Abstract:
The present invention relates to new methods for diagnosis and treatment of tumours, using novel peptides for binding radionuclides.

Description:
[0001]    This application claims the benefit of the filing date of U.S. Provisional Application Serial No. 60/358,702 filed Feb. 25, 2002. 
     
    
     
       FIELD OF THE INVENTION  
         [0002]    The present invention relates to new methods for diagnosis and treatment of tumours, using novel peptides for binding radionuclides.  
         BRIEF DESCRIPTION OF THE BACKGROUND ART  
         [0003]    Tumours cannot gain more than a certain weight without the formation of new blood vessels (angiogenesis), and a correlation between microvessel density and tumour invasiveness has been reported for a number of tumours (Folkman (1995), Nature Med., 1, 27-31). Moreover, angiogenesis is involved in the majority of ocular disorders which result in loss of vision (Lee et al., Surv. Ophthalmol. 43, 245-269 (1998); Friedlander, M. et al., Proc. Natl. Acad. Sci. U.S.A. 93, 9764-9769 (1996)). Molecules capable of selectively targeting markers of angiogenesis would create clinical opportunities for the diagnosis and therapy of tumours and other diseases characterised by vascular proliferation, such as diabetic retinopathy and age-related macular degeneration. Markers of angiogenesis are expressed in the majority of aggressive solid tumours in association with tumoural vessels and should therefore be readily accessible to specific binders injected intravenously (Pasqualini et al., (1997), Nature Biotechnol., 15, 542-546; Neri et al. (1997), Nature Biotechnol., 15, 1271-1275). Targeted occlusion of the neovasculature may result in tumour infarction and collapse (O&#39;Reilly et al. (1996), Nature Med., 2, 689-692; Huang et al. (1997), Science, 275, 547-550).  
           [0004]    The ED-B domain of fibronectin, a sequence of 91 amino acids identical in mouse, rat and human, which is inserted by alternative splicing into the fibronectin molecule, specifically accumulates around neo-vascular structures (Castellani et al. (1994), Int. J. Cancer 59, 612-618) and could represent a target for molecular intervention. Indeed, it has recently been shown with fluorescent techniques that anti-ED-B single-chain Fv antibody fragments (scFv) accumulate selectively around tumoural blood vessels of tumour-bearing mice, and that antibody affinity appears to dictate targeting performance (Neri et al. (1997), Nature Biotechnol., 15, 1271-1275; WO 97/45544).  
           [0005]    Furthermore, antibodies and antibody fragments specific for binding the ED-B domain of fibronectin with a sub-nanomolar dissociation constant as well as radiolabeled derivatives thereof are described in WO 99/58570. The biodistribution of one of these high-affinity human antibody fragments, the  125 I labelled antibody fragment called L19, was already investigated in tumour-bearing mice (Tarli et al., Blood, Vol. 94, No. 1 (1999), p. 192-198). Radiolabeled conjugates comprising L19-antibodies and their use for the detection and treatment of angiogenesis are disclosed in WO 01/62800.  
           [0006]    The recombinant production of functionalized single-chain Fv antibody fragments binding to the ED-B domain of the B-isoform of fibronectin in  Pichia pastoris  has already been described (Marty et al., Protein Expression and Purification 21, 156-164 (2001)).  
           [0007]    Further, radiolabeling of scFv antibody fragments with  99m Tc through a C-terminal cysteinyl peptide was described by George et al., Proc. Natl. Acad. Sci. USA, Vol. 92 pp. 8358-8362, 1995, and by Verhaar et al., J. Nuc. Med., Vol. 37(5), pp. 868-872, 1996.  
           [0008]    However, there is still a clinical need for prividing antibody fragments that have improved pharmacokinetic properties, and that can easily be labeled with radioisotopes of e.g. Technetium or Rhenium, since these radionuclides are particular well suited for radiopharmaceuticals.  
         OBJECT OF THE INVENTION  
         [0009]    It is therefore an object of the invention to provide antibody fragments that have improved pharmacokinetic properties, particularly target specifity and/or in vivo stability, and that can easily bind radioisotopes e.g. of Technetium or Rhenium.  
         SUMMARY OF THE INVENTION  
         [0010]    The present invention describes compounds comprising a peptide comprising  
           [0011]    aa) the sequence of the antigen-binding site for the extra domain B (ED-B) of fibronectin comprising complementarity-determining regions HCDR3 and/or LCDR3 as shown in Table 1 or a variation thereof that is a deletion, insertion and/or substitution of up to 5 amino acids for the HCDR3 region and up to 6 amino acids for the LCDR3 region which has the same function as a peptide according to Seq. Id. No. 1;  
