阅读说明：本技术 结合psma的双模式放射性示踪剂及治疗剂 (Dual mode radiotracers and therapeutic agents that bind PSMA ) 是由 A·J·乌泽尔 H-J·韦斯特 M·J·艾贝尔 于 2020-01-30 设计创作，主要内容包括：本发明涉及根据式(V)的化合物或其药学上可接受的盐：其任选地包含螯合的放射性阳离子并且其中F任选地为～(18)F。(The present invention relates to a compound according to formula (V) or a pharmaceutically acceptable salt thereof: optionally comprising a chelated radioactive cation and wherein F is optionally 18 F。)

1. A compound according to formula (V):

which comprises a chelated radioactive cation or wherein F is optionally¹⁸F。

2. A compound according to claim 1 of formula (Va):

wherein:

each X is independently OH or O^-；

M is a chelated radioactive cation or absent;

and F is optionally¹⁸F。

3. A compound according to claim 1 or claim 2, wherein the chelated radioactive cation is selected from the group consisting of the cations of: sc, Cu, Ga, Y, In, Tb, Ho, Lu, Re, Pb, Bi, Ac, Er and Th.

4. A compound according to claim 3 wherein the chelated radioactive cation is Ga.

5. The compound according to claim 3, wherein the chelated radioactive cation is Lu-177, Y-90 or Ac-225.

6. A method of producing a compound according to claim 1, the method comprising the steps of:

a) reacting a compound of formula (I):

with a compound of formula (II):

reacting to form a compound of formula (III):

wherein PG₁Is tBu, PG₂Is Fmoc and PG₃Is Dde;

and the reaction conditions include the use of a base, wherein the base is 2,4, 6-trimethylpyridine or 2, 6-dimethylpyridine;

b) reacting a compound of formula (III) under conditions suitable to form a compound of formula (IV):

and

c) reacting a compound of formula (IV) under conditions suitable to form compound (V):

7. the process according to claim 6, wherein compound (II) is preactivated by reaction with 2- (1H-benzotriazol-1-yl-) -1,1,3, 3-tetramethyluronium tetrafluoroborate (TBTU), 1-hydroxy-7-azabenzotriazole (HOAt), and 2,4, 6-trimethylpyridine, followed by reaction with compound (I).

8. The method according to claim 7, wherein the preactivation is carried out for 5 minutes or less.

9. A compound of formula (VI) according to claim 1 or claim 2 or a pharmaceutically acceptable salt thereof

10. A compound of formula (VII) according to claim 1 or claim 2 or a pharmaceutically acceptable salt thereof

11. A pharmaceutical or diagnostic composition comprising a compound according to any preceding claim.

12. A conjugate, compound or composition according to any preceding claim for use as a cancer diagnostic or imaging agent.

13. A method of imaging and/or diagnosing cancer, the method comprising administering to a patient in need thereof a conjugate, compound or composition according to any preceding claim.

14. A conjugate, compound or composition according to any preceding claim for use in the treatment of cancer.

15. A conjugate, compound or composition according to any preceding claim, for use in the diagnosis, imaging or prevention of neovascularization/vascularization.

16. A conjugate, compound or composition according to any preceding claim for use as a diagnostic or imaging agent for cancer or for the treatment of cancer, wherein the cancer is prostate cancer, breast cancer, lung cancer, colorectal cancer or renal cell carcinoma.

Description of the drawings:

FIG. 1: exemplary correlations for the 9 reference substances were determined in OriginPro 2016G.

FIG. 2 a: [19F] [ natGa ] -rhPSMA7-rac ([19F ] [ natGa ] D/L-Dap-R/S-DOTAGA-rhPSMA-7-rac), (batch 10, quality control for the production of precursors of [18F ] [ natGa ] D/L-Dap-R/S-DOTAGA-rhPSMA-7) at the nuclear medicine department of TUM HPLC conditions solvent A: H20+ 0.1% TFA, solvent B: MeCN + 0.1% TFA. gradient 25-35% B0-40min, 95-95% B40-45 min, 35-35% B45-50 min, flow rate 1mL/min, column: Nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 2 b: peak assignment: D-Dap-R-DOTAGA-rhPSMA-7.1; rhPSM7-rac from FIG. 2a co-injected with enantiomerically pure D-Dap-R-DOTAGA-rhPSMA-7.1. HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 2 c: HPLC chromatogram of D-Dap-R-DOTAGA-rhPSMA-7.1; HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B0-40min, 95-95% of B40-45 min, 35-35% of B45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 3 a: peak assignment: L-Dap-R-DOTAGA-rhPSMA-7.2; rhPSM7-rac from FIG. 2a co-injected with enantiomerically pure L-Dap-R-DOTAGA-rhPSMA-7.2. HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 3 b: HPLC chromatogram of L-Dap-R-DOTAGA-rhPSMA-7.2; HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 4 a: peak assignment: D-Dap-S-DOTAGA-rhPSMA-7.3; rhPSM7-rac from FIG. 2a co-injected with enantiomerically pure D-Dap-S-DOTAGA-rhPSMA-7.3. HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 4 b: HPLC chromatogram of D-Dap-D-DOTAGA-rhPSMA-7.3; HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 5 a: peak assignment: L-Dap-S-DOTAGA-rhPSMA-7.4; rhPSM7-rac from FIG. 2a co-injected with enantiomerically pure D-Dap-S-DOTAGA-rhPSMA-7.3. HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 5 b: HPLC chromatogram of L-Dap-D-DOTAGA-rhPSMA-7.4; HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA. Gradient: 25-35% of B for 0-40min, 95-95% of B for 40-45min, and 35-35% of B for 45-50 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125x4.6mm, sample: 1mM (DMSO), 10. mu.L.

FIG. 6 a: binding affinities of rhPSMA7.1 and rhPSMA7.2 to PSMA (IC50[ nM ]). LNCaP cells (150000 cells/well) and ((4- [125I ] iodobenzoyl) KuE ([125I ] IB-KuE; c ═ 0.2nM) were used as radioligands (1h, 4 ℃, HBSS + 1% BSA) to determine affinity data expressed as mean ± SD (n ═ 3 in 3 different experiments).

FIG. 6 b: determination of binding affinity [ nM ] of rhPSMA7 isomer to PSMA. Each of the four columns shows individual affinity measurements for rhpsamm 7.1 (left) through rhpsma7.4 (right). The conditions are as described in the description of fig. 6 a.

FIG. 7: a plot of individual IC50[ nM ] measurements shown in FIGS. 6a and 6 b. The value No. 5 of rhpsma7.1 was deleted. The conditions are as described in the description of fig. 6 a.

FIG. 8: an individual internalization measurement value [ 2 [ ]¹²⁵I]IB-KuE]Of]The description of (1). As a reference ligand ([ 2 ]¹²⁵I]I-BA) KuE (c 0.2nM) at 1 hour, determined on LNCaP cells (37 ℃, DMEM F12+ 5% BSA, 125000 cells/well). Data were corrected for non-specific binding (10 μmol PMPA) and expressed as mean ± SD (n ═ 3).

FIG. 9: depiction of individual measurements of logP's of rhPSMA isomers.

FIG. 10: warp beam¹⁸Biodistribution of F-labeled rhPSMA tracer 1h after injection in SCID mice bearing LNCaP tumors (in% ID/g). Data represented as flatMean ± SD (4 for rhPSMA7.1 n, 5 for rhPSMA7.2 n, 4 for rhPSMA7.3 n, 5 for rhPSMA7.4 n and 3 for rhPSMA7-rac n).

FIG. 11: co-injected with PMPA (8mg/kg)¹⁸Biodistribution [% ID/g ] of F-rhPSMA in SCID mice bearing LNCaP tumors 1h after injection]. Data are presented as mean ± SD (n ═ 3).

FIG. 12: possible substances produced by metabolic cleavage of amide bonds. And l: (ii) lysis to form a substance with increased lipophilicity; DF: defluorination; nd: not detectable because it is not radioactive.

FIG. 13: left: graphical analysis of overlapping peaks 1(rhpsma7.2) and 2 (rhpsma7.3); and (3) right: deconvoluting and integrating the peak shape by Systat PeakFit software; the method comprises the following steps: fitted experimental data, the following: single peak of deconvolution.

FIG. 14 a: the relative change (in% of injected racemic mixture) was quantified to assess the reproducibility of classical integration (by HPLC program) and deconvolution (by 'PeakFit') of peak 4 (rhpsma7.1). For this peak, both methods showed similar performance.

FIG. 14 b: the relative change (in% of injected racemic mixture) was quantified to assess the reproducibility of classical integration (by HPLC program) and deconvolution (by 'PeakFit') of peak 3 (rhpsma7.4). For this peak, both methods showed similar performance.

