Oncology
Overview
Bringing new cancer therapies to the market is a complex and challenging process that requires a partner that can support you every step of the way. Invicro combines operational excellence with extensive scientific and medical expertise to support you with preclinical work through late phase clinical trials. Our consultative approach allows us to design, execute and deliver results that can be used to make critical decisions across all stages of the cancer drug development continuum. We have experience working with a wide-range of therapeutics, including small molecules, peptides, antibodies, multi-specific proteins, CAR-T cells and many more. Our comprehensive oncology biomarker services, include:
Invicro's Oncology Leaders
Kenneth Bloom, M.D., F.C.A.P.| CMO, Pathology and Genomic Services
Dr. Bloom serves as the Chief Medical Officer for Advanced Pathology and Genomic Services at Invicro and Ambry Genetics, both REALM IDx™ companies. Dr. Bloom brings more than 30 years of clinical and business experience in pathology, oncology, telemedicine and bioinformatics. His role is to expand, strengthen and commercialize the full-suite of precision medicine capabilities offered within the pathology and genomics markets for Invicro and Ambry Genetics.
Jacob Hesterman, Ph.D. | CTO and Founding Partner
Dr. Hesterman has over 10 years of experience in instrumentation development, image processing, and quantification. As CTO, Dr. Hesterman manages a large technical team of engineers, scientists, and mathematicians, comprising Invicro’s software and analytics teams. He has overseen the development of Invicro’s image processing platform supporting translational and clinical analysis in PET, MR, CT and histology across multiple disease areas. Dr. Hesterman also oversees Invicro’s software platform, including the iPACS® data management and VivoQuant™ image processing applications.
Phillip Kuo, M.D., Ph.D. | Senior Medical Director, Scientific and Medical Services
Dr. Kuo is board-certified in Internal Medicine and Radiology with a special certification in Nuclear Medicine. Prior to taking on the role of Senior Medical Director for Invicro, he was Chief of Nuclear Medicine at a university medical center for 10 years. Dr. Kuo has more than 100 publications and has served as principal investigator and co-principal investigator on multiple NIH grants and investigator-initiated trials. His experience includes design and supervision of phase I-III clinical trials including theranostics with PET, SPECT, MRI, and radiotherapeutics. Dr. Kuo’s experience also includes participation in USFDA and EMA meetings for regulatory approval. As a reader for clinical trials, he has reviewed over ten thousand scans for oncology or neurology.
Gisela Montgomery, M.D., Ph.D. | Medical Director, Scientific and Medical Services
Dr. Montgomery has seven years of national and international experience in phase I-IV breast cancer clinical imaging trials, and has published several scientific peer-reviewed manuscripts in journals, such as Radiology and European Radiology, as first author. She has expertise in protocol design, statistical analysis, imaging evaluation, oncology response criteria, regulatory affairs, artificial intelligence and business development.
Radiopharmaceutical Therapy & Theranostics
Overview
Radiopharmaceutical therapies represent an effective way to treat solid cancers by using tumor targeting small molecules, peptides or biologics to deliver a cytotoxic payload that induces DNA damage in tumor cells, while limiting damage to normal and healthy tissue.
Streamlined development, evaluation and clinical translation of radiopharmaceuticals requires a partner that has extensive scientific, regulatory and operational expertise. Working with a CRO that provides a complete solution ensures data is delivered in a timely manner to make a go/no-go decision on your imaging or
therapeutic candidates.