           [0012]    ab) the sequence of the antigen-binding site for the extra domain B(ED-B) of fibronectin comprising complementarity-determining regions HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 as shown in Table 1 or a variation thereof that is a deletion, insertion and/or substitution of up to 3 amino acids for the HCDR1 region, up to 8 amino acids for the HCDR2 region, up to 5 amino acids for the HCDR3 region, up to 6 amino acids for the LCDR1 region, up to 4 amino acids for the LCDR2 region and up to 6 amino acids for the LCDR3 region; which has the same function as a peptide according to Seq. Id. No. 1;  
           [0013]    ac) the sequence according to Seq. Id. No. 1 (L19) or a variation of Seq. Id. No. 1 that is a deletion, insertion and/or substitution of up to 30 amino acids, and which has the same function as a peptide according to Seq. Id. No. 1,  
           [0014]     and  
           [0015]    ba) an amino acid sequence Xaa 1 -Xaa 2 -Xaa 3 -Cys (Seq. Id. No. 2), wherein Xaa 1 , Xaa 2 , and Xaa 3  each independently represent any naturally occuring amino acid or  
           [0016]    bb) an amino acid sequence Xaa 1 -Xaa 2 -Xaa 3 -Cys-Xaa 4  (Seq. Id. No. 3), wherein Xaa 1 , Xaa 2 , Xaa 3 , and Xaa 4  each independently represent any naturally occuring amino acid or  
           [0017]    bc) an amino acid sequence (His) n  (Seq. Id. No. 4), wherein n stands for an integer from 4 to 6,  
           [0018]    wherein the C-terminus of aa), ab) or ac) is bound to the N-terminus of one of the sequences Seq. Id. No. 2, Seq. Id. No. 3 or Seq. Id. No. 4 via a peptide bond.  
           [0019]    The compounds are preferably single chain antibody fragments, particularly scFv fragments. Further, the compounds are preferably conjugated to a radioisotope, e.g. a radioisotope of Technetium, such as  94m Tc,  99m Tc Rhenium, such as  186 Re,  188 Re, or other isotopes, such as  203 Pb,  67 Ga,  68 Ga,  43 Sc,  44 Sc,  47 SC,  110 In,  111 In,  97 Ru,  62 Cu,  64 Cu,  67 Cu,  68 Cu,  86 Y,  88 Y,  90 Y,  121 Sn,  161 Tb,  153 Sm,  166 Ho,  105 Rh,  177 Lu,  72 As and  18 F.  
           [0020]    The present invention also describes a pharmaceutical composition comprising the above compound as active agent together with physiologically acceptable adjuvants, diluents and/or carriers.  
           [0021]    The present invention also describes the use of a peptide comprising  
           [0022]    aa) the sequence of the antigen-binding site for the extra domain B (ED-B) of fibronectin comprising complementarity-determining regions HCDR3 and/or LCDR3 as shown in Table 1 or a variation thereof that is a deletion, insertion and/or substitution of up to 5 amino acids for the HCDR3 region and up to 6 amino acids for the LCDR3 region which has the same function as a peptide according to SEQ Id. No. 1;  
           [0023]    ab) the sequence of the antigen-binding site for the extra domain B(ED-B) of fibronectin comprising complementarity-determining regions HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 as shown in Table 1 or a variation thereof that is a deletion, insertion and/or substitution of up to 3 amino acids for the HCDR1 region, up to 8 amino acids for the HCDR2 region, up to 5 amino acids for the HCDR3 region, up to 6 amino acids for the LCDR1 region, up to 4 amino acids for the LCDR2 region and up to 6 amino acids for the LCDR3 region; which has the same function as a peptide according to SEQ Id. No. 1;  
           [0024]    ac) a sequence according to Seq. Id. No. 1 (L19) or a variation of Seq. Id. No. 1 that is a deletion, insertion and/or substitution of up to 30 amino acids, and which has the same function as a peptide according to Seq. Id. No. 1,  
           [0025]    and  
           [0026]    ba) an amino acid sequence Xaa 1 -Xaa 2 -Xaa 3 -Cys (Seq. Id. No. 2), wherein Xaa 1 , Xaa 2 , and Xaa 3  each independently represent any naturally occuring amino acid or  
           [0027]    bb) an amino acid sequence Xaa 1 -Xaa 2 -Xaa 3 -Cys-Xaa 4  (Seq. Id. No. 3), wherein Xaa 1 , Xaa 2 , Xaa 3 , and Xaa 4  each independently represent any naturally occuring amino acid or  
           [0028]    bc) an amino acid sequence (His) n  (Seq. Id. No. 4), wherein n stands for an integer from 4 to 6,  
           [0029]    wherein the C-terminus of aa), ab) or ac) is bound to the N-terminus of one of the sequences Seq. Id. No. 2, Seq. Id. No. 3 or Seq. Id. No. 4 via a peptide bond,  
           [0030]    for binding a radioisotope, e.g. a radioisotope of Technetium or Rhenium.  
           [0031]    The antibody fragment L19 is defined by the following sequence (Seq. Id. No. 1):  
                           (VH)           E V Q L L E S G G G  L V Q P G G S L R L  S C A A S G F T F S               S F S M S W V R Q A  P G K G L E W V S S  I S G S S G T T Y Y               A D S V K G R F T I  S R D N S K N T L Y  L Q M N S L R A E D               T A V Y Y C A K P F  P Y F D Y W G Q G T  L V T V S S               (Linker)       G D G S S G G S G G  A S T G               (VL)       E I V L T Q S P G T  L S L S P G E R A T  L S C R A S Q S V S               S S F L A W Y Q Q K  P G Q A P R L L I Y  Y A S S R A T G I P               D R F S G S G S G T  D F T L T I S R L E  P E D F A V Y Y C Q               Q T G R I P P T F G  Q G T K V E I K          
 
