Evidence map›Paper›PMID 34642897›Full record

ArticleMolecular imaging and biology2023

Identification of a Suitable Untargeted Agent for the Clinical Translation of ABY-029 Paired-Agent Imaging in Fluorescence-Guided Surgery.

Cheng Wang, Xiaochun Xu, Sassan Hodge, Eunice Y Chen, P Jack Hoopes, Kenneth M Tichauer, Kimberley S Samkoe

Open access · greenAbstract read
In one paragraph

Article in Molecular imaging and biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. A multi-channel fluorescence endoscope for pre-operative assessment of epithelial ovarian cancer.Proceedings of SPIE--the International Society for Optical Engineering · 2026
    Article
  3. Dynamic Tracking ofMolecular pharmaceutics · 2025
    Article
  4. Article
  5. Article
  6. Paired-agent imaging as a rapidFrontiers in oncology · 2023
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Cheng WangThayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Xiaochun XuThayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Sassan HodgeThayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Eunice Y ChenGeisel School of Medicine, Dartmouth College, Hanover, NH, USA.
P Jack HoopesThayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Kenneth M TichauerBiomedical Engineering, Illinois Institute of Technology, Chicago, IL, USA.
Kimberley S SamkoeThayer School of Engineering, Dartmouth College, Hanover, NH, USA. Kimberley.S.Samkoe@dartmouth.edu.ORCID 0000-0002-8234-2308
Dartmouth College · USIllinois Institute of Technology · US

Funding

Molecular Fluorescence-Guided Surgery PlatformR01CA167413 · NCI · DARTMOUTH COLLEGE · PI PAULSEN, KEITH D., SAMKOE, KIMBERLEY · 2013 to 2025
$5.7M
Paired-agent imaging for resection during surgery (PAIRS) for head & neck cancersR37CA212187 · NCI · DARTMOUTH-HITCHCOCK CLINIC · PI SAMKOE, KIMBERLEY · 2018 to 2024
$2.7M
NCI NIH HHS R01 CA167413NCI NIH HHS R37 CA212187
6 · The paper itself

Abstract

purposeNon-specific uptake and retention of molecular targeted agents and heterogeneous tissue optical properties diminish the ability to differentiate between tumor and normal tissues using molecular targeted fluorescent agents. Paired-agent imaging (PAI) can increase the diagnostic ability to detect tumor tissue by mitigating these non-specific effects and providing true molecular contrast by co-administration of an untargeted control imaging agent with a targeted agent. This study evaluates the suitability of available clinically translatable untargeted agents for the translation of PAI in fluorescence-guided surgery using an affibody-based targeted imaging agent (ABY-029). EXPERIMENTAL:

designThree untargeted agents that fluoresce near 700 nm and exhibit good clinical safety profiles (methylene blue, IRDye 700DX, and IRDye 680LT) were tested in combination with the clinically tested IRDye 800CW-labeled anti-epidermal growth factor receptor (EGFR) affibody molecule, ABY-029 (eIND 122,681). Properties of the untargeted agent important for human use and integrity of PAI were tested: (1) plasma protein binding; (2) fluorescence signal linearity in in vitro whole blood dilution; (3) in vivo pharmacokinetic matching to targeted agent in negative control tissue; and (4) in vivo diagnostic accuracy of PAI vs single agent imaging (SAI) of ABY-029 alone in orthotopic oral head and neck squamous cell carcinomas.

resultsIRDye 680LT outperformed IRDye 700DX and methylene blue with the highest signal linearity (R

conclusionPAI is a highly promising methodology for increasing detection of tumors in fluorescence-guided surgery. Although not yet clinically approved, IRDye 680LT demonstrates promise as an untargeted agent when paired with ABY-029. The clinical translation of PAI to maximize tumor excision, while minimizing normal tissue removal, could improve both patient survival and life quality.

Indexed as

ErbB ReceptorsNeoplasmsFluorescenceHumansMethylene BlueRecombinant Fusion ProteinsABY-029ErbB ReceptorsMethylene BlueRecombinant Fusion ProteinsABY-029Epidermal growth factor receptorFluorescence-guided surgeryHead and neck squamous cell carcinomaIRDye 680LTIRDye 700DXMethylene blueMolecular imaging

Identifiers

PMID34642897
PMCPMC9413473
OpenAlexW3207395935

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.