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Published in: Molecular Imaging and Biology 3/2016

01-06-2016 | Research Article

Convenient Preparation of [68Ga]DKFZ-PSMA-11 Using a Robust Single-Vial Kit and Demonstration of Its Clinical Efficacy

Authors: Drishty Satpati, Ajit Shinto, K. K. Kamaleshwaran, Surekha Sane, Sharmila Banerjee

Published in: Molecular Imaging and Biology | Issue 3/2016

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Abstract

Purpose

[68Ga]DKFZ-PSMA-11 has proved to be an important diagnostic radiotracer for targeting prostate-specific membrane antigen (PSMA) overexpression in both recurrent prostate cancer (PC) and relevant metastatic sites. However, the widespread, routine clinical use of such a potential radiopharmaceutical demands availability of a ready-to-use kit formulation to enable convenient radiopharmaceutical preparation. Herein, we report the development of a freeze-dried kit vial for the formulation of [68Ga]DKFZ-PSMA-11 and its clinical use in patients using a “shake-bake-inject” methodology.

Procedures

The freeze-dried kit vial was developed after optimization of ligand content (PSMA-11) and pH conditions. The kit was formulated using 68Ga from two different commercially available generators. Positron emission tomography/X-ray computed tomography (PET/CT) images of PC patients were obtained using the kit-formulated radiotracer.

Results

[68Ga]DKFZ-PSMA-11 was prepared in >98 % radiochemical yield and purity using the freeze-dried kit vials. Kits were optimized for the preparation of four patient doses. The clinical utility was evaluated in patients with histologically confirmed prostate cancer, and the images were of good quality as well as conforming to tumor marker and clinical expectations.