           [0032]    A deletion, insertion and/or substitution of up to 30 amino acids is a deletion, insertion and/or substitution of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 amino acids of Seq. Id. No.1. However, within the complementarity-determining regions (CDRs) the claimed peptide, e.g. the peptide of Seq. Id. No. 1, a variation that is a deletion, insertion and/or substitution of amino acids (aa) should not exceed the maximum variations defined in Table 1 below (HCDR: CDR of the heavy chain; LCDR: CDR of the light chain).  
                                             TABLE 1                                   Maximum                   (preferred)                   variations in                   sequence       Region   CDR length (aa)   Sequence   positions                                HCDR1   5   S F S M S   3 (2, 1)       HCDR2   17   S I S G S S G T   8               T Y Y A D S V   (7, 6, 5, 4, 3, 2, 1)               K G       HCDR3   7   P F P Y F D Y   5 (4, 3, 2, 1)       LCDR1   12   R A S Q S V S   6 (5, 4, 3, 2, 1)               S S F L A       LCDR2   7   Y A S S R A T   4 (3, 2, 1)       LCDR3   10   C Q Q T G R I P   6 (5, 4, 3, 2, 1)               P T                  
 
           [0033]    The CDRs were defined according to E. A. Kabat et al., “Sequences of Proteins of Immunological Interest”, U.S. Department of Health and Human Services, National Institutes for Health, Bethesda, Md., 5th Edition, 1991.  
           [0034]    Preferred are peptides comprising a sequence according to Seq. Id. No. 1 (L19) or  
           [0035]    a variation of Seq. Id. No. 1 that is a deletion, insertion and/or substitution of up to 20 amino acids.  
           [0036]    A peptide comprising a variation of the CDR-sequences as shown in Table 1 and particularly a variation of Seq. Id. No. 1 that is a deletion, insertion and/or substitution, and which has the same function as the peptide according to Seq. Id. No. 1, is defined as a peptide that binds to the ED-B domain of fibronectin with a dissociation constant K d  that is in the subnanomolar range (i.e. less than 10 −9 ), measured with a BIAcore (see WO99/58570, Example 2 and Table 2).  
           [0037]    Preferred amino acid sequences Xaa 1 -Xaa 2 -Xaa 3 -Cys (Seq. Id. No. 2) are the sequences Gly-Gly-Gly-Cys (Seq. Id. No. 5) and Gly-Cys-Gly-Cys (Seq. Id. No. 6). Most preferred is the sequence Gly-Gly-Gly-Cys (Seq. Id. No. 5).  
           [0038]    Preferred amino acid sequences Xaa 1 -Xaa 2 -Xaa 3 -Cys-Xaa 4 (Seq. Id. No. 3) are the sequences Gly-Gly-Gly-Cys-Ala (Seq. Id. No. 7) and Gly-Cys-Gly-Cys-Ala (Seq. Id. No. 8). Most preferred is the sequence Gly-Gly-Gly-Cys-Ala (Seq. Id. No. 7).  
           [0039]    In compounds comprising an amino acid sequence (His) n  (Seq. Id. No. 4), those compounds wherein n stands for the integer 6 are preferred.  
           [0040]    Preferred radioisotopes of Technetium or Rhenium are the isotopes  94m Tc,  99m Tc,  186 Re and  188 Re. Most preferred is the radioisotope  99m Tc.  
         DETAILED DESCRIPTION OF THE INVENTION  
         [0041]    The single-chain antibody fragment L19 (Seq. Id. No. 1) was previously labeled with  125 I to investigate the biodistribution of this compound in tumour-bearing mice (Tarli et al., Blood, Vol. 94, No. 1 (1999), p. 192-198). The results show that a selective targeting of tumoural blood vessels in vivo may be accomplished. Surprisingly however, it was found that the pharmacokinetic properties of the single-chain antibody fragment L19 may be substantially improved when it is conjugated to a peptide ba), bb) or bc) and labelled with radioisotopes of Technetium or Rhenium. The isotope  99m Tc is the radiolabel of choice for routine clinical SPECT due to its radiochemical properties (easily available through a  99 Mo/ 99 mTc generator, emits single gamma-photons of 140 KeV, has high photon flux, and decays with a half-life of 6 hours) and due to its cost-effectiveness. For therapeutic applications, labeling with the chemically analogous isotopes  186 Re and  188 Re is especially preferred (Hsieh, B. T., et al., Nucl. Med. Biol., 1999, 26(8), 967-972; 973-976, Zamora, P. O., et al., Anticancer Res., 1997, 17(3B), 1803-1838).  
           [0042]    The peptides of the present invention are derivatives of the recombinant scFv antibody L19 (Seq. Id. No. 1) against the extracellular ED-B domain of fibronectin and were produced via genetic engineering according to FIG. 1. The following peptides were produced:  
                                                                                                                                                                           L19   (Seq. Id. No. 1)                        L19His:                1   EVQLLESGGG LVQPGGSLRL SCAASGFTFS SFSMSWVRQA PGKGLEWVSS   (Seq. Id. No. 9)                   51   ISGSSGTTYY ADSVKGRFTI SRDNSKNTLY LQMNSLRAED TAVYYCAKPF               101   PYFDYWGQGT LVTVSSGDGS SGGSGGASEI VLTQSPGTLS LSPGERATLS               151   CRASQSVSSS FLAWYQQKPG QAPRLLIYYA SSRATGIPDR FSGSGSGTDF               201   TLTISRLEPE DFAVYYCQQT GRIPPTFGQG TKVEIKAAAL EHHHHHH                    AP38:                1   EVQLLESGGG LVQPGGSLRL SCAASGFTFS SFSMSWVRQA PGKGLEWVSS   (Seq. Id. No. 10)                   51   ISGSSGTTYY ADSVKGRFTI SRDNSKNTLY LQMNSLRAED TAVYYCAKPF               101   PYFDYWGQGT LVTVSSGDGS SGGSGGASEI VLTQSPGTLS LSPGERATLS               151   CRASQSVSSS FLAWYQQKPG QAPRLLIYYA SSRATGIPDR FSGSGSGTDF               201   TLTISRLEPE DFAVYYCQQT GRIPPTFGQG TKVEIKGGGC                    AP39:                1   EVQLLESGGG LVQPGGSLRL SCAASGFTFS SFSMSWVRQA PGKGLEWVSS   (Seq. Id. No. 11)                   51   ISGSSGTTYY ADSVKGRFTI SRDNSKNTLY LQMNSLRAED TAVYYCAKPF               101   PYFDYWGQGT LVTVSSGDGS SGGSGGASEI VLTQSPGTLS LSPGERATLS               151   CRASQSVSSS FLAWYQQKPG QAPRLLIYYA SSRATGIPDR FSGSGSGTDF               201   TLTISRLEPE DFAVYYCQQT GRIPPTFGQG TKVEIKGGGC A                    L19-GlyCysGlyCys:                1   EVQLLESGGG LVQPGGSLRL SCAASGFTFS SFSMSWVRQA PGKGLEWVSS   (Seq. Id. No. 12)                   51   ISGSSGTTYY ADSVKGRFTI SRDNSKNTLY LQMNSLRAED TAVYYCAKPF               101   PYFDYWGQGT LVTVSSGDGS SGGSGGASEI VLTQSPGTLS LSPGERATLS               151   CRASQSVSSS FLAWYQQKPG QAPRLLIYYA SSRATGIPDR FSGSGSGTDF               201   TLTISRLEPE DFAVYYCQQT GRIPPTFGQG TKVEIKGCGC                    L19-GlyCysGlyCysAla:                1   EVQLLESGGG LVQPGGSLRL SCAASGFTFS SFSMSWVRQA PGKGLEWVSS   (Seq. Id. No. 13)                   51   ISGSSGTTYY ADSVKGRFTI SRDNSKNTLY LQMNSLRAED TAVYYCAKPF               101   PYFDYWGQGT LVTVSSGDGS SGGSGGASEI VLTQSPGTLS LSPGERATLS               151   CRASQSVSSS FLAWYQQKPG QAPRLLIYYA SSRATGIPDR FSGSGSGTDF               201   TLTISRLEPE DFAVYYCQQT GRIPPTFGQG TKVEIKGCGC A          
 