Services Include:
- Radiochemistry development – conjugation, radiolabeling, stability and immunoreactivity
- Preclinical proof-of-concept studies – biodistribution, efficacy, toxicology
- Investigational New Drug (IND)/Clinical Trial Application (CTA) submission support with clinical protocol development
- Single-site, first-in-human through multi-site, late phase clinical study support
- Good manufacturing practice (GMP) radiochemistry development and production support for imaging agents
- Preclinical and clinical dosimetry and advanced quantitative image analysis
Watch Theranostics Panel Discussion
Info Sheet – Radiopharmaceutical Therapy
Imaging/Theranostic Agent Development Process
Capabilities
Radiochemistry
Our team has experience with novel and commercially available radioisotopes used for targeted radiotherapy. Our capabilities for novel radiotracers span preclinical to first-in-human clinical studies and GMP production with Invicro’s CMO partners. Invicro has experience working with the following isotopes:
- 225Ac
- 177Lu
- 131I
- 111ln
- 68Ga/177Lu
- 111In/225Ac
- 203Pb/212Pb
- 67Cu/64Cu
Preclinical Solutions
Bringing new therapeutic radiopharmaceuticals to the market is a complex and challenging process. When filing an Investigational New Drug (IND) or Clinical Trial Application (CTA) prior to the initiation of human trials, it is crucial to have strong non-clinical data to support a new candidate. Invicro provides complete preclinical support of your project, including:
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- Study design and consultation
- Radiolabeling/conjugation to support alpha, beta, and gamma emitting isotopes
- in vitro/ex vivo cell and tissue-based assays
- Primary pharmacology studies to demonstrate MOA
- in vivo Imaging model development to support theranostic imaging
- Advanced image analytics
- Dosimetry
- IND support
- Development of chemistry, manufacturing and controls package for imaging agents
Early/Late Phase Clinical
Seamless transition of your radiopharmaceutical into the clinic requires an imaging partner with experience supporting first-in-human, single-site and late phase, multi-site global clinical studies. Invicro has the unique blend of scientific expertise and operational experience to deliver on studies from Phase 0-IV. Clinical radiopharmaceutcal therapeutic development services include:
- First-in-human, single-site clinical trial support
- Study design and consultation
- Criteria-based centralized independent reviews and internal analysis
- Late stage, global multi-center clinical trial support with response criteria reads
- Advanced image analytics including dosimetry
- Safety profile and therapeutic efficacy studies
Dosimetry and Advanced Analytics
Our in-house image analytics team has experience supporting preclinical and clinical radiopharmaceutical therapy studies, spanning from customized and automated image processing techniques using deep learning to dosimetry analysis for safety profile analysis. Some advanced image analytic techniques include:
- Algorithms for automated and semi automated lesion identification
- Image quality control and co-registration
- Preclinical dosimetry safety studies and validated clinical workflows
- Extrapolating dosimetry of therapeutics from imaging agents
- Expertise across various species, radionuclides and novel administration routes
Discovery and Preclinical Capabilities
Invicro’s discovery and preclinical services team provides study design, study execution and data analysis services for a broad-range of solid and non-solid tumor studies. Our preclinical oncology team uses state-of-the-art imaging techniques to characterize the behavior of novel therapies, including antibodies, radioligand therapies, peptides, cell therapies (e.g., CAR-T), exosomes and other tumor-targeting modalities in diverse tumor model types (e.g., subcutaneous, orthotopic, metastatic). Non-clinical work supported by Invicro can be used to move into first-in-human studies to late-stage clinical multicenter trials. Our core capabilities include the measurement of multiple readouts, including:
- Biodistribution of test articles
- Target density/engagement
- Pharmacokinetics (PK)
- Pharmacodynamics (PD)
- Tumor growth properties
- Therapeutic efficacy
- Dosimetry
Clinical Capabilities
Invicro’s clinical team has expertise in medical imaging and a vast range of tools to support your cancer drug discovery and development needs. With over 200 scientists and 3,500+ qualified imaging centers and clinical sites across the globe, Invicro has the advanced scientific, medical and regulatory expertise and project management scale to deliver studies from Phase 0-IV. Our technology platforms support key decision-making in:
- First-in-human, single-site clinical trial support
- Late stage, global multi-center clinical trial support with response criteria reads
- Advanced image analytics including dosimetry
- Safety profile and therapeutic efficacy studies
- Study design and consultation
- Criteria-based centralized independent reviews and internal analysis
Our imaging core lab offers criteria-driven reads for standard-of-care projects and our state-of-the-art in-house software enables 3D region-of-interest generation to support quantitative analysis methods, such as PERCIST. We also partner with subspecialist independent readers that focus on specific areas of expertise. Some of the validated criteria examples include:
- RECIST 1.0/1.1
- PCWG 2.0/3.0
- RANO
- LUGANO
- IMWG
- CHESON
- iRECIST
- irRECIST
- LYRIC
- irRC
Quantitative Oncology Image Analytics
Invicro’s medical image analysis team supports standard analysis of FDG PET imaging, including PERCIST and other SUV-based metrics, metabolic tumor volume and total lesion glycolysis. The image analysis team also specializes in developing and applying a broad range of tools to support advanced quantitative oncology tracer characterization and analytics across a broad range of modalities and studies. Some examples include:
- Powerful, multi-modal tumor and organ Segmentation tools
- A range of flexible Biomathematical Modeling tools
- Dosimetry calculations across radionuclide, administration route, and species
- Integrated Radiomics pipelines using standard and custom feature vectors
- Preclinical and clinical support for Tracer Characterization
- Sophisticated batch Image Triage and preprocessing methods
For more information, check out some of our most popular case studies. A full list is also available in our case studies section.
Radiochemistry
Invicro’s radiochemistry team has experience with most commercially available radioisotopes used for PET/SPECT imaging and several used in targeted radiotherapy. Our capabilities span from first-in-human clinical studies to GMP implementation of novel radiotracers, including:
- A Microdose PET Study of the Safety, Immunogenicity, Biodistribution, and Radiation Dosimetry of 18F-FB-A20FMDV2 for Imaging the Integrin αvβ
- Clinical Translation of a Click-Labeled 18F-Octreotate Radioligand for Imaging Neuroendocrine Tumors
- 18F-ICMT-11, a Caspase-3–Specific PET Tracer for Apoptosis: Biodistribution and Radiation Dosimetry
- Biodistribution and radiation dosimetry of deuterium-substituted 18F-fluoromethyl-[1, 2-2H4]choline in healthy volunteer
Advanced Pathology Services
Invicro provides comprehensive pathology services to support all phases of oncology and immuno-oncology drug development applications. Our multidisciplinary team of scientific and medical experts provide a unique approach by leveraging cutting-edge and proprietary molecular pathology detection and analysis technologies. From experimental design to developing and validating biomarker assays, we deliver actionable insights in both a research and CAP-CLIA environment. Our capabilities include:
- Core histology
- Specialty stains
- Multiplex Immunohistochemistry (IHC)
- Multiplex Immunofluorescence (IF)
- RNAScope® ISH
- BaseScope™ ISH
- CAP/CLIA assay development and validation
- Quanticell™ High sensitivity Immunohistochemistry (IHC)
- Pathologist interpretation
- Whole Slide Imaging (WSI)
- Image analysis
- Companion Diagnostic (CDx) development
- Digital biomarker development
Thought Leadership Content
Webinars
The Resurgence of Theranostics: Challenges and Successes of Clinical Application
Translating Radiolabeled Biologics – Strategies for Successful IND Submission
EXPLORER as a Transformational Imaging Technology for Drug Development
Segmentation of Lesions in Whole-Body PET/CT Using Deep Learning
Utilizing Imaging Agent Biomarkers for Improved Patient Management – Challenges and Successes
PSMA: Imaging Biomarker Development
The Changing Landscape of Response Assessment in Oncology
Imaging Biomarkers in Metastatic Prostate Cancer
Case Studies
Radiolabeling of a DOTA Conjugate Antibody for Theranostic Applications
Preclinical development and first-in-human study of 68Ga-MLN6907
Antigen Density Estimation – Clinical PET/CT Protocol Design for a First-In-Human Diagnostic Peptide
Infographics
Radiopharmaceutical Drug Development
Complete Radiopharmaceutical Therapy Services