FIG. 15: each of the rhPSAM7.1-7.4 isomers is in blood, liver, kidney, tumor and urine relative to its injection solution (, [ 2 ]¹⁸F][^natGa]rhPSMA 7-rac). Data are presented as mean ± SD (n ═ 4; see also fig. 16).

FIG. 16: each of the rhPSAM7.1-7.4 isomers used in each of the samples and experiments was in blood, liver, kidney, tumor and urine relative to its injection solution ([ 2 ]¹⁸F][^natGa]rhPSMA 7-rac). Analysis was performed using Systat PeakFit.

FIG. 17: left: TLC scan pattern of TLC plates loaded with liver samples (7/30/2018, total cts: 142 cts). The data set with cts <200 was deleted because of its poor statistics and limited validity. And (3) right: phosphorescence image (phophophomage) of TLC plate loaded with liver sample: moving the long tail of the tracer.

FIG. 18: left: TLC scan pattern of TLC plate with quality control sample (8.1.8.2018, total cts: 384). And (3) right: exemplary phosphorescent images of TLC plates loaded with urine, kidney, liver, tumor, blood and QK samples.

FIG. 19: radioactive TLC analysis of [ F-18] rhPSMA7-rac was performed as part of the quality control in the nuclear medicine department (7 months and 30 days in 2018) prior to clinical application of the tracer. Note that tailing of the tracer was observed even in the formulation buffer (and thus in protein-free conditions).

FIG. 20: quantification of free [ F-18] fluoride and 'intact' [ F-18] rhPSMA7-rac in urine samples by radio-TLC (7 months and 30 days 2018).

FIG. 21: left: radioactive HPLC analysis of pooled urine collected from 4 normal mice injected with each [ F-18] rhPSAM-7.x tracer.

And (3) right: incorporation of each [ F-18] rhPSAM-7.x tracer for 1h (7.1., 7.2.), 0.5h (7.3.), and 2h (7.4.) time periods for radioactive HPLC analysis of 'cold' urine.

HPLC conditions: solvent A: h20+ 0.1% TFA; solvent B: MeCN + 0.1% TFA; gradient: 5% isocratic for 0-3min, 25-35% B for 3-43min, and 95-95% B for 43-48 min; flow rate: 1mL/min, column: nucleosil 100-5C18, 125 x4.6mm.

FIG. 22: radioactive substances in urine are fixed by a filter cartridge and separated by TLC.

The method comprises the following steps: the radioactive HPLC analysis of urine after [ F-18] rhPSMA 7.330min injection in mice showed a small proportion of tracer at 1.6min and intact tracer at about 34.5 min.

The following (left): after intraperitoneal injection (p.i.) [ F-18] rhPSMA 7.330min, the urine of the mice was diluted and subjected to STRATA-X cartridge fixation. The cartridge was washed and eluted using MeCN/water (60/40v/v + 1% TFA); only the complete tracer was detected.

The following (right): the permeate from the cartridge fixation (breakthrough) (non-retained fraction) and the fraction finally eluted from the cartridge with MeCN/water (lower, right) were analyzed by TLC. 96.1% [ F-18] rhPSMA7.3 and only 3.9% [ F-18] fluoride were found in the eluate from the cartridge, while the opposite ratio was found in the permeate from the cartridge (3.4% [ F-18] rhPSMA7.3 and only 96.6% [ F-18] fluoride).

FIG. 23: adding [ F-18] rhPSMA7.3 to fresh and non-radioactive urine of mice followed by 0.5. mu. mol of cold F-19-fluoride; and (5) incubating for 2 h.

The radioactivity was completely (98.5%) converted to a very hydrophilic fraction (peak at 1.6 min) representing [ F-18] fluoride. Note that: the peak at 1.6min was then fixed on a QMA cartridge and eluted with NaCl (1M) (═ fluoride).

FIG. 24: clinical biodistribution and uptake of 18F-rhPSMA-7 (left) and 18F-rhPSMA-7.3 (right) in tumor lesions as demonstrated by SUV maxima. Data are presented as mean ± SD.

FIG. 25: shown by the SUV mean¹⁸F-rhPSMA-7 (left) and¹⁸clinical biodistribution and uptake of F-rhPSMA-7.3 (right) in tumor lesions. Data are presented as mean ± SD.

FIG. 26: shown by the ratio of SUV maximum to background¹⁸F-rhPSMA-7 (left) and¹⁸clinical biodistribution and uptake of F-rhPSMA-7.3 (right) in tumor lesions. Data are presented as mean ± SD.

FIG. 27 is a schematic view showing: shown by the ratio of SUV mean to background¹⁸F-rhPSMA-7 (left) and¹⁸clinical biodistribution and uptake of F-rhPSMA-7.3 (right) in tumor lesions. Data are presented as mean ± SD.

FIG. 28:¹⁸two examples of clinical cases for F-rhPSMA-7.3PET imaging.

The examples illustrate the invention.

Example 1: materials and methods

Fmoc- (9-fluorenylmethoxycarbonyl-) and all other protected amino acid analogues were purchased from Bachem (Bubendorf, Switzerland) or Iris Biotech (Marktredwitz, Germany). Triphenylmethyl vinyl chloride (TCP) resin was obtained from PepChem (Tubingen, Germany). Chematech (Dijon, method)Nation) delivered chelating agent DOTAGA anhydride, (R) -DOTA-GA (tBu)₄And (S) -DOTA-GA (tBu)₄. All necessary solvents and other organic reagents were purchased from Alfa Aesar (Karlsruhe, Germany), Sigma-Aldrich (Munich, Germany) or VWR (Darmstadt, Germany). Solid phase synthesis of the peptides was performed by manual manipulation using an Intelli-Mixer syringe shaker (Neolab, Heidelberg, Germany). Analytical and preparative reverse phase high pressure chromatography (RP-HPLC) were performed using Shimadzu gradient systems (Shimadzu Deutschland GmbH, Neufahrn, Germany) each equipped with an SPD-20A UV/Vis detector (220nm, 254 nm). Analytical determination was carried out using a Nucleosil 100C18 (125X 4.6mm, 5 μm particle size) column (CS GmbH, Langerwee, Germany) at a flow rate of 1 mL/min. Specific gradient and corresponding retention time t_RBoth of which are referred to in the text. Preparative HPLC purification was done using a Multospher 100RP18 (250X 10mm, 5 μm particle size) column (CS GmbH, Langerwee, Germany) at a constant flow rate of 5 mL/min. Analytical and preparative radioactive RP-HPLC were carried out using Nucleosil 100C18(5 μm, 125X 4.0mm) columns (CS GmbH, Langerwee, Germany). The eluents used for all HPLC operations were water (solvent a) and acetonitrile (solvent B), both containing 0.1% trifluoroacetic acid. In the expression^LElectrospray ionization mass spectra were obtained on CMS mass spectrometers (Advion ltd., Harlow, uk) for the characterization of substances. NMR spectra were recorded at 300K using a Bruker AVHD-300 or AVHD-400 spectrometer. The pH was determined using a SevenEasy pH meter (Mettler Toledo, Gie. beta. en, Germany).

Synthetic schemes

1) Solid phase peptide synthesis following Fmoc-strategy

TCP-resin load (GP1)

Loading of Trityl Chloride Polyethylene (TCP) resin with Fmoc-protected Amino Acid (AA) was performed by stirring a solution of TCP-resin (1.95mmol/g) and Fmoc-AA-OH (1.5 equiv.) in DIPEA-containing anhydrous DCM (4.5 equiv.) for 2h at room temperature. The remaining trityl chloride was blocked by adding methanol (2mL/g resin) for 15 min. The resin was then filtered, washed with DCM (2X 5mL/g resin), DMF (2X 5mL/g resin), methanol (5mL/g resin) and dried in vacuo. The final loading l of Fmoc-AA-OH was determined by the following formula:

m₂mass [ g ] of resin loaded]

m₁Mass [ g ] of unsupported resin]

M_wMolecular weight [ g/mol ] of AA]

M_HClMolecular weight [ g/mol ] of HCl]

Amide bond formation on resin (GP2)

For conjugation of building blocks to resin-binding peptides, a mixture of TBTU and HOBT was used for preactivation with DIPEA or 2,4, 6-trimethylpyridine as a solution of base in DMF (10mL/g resin) for 5 min. The exact stoichiometry and reaction time of each conjugation step is given in the synthesis scheme. After the reaction, the resin was washed with DMF (6X 5mL/g resin).

Fmoc-deprotection on resin (GP3)

The resin bound Fmoc-peptide was treated with a 20% piperidine solution in DMF (v/v, 8mL/g resin) for 5min and then 15 min. The resin was then washed thoroughly with DMF (8X 5mL/g resin).