Conclusion

The development of a simple and ready-to-use freeze-dried DKFZ-PSMA-11 kit for the preparation of Ga-68-based radiotracers constitutes a major step towards the expedition of the widespread and economical screening of PC patients.
Literature
1.
go back to reference Silver DA, Pellicer I, Fair WR et al (1997) Prostate-specific membrane antigen expression in normal and malignant human tissues. Clin Cancer Res 3:81–85PubMed Silver DA, Pellicer I, Fair WR et al (1997) Prostate-specific membrane antigen expression in normal and malignant human tissues. Clin Cancer Res 3:81–85PubMed
2.
go back to reference Perner S, Hofer MD, Kim R et al (2007) Prostate-specific membrane antigen expression as a predictor of prostate cancer progression. Hum Pathol 38:696–701CrossRefPubMed Perner S, Hofer MD, Kim R et al (2007) Prostate-specific membrane antigen expression as a predictor of prostate cancer progression. Hum Pathol 38:696–701CrossRefPubMed
3.
go back to reference Apolo AB, Pandit-Taskar N, Morris MJ (2008) Novel tracers and their development for the imaging of metastatic prostate cancer. J Nucl Med 49:2031–2041CrossRefPubMedPubMedCentral Apolo AB, Pandit-Taskar N, Morris MJ (2008) Novel tracers and their development for the imaging of metastatic prostate cancer. J Nucl Med 49:2031–2041CrossRefPubMedPubMedCentral
4.
go back to reference Hillier SM, Maresca KP, Femia FJ et al (2009) Preclinical evaluation of novel glutamate urea-lysine analogues that target prostate-specific membrane antigen as molecular imaging pharmaceuticals for prostate cancer. Cancer Res 69:6932–6940CrossRefPubMedPubMedCentral Hillier SM, Maresca KP, Femia FJ et al (2009) Preclinical evaluation of novel glutamate urea-lysine analogues that target prostate-specific membrane antigen as molecular imaging pharmaceuticals for prostate cancer. Cancer Res 69:6932–6940CrossRefPubMedPubMedCentral
5.
go back to reference Maresca KP, Hillier SM, Femia FJ et al (2009) A series of halogenated heterodimeric inhibitors of prostate specific membrane antigen (PSMA) as radiolabeled probes for targeting prostate cancer. J Med Chem 52:347–357CrossRefPubMed Maresca KP, Hillier SM, Femia FJ et al (2009) A series of halogenated heterodimeric inhibitors of prostate specific membrane antigen (PSMA) as radiolabeled probes for targeting prostate cancer. J Med Chem 52:347–357CrossRefPubMed
6.
go back to reference Banerjee SR, Pullambhatla M, Foss CA et al (2014) 64Cu-labeled inhibitors of prostate-specific membrane antigen for PET imaging of prostate cancer. J Med Chem 57:2657–2669CrossRefPubMedPubMedCentral Banerjee SR, Pullambhatla M, Foss CA et al (2014) 64Cu-labeled inhibitors of prostate-specific membrane antigen for PET imaging of prostate cancer. J Med Chem 57:2657–2669CrossRefPubMedPubMedCentral
7.
go back to reference Szabo Z, Mena E, Rowe SP et al (2015) Initial evaluation of [F]DCFPyL for prostate specific membrane antigen (PSMA)-targeted PET imaging of prostate cancer. Mol Imaging Biol 17:565–574CrossRefPubMedPubMedCentral Szabo Z, Mena E, Rowe SP et al (2015) Initial evaluation of [F]DCFPyL for prostate specific membrane antigen (PSMA)-targeted PET imaging of prostate cancer. Mol Imaging Biol 17:565–574CrossRefPubMedPubMedCentral
8.
go back to reference Banerjee SR, Pullambhatla M, Foss CA et al (2013) Effect of chelators on the pharmacokinetics of 99mTc-labeled imaging agents for the prostate-specific membrane antigen (PSMA). J Med Chem 56:6108–6121CrossRefPubMedCentral Banerjee SR, Pullambhatla M, Foss CA et al (2013) Effect of chelators on the pharmacokinetics of 99mTc-labeled imaging agents for the prostate-specific membrane antigen (PSMA). J Med Chem 56:6108–6121CrossRefPubMedCentral
9.
go back to reference Vallabhajosula S, Nikolopoulou A, Babich JW et al (2014) 99mTc-labeled small-molecule inhibitors of prostate-specific membrane antigen: pharmacokinetics and biodistribution studies in healthy subjects and patients with metastatic prostate cancer. J Nucl Med 55:1791–1798CrossRefPubMed Vallabhajosula S, Nikolopoulou A, Babich JW et al (2014) 99mTc-labeled small-molecule inhibitors of prostate-specific membrane antigen: pharmacokinetics and biodistribution studies in healthy subjects and patients with metastatic prostate cancer. J Nucl Med 55:1791–1798CrossRefPubMed
10.
