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  <h1 class="pagehead">Molecular Insight Pharmaceuticals’ Trofex Data Published in Journal of Nuclear Medicine </h1>
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  <p><strong>Cambridge, MA, Thursday, July 07, 2011</strong> -  Molecular Insight Pharmaceuticals, Inc.  today announced that data published in the Journal of Nuclear Medicine  demonstrated that Trofex™, [123I]MIP-1072, the Company&rsquo;s lead  molecular imaging candidate for the detection of metastatic prostate  cancer, is capable of tracking changes in tumor volume as tumors shrink  in response to therapeutic intervention, or continue to grow when no  treatment is given or when treatment fails. </p>
<p>Trofex, [123I]MIP-1072, is a radiolabeled small-molecule  inhibitor of prostate-specific membrane antigen (PSMA), an enzyme that  is highly expressed on the surface of prostate cancer cells. Trofex  binds to this enzyme with high affinity and specificity and is  internalized by the cancer cell. The high degree of specific uptake and  retention of Trofex in prostate cancer cells allows for non-invasive  molecular imaging of prostate cancer throughout the body of patients   using conventional nuclear medicine cameras.  Trofex is in clinical  development for imaging metastatic prostate cancer.  In this recently  published study, the ability of Trofex to track changes in tumor mass in  response to chemotherapy was evaluated in an animal model of human  prostate cancer using paclitaxel as the chemotherapy and tumors derived  from human prostate cancer that express PSMA. </p>
  <p>Dr. John W. Babich, President and Chief Scientific Officer of  Molecular Insight, noted, &ldquo;Monitoring the progression of prostate cancer  and the success of therapy remains a considerable clinical challenge.   Trofex is currently being investigated in clinical trials for the  detection of metastatic prostate cancer.  In early clinical trials, this  compound was shown to detect metastatic lesions in both bone and soft  tissue of patients with evidence of metastatic prostate cancer using  multiple imaging techniques.  The data presented in this paper  demonstrate that in a preclinical model, the high specificity of Trofex  is capable of monitoring tumor progression or regression in response to  chemotherapy both in vivo and in vitro.  This is an important  nonclinical demonstration of Trofex&rsquo;s potential utility for monitoring  the effects of therapy, an important component of patient management.   Future studies will examine whether this benefit may be transferred to  the clinic so patients may be monitored before, during, and after  therapeutic intervention—with the ultimate goal of enabling patients to  receive the most appropriate therapy.&rdquo;</p>
  <p><strong>Study summary</strong>:  The data demonstrated a linear correlation between cell number and the magnitude of cellular uptake of [123I]MIP-1072  in vitro using two human tumor prostate cancer cell lines that  displayed different levels of PSMA expression.  Treatment of PSMA  positive human prostate tumor (LNCaP) cells or xenografts with  paclitaxel resulted in growth inhibition which was detected with [123I]MIP-1072.   Paclitaxel promoted a decrease in tumor volume (-21%) compared to an  increase in the untreated xenografts (+205%), without altering PSMA  expression.  Tumor uptake of [123I]MIP-1072 was proportional  to changes in tumor mass decreased by paclitaxel treatment and increased  in untreated mice, and demonstrated a linear correlation (R2 = 0.7605)  between tumor mass and the percent of the injected activity of [123I]MIP-1072 in the tumor.  The high specificity of [123I]MIP-1072  for prostate cancer may allow monitoring of tumor regression or  progression in patients before, during, and after chemotherapy.</p>
  <p>A link to the published manuscript, [123I]MIP-1072, a  Small-Molecule Inhibitor of Prostate-Specific Membrane Antigen, Is  Effective at Monitoring Tumor Response to Taxane Therapy, is currently  available on the Company&rsquo;s website, <a href="http://molecularinsight.com/">www.molecularinsight.com</a>, under the Molecular Medicine tab, Bibliography.</p>
  <p><strong>About Molecular Insight Pharmaceuticals, Inc. </strong><br />
    Molecular Insight Pharmaceuticals is a clinical-stage biopharmaceutical  company and pioneer in molecular medicine.  The Company is focused on  the discovery, development, and commercialization of targeted  therapeutic and imaging radiopharmaceuticals for use in oncology.  For  further information, please visit the Company&rsquo;s website:  <a href="http://molecularinsight.com/">www.molecularinsight.com</a>.</p>
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