Dde-deprotection on resin (GP4)

The Dde-protected peptide (1.0 eq.) was dissolved in a solution of 2% hydrazine monohydrate in DMF (v/v, 5mL/g resin) and shaken for 20min (GP4 a). Dde-deprotection (GP4b) was performed by adding a solution of imidazole (0.92g/g resin), hydroxylamine hydrochloride (1.26g/g resin) in NMP (5.0mL) and DMF (1.0mL) at room temperature for 3h in the presence of Fmoc group. After deprotection, the resin was washed with DMF (8X 5mL/g resin).

Cleavage of the peptide from the resin while deprotection of acid labile protecting groups (GP5)

The fully protected resin-bound peptide was dissolved in a TFA/TIPS/water mixture (v/v/v; 95/2.5/2.5) and shaken for 30 min. The solution was filtered off and the resin was reprocessed in the same way for 30 min. The two filtrates were combined, stirred for a further 5h and concentrated under a stream of nitrogen. The residue was dissolved in a mixture of t-butanol and water and then lyophilized to give a crude peptide.

^natGa-complex (GP6)

For the^natGa-complexation, peptide (1.0 equiv.) dissolved in tBuOH/H₂To a 3:1(v/v) mixture of O and adding Ga (NO)₃)₃(3.5 equiv.) of an aqueous solution. After heating the resulting mixture at 75 ℃ for 30min, the peptide was purified by RP-HPLC.

2) Synthesis of PSMA binding motifs

Glu-Urea-Glu ((tBuO) EuE (OtBu)2)

The tBu-protected Glu-urea-Glu binding motif (EuE) was synthesized according to the previously published procedure for tBu-protected Glu-urea-Lys (EuK) (scheme 1).

(1H-imidazole-1-carbonyl) -L-glutamic acid di-tert-butyl ester (i)

A solution of 2.0g (7.71mmol, 1.0 eq) L-glutamic acid-I di-tert-butyl ester & HCl in DCM was cooled on ice for 30min and then treated with 2.69mL TEA (19.28mmol, 2.5 eq) and 3.3mg (0.3mmol, 0.04 eq) DMAP. After stirring for an additional 5min, 1.38g (8.84mmol, 1.1 eq) of 1, 1' -Carbonyldiimidazole (CDI) dissolved in DCM was added slowly over a period of 30 min. The reaction mixture was further stirred overnight and allowed to warm to room temperature. 8mL of saturated NaHCO was used₃The reaction was terminated while a washing step with water (2X) and brine (2X) was performed and Na was added₂SO₄And (5) drying. The remaining solvent was removed in vacuo and the crude product di-tert-butyl (S) -2- (1H-imidazole-1-carboxamido) glutarate (i) was used without further purification.

((S) -1, 5-di-tert-butoxy-1, 5-dioxopentan-2-yl) carbamoyl) -L-glutamic acid 5-benzyl 1- (tert-butyl ester) (ii)

2.72g (7.71mmol, 1.0 eq) of the crude di-tert-butyl (S) -2- (1H-imidazole-1-carboxamido) glutarate (i) were dissolved in 1, 2-Dichloroethane (DCE) and cooled on ice for 30 min. To this solution was added 2.15mL (15.42mmol, 2.0 equiv.) of TEA and 2.54g (7.71mmol, 1.0 equiv.) of H-L-Glu (OBzl) -OtBu HCl and the solution was stirred at 40 ℃ overnight. The remaining solvent was evaporated and the crude product was purified by flash chromatography on silica gel using an elution mixture containing ethyl acetate/hexane/TEA (500:500: 0.8; v/v/v). After removal of the solvent, the (((S) -1, 5-di-tert-butoxy-1, 5-dioxopentan-2-yl) carbamoyl) -L-glutamic acid 5-benzyl 1- (tert-butyl ester) (ii) was obtained as a colorless oil.

(tBuO)EuE(OtBu)₂(iii)

For the synthesis of (tBuO) EuE (OtBu)₂3.17g (5.47mmol, 1.0 equiv.) of (((S) -1, 5-di-tert-butoxy-1, 5-dioxopentan-2-yl) carbamoyl) -L-glutamic acid 5-benzyl 1- (tert-butyl ester) (ii) were dissolved in 75mL EtOH and 0.34g (0.57mmol, 0.1 equiv.) of activated carbon supported palladium (10%) was added to the solution. First use H₂The flask containing the reaction mixture was purged and kept at low H₂The solution was stirred at room temperature under pressure (balloon) overnight. The crude product was purified by celite and the solvent was evaporated in vacuo. Product (iii) was obtained as a hygroscopic solid (84%). HPLC

(10% -90% B in 15 min): t is t_R11.3 min. Calculated monoisotopic mass (C)₂₃H₄₉N₂O₉): 488.3; measured value: m/z 489.4[ M + H ]]⁺，516.4[M+Na]⁺。

Scheme 1(tBuO) EuE (OtBu)₂The synthesis of (2): a) DCI, TEA, DMAP (DCM); b) H-L-Glu (OBzl) -OtBu HCl, TEA (DCE); c) Pd/C (10%), H₂(EtOH)。

3) Synthesis of silicon-fluoride receptor

4- (di-tert-butylfluorosilyl) benzoic acid (SiFA-BA)

The SiFA-BA was synthesized according to the previously published procedure (scheme 2). All reactions were carried out in dry reaction vessels under argon using a vacuum gas manifold.

((4-bromobenzyl) oxo) (tert-butyl) dimethylsilane (i)

To a stirred solution of 4-bromobenzyl alcohol (4.68g, 25.0mmol, 1.0 eq.) in anhydrous DMF (70mL) was added imidazole (2.04g, 30.0mmol, 1.2 eq.) and TBDMSCl (4.52g, 30.0mmol, 1.2 eq.) and the resulting mixture was stirred at room temperature for 16 h. The mixture was then poured into ice-cold H₂In O (250mL) and Et₂O (5X 50 mL). The combined organic fractions were washed with saturated NaHCO₃Aqueous (2 × 100mL) and brine (100mL) were washed, dried, filtered and concentrated in vacuo to give the crude which was purified by flash column chromatography (silica, 5% EtOAc/petrol) to give i as a colourless oil (7.18g, 95%).¹H NMR(400MHz，CDCl3)：δ[ppm]＝0.10(6H，s，SiMe₂t-Bu)，0.95(9H，s，SiMe₂tBu)，4.69(2H，s，CH₂OSi), 7.21(2H, d), 7.46(2H, d). HPLC (50-100% B in 15 min): t is t_R＝15min。

Di-tert-butyl {4- [ (tert-butyldimethylsilyloxy) methyl ] phenyl } fluorosilane (ii)

To a solution of ((4-bromobenzyl) oxo) (tert-butyl) dimethylsilane (i) (1.56g, 5.18mmol, 1.0 equiv.) in dry THF (15mL) was added a solution of tBuLi in pentane (7.29mL, 1.7mol/L, 12.4mmol, 2.4 equiv.) with magnetic stirring at-78 ℃. After stirring the reaction mixture at-78 ℃ for 30min, the resulting suspension was added dropwise over a period of 30min to a cooled (-78 ℃) solution of di-tert-butyldifluorosilane (1.12g, 6.23mmol, 1.2 eq.) in dry THF (10 mL). The reaction mixture was allowed to warm to room temperature over a period of 12h and then hydrated with saturated aqueous NaCl (100 mL). The organic layer was separated and the aqueous layer was extracted with ether (3X 50 mL). The combined organic layers were dried over magnesium sulfate and filtered. The filtrate was concentrated in vacuo to give ii as a pale yellow oil (1.88g, 95%). It was used in the subsequent reaction without further purification. NMR spectra and literature^[2]The data reported in (1) are consistent. HPLC (50-100% B in 20 min): t is t_R＝19min。

4- (di-tert-butylfluorosilyl) benzyl alcohol (iii)

To the suspension of ii (1.88g, 4.92mmol, 1.0 equiv.) in methanol (50mL) was added a catalytic amount of concentrated aqueous HCl (0.5 mL). The reaction mixture was stirred at room temperature for 18h, then the solvent and volatiles were removed under reduced pressure. The residue was redissolved with ether (40mL) and saturated NaHCO₃The aqueous solution washes the solution. The aqueous layer was extracted with ether (3X 50 mL). The combined organic layers were dried over magnesium sulfate and filtered. The filtrate was concentrated in vacuo to give iii (1.29g, 98%) as a pale yellow oil which solidified. The product was used without further purification. NMR spectra and literature^[2]The data reported in (1) are consistent. HPLC (50-100% B in 15 min): t is t_R＝8.2min。

4- (di-tert-butylfluorosilyl) benzaldehyde (iv)

A solution of alcohol iii (1.37g, 5.10mmol, 1.0 equiv.) in dry dichloromethane (20mL) was added dropwise to a stirred ice-cold suspension of pyridinium chlorochromate (2.75g, 12.8mmol, 2.5 equiv.) in dry dichloromethane (60 mL). After stirring the reaction mixture at 0 ℃ for 30min and at room temperature for 2.5h, anhydrous ether (40mL) was added and the supernatant decanted from the black gum. The insoluble material was washed thoroughly with diethyl ether and the combined organic phases were filtered through a short pad of silica gel (10 cm per g of crude product). Removal of the solvent in vacuo afforded aldehyde iv (1.31g, 96%) as a pale yellow oil. NMR spectra and literature^[2]The data reported in (1) are consistent. HPLC (50-100% B in 15 min): t is t_R＝10.5min。