           [0043]    The production of the peptides is described in detail in the following examples (see “Experimental”).  
           [0044]    The antibody fragment L19 was originally produced by expression in  E. coli  (see WO 99/58570). However, for the large-scale production of scFv antibody fragments, this expression system was found to be unsatisfying. Another expression system, a yeast expression system, particularly a  Pichia pastoris  expression system, was tested. The present inventors found that yeast, e.g.  Pichia pastoris  is generally capable for expression of a highly bioactive antibody fragment, e.g. the fragment AP39, but a high yield expression with up to 250 mg antibody fragment per liter culture, which is necessary for an economical production of a biopharmaceutical, could only be reached by a constitutive expression vector (e.g. PGAP), and not with a methanol inducible vector (e.g. pPIC9K). An additional advantage of this constitutive expression system is its simplified and robust fermentation procedures compared to an inducible yeast expression. Unexpectedly, the present inventors found that a proper signal sequence processing of the antibody fragment, e.g. the fragment AP39 was observed only when an expression cassette was used in which the N-terminus of the fragment was directly fused to the Kex2-cleavage site from the alpha-signal sequence.  
           [0045]    The peptides are suitable for diagnostic and therapeutic applications, particularly for the diagnosis and therapy of invasive tumours and tumour metastases. Preferred diagnostic applications are SPECT (Single Photon Emission Computed Tomography) and PET (Positron Emission Tomography).  
           [0046]    The peptides described above are particularly well suited for labeling radioisotopes as described above, e.g. radioisotopes of Technetium and Rhenium, preferably the radionuclides  94m Tc,  99m Tc,  186 Re, and  188 Re. For labeling the peptides, the peptides are- first reduced with an appropriate reducing agent like e.g. stannous chloride or Tris(2-carboxyethyl)phosphine (TCEP). The resulting reduced peptides exhibit SH-groups that can react with  99m Tc generator eluate or  188 Re generator eluate and stannous chloride to the compounds of the present invention (for details, see the experimental examples below). Indirect labeling is performed by pre-conjugating a chelating ligand and subsequent complexation of radioisotopes, such as Indium, Yttrium, lanthanides etc. The chelating ligand is preferably derived from ethylene diamine tetraacetic acid (EDTA), diethylene triamine pentaacetic acid (DTPA), cyclohexyl 1,2-diamine tetraacetic acid (CDTA), ethyleneglycol-O,O′-bis(2-aminoethyl)-N,N,N′,N′-diacetic acid (HBED), triethylene tetraamine hexaacetic acid (TTHA), 1,4,7,10-tetraazacyclododecane-N,N′,N″′-tetraacetic acid (DOTA), 1,4,7-triazacyclononane-N,N′,N″-triacetic acid (NOTA), and 1,4,8,11-tetraazacyclotetradecane-N,N′,N″,N″′-tetraacetic acid (TETA), to either amine or thiol groups of the peptide compounds. The chelating ligands possess a suitable coupling group e.g. active esters, maleimides, thiocarbamates or α-halogenated acetamide moieties. For conjugating chelating ligands to amine groups e.g. ε-NH 2 -groups of lysine residues previous reduction of the peptide compounds is not required. The radiolabeled peptides are suitable for radio-diagnostic and radio-therapeutic applications.  
           [0047]    The resulting radiolabeled peptides show unexpected advantages in animal experiments. For example, excretion of a labeled peptide, e.g.  99m Tc-labeled AP39 (Seq. Id. No. 11) in nude mice occurs to 70% or more, e.g. 80.63% within 24 hours via the kidneys, whereas for L19 (Seq. Id. No. 1) labeled with  125 I, excretion in nude mice occured only to 67.79% via the kidneys within 24 hours. The tumour to blood ratio of a labeled peptide, e.g.  99m Tc-labeled AP39 is 5:1 or more, preferably 8:1 or more, e.g. about 10:1 after 5 hours, whereas for L19 labeled with  125 I, this ratio is only about 3:1. This is an unexpected behaviour also compared to other scFv antibodies labeled with  99m Tc which often show less favourable biodistribution characteristics. For example, Verhaar et al., J. Nuc. Med., Vol. 37(5), pp. 868-872, 1996, report a  99m Tc-labeled scFv antibody that shows a tumour to blood ratio of only 4:1 after 24 hours, and a kidney accumulation of 9% after 24 hours, which is very high compared to the values of the peptides described in the present invention, e.g. 1.3% for  99m Tc-labeled AP39 (see example 13 below).  
           [0048]    Further, the in vivo stability of the labeled peptides of the invention, e.g.  99m Tc-labeled AP39 is much higher compared to the in vivo stability of L19 labeled with  125 I. The present inventors found that 2 hours after injection of a peptide, e.g.  99m Tc-labeled AP39 only 10% or less, e.g. 3% of radioactivity within the serum was due to a metabolite, whereas 2 hours after injection of L19 labeled with  125 I, 49% of the radioactivity in the serum was due to metabolites, which may be free iodine. The improved in vivo stability of the peptides, e.g.  99m Tc-labeled AP39 is also reflected by a prolonged preservation of its binding ability to the target ED-B. The present inventors found that 2 hours after injection of the peptide, e.g.  99m Tc-labeled AP39, 50% or more, e.g. 74% of radioactivity within the serum was able to bind ED-B, whereas 2 hours after injection of 1-125 labeled L19, only 27% of radioactivity within the serum could bind to ED-B. The compounds of this invention are also showing high tumour accumulation. For example, Tc-99m-AP39 and In-111-MX-DTPA-ε-HN(Lys)-AP39 displayed high tumour accumulation of 10.7 (Tc-99m) or 12.9 (In-111) % injected dose per gram (ID/g) at 1 hour post injection (p.i.). Thus, tumor uptake is significantly higher compared to other known In-111 or Tc-99m labeled antibody fragments (e.g. Kobayashi et al., J. Nuc. Med., Vol. 41(4), pp. 755-762, 2000; Verhaar et al., J. Nuc. Med., Vol. 37(5), pp. 868-872, 1996).  
           [0049]    The compounds are suitable for diagnostic and therapeutic applications. They are preferably applied to the patient by parenteral administration, more preferably by intravenous injection. The human dose is preferably in the range of 0.1 to 1 mg per patient for radiodiagnostic applications, and 0.1 to 100 mg per patient for radiotherapeutic applications.  
           [0050]    The methods for making and labeling the compounds of the present invention are more fully illustrated in the following examples. These examples are shown by way of illustration and not by way of limitation.  
           [0051]    Without further elaboration, it is believed that one skilled in the art can, using the preceding description, utilize the present invention to its fullest extent. The following preferred specific embodiments are, therefore, to be construed as merely illustrative, and not limitative of the remainder of the disclosure in any way whatsoever.  
           [0052]    In the foregoing and in the following examples, all temperatures are set forth uncorrected in degrees Celsius and, all parts and percentages are by weight, unless otherwise indicated.  
           [0053]    Experimental 
       
    
    
     EXAMPLE 1  
       [0054]    Production of L19 Derivatives  
         [0055]    A recombinant antibody (scFv L19, short name L19) against the extra domain B (ED-B) of a splice variant of fibronectin formed the starting material. scFv L19 had been isolated by means of phage display selection from a synthetic human antibody repertoire (Neri et al., 1997, Nature Biotechnol. 15: 1271; Pini et al., 1998, J. Biol. Chem. 273: 21769). This recombinant antibody fragment is in the form of a so-called single chain antibody fragment (scFv) and consists of a VH and VL region connected by a linker sequence (see Seq. Id. No. 1). This scFv L19 has exceptionally high affinity for ED B (K d : 5.4×10 −11 M).  
         [0056]    Various derivatives of L19 were produced by genetic manipulation (see FIG. 1). To modify L19, the scFv encoding DNA was amplified by PCR (polymerase chain reaction) using primers which coded for the additional sequences, and cloned into expression vectors.  
                                         L19 derivatives:                                L19:   without additional terminal modifications       L19 His:   C-terminal His 6  domain (His tag), for Ni           chelate chromatography and for           binding radioisotopes       AP38:   C-terminal GlyGlyGlyCys domain for           binding (via Cys) substances which can           be employed in therapy and diagnosis           (e.g. radioisotopes)       AP39:   C-terminal GlyGlyGlyCysAla domain for           binding (via Cys) substances which can           be employed in therapy and diagnosis           (e.g. radioisotopes)       L19-GlyCysGlyCys:   C-terminal GlyCysGlyCys domain           for binding (via Cys) substances which can           be employed in therapy and diagnosis           (e.g. radioisotopes)       L19-GlyCysGlyCysAla:   C-terminal GlyCysGlyCysAla domain for           binding (via Cys) substances which can           be employed in therapy and diagnosis           (e.g. radioisotopes)                  
 
