58 ± 1.92




(n = 6)
 (n = 14)



Re-BBN-122
1.23 ± 0.56
1.47 ± 0.11




 (n = 12)
(n = 6)










EXAMPLE VII
Retention of 99mTc-BBN-122 in Human Cancer Cells PC-3 and CF-PAC-1 Cells)
Once the radiometal has been specifically “delivered” to cancer cells (e.g., employing the BBN binding moiety that specifically targets GRP receptors on the cell surface), it is necessary that a large percentage of the “delivered” radioactive atoms remain associated with the cells for a period time of hours or longer to make an effective radiopharmaceutical for effectively treating cancer. One way to achieve this association is to internalize the radiolabeled BBN conjugates within the cancer cell after binding to cell surface GRP receptors.
Experiments designed to determine the fraction 99mTc-BBN-122 internalized within cells were performed by the same method previously described for 105Rh-BBN-37. Briefly, excess 99mTc-BBN-122 was added to PC-3 or CFPAC-1 cell incubation media and allowed to establish equilibrium after a forty minute incubation. The media surrounding the cells was removed and the cells were washed with fresh media containing no radioactivity. After washing, the quantity of radioactivity associated with the cells was determined (i.e., total counts per min 99mTc associated with cells). The PC-3 and CFPAC-1 cells were then incubated in a 0.2M acetic acid solution (pH2.5) which caused the surface proteins (including GRP receptors) to denature and release all surface bound radioactive materials. After removing this buffer and washing, the cells were counted again. The counts per minute (c.p.m.) associated with the cells at that point were only related to the 99mTc that remained trapped inside of the PC-3 or CFPAC-1 cells.
To determine intracellular retention of 99mTc activity, a similar method was employed. However, after washing the cells with fresh (non-radioactive) incubation media, the cells were incubated in the fresh media at different time period after washing away all extracellular 99mTc-BBN-122. After each time interval, the methods used to determine total c.p.m. and intracellular c.p.m. by washing with a 0.2M acetic acid solution at pH 2.5.
Studies with the 99mTc-BBN-122 agonist show that it is internalized inside of the PC-3 and CFPAC-1 cells (FIGS. 23–26) and that substantial intracellular retention of 99mTc by the GRP receptor expressing cells occurs. For example, results of studies using 99mTc-BBN-122 in conjunction with PC-3 cells showed a high rate of internalization (FIG. 23) and that approximately 75% of the 99mTc activity remains associated with the cells at ninety minutes post-washing (FIG. 25). Almost all of this 99mTc cell-associated activity is inside of the PC-3 cells. Similar results were also found with the CFPAC 1 cells where there is also a high rate of 99mTc-BBN-122 internalization (FIG. 24) and relatively slow efflux of 99mTc from the cells (i.e., 50–60% retention at 120 min post-washing (FIG. 26).
The 99mTc-BBN-122 peptide conjugate shown in FIG. 22 has an amidated methionine at position BBN-14 and is expected to be an agonists [Jensen et al., 1993]. Therefore, it would be predicted to rapidly internalize after binding to GRP receptors on the cell surface [Bjisterbosch et al., 1995; Smythe et al., 1991], which is confirmed by applicants' data in FIG. 23–26.
EXAMPLE VIII
In Vivo Studies
Biodistribution studies were performed by intravenous (I.V.) injection of 99mTc-BBN-122 into normal mice. In these studies, unanesthetized CF-1 mice (15–22 g, body wt.) were injected I.V. via the tail vein with between one (1) to five (5) μCi (37–185 KBq) of 99mTc-BBN-122. Organs, body fluids and tissues were excised from animals sacrificed at 0.5, 1, 4 and 24 hours post-injection (PI). The tissues were weighed, washed in saline (when appropriate) and counted in a NaI well counter. These data were then used to determine the percent injected dose (% ID) in an organ or fluid and the % ID) per gram. The whole blood volume of each animal was estimated to be 6.5 percent of the body weight. Results of these studies are summarized in Tables B and C.
Results from these studies showed that 99mTc-BBN-122 is cleared from the blood stream predominantly via the hepatobiliary pathway shaving about 35% of the 99mTc-activity cleared via the kidney into the urine. Specifically, 33.79±1.76% of the ID was found in urine at one hour PI (Table B). The retention of 99mTc activity in the kidneys and liver is very low (Table B). This is much less than would be expected from previously reported data where radiometallated peptides and small proteins have exhibited renal retention of the radiometal that is >10% ID and usually much >10% [Duncan et al., 1997]. The reason for reduced renal retention of 99mTc-BBN-122 is not known, however, this result demonstrates a substantial improvement over existing radiometallated peptides.
Biodistribution studies also demonstrated another important in vivo property of 99mTc-BBN-122 in that it is efficiently cleared from organs and tissues that do not express GRP receptors (or those that do not have their GRP-receptors accessible to circulating blood). The biodistribution studies in mice demonstrated specific uptake of 99mTc-BBN-122 in the pancreas while other non-excretory organs or tissues (i.e., heart, brain, lung, muscle, spleen) exhibited no uptake or retention. 99mTc-BBN-122 is removed from the blood stream by both the liver and kidneys with a large fraction of the 99mTc removed by these routes being excreted into the intestines and the bladder, respectively. It is important to note that the % ID/gm in the pancreas of 99mTc-BBN-122 is 12.63%/gm at 1 hour and drops to only 5.05% at the 4 hour PI (Table C). Thus, the ratios of % ID/gm of 99mTc-BBN-122 in the pancreas relative to muscle and blood were 92.2 and 14.78 at 4 hour PI, respectively. These data demonstrated selective in vivo targeting of this 99mTc-labeled BBN analogue to cells expressing GRP receptors [Zhu et al., 1991; Qin et al., 1994] and efficient clearance from non-target tissues. If cancer cells that express GRP receptors are present in the body, these results indicate 99mTc-BBN analogues will be able to target them with a selectivity similar to the pancreatic cells.