go back to reference Hillier SM, Maresca KP, Lu G et al (2013) 99mTc-labeled small-molecule inhibitors of prostate-specific membrane antigen for molecular imaging of prostate cancer. J Nucl Med 54:1369–1376CrossRefPubMed Hillier SM, Maresca KP, Lu G et al (2013) 99mTc-labeled small-molecule inhibitors of prostate-specific membrane antigen for molecular imaging of prostate cancer. J Nucl Med 54:1369–1376CrossRefPubMed
11.
go back to reference Barrett JA, Coleman RE, Goldsmith SJ et al (2013) First-in-man evaluation of two high-affinity PSMA-avid small molecules for imaging prostate cancer. J Nucl Med 54:380–387CrossRefPubMed Barrett JA, Coleman RE, Goldsmith SJ et al (2013) First-in-man evaluation of two high-affinity PSMA-avid small molecules for imaging prostate cancer. J Nucl Med 54:380–387CrossRefPubMed
12.
go back to reference Afshar-Oromieh A, Haberkorn U, Schlemmer HP et al (2014) Comparison of PET/CT and PET/MRI hybrid systems using a 68Ga-labelled PSMA ligand for the diagnosis of recurrent prostate cancer: initial experience. Eur J Nucl Med Mol Imaging 41:887–897CrossRefPubMed Afshar-Oromieh A, Haberkorn U, Schlemmer HP et al (2014) Comparison of PET/CT and PET/MRI hybrid systems using a 68Ga-labelled PSMA ligand for the diagnosis of recurrent prostate cancer: initial experience. Eur J Nucl Med Mol Imaging 41:887–897CrossRefPubMed
13.
go back to reference Afshar-Oromieh A, Malcher A, Eder M et al (2013) PET imaging with a [68Ga]gallium labeled PSMA ligand for the diagnosis of prostate cancer: biodistribution in humans and first evaluation of tumour lesions. Eur J Nucl Med Mol Imaging 40:486–495CrossRefPubMed Afshar-Oromieh A, Malcher A, Eder M et al (2013) PET imaging with a [68Ga]gallium labeled PSMA ligand for the diagnosis of prostate cancer: biodistribution in humans and first evaluation of tumour lesions. Eur J Nucl Med Mol Imaging 40:486–495CrossRefPubMed
14.
go back to reference Afshar-Oromieh A, Avtzi E, Giesel FL et al (2015) The diagnostic value of PET/CT imaging with the 68Ga-labelled PSMA ligand HBED-CC in the diagnosis of recurrent prostate cancer. Eur J Nucl Med Mol Imaging 42:197–209CrossRefPubMedPubMedCentral Afshar-Oromieh A, Avtzi E, Giesel FL et al (2015) The diagnostic value of PET/CT imaging with the 68Ga-labelled PSMA ligand HBED-CC in the diagnosis of recurrent prostate cancer. Eur J Nucl Med Mol Imaging 42:197–209CrossRefPubMedPubMedCentral
15.
go back to reference Eiber M, Maurer T, Souvatzoglou M et al (2015) Evaluation of hybrid 68Ga-PSMA ligand PET/CT in 248 patients with biochemical recurrence after radical prostatectomy. J Nucl Med 56:668–674CrossRefPubMed Eiber M, Maurer T, Souvatzoglou M et al (2015) Evaluation of hybrid 68Ga-PSMA ligand PET/CT in 248 patients with biochemical recurrence after radical prostatectomy. J Nucl Med 56:668–674CrossRefPubMed
16.
go back to reference Sanchez-Crespo A, Andreo P, Larsson SA (2004) Positron flight in human tissues and its influence on PET image spatial resolution. Eur J Nucl Med Mol Imaging 31:44–51CrossRefPubMed Sanchez-Crespo A, Andreo P, Larsson SA (2004) Positron flight in human tissues and its influence on PET image spatial resolution. Eur J Nucl Med Mol Imaging 31:44–51CrossRefPubMed
17.
go back to reference Velikyan I (2015) 68Ga-based radiopharmaceuticals: production and application relationship. Molecules 20:12913–12943CrossRefPubMed Velikyan I (2015) 68Ga-based radiopharmaceuticals: production and application relationship. Molecules 20:12913–12943CrossRefPubMed
19.
go back to reference Morgat C, Hindie E, Mishra AK et al (2013) Gallium-68: chemistry and radiolabeled peptides exploring different oncogenic pathways. Cancer Biother Radiopharm 28(2):85–97CrossRefPubMed Morgat C, Hindie E, Mishra AK et al (2013) Gallium-68: chemistry and radiolabeled peptides exploring different oncogenic pathways. Cancer Biother Radiopharm 28(2):85–97CrossRefPubMed
20.
go back to reference Price EW, Orvig C (2014) Matching chelators to radiometals for radiopharmaceuticals. Chem Soc Rev 43:260–290CrossRefPubMed Price EW, Orvig C (2014) Matching chelators to radiometals for radiopharmaceuticals. Chem Soc Rev 43:260–290CrossRefPubMed
21.
go back to reference Le VS (2013) 68Ga generator integrated system: elution-purification-concentration integration. Recent Results Cancer Res 194:43–75CrossRefPubMed Le VS (2013) 68Ga generator integrated system: elution-purification-concentration integration. Recent Results Cancer Res 194:43–75CrossRefPubMed
22.
23.
