Peptide receptor radionuclide therapy

Inventors

Sutcliffe, Julie L.

Assignees

University of California San Diego UCSD

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Publication Number

US-12649008-B2

Patent

Publication Date

2026-06-09

Expiration Date


Abstract

The present disclosure provides methods and related compositions that incorporate a molecularly targeted approach via the integrin subtype αvβ6 using Peptide Receptor Radionuclide Therapy (PRRT) and a theranostic approach.

Core Innovation

The disclosed invention relates to pharmaceutical compositions and therapeutic and diagnostic conjugates based on a specific peptide having the amino acid sequence GNGVPNLRGDLQVLGQRVGRT (SEQ ID NO.: 1). The compositions and conjugates include a PEGylated peptide structure with a first PEG moiety covalently attached to the N-terminus and a second PEG moiety covalently attached to the C-terminus, provided as a therapeutic conjugate of Formula I and a diagnostic conjugate of Formula II.

The invention relates to an αvβ6 integrin-targeted peptide receptor radionuclide therapy (PRRT) theranostic approach using the PEGylated RGD peptide. The therapeutic conjugate of Formula I and the diagnostic conjugate of Formula II are administered in a theranostic workflow that includes diagnostic imaging followed by therapeutic administration, with radionuclides such as 68Ga for diagnostic imaging and 177Lu for therapy.

The disclosed content addresses αvβ6 integrin-related cancers by providing a specific PEGylated peptide conjugate architecture suitable for imaging and therapy. The content includes application to pancreatic ductal adenocarcinoma (PDAC) and other epithelial-derived cancers enumerated in the claims.

Claims Coverage

The independent claims cover three core inventive feature groups: a defined peptide sequence, a PEGylated conjugate architecture with first and second PEG moieties covalently attached to the N- and C-termini, and use of Formula I/Formula II conjugates for treatment or imaging respectively.

Defined peptide (SEQ ID NO.: 1) in a pharmaceutical composition

A pharmaceutical composition comprising a peptide having the amino acid sequence GNGVPNLRGDLQVLGQRVGRT (SEQ ID NO.: 1).

Therapeutic conjugate of Formula I with N- and C-terminus PEG moieties

A method for treating an αvβ6 integrin-related cancer comprising administering a dose of a therapeutic conjugate of Formula I to a subject in need of treatment, wherein 5G is a PEGylated peptide having an N-terminus, a C-terminus, and the amino acid sequence GNGVPNLRGDLQVLGQRVGRT (SEQ ID NO.: 1), and wherein a first PEG moiety is covalently attached to the N-terminus of the peptide and a second PEG moiety is covalently attached to the C-terminus of the peptide.

Diagnostic conjugate of Formula II for imaging with N- and C-terminus PEG moieties

A method for imaging a tumor, a cancerous lesion, or a cancer cell comprising administering a diagnostic conjugate comprising Formula II and a pharmaceutically acceptable excipient to a subject, wherein 5G is a PEGylated peptide having an N-terminus, a C-terminus, and the amino acid sequence GNGVPNLRGDLQVLGQRVGRT (SEQ ID NO.: 1), and wherein a first PEG moiety is covalently attached to the N-terminus of the peptide and a second PEG moiety is covalently attached to the C-terminus of the peptide.

Overall, the claim coverage centers on using the specific peptide sequence GNGVPNLRGDLQVLGQRVGRT (SEQ ID NO.: 1) as a PEGylated construct with covalently attached N- and C-terminus PEG moieties, implemented in Formula I for therapeutic administration to subjects with αvβ6 integrin-related cancer and in Formula II for imaging a tumor, cancerous lesion, or cancer cell.

Stated Advantages

Supports αvβ6-targeted PET imaging and radionuclide therapy outcomes as documented in vitro, in vivo, and clinical evidence.

Supports albumin-binding benefits for the PEGylated conjugates.

Provides quantitative targeting and pharmacokinetic/biodistribution performance metrics such as serum stability and albumin binding, including biodistribution values (%ID/g), tumor uptake, blood circulation, and kidney elimination.

Provides first-in-human pilot study support for the diagnostic and therapeutic conjugates.

Documented Applications

Treating an αvβ6 integrin-related cancer by administering a therapeutic conjugate of Formula I to a subject.

Imaging a tumor, a cancerous lesion, or a cancer cell by administering a diagnostic conjugate comprising Formula II to a subject.

αvβ6 integrin-related cancer imaging and therapy using 68Ga PET/CT and 177Lu therapy within a first-in-human pilot study workflow.

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