         [0057]    Recombinant Production of L19 Derivatives  
         [0058]    The L19 derivatives described were produced in prokaryotic and eukaryotic expression systems.  
         [0059]    a) L19 production in  E. coli    
         [0060]    The DNA sequences encoding various L19 derivatives (AP38, AP39, L19-GlyCysGlyCys, L19-GlyCysGlyCysAla, L19, L19His) were cloned into a prokaryotic expression vector (pDN5, Pini et al., 1997, J. Immunol. Methods 206: 171, Pini et al., 1998, J. Biol. Chem. 273: 21769; pET, Novagen) with IPTG-inducible promoter and ampicillin resistance marker. In order to make secretion of the recombinant protein into the periplasm possible, this vector was: used to produce an expression cassette in which the N terminus of scFv is fused to a Pel B signal sequence. It was possible to establish stable producer strains by transforming  E. coli  (TG1, BL21DE3 and HB2151) with this expression vector, followed by ampicillin selection. To produce scFv, these strains were cultivated in the presence of 1% glucose in the growth phase (37° C.) in order to repress the promoter. Expression of scFv in the cultures was induced by adding IPTG and incubating at 30° C. for up to 16 h. Soluble and antigen-binding scFv material could be isolated from the complete extract of the  E. coli  strains, from the periplasm fraction or, which proved to be particularly efficient in relation to purification and yield, from the culture supernatant. Production took place in shaken flasks and in fermenters with a culture volume of up to 10 litres.  
         [0061]    b) Production of L19 Derivatives in  Pichia pastoris    
         [0062]    L19His, AP38, AP39, L19-GlyCysGlyCys and L19-GlyCysGlyCysAla-encoding DNA sequences were amplified by PCR and cloned into  E. coli  and into the expression vectors pPIC9K and pGAP (Invitrogen) for production in the yeast  Pichia pastoris.  For expression of heterologous genes, pPIC9K contains a methanol-inducible promoter (AOX1), and pGAP contains the constitutive promoter of the GAPDH enzyme. In addition, these vectors contain respectively a geneticin resistance gene and a zeocin resistance gene for selection/amplification of the foreign gene and a signal sequence (from yeast α factor) for expression and secretion of the recombinant product. The AP39 expression cassette used codes for a fusion protein (α factor signal+L19 derivatives) which contains for signal sequence elimination only a Kex2 cleavage site and not the other cleavage sites of natural α factor processing. Stable transfected PP clones were established by electroporation of the linearized vectors into  Pichia pastoris  strains (e.g. pPIC9K-AP39 into strain GS115, pGAP-AP39 into strain X33) and subsequent geneticin or zeocin selection. It was possible to use these clones to produce the said L19 derivatives as soluble secretory protein. The clones were cultivated at 30° C. in BMGY medium or basal mineral medium. With clones based on pPIC, methanol was added for promoter induction during the expression phase. The recombinant product had a correctly processed terminus and high antigen-binding activity. The yields which could be achieved (unpurified, bioactive product/litre of culture supernatant) were, depending on the culturing conditions and process control: e.g. pPIC9K-AP39/GS115 (shaken flask 5 mg/l, fermenter 10-15 mg/l); pGAP-AP39/X33 (shaken flask 30-40 mgl, fermenter 100-250 mg/l).  
         [0063]    The L19 derivatives were purified from the  Pichia pastoris  or  E. coli  culture supernatant by use of affinity chromatography (rProtein A, Streamline Pharmacia or ED B antigen column) with subsequent size exclusion chromatography. The purified AP39 fraction, which was employed for further processing, had a homodimer structure (with subunits covalently linked for the most part) and high antigen-binding activity.  
       EXAMPLE 2a  
       [0064]    Synthesis of reduced AP38 [Reduced L19-(Gly) 3 -Cys-OH] 
         [0065]    To a solution of 240 μg (4.29 nmol) S-S-dimeric AP38 in 156 μl PBS (phosphate buffered saline)/10% glycerine were added 50 μl TCEP-solution (14.34 mg TCEP×HCl/5 ml aqueous Na 2 HPO 4 , 0.1 M, pH 7.4). The reaction mixture was gently shaken for 1 h at room temperature. SH-monomeric AP38 was -purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS). SDS-PAGE analysis of the isolated product proofed the quantitative transformation of S-S-dimeric AP38 to SH-monomeric AP38.  
         [0066]    Yield: 79.4 μg/220 μl PBS (33.1%).  
       EXAMPLE 2b  
       [0067]    Synthesis of Tc-99m-AP38 [Tc-99m-L19-(Gly) 3 -Cys-OH] 
         [0068]    2.37 mg disodium-L-tartrate were placed in a vial followed by addition of 79.4 μg reduced AP38 in 220 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH 10.5). 50 μl Tc-99m generator eluate (24 h) and 10 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaken for 0.5 h at 37° C. Tc-99m-labeled AP38 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   39.7%.           Radiochemical purity:   92.5% (SDS-PAGE).           Specific activity:   17.7 MBq/nmol.           Immunoreactivity:   88.7%                      
 
       EXAMPLE 3a  
       [0069]    Synthesis of Reduced AP39 [Reduced L19-(Gly) 3 -Cys-Ala-OH] 
         [0070]    To a solution of 240 μg (4.29 nmol) S-S-dimeric AP39 in 135 μl PBS/10% glycerine were added 50 μl TCEP-solution (14.34 mg TCEP×HCl/5 ml aqueous Na 2 HPO 4 , 0.1 M, pH=7.4). The reaction mixture was gently shaken for 1 h at room temperature. SH-monomeric AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS). SDS-PAGE analysis of the isolated product proofed the quantitative transformation of S-S-dimeric AP39 to SH-monomeric AP39.  
         [0071]    Yield: 135.9 μg/180 μl PBS (56.2%).  
       EXAMPLE 3b  
       [0072]    Synthesis of Tc-99m-AP39 [Tc-99m-L19-(Gly) 3 -Cys-Ala-OH] 
         [0073]    4.2 mg disodium-L-tartrate were placed in a vial followed by addition of 135.9 μg reduced AP39 in 180 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH=10.5). 100 μl Tc-99m generator eluate (24 h) and 10 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaken for 0.5 h at 37° C. Tc-99m-labeled AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   50.1%.           Radiochemical purity:   91.5% (SDS-PAGE).           Specific activity:   21.4 MBq/nmol.           Immunoreactivity:   96.4%                      
 
       EXAMPLE 4  
       [0074]    Synthesis of Re-188-AP38 [Re-188-L19-(Gly) 3 -Cys-OH] 
         [0075]    2.37 mg disodium-L-tartrate were placed in a vial followed by addition of 112 μg reduced AP38 in 310 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH=10.5). 100 μl Re-188 generator eluate and 50 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaken for 1.5 h at 37° C. Re-188-labeled AP38 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   28.3%.           Radiochemical purity:   91.1% (SDS-PAGE).           Specific activity:   15.3 MBq/nmol.           Immunoreactivity:   89.9%                      
 
       EXAMPLE 5  
       [0076]    Synthesis of Re-188-AP39 [Re-188-L19-(Gly) 3 -Cys-Ala-OH] 
         [0077]    2.37 mg disodium-L-tartrate were placed in a vial followed by addition of 112 μg reduced AP39 in 303 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH=10.5). 100 μl Re-188 generator eluate and 50 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaken for 1.5 h at 37° C. Re-188-labeled AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   33.5%.           Radiochemical purity:   92.3% (SDS-PAGE).           Specific activity:   18.5 MBq/nmol.           Immunoreactivity:   92.5%                      
 
