RT Journal Article SR Electronic T1 Alkylphosphocholine Analogs for Broad-Spectrum Cancer Imaging and Therapy JF Science Translational Medicine FD American Association for the Advancement of Science SP 240ra75 OP 240ra75 DO 10.1126/scitranslmed.3007646 VO 6 IS 240 A1 Weichert, Jamey P. A1 Clark, Paul A. A1 Kandela, Irawati K. A1 Vaccaro, Abram M. A1 Clarke, William A1 Longino, Marc A. A1 Pinchuk, Anatoly N. A1 Farhoud, Mohammed A1 Swanson, Kyle I. A1 Floberg, John M. A1 Grudzinski, Joseph A1 Titz, Benjamin A1 Traynor, Anne M. A1 Chen, Hong-En A1 Hall, Lance T. A1 Pazoles, Christopher J. A1 Pickhardt, Perry J. A1 Kuo, John S. YR 2014 UL http://stm.sciencemag.org/content/6/240/240ra75.abstract AB Many solid tumors contain an overabundance of phospholipid ethers relative to normal cells. Capitalizing on this difference, we created cancer-targeted alkylphosphocholine (APC) analogs through structure-activity analyses. Depending on the iodine isotope used, radioiodinated APC analog CLR1404 was used as either a positron emission tomography (PET) imaging (124I) or molecular radiotherapeutic (131I) agent. CLR1404 analogs displayed prolonged tumor-selective retention in 55 in vivo rodent and human cancer and cancer stem cell models. 131I-CLR1404 also displayed efficacy (tumor growth suppression and survival extension) in a wide range of human tumor xenograft models. Human PET/CT (computed tomography) and SPECT (single-photon emission computed tomography)/CT imaging in advanced-cancer patients with 124I-CLR1404 or 131I-CLR1404, respectively, demonstrated selective uptake and prolonged retention in both primary and metastatic malignant tumors. Combined application of these chemically identical APC-based radioisosteres will enable personalized dual modality cancer therapy of using molecular 124I-CLR1404 tumor imaging for planning 131I-CLR1404 therapy.