TABLE B







Biodistribution of 99mTc-BBN-122 in normal CF-1 mice at 0.5, 1,


4 and 24 hr post-IV injection. Results expressed as % ID/organ









% Injected Dose/Organa











Organc
30 min
1 hr
4 hr
24 hr





Bloodd
3.52 ± 2.16
1.08 ± 0.34
0.59 ± 0.24
0.12 ± 0.01


Liver
4.53 ± 0.93
4.77 ± 1.40
1.49 ± 0.32
0.32 ± 0.06


Stomach
2.31 ± 0.45
1.61 ± 0.81
1.75 ± 0.20
0.30 ± 0.06


Lg. Intestineb
2.84 ± 0.32
24.17 ± 7.91 
23.85 ± 7.02 
0.61 ± 0.14


Sm. Intestineb
43.87 ± 1.51 
23.91 ± 9.08 
5.87 ± 7.09
0.42 ± 0.06


Kidneysb
1.49 ± 0.19
1.15 ± 0.10
0.55 ± 0.06
0.20 ± 0.01


Urineb
26.78 ± 1.05 
33.79 ± 1.76 
~35
~35


Muscle
0.02 ± 0.01
0.01 ± 0.00
0.01 ± 0.01
0.01 ± 0.01


Pancreas
5.30 ± 0.63
3.20 ± 0.83
1.21 ± 0.13
0.42 ± 0.17





aEach value in the table represents the mean and SD from 5 animals in each group.


bAt 4 and 24 hr, feces containing 99mTc had been excreted from each animal and the % ID in the urine was estimated to be approximately 60% of the ID.


cAll other organs excised (incl. brain, heart, lung and spleen) showed <0.10% at t ≧ 1 hr.


d% ID in the blood estimated assuming the whole blood volume is 6:5% of the body weight.













TABLE C







Biodistribution of 99mTc-BBN-122 in normal CF-1 mice at 0.5, 1,


4 and 24 hr post I.V. injection. Results expressed as % ID/gm.









% Injected Dose/gma











Organ
30 min
1 hr
4 hr
24 hr





Bloodb
2.00 ± 1.28
0.63 ± 0.19
0.34 ± 0.11
0.08 ± 0.00


Liver
2.70 ± 0.41
3.14 ± 0.81
0.96 ± 0.20
0.22 ± 0.05


Kidneys
3.99 ± 0.76
3.10 ± 0.31
1.58 ± 0.15
0.64 ± 0.08


Muscle
0.23 ± 0.08
0.13 ± 0.02
0.05 ± 0.01
0.01 ± 0.01


Pancreas
16.89 ± 0.95 
12.63 ± 1.87 
5.05 ± 0.42
1.79 ± 0.71







P/Bl and P/M Uptake Ratios











Pancreas/Blood
8.42
19.76
14.78
 20.99


Pancreas/Muscle
73.16 
93.42
92.25
142.76





aEach value in the table represents the mean and SD from 5 animals in each group.


b% ID in the blood estimated assuming the whole blood volume is 6:5% of the body weight.