       EXAMPLE 6a  
       [0078]    Synthesis of Reduced L19-Gly-Cys-Gly-Cys-OH  
         [0079]    To a solution of 240 μg (4.29 nmol) S-S-dimeric L19-Gly-Cys-Gly-Cys-OH in 160 μl PBS/10% glycerine were added 75 μl TCEP-solution (14.34 mg TCEP×HCl/5 ml aqueous Na 2 HPO 4 , 0.1 M, pH=7.4). The reaction mixture was gently shaken for 1 h at room temperature. SH-monomeric L19-Gly-Cys-Gly-Cys-OH was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS). SDS-PAGE analysis of the isolated product proofed the quantitative transformation of S-S-dimeric L19-Gly-Cys-Gly-Cys-OH to SH-monomeric L19-Gly-Cys-Gly-Cys-OH. Yield: 80.4 μg/210 μl PBS (33.5%).  
       EXAMPLE 6b  
       [0080]    Synthesis of Tc-99m-L19-Gly-Cys-Gly-Cys-OH  
         [0081]    2.37 mg disodium-L-tartrate were placed in a vial followed by addition of 80.4 μg reduced L19-Gly-Cys-Gly-Cys-OH in 210 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH 10.5). 50 μl Tc-99m generator eluate (24 h) and 10 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaked for 0.5 h at 37° C. Tc-99m-labeled L19-Gly-Cys-Gly-Cys-OH was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   37.7%.           Radiochemical purity:   91.5% (SDS-PAGE).           Specific activity:   19.7 MBq/nmol.           Immunoreactivity:   89.7%                      
 
       EXAMPLE 7a  
       [0082]    Synthesis of Reduced L19-Gly-Cys-Gly-Cys-Ala-OH  
         [0083]    To a solution of 240 μg (4.29 nmol) S-S-dimeric L19-Gly-Cys-Gly-Cys-Ala-OH in 155 μl PBS/10% glycerine were added 75 μl TCEP-solution (14.34 mg TCEP×HCl/5 ml aqueous Na 2 HPO 4 , 0.1 M, pH=7.4). The reaction mixture was gently shaked for 1 h at room temperature. SH-monomeric L19-Gly-Cys-Gly-Cys-Ala-OH was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS). SDS-PAGE analysis of the isolated product proofed the quantitative transformation of S-S-dimeric L19-Gly-Cys-Gly-Cys-Ala-OH to SH-monomeric L19-Gly-Cys-Gly-Cys-Ala-OH.  
         [0084]    Yield: 81.2 μg/215 μl PBS (33.8%).  
       EXAMPLE 7b  
       [0085]    Synthesis of Tc-99m-L19-Gly-Cys-Gly-Cys-Ala-OH  
         [0086]    2.37 mg disodium-L-tartrate were placed in a vial followed by addition of 81.2 μg reduced L19-Gly-Cys-Gly-Cys-Ala-OH in 215 μl PBS and the solution was diluted with 100 μl aqueous Na 2 HPO 4 -buffer (1 M, pH=10.5). 50 μl Tc-99m g enerator eluate (24 h) and 10 μl SnCl 2 -solution (5 mg SnCl 2 /1 ml 0.1 M HCl) were added. The reaction mixture was shaked for 0.5 h at 37C. Tc-99m-labeled L19-Gly-Cys-Gly-Cys-Ala-OH was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   35.6%.           Radiochemical purity:   93.5% (SDS-PAGE).           Specific activity:   19.1 MBq/nmol.           Immunoreactivity:   88.7%                      
 
       EXAMPLE 8a  
       [0087]    Synthesis of Reduced AP39 for Specific Conjugation of EDTA, CDTA, TETA, DTPA, TTHA, HBED, DOTA, NOTA, and DO3A Type Chelators to the Cysteine-SH Group.  
         [0088]    50 μl TCEP-solution (14.34 mg TCEP×HCl/5 ml aqueous Na 2 HPO 4 , 0.1M, pH=7.4) were added to a solution of 400 μg (7.1 nmol) AP39 in 450 μl PBS. The reaction mixture was gently shaken for 1h at 37° C. Reduced AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: sodium acetate buffer, 0.1M, pH 5.0). SDS-PAGE analysis of the isolated product proofed the complete transformation of AP39 into reduced AP39.  
         [0089]    Yield: 140 μg/200 μl (35%).  
       EXAMPLE 8b  
       [0090]    Synthesis of MX-DTPA-Maleimide (1,4,7-triaza-2-(N-maleimido ethylene p-amino)benzyl-1,7-bis(carboxymethyl)-4-carboxymethyl 6-methyl heptane)  
         [0091]    512 mg (1 mmol) of {[3-(4-Amino-phenyl)-2-(bis-carboxymethyl-amino)-propyl]-[2-(bis-carboxymethyl-amino)-propyl]-amino}-acetic acid (Macrocyclics Inc. Dallas, Tex., U.S.A.) and 707 mg (7 mmol) triethylamine were dissolved in 3 ml dry DMF. 400 mg (1.5 mmol) of 3-(2,5-Dioxo-2,5-dihydro-pyrrol-1-yl)-propionic acid 2,5-dioxo-pyrrolidin-1-yl ester (Aldrich) in 1 ml dry DMF were added dropwisely. The solution was stirred for 5 h at 50° C. 30 ml of diethylether were added slowly. The reaktion mixture was stirred for further 30 min. The principate was collected by filtering. The crude product was purified by RP-HPLC (acetonitrile-:water-:trifluoracetic acid/3:96,9:0,1→99,9:0:0,1). Yield: 61% (405 mg, 0.61 mmol). MS-ESI: 664=M + +1.  
       EXAMPLE 8c  
       [0092]    Synthesis of In-111-MX-DTPA-Maleimide-S(Cys)-AP39-R (R=reduced)  
         [0093]    140 μg (5 nmol) AP39-R in 200 μl of sodium acetate buffer (0.1 M, pH 5) were reacted with 50 μl of dissolved 1,4,7-triaza-2-(N-maleimido ethylene p-amino) benzyl-1,7-bis(carboxymethyl)-4-carboxymethyl 6-methyl heptane (0.25 mg DTPA-Maleimide in 500 μl sodium acetate buffer 0.1 M pH 5) for 3 h at 37° C. The reaction mixture was dialyzed 2×1 h with 200 ml of sodium acetate buffer (0.1M, pH 6) employing a Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.).  
         [0094]    80 μl [In-111]InCl 3  solution (HCl, 1N, 40 MBq, Amersham Inc.) were added and the reaction mixture was heated at 37° C. for 30 min. In-111 labeled DTPA-Maleimide-S(Cys)-AP39-R was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   54%.           Radiochemical purity:   94% (SDS-PAGE).           Specific activity:    6.2 MBq/nmol.           Immunoreactivity:   86%                      
 
       EXAMPLE 9  
       [0095]    Synthesis of In-111 -MX-DTPA-ε-HN(Lys)-AP39  
         [0096]    200 μg (3.6 nmol) non-reduced AP39 in 111 μl PBS were diluted with 300 μl of sodium borate buffer (0.1M, pH 8.5) and dialyzed 2×1 h with 200 ml of sodium borate buffer (0.1 M, pH 8.5) employing a Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.). 50 μl of 1,4,7-triaza-2-(p-isothiocyanato)benzyl-1,7-bis(carboxymethyl)-4-carboxymethyl-6-methyl heptane (MX-DTPA) solution (0.33 mg MX-DTPA dissolved in 500 μl of sodium borate buffer, 0.1M, pH 8.5) were added and the reaction mixture was heated for 3 h at 37° C. The reaction mixture was dialyzed 2×1 h and 1×17 h (over night) with 200 ml of sodium acetate buffer (0.1 M, pH 6.0) each, employing the Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.).  
         [0097]    80 μl [In-111]InCl 3  solution (HCl, 1N, 40 MBq, Amersham Inc.) were added and the reaction mixture was heated at 37° C. for 30 min. In-111 labeled MX-DTPA-ε-HN(Lys)-AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   70%.           Radiochemical purity:   85% (SDS-PAGE).           Specific activity:    7.6 MBq/nmol.           Immunoreactivity:   74%                      
 