go back to reference Vis R, Lavalaye J, van de Garde EMW (2015) GMP-compliant 68Ga radiolabelling in a conventional small-scale radiopharmacy: a feasible approach for routine clinical use. EJNMMI Res 5:27–34CrossRefPubMedPubMedCentral Vis R, Lavalaye J, van de Garde EMW (2015) GMP-compliant 68Ga radiolabelling in a conventional small-scale radiopharmacy: a feasible approach for routine clinical use. EJNMMI Res 5:27–34CrossRefPubMedPubMedCentral
24.
go back to reference Dumont RA, Deininger F, Haubner R et al (2011) Novel 64Cu- and 68Ga-labeled RGD conjugates show improved PET imaging of αvβ3 integrin expression and facile radiosynthesis. J Nucl Med 52:1276–1284CrossRefPubMed Dumont RA, Deininger F, Haubner R et al (2011) Novel 64Cu- and 68Ga-labeled RGD conjugates show improved PET imaging of αvβ3 integrin expression and facile radiosynthesis. J Nucl Med 52:1276–1284CrossRefPubMed
25.
go back to reference Le VS (2012) 68Ga generator integrated system: elution-purification-concentration integration. In: Theranostics, gallium-68, and other radionuclides: a pathway to personalized diagnosis and treatment. In: Baum RP, Rösch F (eds) Springer Science and Business Media pp 43-76 Le VS (2012) 68Ga generator integrated system: elution-purification-concentration integration. In: Theranostics, gallium-68, and other radionuclides: a pathway to personalized diagnosis and treatment. In: Baum RP, Rösch F (eds) Springer Science and Business Media pp 43-76
26.
go back to reference Eder M, Neels O, Müller M (2014) Novel preclinical and radiopharmaceutical aspects of [68Ga]Ga-PSMA-HBED-CC: a new PET tracer for imaging of prostate cancer. Pharmaceuticals 7:779–796CrossRefPubMedPubMedCentral Eder M, Neels O, Müller M (2014) Novel preclinical and radiopharmaceutical aspects of [68Ga]Ga-PSMA-HBED-CC: a new PET tracer for imaging of prostate cancer. Pharmaceuticals 7:779–796CrossRefPubMedPubMedCentral
28.
go back to reference Liu S, Edwards DS (1999) 99mTc-labeled small peptides as diagnostic radiopharmaceuticals. Chem Rev 99:2235–2268CrossRefPubMed Liu S, Edwards DS (1999) 99mTc-labeled small peptides as diagnostic radiopharmaceuticals. Chem Rev 99:2235–2268CrossRefPubMed
29.
go back to reference James ML, Gambhir SS (2012) A molecular imaging primer: modalities, imaging agents, and applications. Physiol Rev 92:897–965CrossRefPubMed James ML, Gambhir SS (2012) A molecular imaging primer: modalities, imaging agents, and applications. Physiol Rev 92:897–965CrossRefPubMed
30.
go back to reference Ebenhan T, Mariza Vorster M, Biljana Marjanovic-Painter B et al (2015) Development of a single vial kit solution for radiolabeling of 68Ga-DKFZ-PSMA-11 and its performance in prostate cancer patients. Molecules 20(8):14860–14878CrossRefPubMed Ebenhan T, Mariza Vorster M, Biljana Marjanovic-Painter B et al (2015) Development of a single vial kit solution for radiolabeling of 68Ga-DKFZ-PSMA-11 and its performance in prostate cancer patients. Molecules 20(8):14860–14878CrossRefPubMed
31.
go back to reference Artigas C, WimanaI Z, Ghanem G et al (2015) First clinical experience using a cold kit based 68Ga-PSMA PET/CT for recurrence detection of prostate cancer. EANM Congress, Hamburg, Germany 2015 - Abstract 697 Artigas C, WimanaI Z, Ghanem G et al (2015) First clinical experience using a cold kit based 68Ga-PSMA PET/CT for recurrence detection of prostate cancer. EANM Congress, Hamburg, Germany 2015 - Abstract 697
32.
go back to reference Amor-Coarasa A, Vallabhajosula S, Schoendorf M et al (2015) Synthesis of 68Ga-DOTATOC and 68Ga-PSMA-HBED-CC based on iTG 68Ga generator. J Nucl Med 56(Suppl 3):445 Amor-Coarasa A, Vallabhajosula S, Schoendorf M et al (2015) Synthesis of 68Ga-DOTATOC and 68Ga-PSMA-HBED-CC based on iTG 68Ga generator. J Nucl Med 56(Suppl 3):445
33.
go back to reference Eder M, Neels O, Müller M et al (2014) Novel preclinical and radiopharmaceutical aspects of [68Ga]Ga-PSMA-HBED-CC: a new PET tracer for imaging of prostate cancer. Pharmaceuticals 7(7):779–796CrossRefPubMedPubMedCentral Eder M, Neels O, Müller M et al (2014) Novel preclinical and radiopharmaceutical aspects of [68Ga]Ga-PSMA-HBED-CC: a new PET tracer for imaging of prostate cancer. Pharmaceuticals 7(7):779–796CrossRefPubMedPubMedCentral
Metadata
Title
Convenient Preparation of [68Ga]DKFZ-PSMA-11 Using a Robust Single-Vial Kit and Demonstration of Its Clinical Efficacy
Authors
Drishty Satpati
Ajit Shinto
K. K. Kamaleshwaran
Surekha Sane
Sharmila Banerjee
Publication date
01-06-2016
Publisher
Springer US
Published in
Molecular Imaging and Biology / Issue 3/2016
Print ISSN: 1536-1632
Electronic ISSN: 1860-2002
DOI
https://doi.org/10.1007/s11307-016-0943-z

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