TABLE D







Biodistribution of 99mTc-BBN-122 in PC-3 tumor


bearing SCID mice at 1, 4 and 24 hr post-I.V.


injection. Results expressed as % ID/organ.








Tumor Line: PC-3
% ID per Organa










Organc
1 hr
4 hr
24 hr





Bloodb
1.16 ± 0.27
0.47 ± 0.06
0.26 ± 0.05


Liver
1.74 ± 0.64
0.72 ± 0.10
0.29 ± 0.05


Stomach
0.43 ± 0.18
0.29 ± 0.22
0.08 ± 0.02


Lg. Intestine
 9.18 ± 19.42
42.55 ± 8.74 
0.64 ± 0.17


Sm. Intestine
46.55 ± 16.16
2.13 ± 0.76
0.31 ± 0.04


Kidneys
1.16 ± 0.20
0.60 ± 0.06
0.16 ± 0.01


Urined
32.05 ± 12.78
~35
~35


Muscle
0.01 ± 0.00
0.00 ± 0.00
0.00 ± 0.00


Pancreas
1.69 ± 0.61
1.05 ± 0.13
0.34 ± 0.08


Tumor
1.00 ± 0.78
0.49 ± 0.08
0.49 ± 0.25





aEach value in the table represents the mean and SD from 5 animals in each group.


bAt 4 and 24 hr, feces containing 99mTc had been excreted from each animal and the % ID in the urine was estimated to be approximately 60% of the ID.


cAll other organs excised (incl. brain, heart, lung and spleen) showed <0.10% at t ≧ 1 hr.


d% ID in the blood estimated assuming the whole blood volume is 6:5% of the body weight.













TABLE E







Biodistribution of 99mTc-BBN-122 in PC-3 tumor


bearing SCID mice at 1, 4 and 24 hr post-I.V.


injection. Results expressed as % ID/Gm.








Tumor Line: PC-3
% ID per gma










Organ
1 hr
4 hr
24 hr





Bloodb
0.97 ± 0.26
0.31 ± 0.03
0.18 ± 0.04


Liver
2.07 ± 0.88
0.64 ± 0.05
0.26 ± 0.04


Kidneys
4.80 ± 1.33
2.23 ± 0.35
0.60 ± 0.04


Muscle
0.18 ± 0.12
0.06 ± 0.03
0.05 ± 0.04


Pancreas
10.34 ± 3.38 
5.08 ± 1.12
1.47 ± 0.23


Tumor
2.07 ± 0.50
1.75 ± 0.61
1.28 ± 0.22







T/Bl, T/M, P/Bl and P/M Uptake Ratios










Tumor/Blood
 2.13
 5.52
6.79


Tumor/Muscle
11.44
25.38
21.62 


Pancreas/Blood
10.64
15.96
7.81


Pancreas/Muscle
57.14
73.40
24.87 





aEach value in the table represents the mean and SD from 5 animals in each group.


b% ID in the blood estimated assuming the whole blood volume is 6:5% of the body weight.






The invention has been described in an illustrative manner, and it is to be understood that the terminology which has been used is intended to be in the nature of words of description rather than of limitation.
Obviously, many modifications and variations of the present invention are possible in light of the above teachings. It is, therefore, to be understood that within the scope of the appended claims the invention may be practiced otherwise than as specifically describe.
Throughout this application, various publications are referenced by citation and number. Full citations for the publication are listed below. the disclosure of these publications in their entireties are hereby incorporated by reference into this application in order to more fully describe the state of the art to which this invention pertains.
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TABLE 1







Binding Affinity of Rh-BBN-37 for GRP


Receptors Expressed on Neoplasms











Type of Cancer
Cell Line
IC50 (Mean Value)







Pancreatic CA
CF PAC1
3.2 × 10−9



Prostate CA
PC-3
7.0 × 10−9

















TABLE 2







(% Dose)