       EXAMPLE 10  
       [0098]    Synthesis of In-111-DOTA-C-Benzyl-p-NCS-ε-HN(Lys)-AP39  
         [0099]    200 μg (3.6 nmol) non-reduced AP39 in 114 μl PBS were diluted with 300 μl of sodium borate buffer (0.1 M, pH 8.5) and dialyzed 2×1 h with 200 ml of sodium borate buffer (0.1M, pH 8.5) employing a Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.). 50 μl of 1,4,7,10-tetraaza-2-(p-isothiocyanato)benzyl cyclododecane-1,4,7,10-tetraacetic acid (benzyl-p-SCN-DOTA, Macrocyclics Inc., Dallas Tex., U.S.A.) solution (1.5 mg benzyl-p-SCN-DOTA dissolved in 5 ml of sodium borate buffer, 0.1M, pH 8.5) were added to the solution and the reaction mixture was heated for 3 h at 37° C. The reaction mixture was dialyzed 2×1 h and 1×17 h (over night) with 200 ml of sodium acetate buffer (0.1 M, pH 6.0) each, employing the Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.).  
         [0100]    80 μl [In-111]InCl 3  solution (HCl, 1 N, 40 MBq, Amersham Inc.) were added and the reaction mixture was heated at 37° C. for 30 min. In-111 labeled DOTA-C-Benzyl-p-NCS-ε-HN(Lys)-AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   74%.           Radiochemical purity:   94% (SDS-PAGE).           Specific activity:   12.3 MBq/nmol.           Immunoreactivity:   73%                      
 
       Example 11  
       [0101]    Synthesis of Y-88-MX-DTPA-ε-HN(Lys)-AP39  
         [0102]    200 μg (3.6 nmol) non-reduced AP39 in 115 μl PBS were diluted with 300 μl of sodium borate buffer (0.1M, pH 8.5) and dialyzed 2×1 h with 200 ml of sodium borate buffer (0.1M, pH 8.5) employing a Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.). 50 μl of MX-DTPA solution (0.33 mg MX-DTPA dissolved in 500 μl of sodium borate buffer, 0.1M, pH 8.5) were added and the reaction mixture was heated for 3 h at 37° C. The reaction mixture was dialyzed 2×1 h and 1×17 h (over night) with 200 ml of sodium acetate buffer (0.1M, pH 6.0) each, employing the Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.).  
         [0103]    100 μl [Y-88]YCl 3  solution (HCl, 1N, 75 MBq, Oak Ridge National Lab.) were added and the reaction mixture was heated at 37° C. for 30 min. Y-88 labeled MX-DTPA-ε-HN(Lys)-AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   65%.           Radiochemical purity:   93% (SDS-PAGE).           Specific activity:   10.2 MBq/nmol.           Immunoreactivity:   72%                      
 
       EXAMPLE 12  
       [0104]    Synthesis of Lu-177 -DOTA-C-Benzyl-p-NCS-ε-HN(Lys)-AP3  
         [0105]    200 μg (3.6 nmol) non-reduced AP39 in 110 μl PBS were diluted with 300 μl of sodium borate buffer (0.1M, pH 8.5) and dialyzed 2×1 h with 200 ml of sodium borate buffer (0.1 M, pH 8.5) employing a Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.). 50 μl of benzyl-p-SCN-DOTA solution (1.5 mg dissolved in 5 ml of sodium borate buffer, 0.1 M, pH 8.5) were added and the reaction mixture was heated for 3 h at 37° C. The reaction mixture was dialyzed 2×1 h and 1×17 h (over night) with 200 ml of sodium acetate buffer (0.1M, pH 6.0) each, employing the Slide-A-Lyzer 10,000 MWCO (Pierce Inc., Rockford, Ill., U.S.A.).  
         [0106]    200 μl [Lu-177]LuCl3 solution (HCl, 1N, 80 MBq, NRH-Petten, Netherlands) were added and the reaction mixture was heated at 37° C. for 30 min. Lu-177 labeled DOTA-C-Benzyl-p-NCS-ε-HN(Lys)-AP39 was purified by gel-chromatography using a NAP-5 column (Amersham, Eluent: PBS).  
                                                       Radiochemical yield:   74%.           Radiachemical purity:   95% (SDS-PAGE).           Specific activity:   19 MBq/nmol.           Immunoreactivity:   71%                      
 
       EXAMPLE 13  
       [0107]    Organ Distribution and Excretion of Tc-99m-AP39, Expressed in  Pichia pastoris,  After a Single I.V. Injection into Tumour-Bearing Nude Mice  
         [0108]    The substance of the invention is injected intravenously in a dose of about 74 kBq into F9 (teratocarcinoma)-bearing animals (bodyweight about 25 g). The radioactivity concentration in various organs, and the radioactivity in the excreta are measured using a γ counter at various times after administration of the substance. In addition, the tumour to blood ratio is found at various times on the basis of the concentration of the substance of the invention in tumour and blood.  
         [0109]    The biodistribution of Tc-99m-AP39 in F9 (teratocarcinoma)-bearing nude mice (mean±SD, n=3) is shown in Table 2:  
                                   TABLE 2                                       % of dose/g   % of dose/g   % of dose/g               of tissue   of tissue   of tissue               1 h p.i.   5 h p.i.   24 h p.i.                           Spleen    1.97 ± 0.018   0.53 ± 0.07   0.31 ± 0.08           Liver    1.91 ± 0.046   0.77 ± 0.07   0.26 ± 0.01           Kidney   19.21 ± 0.70   4.35 ± 0.082   1.32 ± 0.10           Lung    3.43 ± 1.01   1.41 ± 0.032   0.96 ± 0.23           Stomach    1.55 ± 0.043   1.35 ± 0.22   0.48 ± 0.10           without           contents           Intestine with    1.42 ± 0.10   1.26 ± 0.34   0.29 ± 0.05           contents           Tumour   10.72 ± 3.21   5.13 ± 1.45   3.48 ± 1.28           Blood    3.03 ± 0.32   0.57 ± 0.11   0.11 ± 0.01                      
 
         [0110]    The excretion of Tc-99m-AP39 in F9 (teratocarcinoma)-bearing nude mice (mean+SD, n=3) is shown in Table 3:  
                           TABLE 3                                       % of dose               24 h p.i.                           Urine   80.63 ± 3.33           Faeces    3.94 ± 0.17                      
 
