Purpose: The aim of this article was to evaluate the use of a novel engineered anti-CD20 protein based on the 10 kDa human fibronectin type 3 domain (FN3) and subsequently compare with 64 Cu-rituximab for positron emission tomography (PET) imaging of CD20. Results: In vitro assay demonstrated FN3 binds CD20 with 20 nmol/L affinity on CD20-expressing cells. 64 Cu-FN3 CD20 showed clear, high-contrast visualization of huCD20-expressing B cells in the spleen of transgenic mice as early as 1 hour postinjection [38 AE 3% injected dose (ID)/g] and exhibited a spleen-toblood ratio of 13 by 4 hours. This is higher uptake (P ¼ 0.04) and 10-fold greater signal-to-background (P ¼ 0.04) than the 64 Cu-rituximab antibody radiotracer. Tumor uptake (16.8 AE 1.6 vs. 5.6 AE 1.4%ID/g) and tumor:background ratios were superior for FN3 CD20 relative to rituximab in xenograft studies as well.
Conclusions:The 64 Cu-Do-FN3 CD20 radiotracer represents a novel small, high-affinity binder for imaging human CD20, which may be well suited for B-cell non-Hodgkin's lymphoma imaging in patients at early time points.