Vascular-targeted photodynamic therapy
Vascular-targeted photodynamic therapy (VTP) is the latest form of PDT. It was initially developed by Avigdor Scherz (Weizmann Institute of Science), and it’s now owned by Steba Biotech. VTP agent Tookad was clinically approved for low-risk prostate cancer in Europe, Mexico, and Israel after successful multi-center Phase 3 trials. Phase 2 trial has been recently conducted at MSK for intermediate risk prostate cancer by Dr. Jonathan Coleman. VTP is also being investigated for other indications, such as for upper tract urothelial carcinoma in an ongoing Phase 1 trial at MSK. Ongoing preclinical studies explore vascular effects to VTP by optoacoustic and PET imaging as well as improving efficacy by combining VTP with other therapies like immune checkpoint (PD-1/PD-L1) inhibition and androgen deprivation therapy.
Dr. Jonathan Coleman has lead clinical VTP trials at MSKCC.
Motivation for the study
Current imaging methods such as MRI, CT, ultrasound or intravital microscopy are either limited by invasiveness or by low special resolution for monitoring vascular responses to VTP therapy. In contrast, raster-scanning optoacoustic mesoscopy (RSOM) imaging has potential to provide non-invasively high-resolution images and was evaluated here for monitoring vascular responses to VTP in mice with subcutaneous CT26 xenografts.
Mechanism of action
WST-11 (Tookad soluble) is administered intravenously and spontaneously forms a noncovalent complex with serum albumin, which circulates in the blood with minimal extravasation to adjacent tissues.
Padeliporfin accumulates in endothelial cells, and upon illumination with the 753 nm laser light, it generates an intense local release of cytotoxic reactive oxygen species (ROS).
ROS cause damage in the vascular environment, resulting in complete tumor collapse. This therapy preserves adjacent structures and yields excellent functional results.
Graphs from the original publication. Reproduced with permission from the contact author of the publication.
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