105Rh-Peptide22
105Rh-Peptide22
105Rh-Peptide22


Complex
30 min
1 hr
2 hr


Organ (% Dose)
n = 9
n = 9
n = 9





Brain
0.08 ± 0.02
0.04 ± 0.01
0.06 ± 0.09


Blood
4.48 ± 1.24
1.86 ± 0.38
0.99 ± 0.24


Heart
0.13 ± 0.03
0.08 ± 0.03
0.04 ± 0.04


Lung
0.25 ± 0.08
0.20 ± 0.09
0.15 ± 0.09


Liver
7.97 ± 2.85
8.51 ± 2.33
8.57 ± 2.04


Spleen
0.07 ± 0.03
0.09 ± 0.08
0.05 ± 0.01


Stomach
1.11 ± 0.76
0.59 ± 0.21
0.30 ± 0.16


Large Intestine
0.73 ± 0.16
3.21 ± 3.38
8.91 ± 3.79


Small Intestine
6.29 ± 1.87
6.98 ± 1.87
3.48 ± 1.78


Kidneys
4.25 ± 1.33
3.25 ± 0.60
2.44 ± 0.64


Bladder
44.66 ± 7.29 
62.88 ± 3.84 
68.41 ± 6.63 


Muscle
0.06 ± 0.03
0.03 ± 0.03
0.01 ± 0.01


Pancreas
0.95 ± 0.46
1.15 ± 0.49
1.01 ± 0.14


Carcass
32.90 ± 6.61 
12.62 ± 4.77 
6.37 ± 1.17










(% Dose/Gm)











105Rh-Peptide22
105Rh-Peptide22
105Rh-Peptide22


Complex
30 min
1 hr
2 hr


Organ (% D/GM)
n = 9
n = 9
n = 9





Brain
0.21 ± 0.07
0.14 ± 0.08
0.16 ± 0.28


Blood
2.22 ± 0.40
1.02 ± 0.22
0.51 ± 0.11


Heart
0.92 ± 0.25
0.64 ± 0.20
0.38 ± 0.33


Lung
1.44 ± 0.33
1.24 ± 0.54
0.92 ± 0.69


Liver
4.33 ± 1.52
5.18 ± 1.52
5.17 ± 1.12


Spleen
0.86 ± 0.38
1.10 ± 0.65
0.84 ± 0.53


Stomach
2.46 ± 1.65
1.53 ± 0.74
0.71 ± 0.33


Large Intestine
0.78 ± 0.19
4.42 ± 4.62
10.10 ± 4.58 


Small Intestine
4.73 ± 1.47
5.84 ± 1.81
2.86 ± 1.47


Kidneys
7.57 ± 1.49
6.70 ± 0.75
4.60 ± 0.83


Muscle
0.53 ± 0.32
0.61 ± 0.97
0.24 ± 0.24


Pancreas
3.12 ± 0.99
4.31 ± 1.98
3.88 ± 1.25
















TABLE 3







(% Dose)











105Rh-Pept37
105Rh-Pept37
105Rh-Pept37


Complex
30 min
1 hr
2 hr


Organ (% Dose)
n = 5
n = 9
n = 7





Brain
0.03 ± 0.01
0.07 ± 0.11
0.03 ± 0.03


Blood
3.09 ± 0.54
1.46 ± 0.62
0.66 ± 0.26


Heart
0.12 ± 0.03
0.05 ± 0.03
0.04 ± 0.02


Lung
0.26 ± 0.09
0.12 ± 0.07
0.08 ± 0.11


Liver
13.04 ± 1.93 
13.00 ± 3.59 
10.12 ± 1.86 


Spleen
0.21 ± 0.13
0.16 ± 0.08
0.10 ± 0.04


Stomach
0.80 ± 0.34
0.65 ± 0.52
0.83 ± 0.96


Large Intestine
2.05 ± 0.69
2.96 ± 1.67
8.07 ± 2.25


Small Intestine
8.44 ± 1.89
11.38 ± 3.02 
5.04 ± 2.27


Kidneys
7.82 ± 2.52
6.04 ± 1.68
4.57 ± 1.29


Bladder
39.65 ± 7.21 
51.82 ± 7.53 
62.32 ± 5.78 


Muscle
0.06 ± 0.03
0.02 ± 0.01
0.02 ± 0.02


Pancreas
2.73 ± 1.14
3.63 ± 1.22
2.25 ± 1.02


Carcass
24.35 ± 7.69 
9.81 ± 2.91
6.37 ± 1.73










(% Dose/Gm)