4- (di-tert-butylfluorosilyl) benzoic acid (v)

At room temperature, iv (1.31g, 4.92mmol, 1.0 equiv.), tert-butanol (30mL), dichloromethane (3.3mL) and 1.25M NaH at pH 4.0-4.5₂PO₄·H₂To a mixture of O buffer (20mL) was added 1M KMnO₄Aqueous solution (30 mL). After stirring the mixture for 25min, it was allowed to cool to 5 ℃ and excess KMnO was added immediately₄(0.78g, 4.92mmol, 1.0 equiv.). Then adding saturated Na₂SO₃The reaction was quenched with aqueous solution (50 mL). In addition toAfter addition of 2M aqueous HCl, all MnO was added₂All dissolved. The resulting solution was extracted with ether (3X 100 mL). The combined organic layers were washed with saturated NaHCO₃Washing with aqueous solution, MgSO₄Dried, filtered and concentrated under reduced pressure to give a white solid which was purified by extraction from Et₂It was purified by recrystallization from O/hexane (1:3, for 12h) to give v (0.84g, 60%). NMR spectra and literature^[2]The data reported in (1) are consistent. HPLC (50-100% B in 15 min): t is t_R＝8.5min。

Scheme 2 synthesis of SiFA-BA: a) TBDMSCI, imidazole (DMF); b) tBuLi, di-tert-butyldifluorosilane (THF); c) hcl (meoh); d) pyridinium chlorochromate (DCM); e) KMnO₄(DCM, tert-butanol, NaH)₂PO₄A buffer).

4) Synthesis of rhPSMA-7.1-7.4

The first synthetic procedure for the preparation of the four different isomers of rhPSMA-7 was identical and was performed simultaneously starting from resin-bound Fmoc-D-Orn (Dde) -OH using the standard Fmoc-SPPS protocol described above. After cleavage of the Fmoc group (GP3) with a 20% piperidine solution in DMF, (tBuO) EuE (OtBu)₂(2.0 equiv.) conjugation to a solution of HOAt (2.0 equiv.), TBTU (2.0 equiv.), and DIPEA (6.0 equiv.) in DMF for 4.5 h. After cleavage of the Dde-group (GP4a) with a 2% hydrazine/DMF mixture, a solution of succinic anhydride (7.0 equiv.) and DIPEA (7.0 equiv.) in DMF was added and allowed to react for 2.5 h. Conjugation of Fmoc-D-Lys (OtBu). HCl (2.0 equiv.) was achieved by adding to the resin a mixture of HOAt (2.0 equiv.), TBTU (2.0 equiv.), and DIPEA (6.0 equiv.) in DMF. After 5min of preactivation Fmoc-D-Lys (OtBu). HCl (2.0 eq.) in DMF was added and allowed to react for 2.5h (GP 2). Subsequent cleavage of the Fmoc-group (GP3) was performed by adding a 20% piperidine/DMF mixture. Finally, the resin was isolated to synthesize rhPSMA-7.1-7.4 (scheme 3).

rhPSMA-7.1(D-Dap-(R)-DOTA-GA)：

Fmoc-D-dap (Dde) -OH (2.0 equiv.) was pre-activated in a mixture of HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF and held for 2.5h in the added resin bound peptide. Subsequent orthogonal Dde-deprotection was accomplished using imidazole and hydroxylamine hydrochloride dissolved in a mixture of NMP and DMF for 3 h. SiFA-BA (1.5 equivalents) was reacted with the free amine of the side chain of HOAt (1.5 equivalents), TBTU (1.5 equivalents) and DIPEA (4.5 equivalents) as activating reagent in DMF for 2 h. After Fmoc-deprotection with piperidine (GP3), (R) -DOTA-GA (tBu)₄(2.0 equiv.) conjugation with HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF for 2.5 h. Cleavage from the resin and simultaneous deprotection of the acid-labile protecting groups was performed in TFA according to GP 5. The peptides being carried out as described in GP6^natGa-complexation.

rhPSMA-7.2(L-Dap-(R)-DOTA-GA)：

Fmoc-L-dap (Dde) -OH (2.0 equiv.) was preactivated for 2.5h in a mixture of HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF. Subsequent orthogonal Dde-deprotection, SiFA-BA conjugation and Fmoc-cleavage were performed as described for rhPSMA-7.1. Reacting (R) -DOTA-GA (tBu)₄(2.0 equiv.) was conjugated with HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF for 2.5 h. Cleavage from the resin and simultaneous deprotection of the acid-labile protecting groups was performed in TFA according to GP 5. The peptides being carried out as described in GP6^natGa-complexation.

rhPSMA-7.3(D-Dap-(S)-DOTA-GA)：

In the presence of HOAt (2.0 equiv.), TBTU (2)0 eq) and 2,4, 6-trimethylpyridine (6.7 eq) in DMF Fmoc-D-dap (Dde) -OH (2.0 eq) was preactivated for 2.5 h. Subsequent orthogonal Dde-deprotection, SiFA-BA conjugation and Fmoc-cleavage were performed as described for rhPSMA-7.1. Reacting (S) -DOTA-GA (tBu)₄(2.0 equiv.) was conjugated with HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF for 2.5 h. Cleavage from the resin and simultaneous deprotection of the acid-labile protecting groups was performed in TFA according to GP 5. The peptides being carried out as described in GP6^natGa-complexation.

rhPSMA-7.4(L-Dap-(S)-DOTA-GA)：

Fmoc-L-dap (Dde) -OH (2.0 equiv.) was preactivated for 2.5h in a mixture of HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF. Subsequent orthogonal Dde-deprotection, SiFA-BA conjugation and Fmoc-cleavage were performed as described for rhPSMA-7.1. Reacting (S) -DOTA-GA (tBu)₄(2.0 equiv.) was conjugated with HOAt (2.0 equiv.), TBTU (2.0 equiv.), and 2,4, 6-trimethylpyridine (6.7 equiv.) in DMF for 2.5 h. Cleavage from the resin and simultaneous deprotection of the acid-labile protecting groups was performed in TFA according to GP 5. The peptides being carried out as described in GP6^natGa-complexation.

rhPSMA-7.1：

HPLC (10-70% B in 15 min): t is t_R＝10.5min。

HPLC (25-35% B in 40 min): t is t_R＝31.4min。

rhPSMA-7.2：

HPLC (10-70% B in 15 min): t is t_R＝10.4min。

HPLC (25-35% B in 40 min): t is t_R＝27.9min。

rhPSMA-7.3：

HPLC (10-70% B in 15 min): t is t_R＝10.4min。

HPLC (25-35% B in 40 min): t is t_R＝28.1min。

rhPSMA-7.4：

HPLC (10-70% B in 15 min): t is t_R＝10.5min。

HPLC (25-35% B in 40 min): t is t_R＝29.1min。

rhPSMA-7.1-7.4：

Calculated monoisotopic mass (C63H96FGaN12O25 Si): 1536.6 found: 1539.4[ M + H ] M/z]+，770.3[M+2H]2⁺。

Scheme 3 synthesis of rhPSMA-7.1-7.4: a) 20% piperidine, (DMF); b) (tBuO) EuE (OtBu)2, HOAt, TBTU, DIPEA, (DMF); c) 2% hydrazine (DMF); d) succinic anhydride, DIPEA, (DMF); e) Fmoc-D-Lys (OtBu). HCl, HOAt, TBTU, DIPEA, (DMF); f. of¹) Fmoc-D-dap (Dde) -OH, HOAt, TBTU, 2,4, 6-trimethylpyridine, (DMF); f. of²) Fmoc-L-dap (Dde) -OH, HOAt, TBTU, 2,4, 6-trimethylpyridine, (DMF); g) imidazole, hydroxylamine hydrochloride, (NMP, DMF); h) SiFA-BA, HOAt, TBTU, DIPEA (DMF); i.e. i¹)(R)-DOTA-GA(tBu)₄HOAt, TBTU, 2,4, 6-trimethylpyridine (DMF); i.e. i²) (S) -DOTA-GA (tBu)4, HOAt, TBTU, 2,4, 6-trimethylpyridine (DMF); j) cleavage and deprotection: TFA, TIPS, H₂O；k)Ga(NO₃)₃、(tBuOH、H₂O)。

5)¹⁸F-tag

For the¹⁸The F-tag, using the previously published procedure, was slightly modified. Briefly, make¹⁸F^-The aqueous solution was passed through a SAX cartridge (Sep-Pak Accell Plus QMA carbon light) pretreated with 10mL of water. After drying with 10mL of air, water was removed by rinsing the cartridge with 10mL of anhydrous acetonitrile followed by 20mL of air. With 100. mu. mol in 500. mu.L of anhydrous acetonitrileOH^-Elution is carried out¹⁸F. Prior to labeling, 30. mu. mol oxalic acid in dry acetonitrile (1M, 30. mu.L) was added. The mixture being a whole or aliquotFor fluorination of 10-25nmol PSMA-SiFA (1mM in anhydrous DMSO). The resulting reaction mixture was incubated at room temperature for 5 minutes. For purification of the tracer, use was made of 10mL EtOH followed by 10mL H₂O pretreated Sep-Pak C18 light cartridge. The labeling mixture was diluted with 9mL PBS (pH 3) and passed through the filter cartridge, followed by 10mL H₂And O. The peptide was eluted with 500. mu.L of a 4:1 mixture of EtOH/water (v/v). By radioactive RP-HPLC and radioactive TLC (silica gel 60 RP-18F)₂₅₄s, mobile phase: MeCN supplemented with 10% aqueous 2M NaOAc and 1% TFA in H₂3:2 mixture (v/v) in O) to determine the radiochemical purity of the labelled compound.

