# Bispecific Antibody-Based PET Ligands for Imaging Tauopathies

> **NIH NIH R21** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2020 · $211,875

## Abstract

PROJECT SUMMARY
Alzheimer's disease (AD) is characterized by misfolding and aggregation of two major proteins, amyloid-beta
(Aβ) and tau. While Aβ aggregation occurs years before clinical symptoms, tau accumulation in the brain is
more closely correlated to the neuronal death and eventually the loss of cognitive function. In addition, tau
inclusions are also found in other dementias, such as frontotemporal dementias and corticobasal degeneration.
Thus, the ability to in vivo image tau would be important for clinical diagnosis and to evaluate effects of tau-
targeted treatments. Earlier candidate radioligands for imaging tauopathies have been based on small-
molecule drug compounds; however, these radioligands have displayed large degrees of off-target binding and
an inability to bind to tau in dementias other than AD. On the other hand, single-chain variable antibody
fragments (scFv) are attractive as therapy or diagnostic positron emission tomography (PET) markers for their
greater specificity and high-affinity binding. Aβ plaque imaging probes derived from β-sheet binding dyes are
already in clinical use, and a few such tau-binding dyes are being evaluated for cancer detection. Antibody-
derived probes are likely to provide greater specificity for detecting tau lesions; however, their poor brain
penetrance has restricted their use as PET ligands for imaging of targets within the CNS. Previously, we have
successfully demonstrated that the transport of antibody scFv across the blood-brain barrier (BBB) can be
facilitated through interaction with the transferrin receptor (TfR), and that the bispecific antibody-based PET
ligands generated by fusion of fragments of TfR and Aβ antibodies were capable of detecting Aβ aggregates in
vivo with distinctive differences, both quantitatively and visually, in brain uptake between wild type and
transgenic mice, and with a good correlation with Aβ pathology. In fact, a humanized form (BAN2401) of our
previously developed monoclonal antibody mAb158 showed promising results, for the first time, in a Phase IIb
clinical trial as an anti-Aβ therapy against AD due to its distinctive selectivity for soluble Aβ protofibrils. Thus, in
this proposal we will apply the same strategy to create, for the first time, bispecific antibody-based PET
ligands for selective in vivo imaging of tauopathies. In this application, we have assembled a team of
experts from the US and Sweden and we propose to build upon our experience in the development, evaluation
and translation of PET tau probes to prioritize the initial tau antibody ligand collection based on their PET
imaging performance profiles and select two optimal tau antibody ligands for the subsequent discriminative
evaluation in tau animal models. That is, we will determine their capability as biomarkers to provide meaningful
assessments of target engagement in animal models. The research team has extensive, multi-disciplinary
experience in chemistry, biochemistry, pharmacology...

## Key facts

- **NIH application ID:** 9989747
- **Project number:** 5R21AG064474-02
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** YU-SHIN DING
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $211,875
- **Award type:** 5
- **Project period:** 2019-09-01 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9989747

## Citation

> US National Institutes of Health, RePORTER application 9989747, Bispecific Antibody-Based PET Ligands for Imaging Tauopathies (5R21AG064474-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9989747. Licensed CC0.

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