105Rh-Pept37
105Rh-Pept37
105Rh-Pept37


Complex
30 min
1 hr
2 hr


Organ (% D/GM)
n = 5
n = 9
n = 7





Brain
0.10 ± 0.05
0.26 ± 0.41
0.10 ± 0.09


Blood
1.60 ± 0.30
0.72 ± 0.31
0.34 ± 0.15


Heart
0.92 ± 0.26
0.38 ± 0.21
0.28 ± 0.17


Lung
1.52 ± 0.48
0.76 ± 0.47
0.46 ± 0.50


Liver
7.31 ± 1.15
7.65 ± 1.29
6.30 ± 1.73


Spleen
2.18 ± 1.17
1.59 ± 0.71
1.05 ± 0.44


Stomach
1.53 ± 0.67
1.63 ± 1.17
2.18 ± 2.35


Large Intestine
2.46 ± 0.70
3.80 ± 2.42
11.84 ± 4.39 


Small Intestine
5.69 ± 1.26
7.85 ± 1.87
3.81 ± 2.01


Kidneys
14.28 ± 2.84 
11.21 ± 3.68 
8.39 ± 2.36


Muscle
0.73 ± 0.39
0.20 ± 0.14
0.39 ± 0.38


Pancreas
14.02 ± 3.23 
15.54 ± 6.21 
9.91 ± 5.35

## Claims

1. A method for treating a subject having cancer, said method comprising the steps of:
administering to the subject an effective amount of a compound comprising a radioactive metal complexed with a chelating group attached to a moiety that binds to a gastrin releasing peptide receptor, wherein the moiety that binds a gastrin releasing peptide receptor is a gastrin releasing peptide receptor agonist and the gastrin releasing peptide receptor agonist includes a bombesin agonist binding moiety, wherein said compound binds the gastrin releasing peptide receptor on a cell surface and is internalized within the cell.

2. A method as set forth in claim 1, wherein the chelated metal is attached to the bombesin agonist binding moiety by a spacer group.

3. A method as set forth in claim 1, wherein the compound has the structure of the formula:


X—Y—B


wherein X is the group that binds a metal; Y is the spacer group or a covalent bond and B is a bombesin agonist binding moiety.

4. A method as set forth in claim 3, wherein Y is a C1–C10 hydrocarbon chain.

5. A method as set forth in claim 4, wherein Y is a C3–C9 hydrocarbon chain.

6. A method as set forth in claim 3, wherein Y includes at least one amino acid residue.

7. A method as set forth in claim 3, wherein the chelating group is attached to peptide bombesin against binding moiety at the N-terminal end of the bombesin agonist binding moiety.

8. A method as set forth in claim 7, wherein the chelating group is attached to the bombesin agonist binding moiety to amino acid residue 8 (D− or L−trp8) of the bombesin agonist binding moiety.

9. A method as set forth in claim 7, wherein the spacer is attached to the bombesin agonist binding moiety at the N-terminal end of the bombesin agonist binding moiety.

10. A method as set forth in claim 1, wherein the radioactive metal is selected from the group consisting of γ and β emitting isotopes.

11. A method as set forth in claim 10, wherein the radioactive metal is a radionuclide selected from the group consisting of 186Re, 188Re, 99mTc, 105Rh, 199Au, 153Sm, 166Ho and 90Y.

12. A method as set forth in claim 11, wherein said radioactive metal is selected from oxides and nitrides thereof.

13. A method as set forth in claim 1 wherein said chelating agent is a multidentate chelating structure that forms a highly stable complex with metals via coordinating atoms.

14. A method as set forth in claim 13, wherein said chelating structure contains coordinating atoms selected from the group consisting of S, N, O, or P.

15. A method as set forth in claim 13, wherein the chelating structure is a macrocyclic compound containing coordinating atoms selected from the group consisting of S, N, O, or P.

16. A method as set forth in claim 13, wherein said compound is a S4 chelator.

17. A method as set forth in claim 13, wherein said compound is a N4 chelator.

18. A method as set forth in claim 13, wherein said compound is a N2S2 chelator.

19. A method as set forth in claim 13, wherein said compound is a NS3 chelator.

20. A method as set forth in claim 13, wherein said compound is a N3S chelator.

21. A method as set forth in claim 1, wherein the compound has a binding affinity for the gastrin releasing peptide receptor that is approximately equal to or greater than that of native bombesin.