6)¹²⁵I-tag

A reference ligand (,) for in vitro studies was prepared according to the previously published procedure¹²⁵I]I-BA) KuE. Briefly, 0.1mg of stannyl alkylation precursor (SnBu)₃-BA)(OtBu)KuE(OtBu)₂Dissolved in 5.0. mu.L of (21MBq) ([ mu ] m ] solution) containing 20. mu.L of peroxyacetic acid¹²⁵I]NaI (74TBq/mmol, 3.1GBq/mL, 40mM NaOH, Hartmann analytical, Braunschweig, Germany), 20. mu.L MeCN and 10. mu.L acetic acid. The reaction solution was incubated at room temperature for 10min, loaded onto the cartridge and rinsed with 10mL water (C18 Sep Pak Plus cartridge, pre-treated with 10mL MeOH and 10mL water). After elution with 2.0mL of a 1:1 mixture of EtOH/MeCN (v/v), the radioactive solution was evaporated to dryness under a slow nitrogen flow and treated with 200. mu.L TFA for 30min, followed by evaporation of TFA. By RP-HPLC (20% -40% B within 20 min): t is t_RPurified ([ 2 ], [ 13.0 ] min)¹²⁵I]I-BA) KuE.

In vitro experiments

1)IC₅₀Is determined

PSMA-positive LNCaP cells were humidified at 37 ℃ in 5% CO supplemented with 10% fetal bovine serum₂Growth in Dublecco's modified Eagle's (Eagle) medium/nutrient mixture F-12(1:1) (Invitrigon) containing Glutamax-I in atmosphere. Affinity for PSMA (IC)₅₀) Determination of (1.5X 10) cells were harvested 24. + -.2 hours before the experiment and seeded into 24-well plates⁵One cell in 1mL per well). After removal of the medium, 500. mu.L of HBSS (Hank's balanced salt solution, Biochrom, Berlin, Germany, with 1% Bovine Serum Albumin (BSA) added cells were treated once and placed on ice for 15min to equilibrate in 200. mu.L HBSS (1% BSA). Next, 25. mu.L of a solution containing HBSS (1% BSA, control) or the corresponding ligand at increasing concentrations (10 in HBSS) was added to each well^-10-10^-4M), followed by addition of 25. mu.L of (, in HBSS (1% BSA)¹²⁵I]I-BA) KuE (2.0 nM). All experiments were performed at least three times for each concentration. After incubation on ice for 60min, the experiment was terminated by removing the medium and continuous rinsing with 200 μ L HBSS. The media from both steps were combined into one fraction and represent the amount of free radioligand. Then, cells were lysed with 250 μ L of 1M NaOH and combined with 200 μ L HBSS of the subsequent wash step. Quantification of bound and free radioligand was done with a gamma counter.

2) Internalization

For internalization studies, LNCaP cells were harvested 24 + -2 hours prior to the experiment and seeded into 24-well plates (1 mL/1.25X 10 in well)⁵Individual cells). After removal of the media, the cells were washed once with 500 μ L DMEM-F12 (5% BSA) and allowed to equilibrate in 200 μ L DMEM-F12 (5% BSA) for at least 15min at 37 ℃. Blocking was performed by treating each well with 25. mu.L of DMEM-F12 (5% BSA) or 100. mu.M PMPA solution. Then, 25. mu.L of⁶⁸Ga/¹⁸F-labeled PSMA inhibitor (5.0nM) and cells were incubated at 37 ℃ for 60 min. The assay was terminated by placing the 24-well plate on ice for 3min and continuously removing the medium. Wells were washed with 250 μ L HBSS and the fractions from the first two steps were pooled, which represent the amount of free radioligand. Removal of surface binding activity was accomplished by incubating the cells with 250 μ L of ice-cold PMPA (10 μ M in PBS) solution) for 5min and rinsing again with another 250 μ L of ice-cold PBS. Internalization activity was determined by incubating cells in 250 μ L of 1M NaOH and combining fractions from subsequent washing steps with 250 μ L of 1.0M NaOH. Each experiment (control and block) was performed in triplicate. The free, surface-bound and internalized activities were quantified using a gamma-counter. All internalization studies were performed concomitantly (,)¹²⁵I]I-BA) KuE (c ═ 0.2nM) in a similar manner. NeedleData were corrected for non-specific internalization and normalized for the specific internalization observed for the radioiodinated reference compound.

3) Octanol-water partition coefficient

In Eppendorf (Eppendorf) tubes, about 1MBq of labeled tracer was dissolved in 1mL of a 1:1 mixture (by volume) of phosphate buffered saline (PBS, pH 7.4) and n-octanol. After mixing the suspension thoroughly for 3 minutes at room temperature, the vials were centrifuged at 15000g for 3 minutes (Biofuge 15, Heraus Sepatech, Osterode, Germany) and 100. mu.L aliquots of both layers were measured with a gamma counter. The experiment was repeated at least six times.

4) HSA binding

For determination of HSA binding, a Chiralpak HSA column (50X3mm, 5 μm, H13H-2433) was used at a constant flow rate of 0.5 mL/min. The mobile phase (A: NH) was freshly prepared for each experiment₄OAc, 50nM in water, pH7 and B: isopropyl alcohol) and was used for only one day. The column was kept at room temperature and each run was terminated after detection of a signal to reduce acquisition time. All substances were dissolved at a concentration of 0.5mg/ml in 50% 2-propanol and 50% 50mM ammonium acetate buffer pH 6.9. Given the various albumin binding postulated to be associated with peptides, the selected reference substances showed a range of HSA binding from 13% to 99%. All nine reference species were injected serially to establish a non-linear regression using OriginPro 2016G.

Table 1: reference material for HSA-column calibration.

Retention time is an exemplary indication of the test performed; t is t_RA retention time; literature value of hsa human serum albumin binding, [% ]](ii) a Log K HAS human serum albumin bound Log K.

In vivo assay

All animal tests were conducted in accordance with general animal welfare regulations and guidelines for animal care and use agencies in germany. To establish tumor xenografts, LNCaP cells (10)⁷Individual cell or cell200 μ L) were suspended in a 1:1 mixture (v/v) of Dulbecco's modified Eagle's medium/nutrient mixture F-12(1:1) containing Glutamax-I and Matrigel (Matrigel) (BD Biosciences, Germany) and inoculated subcutaneously to the right shoulder of 6-8 week old CB17-SCID mice (Charles River, Sulzfeld, Germany). Mice were used when tumors grew to 5-8mm in diameter (3-4 weeks post inoculation).

1) Biodistribution

About 1-2 MBq: (<0.2nmol) of¹⁸F-labeled PSMA inhibitors were injected into the tail vein of LNCaP tumor-bearing male CB-17SCID mice and sacrificed 1h after injection (n-4-5). The selected organ was removed, weighed and measured with a gamma counter.

2) Metabolic studies

a) Analysis device

Analytical reverse phase high pressure chromatography (RP-HPLC) was performed using a Shimadzu gradient system (Shimadzu Deutschland GmbH, Neufahrn, Germany) equipped with an SPD-20A UV/Vis detector (220nm, 254 nm). Analytical determination was carried out using a Multpher 100RP18 (125X 4.6mm, 5 μm particle size) column (CS GmbH, Langerwee, Germany) at a flow rate of 1 mL/min. The eluents used for all HPLC operations were water (solvent a) and acetonitrile (solvent B), both containing 0.1% trifluoroacetic acid. Radioactivity was detected by connecting the outlet of a UV-photometer to a HERM LB 500 detector (Berthold Technologies GmbH, Bad wilddbad, germany). The gradient used for all HPLC runs was: isocratic for 5% B for 0-3min, B for 25-35% for 3-43min, and B for 95-95% for 43-48 min.

