Evidence map›Paper›PMID 40122966›Full record

ArticleEJNMMI research2025

A biorthogonal chemistry approach for high-contrast antibody imaging of lymphoma at early time points.

Swarbhanu Sarkar, Jonathan M Pham, Kimberly J Edwards, Nitika Sharma, Kexiang Xu, A Paden King, Andres Fernandez Del Castillo, Michael D Farwell, Daniel A Pryma, Stephen J Schuster and 1 more

Abstract read
In one paragraph

Article in EJNMMI research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Swarbhanu SarkarDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Jonathan M PhamDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Kimberly J EdwardsDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Nitika SharmaDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Kexiang XuDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
A Paden KingDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Andres Fernandez Del CastilloDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Michael D FarwellDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Daniel A PrymaDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA.
Stephen J SchusterLymphoma Program, Abramson Cancer Center at the University of Pennsylvania, Philadelphia, PA, USA.
Mark A SellmyerDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, 813A Stellar-Chance Labs, 422 Curie Boulevard, Philadelphia, PA, 19104-6059, USA. mark.sellmyer@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-1407-1905

Funding

Burroughs Wellcome Fund CAMSCancer Research Institute CRI5589
6 · The paper itself

Abstract

backgroundMonoclonal antibodies are highly specific for their targets making them effective for cancer therapy. However, their large molecular weight causes slow blood clearance, often requiring weeks to be removed from circulation. This limitation affects companion nuclear imaging and antibody-based diagnostics, necessitating delayed imaging. We report the expansion of a methodology improving positron emission tomography (PET) contrast of the lymphoma biomarker CD20 at early time points after radiolabeled antibody administration. Intact radioimmunoconjugates are allowed to stay in circulation long enough to accumulate in tumors, and then, using a chemical trigger, we induced rapid clearance of the radioactivity from non-target tissues by cleaving the linker between the antibody and the radioactivity. For brevity, we refer to the this as the Tetrazine KnockOut (TKO) method which uses the transcyclooctene-tetrazine (TCO-Tz) reaction, wherein an antibody is conjugated with linker containing TCO and a radioisotope.

resultsWe optimized the TCO linker with several different radioisotopes and evaluated the ability of tetrazines to knockout radioactivity from circulating antibodies. We explored several cell types and antibodies with varying internalization rates, to characterize the parameters of TKO and tested [

conclusionThe TKO approach potentiates early imaging of rituximab radioimmunoconjugates and has translational potential for lymphoma imaging.

Indexed as

BiorthogonalClick chemistryRadioimmunoconjugateTumor imaging

Identifiers

PMID40122966
PMCPMC11930911

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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.