IN111

Other Medications

Description

IN111 is an investigational medication being studied in clinical trials, specifically in the context of colorectal cancer. It is being investigated as part of a treatment approach called pretargeted radioimmunotherapy. This approach involves using a special antibody (like IMP-288) that targets cancer cells expressing CEA (Carcinoembryonic Antigen, a protein often found on colorectal cancer cells). This antibody is first labeled with a radioactive isotope, In111, and given to the patient (pretherapy cycle). Following this, the patient receives a second component, often a radioactive isotope like Lutetium-177 (Lu177) attached to a peptide (like Tf2), which is designed to bind to the antibody already attached to the cancer cells. The goal is to deliver a high dose of radiation specifically to the tumor cells, potentially minimizing damage to healthy tissues. IN111 is used in the initial imaging step (pretherapy cycle) to assess the targeting of the antibody before the therapeutic dose of radiation is delivered with Lu177. This is an early-phase trial (Phase 1), meaning it is primarily focused on determining the safety and feasibility of this approach in a small number of patients.

Mechanism of Action

IN111 is a radioactive isotope (Indium-111). In this context, it is used as part of a pretargeted radioimmunotherapy strategy. It is attached to an antibody (IMP-288) that targets CEA, a protein often found on the surface of colorectal cancer cells. The In111-labeled antibody is administered first. This step serves primarily as an imaging procedure to confirm that the antibody effectively targets the tumor cells and to determine the appropriate dose for the subsequent therapeutic step. The In111 isotope emits gamma rays, which can be detected by imaging equipment to visualize the distribution of the antibody in the body.

Side Effects

As IN111 is used in a pretherapy imaging cycle before the main therapeutic dose (often Lu177) The side effects associated with this initial step are generally related to the administration of a radioactive substance and the antibody itself. These might include mild reactions related to the infusion or the antibody. The primary goal of the Phase 1 trial is to assess the safety of this approach Including the potential side effects of the In111 pretherapy cycle and the subsequent therapeutic component (like Lu177). Specific side effects related to In111 administration in this context are still being evaluated in ongoing trials But generally Exposure to radioactive isotopes carries potential risks that are carefully monitored in clinical studies.

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT00860860 Phase 1
Archived
Study of Pretargeted Radioimmunotherapy of a Anti-CEA Bispecific Antibody and Lu177-labeled Peptide in Colorectal Cancer
Netherlands