For radioactive thin layer chromatography, 60RP-18F coated with silica gel is used₂₅₄s aluminum sheets, mobile phase from MeCN in H supplemented with 10% 2M NaOAc in water and 1% TFA₂3:2 mixture (v/v) in O. Analysis was performed using a Scan-RAM radioactive TLC detector (LabLogic Systems Ltd., Sheffield, UK) or a CR 35BIO phosphorescence imager (Duerr Medical GmbH, Bietigheim-Bissingen, Germany).

b) Determination of the metabolic stability of rhPSMA-7.1-7.4

For in vivo metabolism studies, 8-12 MBq: (A), (B), (C), (D) and (D)<0.6nmol) of each¹⁸F-labelled ligand (rhPSMA-7.1-7.4) was injected into the tail of female healthy CB17-SCID miceIn veins (n-4). Mice were kept under anesthesia for 30min and urine was collected using a bladder catheter. Urine samples were combined and centrifuged at 9000rpm for 5min to remove suspended matter. The supernatant was used directly for radioactive HPLC analysis under the conditions described above. To prove that in urine takes place¹⁹F and peptide-binding¹⁸Isotopic exchange of F, each compound was incubated with a urine sample from female healthy CB-17-SCID mice for a specified time interval and analyzed by radioactive HPLC and/or radioactive TLC. In addition, the test was carried out with an excess of Na added¹⁹F (0.5. mu. mol) and¹⁸f-labelled rhPSMA-7.3 was incubated for 2 h.

c) Determination of in vivo distribution of rhPSMA-7.1-7.4

To quantify the relative uptake of each isomer (rhPSMA-7.1-7.4), the racemic mixture of rhPSMA-7 (180-280MBq, S)_A247-. Animals were kept under anaesthesia for 30min and sacrificed. Urine, blood, liver, kidney and tumor were collected and processed for the following procedures. Urine samples were centrifuged at 9000rpm for 5min to give clear solutions and used directly for radioactive HPLC analysis. By H₂O blood was diluted to 1mL and centrifuged twice at 13000g for 5 min. The supernatant was collected and loaded onto a Strata X cartridge (33 μm Polymeric Reversed Phase)500mg, with 5mL MeOH followed by 5mL H₂O pretreatment). With 5mL of H₂After O-wash, with MeCN supplemented with 1% TFA in H₂The 6:4 mixture in O (v/v) elutes the cartridge. The eluate was diluted with water and analyzed by radioactive HPLC. Tumors, kidneys and liver were homogenized using a Potter-Elvehjem tissue grinder (Kontes Glass Co, Vineland, usa) or an MM-400 ball mill (Retsch GmbH, Haan, germany).

I) Potter-Elvehjem tissue grinder

The tumor and kidney were homogenized in a tissue homogenizer for 30min with 1mL of extraction buffer (850. mu.L of 1M HEPES pH7.4, 100. mu.L of 20mM PMPA and 100. mu.L of 1M NaCl), respectively. The resulting homogenate was collected and centrifuged at 13000g for 5 min. The supernatant was then collected, centrifuged again (13000g, 5min) and addedLoading onto Strata X cartridge (33 μm Polymeric Reversed Phase 500mg, with 5mL MeOH followed by 5mL H₂O pretreatment). With 5mL of H₂After O-wash, with MeCN supplemented with 1% TFA in H₂The 6:4 mixture in O (v/v) elutes the cartridge. The eluate from each organ was diluted with water and analyzed by radioactive HPLC.

II) MM-400 ball mill

Organs (tumor, kidney, liver) were homogenized with 3 milling balls (3mM diameter) and 1mL extraction buffer (850. mu.l 1M HEPES pH7.4, 100. mu.l 20mM PMPA and 100. mu.l 1M NaCl) respectively for 10min at 30Hz in 2mL tubes. The homogenate was centrifuged at 13000g for 5min and the supernatant collected. Subsequently, the pellet was suspended in 1mL extraction buffer and homogenized again at 30Hz for 10min using a ball mill. After centrifugation (13000g, 5min), the two supernatants were combined and loaded onto a Strata X cartridge (33 μm Polymeric Reversed Phase 500mg, with 5mL MeOH followed by 5mL H₂O pretreatment). With 5mL of H₂After O-wash, with MeCN supplemented with 1% TFA in H₂The 6:4 mixture in O (v/v) elutes the cartridge. The eluate from each organ was diluted with water and analyzed by radioactive HPLC. To confirm that breakthrough during cartridge loading was not due to unbound F-18, the supernatant after centrifugation was also checked by radioactive TLC.

Finally, the ratio of individual isomers was determined from the HPLC profile of the extracted samples and compared to the ratio of the quality controlled isomers of the racemic mixture from rhPSMA-7. The decay-corrected extraction efficiency and cartridge loading efficiency as well as the total extraction activity of the samples are given in table 2. The cartridge elution efficiency was > 99% for all tests.

Example 2: results

Chromatographic peak assignment

Chromatographic peak assignment was performed by comparing the following UV spectra:

a) rhPSMA7-rac mixtures with

b) A mixture of rhPSMA7-rac co-injected with each of the isomerically pure rhPSMA7 compounds.

The following designations apply to the different isomers:

rhPSMA-rac：[¹⁹F][^natGa]D/L-Dap-R/S-DOTAGA-rhPSMA7

rhPSMA-7-1：[¹⁹F][^natGa]D-Dap-R-DOTAGA-rhPSMA7

rhPSMA-7-2：[¹⁹F][^natGa]L-Dap-R-DOTAGA-rhPSMA7

rhPSMA-7-3：[¹⁹F][^natGa]D-Dap-S-DOTAGA-rhPSMA7

rhPSMA-7-4：[¹⁹F][^natGa]L-Dap-S-DOTAGA-rhPSMA7

table 2: different isomers, names, typical retention times (HPLC conditions are given in figures 2a-4 b) and the assignment of the percentage of each isomer phase in a typical rhPSAM7-rac mixture. The exact amount of each isomer may vary.

Binding affinity

By adding at each ligand^natThe solutions obtained directly after Ga-complexation were used in a dilution series to determine the first set of values (rhPSMA-7.1 and rhPSMA-7.2; FIG. 6 a). In the second data set (FIG. 6b), the complexed ligand was purified by RP-HPLC to separate uncomplexed^natGa-salt. In view of no significant difference observed, two series were combined and used to calculate the mean (± SD).

Table 3: individual IC₅₀[nM]A plot of the measured values (as shown in fig. 6a and 6 b). The conditions are as described in the description of fig. 6 a.

Deletion of rhpsma7.1 series of value No. 5 (statistical outliers).

Table 4: binding affinities (IC) of other selected PSMA inhibitors₅₀[nM])(*)。

Performed in our laboratory using identical binding assays

(Robu et al EJNMI Research 2018; 8: 30).

Internalization study

Table 5: individual internalization rate [ 2 ]¹²⁵I]IB-KuE%]The description of (1).

Table 6: the internalization value of other selected PSMA inhibitors [, [ 2 ]¹²⁵I]IB-KuE%](*)。

Performed in our laboratory using identical binding assays

(Robu et al EJNMI Research 2018; 8: 30).

Lipophilic (octanol-water partition coefficient)

Determination of logP value (═ logP) using phosphate buffered saline (PBS, pH 7.4) and n-octanol_oct/PBS)。

Table 7: in octanol/PBS_7.4Individual log P measurements of the identified rhPSMA 7-isomer 7.1-7.4 isomers in the mixture.

Table 8: log P values for the PSMA-1007, DCFPYL, rhPSMA7-rac, and rhPSAM7.1-7.4 isomers; (n-6), octanol/PBS_7.4。

Binding of PSMA inhibitors to human plasma proteins

Table 9: HSA binding of PSMA-1007, DCFPYL, rhPSMA7-rac, and rhPSAM7.1-7.4 isomers; (n-6). Determined on a Chiralpak HSA column (50X3mm, 5 μm, H13H-2433).

[¹⁸F][^natGa]Biodistribution of rhPSMA7.1-7.4 at 1h after injection

Table 10:¹⁸biodistribution of F-rhPSMA in SCID mice bearing LNCaP tumors 1h after injection (in% ID/g). Data are expressed as mean ± SD (4 for rhPSMA7.1 n, 5 for rhPSMA7.2 n, 4 for rhPSMA7.3 n, 5 for rhPSMA7.4 n and 3 for rhPSMA7-rac n).

In case of competition¹⁸F][^natGa]Biodistribution of rhPSMA7.1-7.4 1h after intraperitoneal injection (pi)

Table 11: co-injected with PMPA (8mg/kg)¹⁸Biodistribution [% ID/g ] of F-labeled rhPSMA tracer in LNCaP tumor-bearing SCID mice 1h after intraperitoneal injection]. Data are presented as mean ± SD (n ═ 3).