         [0111]    The tumour to blood ratio of Tc-99m-AP39 in F9 (teratocarcinoma)-bearing nude mice (mean±SD, n=3) is shown in FIG. 2.  
         [0112]    The results of this investigation show the excellent potential of the substance of the invention for accumulation in solid tumours with, at the same time, excellent excretion.  
       EXAMPLE 14  
       [0113]    Organ Distribution of In-111-MX-DTPA-ε-HN(Lys)-AP39 After a Single I.V. Injection into Tumour-Bearing Nude Mice  
         [0114]    The substance of the invention is injected intravenously in a dose of about 48 kBq into F9 (teratocarcinoma)-bearing animals (body weight about 25 g). The radioactivity concentration in various organs, and the radioactivity in the excreta are measured using a γ counter at various times after administration of the substance.  
         [0115]    The biodistribution of In-111-MX-DTPA-ε-HN(Lys)-AP39 in F9 (teratocarcinoma)-bearing nude mice (mean±SD, n=3) is shown in Table 4:  
                                             TABLE 4                                       % dose/g of tissue                    1 h p.i.   3 h p.i.   24 h p.i.                       Spleen    1.94 ± 0.49   1.28 ± 0.13   1.18 ± 0.24           Liver    2.61 ± 1.32   2.59 ± 0.36   2.26 ± 0.75           Lung    1.52 ± 1.57   2.36 ± 0.30   0.76 ± 0.21           Stomach    1.44 ± 0.81   1.40 ± 0.31   0.65 ± 0.28           without           contents           Intestine with    5.05 ± 5.26   1.07 ± 0.34   0.67 ± 0.11           contents           Tumour   12.90 ± 4.81   7.44 ± 1.34   4.33 ± 0.84           Blood    5.55 ± 1.89   1.80 ± 0.20   0.11 ± 0.02                      
 
         [0116]    The tumour to blood ratio of In-111-MX-DTPA-ε-HN(Lys)-AP39 in F9 (teratocarcinoma)-bearing nude mice (mean±SD, n=3) is shown in Table 5.  
                                   TABLE 5                                       1 h p.i.   3 h p.i.   24 h p.i.                           Tumour to   2.76 ± 2.00   4.16 ± 0.75   36.36 ± 3.78           blood ratio                      
 
         [0117]    The results of this investigation show the excellent potential of the substance of the invention for accumulation in solid tumours paired with excellent biodistribution and tumor to blood ratio.  
       EXAMPLE 15  
       [0118]    Imaging of Tc-99m-AP39, Expressed in  Pichia pastoris,  After a Single I.V. Injection into Tumour-Bearing Nude Mice  
         [0119]    The substance of the invention is injected intravenously in a dose of about 9.25 MBq into F9 (teratocarcinoma)-bearing animals (bodyweight about 25 g). Gamma-camera imaging is carried out at various times after administration of the substance.  
         [0120]    Planar scintigraphy of Tc-99m-AP39 in F9 (teratocarcinoma)-bearing nude mice is shown in FIGS. 3 and 4. FIG. 3 shows the scintigram 5 hours after injection of the substance, and FIG. 4 shows the scintigram 24 hours after injection of the substance.  
         [0121]    The result of this investigation shows the excellent potential of the substance of the invention for imaging solid tumours.  
         [0122]    The entire disclosures of all applications, patents and publications, cited herein and of corresponding European Application No. 02 000 315.8, filed Jan. 3, 2002, and U.S. Provisional Application Serial No. 60/358,702, filed Feb. 25, 2002 are incorporated by reference herein.  
         [0123]    The preceding examples can be repeated with similar success by substituting the generically or specifically described reactants and/or operating conditions of this invention for those used in the preceding examples.  
         [0124]    From the foregoing description, one skilled in the art can easily ascertain the essential characteristics of this invention and, without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usages and conditions.  
     
       
       
         1 
         
           
             13  
           
           
             1  
             238  
             PRT  
             Artificial Sequence  
             
               SITE  
               (1)..(116)  
               VH  
             
           
            1 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Thr Gly Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser 
    130                 135                 140 

Pro Gly Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser 
145                 150                 155                 160 

Ser Ser Tyr Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg 
                165                 170                 175 

Leu Leu Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg 
            180                 185                 190 

Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg 
        195                 200                 205 

Leu Glu Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg 
    210                 215                 220 

Ile Pro Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys 
225                 230                 235 

 
           
             2  
             4  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            2 

Xaa Xaa Xaa Cys 
  1 

 
           
             3  
             5  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            3 

Xaa Xaa Xaa Cys Xaa 
  1               5 

 
           
             4  
             6  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            4 

His His His His His His 
  1               5 

 
           
             5  
             4  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            5 

Gly Gly Gly Cys 
  1 

 
           
             6  
             4  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            6 

Gly Cys Gly Cys 
  1 

 
           
             7  
             5  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            7 

Gly Gly Gly Cys Ala 
  1               5 

 
           
             8  
             5  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            8 

Gly Cys Gly Cys Ala 
  1               5 

 
           
             9  
             247  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            9 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly 
    130                 135                 140 

Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 
145                 150                 155                 160 

Phe Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 
                165                 170                 175 

Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 
            180                 185                 190 

Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu 
        195                 200                 205 

Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg Ile Pro 
    210                 215                 220 

Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Ala Ala Ala Leu 
225                 230                 235                 240 

Glu His His His His His His 
                245 

 
           
             10  
             240  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            10 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly 
    130                 135                 140 

Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 
145                 150                 155                 160 

Phe Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 
                165                 170                 175 

Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 
            180                 185                 190 

Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu 
        195                 200                 205 

Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg Ile Pro 
    210                 215                 220 

Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Gly Gly Gly Cys 
225                 230                 235                 240 

 
           
             11  
             241  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            11 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly 
    130                 135                 140 

Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 
145                 150                 155                 160 

Phe Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 
                165                 170                 175 

Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 
            180                 185                 190 

Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu 
        195                 200                 205 

Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg Ile Pro 
    210                 215                 220 

Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Gly Gly Gly Cys 
225                 230                 235                 240 

Ala 

 
           
             12  
             240  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            12 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly 
    130                 135                 140 

Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 
145                 150                 155                 160 

Phe Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 
                165                 170                 175 

Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 
            180                 185                 190 

Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu 
        195                 200                 205 

Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg Ile Pro 
    210                 215                 220 

Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Gly Cys Gly Cys 
225                 230                 235                 240 

 
           
             13  
             241  
             PRT  
             Artificial Sequence  
             
               Description of Artificial Sequence recombinant 
      antibody fragment  
             
           
            13 

Glu Val Gln Leu Leu Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 
  1               5                  10                  15 

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Phe 
             20                  25                  30 

Ser Met Ser Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 
         35                  40                  45 

Ser Ser Ile Ser Gly Ser Ser Gly Thr Thr Tyr Tyr Ala Asp Ser Val 
     50                  55                  60 

Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys Asn Thr Leu Tyr 
 65                  70                  75                  80 

Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 
                 85                  90                  95 

Ala Lys Pro Phe Pro Tyr Phe Asp Tyr Trp Gly Gln Gly Thr Leu Val 
            100                 105                 110 

Thr Val Ser Ser Gly Asp Gly Ser Ser Gly Gly Ser Gly Gly Ala Ser 
        115                 120                 125 

Glu Ile Val Leu Thr Gln Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly 
    130                 135                 140 

Glu Arg Ala Thr Leu Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 
145                 150                 155                 160 

Phe Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 
                165                 170                 175 

Ile Tyr Tyr Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 
            180                 185                 190 

Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu 
        195                 200                 205 

Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Thr Gly Arg Ile Pro 
    210                 215                 220 

Pro Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Gly Cys Gly Cys 
225                 230                 235                 240 

Ala