Dasatinib, a new-generation Src and
platelet-derived growth factor receptor (PDGFR) inhibitor, is currently under evaluation in high-grade
glioma clinical trials. To achieve optimum physicochemical and/or
biologic properties, alternative
drug delivery vehicles may be needed. We used a novel fluorinated
dasatinib derivative (F-SKI249380), in combination with nanocarrier vehicles and metabolic imaging tools (microPET) to evaluate
drug delivery and uptake in a
platelet-derived growth factor B (
PDGFB)-driven genetically engineered mouse model (GEMM) of high-grade
glioma. We assessed
dasatinib survival benefit on the basis of measured
tumor volumes. Using
brain tumor cells derived from
PDGFB-driven
gliomas, dose-dependent uptake and time-dependent inhibitory effects of F-SKI249380 on
biologic activity were investigated and compared with the parent
drug. PDGFR receptor status and
tumor-specific targeting were non-invasively evaluated in vivo using (18)F-SKI249380 and (18)F-SKI249380-containing micellar and liposomal nanoformulations. A statistically significant survival benefit was found using
dasatinib (95 mg/kg) versus saline vehicle (P < .001) in
tumor volume-matched GEMM pairs. Competitive binding and treatment assays revealed comparable
biologic properties for F-SKI249380 and the parent
drug. In vivo, Significantly higher
tumor uptake was observed for (18)F-SKI249380-containing
micelle formulations [4.9 percentage of the injected dose per gram tissue (%ID/g); P = .002] compared to control values (1.6%ID/g). Saturation studies using excess cold
dasatinib showed marked reduction of
tumor uptake values to levels in normal brain (1.5%ID/g), consistent with in vivo binding specificity. Using (18)F-SKI249380-containing
micelles as radiotracers to estimate therapeutic dosing requirements, we calculated intratumoral
drug concentrations (24-60 nM) that were comparable to in vitro 50% inhibitory concentration values. (18)F-SKI249380 is a PDGFR-selective tracer, which demonstrates improved delivery to
PDGFB-driven high-grade
gliomas and facilitates treatment planning when coupled with nanoformulations and quantitative PET imaging approaches.