In the application¹⁸F]Quantification of the relative change in the amount of each rhPSMA7.x isomer in blood, kidney, liver, urine and tumor after rhPSMA7-rac

From the beginning of the second run¹⁸F]The rhPSMA7-rac was injected into LNCaP tumor mice 30min later and each rhPSMA7 isomer was administered to the mice in the blood, liver, kidney, urine and tumorRelative changes in the tumor were quantified and tracers were extracted from kidney, liver and tumor tissues using two different homogenization methods (potter and ball mill) (see materials and methods).

Table 12 summarizes the efficiencies observed for the two homogenization methods and the efficacy of the subsequent solid phase extraction procedure (to separate the tracer from the protein fraction).

Table 12: decay-corrected extraction activity was determined from experimental tissue samples via a Potter-Elvehjem tissue grinder (n-1) and MM-400 ball mill (n-3).

Potter-Elvehjem tissue grinder (n ═ 1):

MM-400 ball mill (n ═ 3):

while the use of potter to extract activity from samples is quite effective, the use of ball mills has been disappointing. Nevertheless, > 60% extraction efficiency was achieved even with a ball mill.

Considering the possible substances that can be formed by metabolic cleavage of the amide bond of rhPSMA7, it seems that only a significant increase of b) the lipophilic a) substance of F18-fluoride is possible. Thus, in principle, the "iL" substance depicted in fig. 12 may not appear to be extracted from the tissue sample (aqueous solution extraction) and thus not appear in the final analysis. It should be noted, however, that such substances may be present in the liver and intestine in vivo (hepatobiliary excretion of lipophilic compounds) or will bind to plasma proteins (leading to high activity levels of the blood, which on the other hand shows excellent extraction efficiency).

In order to quantify each isomer in the racemic mixture, in particular the first and second peaks (rhPSMA7.2 and rhPSMA7.3) which are poorly separated, a graphical approximation was first used. The method is based on the following assumptions: a) each isomer elutes from the HPLC column with the same peak shape and b) different peak heights can be used as an approximation to calculate the poorly separated peaks (i.e., rhPSMA7.2 and rhPSMA7.3) by linear factors.

Based on these assumptions, by using¹⁸F][^natGa]rhPSMA7-rac co-injected LNCaP-bearing tumor mice were subjected to the first analysis. For the purpose of validating these tests by means of three further tests and improving the graphical analysis by means of a more efficient procedure, the Systat software package 'PeakFit' was used. PeakFit allows for automatic nonlinear separation, analysis and quantification of HPLC elution profiles by a deconvolution procedure using the Gaussian response equation with Fourier deconvolution/filtering algorithm (https:// systatsoft. com/products/PeakFit /).

A comparison of the graphical analysis of the first trial shows that the graphical analysis overestimates the second peak (rhpsma7.3) and underestimates the first peak. Therefore, all data sets were reanalyzed and quantified by PeakFit.

HPLC-analysis of 4 independent experiments in tumor-bearing mice 30min after injection

1. Evaluation of Peak 3 and Peak 4 by Radioactive HPLC (rhPSMA7.4 and rhPSMA7.1)

It was first examined whether the deconvolution technique showed similar data for the two peaks (rhpsma7.4 and 7.1) after better separation (although no baseline separation).

2. Evaluation of all peaks by Radioactive HPLC (rhPSMA7.1, rhPSMA7.2, rhPSMA7.3 and rhPSMA7.4)

FIGS. 14a and 14b outline each rhPSAM7.n isomer in a given sample relative to its presence in the infusion solution ([ 2 ]¹⁸F][^natGa]Percentage change in percentage of rhPSMA 7-rac); the results of the independent experiments are shown in fig. 14. The ratio of individual isomers was quantified by analyzing the HPLC elution profile by Systat 'PeakFit'. The percent change of each isomer in a given sample relative to its percentage in the injection solution is then calculated.

Discussion of HPLC data

The radioactive HPLC analysis of radioactivity extracted from homogenized (kidney, liver, tumor) or diluted (blood) tissue, then immobilized on and eluted from a solid phase extraction cartridge did not show signs of metabolic instability. Thus, no lipophilic metabolic fragments were observed. It should be noted that under the conditions used for sample preparation, F-18-fluoride could not be detected accurately by HPLC (see TLC analysis).

Despite the clear trend towards the D-Dap-derivatives rhpsma7.1 and rhpsma7.3, the overall variation was lower (up to 15%). It is also emphasized herein that fig. 15 and 16 show "relative change" without regard to absolute uptake values.

Although rhpsma7.1 had the weakest affinity and internalization among all rhPSMA7 compounds, it showed the greatest percent change in positive orientation in blood, liver, kidney, and tumor.

Although the reason for this result is not clear, it is presumed that homogenization of the tissue sample using a ball mill does not result in a significant amount of cell disruption. Thus, the rhPSMA7 tracer with the highest internalization (rhPSMA 7.2: 191.83% + -15.54%, rhPSMA 7.4: 207.33 + -4.06%, and rhPSMA 7.3: 161.41% + -8.88%) may be extracted in an inefficient manner, while rhPSMA7.1 with only low internalization of 69.55% + -5.29% is extracted efficiently and is therefore overestimated in HPLC analysis.

Furthermore, the rhPSMA compounds 7.2 and 7.4 appeared to be excreted somewhat more rapidly (see urine values). Although both compounds showed higher affinity and internalization rates compared to rhPSMA7.1, these compounds generally showed negative changes in solid tissues and blood. It is not clear whether this is caused by metabolic degradation of 7.2 and 7.4 (both L-Dap derivatives) since no metabolite, i.e. a lyophilic metabolite, was detected. However, it is possible that such metabolites (see fig. 11) are not extractable in aqueous buffer solutions due to their high logP values. In this case, it should occur in liver samples (see biodistribution) and perhaps in blood samples (with a higher probability of binding to high serum proteins). Given that no increased accumulation of activity was observed in liver tissue during biodistribution studies and that extraction of activity from blood was efficient (see table 3), we hypothesized that rhP wasSMA7.2 and rhpsma7.4 did not significantly degrade. Used clinically in human body¹⁸F]The unsuspecting SUV-values of the liver tissues (gallbladder, intestine) in the case of rhpsma-rac support this hypothesis.

TLC-analysis in tumor-bearing mice 30min after injection

The radioactive TLC analysis was performed by: a) by placing a small urine sample directly on a TLC strip (strip), b) by analyzing a small amount of non-immobilized active during SPE treatment ('breakthrough fraction'), and c) by analyzing a small amount of cartridge eluate.

Table 13: TLC analysis of blood, organ and urine samples

(. due to low activity levels, TLC measurements with signal intensity <200cts were deleted.

Discussion of TLC data

In view of the fact that it is very difficult to detect by RP-18 chromatography without addition of a support (n.c.a.)¹⁸F-fluoride (due to the interaction of free Si-OH groups on the substrate with fluoride without added support), thin layer chromatography studies were performed to quantify F-18-fluoride in the extracted solution.

Since neither reagents nor salts commonly used for protein precipitation were subjected to cold fluoride testing, and to avoid the potential release of F-18-fluoride from the tracer by isotope exchange, protein precipitation was not performed during sample preparation, although such protein loading often resulted in limited peak separation, peak tailing, and retention of activity at the starting line. The solution obtained after tissue extraction (or blood centrifugation) was used directly for TLC analysis.

Although the activity analyzable in all samples was rather low, the TLC results showed a total content of F-18-fluoride in the investigated tissues of less than about 6%, with the following exceptions:

urine samples (17.49% free fluoride) obtained on 30.7.2018,

liver samples obtained on day 2 of 8 months in 2018 (25.85% free fluoride).

Although analysis of urine by TLC was considered to be a valid result (see the spectrum in figure 20), the results obtained using liver samples were due to severe (extensive) tailing of the peaks representing the intact tracer (see figure 18). Furthermore, it can be concluded that the highest 6% free fluoride mentioned above represents an overestimate, since for clinical applications the tailing of the peak obtained even during QK and during the release of [ F-18] rhPSMA7-rac in PBS (FIG. 18) indicates the tailing of the product peak. This tailing was observed in almost every TCL analysis and contributed to the integrated area of F-18-fluoride as confirmed by the phosphorescence image.

It should be noted that neither the biodistribution studies nor the human clinical PET scans (7 month status in 2018: about 1400 using [ F-18] rhPSMA7-rac scans) resulted in any suspected or identifiable F-18-accumulation in bone due to released F-18-fluoride. To further investigate the release of F-18 fluoride from [ F-18] rhPSMA7-rac (as observed in one urine sample), we investigated the appearance of F-18-fluoride in another urine sample (normal mice) by RP-18HPLC (novel RP-18 closed column) and TLC analysis.

