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Proceedings Paper

Advancing molecular-guided surgery through probe development and testing in a moderate cost evaluation pipeline
Author(s): Brian W. Pogue; Keith D. Paulsen; Sally M. Hull; Kimberley S. Samkoe; Jason Gunn; Jack Hoopes; David W. Roberts; Theresa V. Strong; Daniel R. Draney; Joachim Feldwisch
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Paper Abstract

Molecular guided oncology surgery has the potential to transform the way decisions about resection are done, and can be critically important in areas such as neurosurgery where the margins of tumor relative to critical normal tissues are not readily apparent from visual or palpable guidance. Yet there are major financial barriers to advancing agents into clinical trials with commercial backing. We observe that development of these agents in the standard biological therapeutic paradigm is not viable, due to the high up front financial investment needed and the limitations in the revenue models of contrast agents for imaging. The hypothesized solution to this problem is to develop small molecular biologicals tagged with an established fluorescent reporter, through the chemical agent approval pathway, targeting a phase 0 trials initially, such that the initial startup phase can be completely funded by a single NIH grant. In this way, fast trials can be completed to de-risk the development pipeline, and advance the idea of fluorescence-guided surgery (FGS) reporters into human testing. As with biological therapies the potential successes of each agent are still moderate, but this process will allow the field to advance in a more stable and productive manner, rather than relying upon isolated molecules developed at high cost and risk. The pathway proposed and tested here uses peptide synthesis of an epidermal growth factor receptor (EGFR)-binding Affibody molecules, uniquely conjugated to IRDye 800CW, developed and tested in academic and industrial laboratories with well-established records for GMP production, fill and finish, toxicity testing, and early phase clinical trials with image guidance.

Paper Details

Date Published: 4 March 2015
PDF: 10 pages
Proc. SPIE 9311, Molecular-Guided Surgery: Molecules, Devices, and Applications, 931112 (4 March 2015); doi: 10.1117/12.2083224
Show Author Affiliations
Brian W. Pogue, Thayer School of Engineering at Darmouth (United States)
Geisel School of Medicine at Dartmouth (United States)
Keith D. Paulsen, Thayer School of Engineering at Dartmouth (United States)
Geisel School of Medicine at Dartmouth (United States)
Sally M. Hull, Thayer School of Engineering at Darmouth (United States)
Kimberley S. Samkoe, Thayer School of Engineering at Darmouth (United States)
Geisel School of Medicine at Dartmouth (United States)
Jason Gunn, Thayer School of Engineering at Dartmouth (United States)
Jack Hoopes, Thayer School of Engineering at Dartmouth (United States)
Geisel School of Medicine at Dartmouth (United States)
David W. Roberts, Thayer School of Engineering at Darmouth (United States)
Geisel School of Medicine at Dartmouth (United States)
Theresa V. Strong, Univ. of Alabama at Birmingham School of Medicine (United States)
Daniel R. Draney, LI-COR Biosciences (United States)
Joachim Feldwisch, Affibody AB (Sweden)


Published in SPIE Proceedings Vol. 9311:
Molecular-Guided Surgery: Molecules, Devices, and Applications
Brian W. Pogue; Sylvain Gioux, Editor(s)

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