Radioactive TLC analysis of F-18-fluoride formation in normal mice 30min post-injection

For this purpose, normal mice were used. Urine samples were collected via a catheter over a 30min period. The urine was centrifuged and directly subjected to HPLC and TLC analysis.

As shown in figure 21 in the left column, free F-18-fluoride in all isomers of urine samples were found and in fresh urine and [ F-18] rhPSMA7.4 with incubation of formation (right column). The identification of F-18-fluoride was carried out by confirming the following: a) this material was retained on the QMA cartridge (data not shown), b) eluted in the dead volume of the RP-18 column and c) neither retained on the RP-18 column nor immobilized on RP-18TLC plates, respectively, regardless of the mobile phase used.

Such large amounts of F-18 fluoride are not detected in HPLC analysis of blood or organs (e.g., kidney, tumor, liver, etc.), no increase in active uptake in bone is observed in biodistribution studies in mice, and no increase in active uptake in bone is observed during clinical PET scans with [ F-18] rhPSMA7-rac compounds, as it has been determined in TUM at the end of 2017 that [ F-18] rhPSMA7-rac is used for clinical scans (7-month end state in 2018: about 1400 PET scans in patients with prostate cancer), because of the above fact, we conclude that [ F-18] fluoride may be formed downstream of glomerular filtration of the tracer, leading to the formation and subsequent excretion of [ F-18] fluoride, while the uptake of F-18-fluoride in blood, organs or bone is undetectable.

Literature on fluoride toxicology describing the relative amounts of fluoride in kidney and urine supports this hypothesis. Normal urinary Fluoride levels of 0.3ppm were observed in mice (Bouaziz H et al, Fluoride 2005; 38(1): 23-31). In another publication, the average Fluoride concentration in urine of normal mice was determined to be 0.13-0.14. mu.g/mL (Poesina ND et al Rom J mole embryo 2014, 55(2):343 349), and InkieWicz I et al found that the Fluoride concentration in rat serum was about 5% of the Fluoride concentration in kidney (serum: 0.051. mu.g/mL, kidney: 0.942. mu.g/mL) (Fluoride; 36 (4); 263-. Considering that most tracers are specifically taken up by the kidney and physiologically cleared by the kidney, elevated fluoride levels in the kidney, combined with body temperature of 36.6 ℃, can lead to continuous excretion of F-18-fluoride from rhPSMA-compounds in the kidney.

Thus, from normal mice collected fresh non radioactive urine samples with [ F-18] rhPSMA7.x with different time incubation (see for figure 21 description). FIG. 22, right column, clearly demonstrates that ex vivo incubation of urine with [ F-18] rhPSMA7.x results in the formation of free [ F-18] fluoride to varying degrees, promoted by different concentrations of cold F-19-fluoride in urine samples and increasing over time.

To further support the hypothesis, 500nmol of cold F-19-fluoride was added to fresh non-radioactive mouse urine, followed by [ F-18] rhPSMA7.3 and incubation for 2 h. According to the hypothesis, high concentrations of [ F-19] fluoride will result in the formation of large amounts of [ F-18] fluoride. FIG. 23 shows that under these conditions 98.5% of the radioactivity was exchanged and [ F-18] fluoride was formed within 2h (FIG. 23).

Given that the rate of isotopic exchange depends on the concentration of the four related species in equilibrium ([ F-18] fluoride, [ F-19] fluoride, [ F-18] rhPSMA7.3 and [ F-19] rhPSMA7.3), it was also investigated whether the addition of [ F-18] fluoride (20.6% [ F-18] fluoride, 79.4% [ F-18] rhPSMA7.3) followed by the addition of cold [ F-19] rhPSMA7.3 tracer to fresh radioactive urine would also lead to labeling of the radiopharmaceutical [ F-18] rhPSMA 7-3. Surprisingly, even a small amount of [ F-19] rhPSMA7-3 at 5nm added to the urine solution resulted in an increase in [ F-18] rhPSMA7.3 from 79.4% to 85.8% ([ F-18] fluoride decreased from 20.6% to 14.2%) at room temperature.

The results obtained by isotopic exchange in urine are believed to be representative of all tracers conjugated to a 4- (di-tert-butyl [ (18) F ] fluorosilyl) -benzyl) oxy moiety and thus representative for all rhPSAM7 isomers.

Preclinical dosimetry, biodistribution in humans and uptake in tumor lesions

Note that, hereinafter, 18F-rhPSMA-7 means^natGa-¹⁸F-rhPSMA7-rac, 18F-rhPSMA-7.3 means^natGa-¹⁸F-rhPSMA7.3。

A)Preclinical dosimetry of 18F-rhPSMA-7 and 18F-rhPSMA-7.3 in mice

The aim was to evaluate after a single intravenous administration in mice¹⁸F-rhPSMA-7 and¹⁸distribution and excretion of F-rhPSMA-7.3 at different time points up to 300 minutes, and calculation of internal dosimetry.

Method

3-5 mice were injected with an average of 25.6. + -. 3.6MBq of 18F-rhPSMA-7 and 28.5. + -. 4.8MBq of 18F-rhPSMA-7.3, respectively, at each time point. Severe Combined Immunodeficiency (SCID) mice were used for the experiments. All animal tests were conducted in accordance with general animal welfare regulations in germany and institutional guidelines for animal care and use.

Mice were sacrificed at the following time points:

¹⁸F-rhPSMA-7: 10, 20, 40, 60, 120 and 180 minutes after administration.

¹⁸F-rhPSMA-7.3: 10, 60, 120, 180-and 300 minutes after administration.

Note that display-based¹⁸Initial trials of F-rhPSMA-7.3 for prolonged renal uptake, later time points (300min) were used for the final trial.

The following tissues/fluids were collected:

urine, blood, heart, lung, spleen, pancreas, liver, stomach (empty), small intestine (empty), large intestine (empty), kidney, bladder, testis, fat, muscle (part of the intergluteal muscle), femur, tail, and brain. In CO₂And collecting urine in the air chamber by using a liquid transfer device. If urination is missed in the air chamber, the bladder is aspirated with an insulin syringe. Blood was drawn from the heart with an insulin syringe immediately after sacrifice. All other tissues and organs were dissected and transferred directly into plastic containers.

The weight of the sample in the plastic container was determined using an electronic balance. The weight of empty and pre-labeled plastic containers for a specific sample is determined in advance. The tare weight of the plastic container is subtracted from the weight of the measurement sample together with the plastic container. The weight thus calculated was designated as the weight of the measurement sample.

The plastic containers with the measurement samples were placed on a special sample holder of an automatic gamma counter (PerkinElmer-Wallac, Waltham, usa) to determine the count rate in 60 seconds (cpm counts per minute). In addition, a 1% (v/v) standard (n-5) with a known dose of radiation was measured with the sample to convert the count rate of the organ sample into activity.

Data analysis

The count rate of the measurement sample is automatically corrected for decay. The radioactivity distribution ratio in the measurement sample (unit: percentage of injected dose (% ID)) was determined using the following formula. The sum of the count rates of all measurement samples obtained from one mouse was assigned as the count rate of the administered radioactivity.

The number of radioactivity distributions (in:% ID/g) per unit weight of the measurement sample (excluding urine and feces samples) was determined by using the following formula. The weight of the measurement sample is determined by subtracting the empty measurement container from the container containing the sample.

Dosimetric analysis

For consistency of statistical calculation of each radiotracer, for¹⁸F-rhPSMA-7 and¹⁸F-rhPSMA-7.3, using the same number of time points. Therefore, for¹⁸F-rhPSMA-7, combining the 10min and 20min time points to form a 15min endpoint.

According to J Juan et al, Journal of Pharmaceutical Sciences, 1993, 82: 762-.

Kirshner et al established a method to linearly scale the percent injected dose in animals by the ratio of organ weight and total body weight in two species models.

-Radiation Dosimetry of Kirschner AS, Ice RD, Beierwaltes WH.131I-19-Iodocholesterol (Radiation Dosimetry of 131I-19-Iodocholesterol). J Nucl Med.1973, 9/1; 14(9):713-7.

J Nucl Med (1975): 248-9).

Briefly, to calculate human dosimetry from biodistribution in mice, extrapolation is required to account for the differences between animals and humans. The normal organ radiation dose to a 70-kg standard adult anatomical model was estimated using the time-dependent organ activity concentration (in percent injected dose per gram,% ID/g) and systemic activity measured in a biodistribution study in mice.

Tissue viability concentration in mice was converted to tissue fraction viability in 70-kg standard adult using relative fractional organ mass in standard adult and "standard" 25-gram mice. Time-dependent systemic activity was fitted to an exponential function and it was assumed that the difference between injection activity and systemic activity would be excreted in urine, since the active concentrations in the liver and GI tracer were lower at all time points studied.

Using trapezoidal rule, calculating residence time of organ by numerical integration, and calculating the residence time of rest part of body¹⁸F residence time was calculated as the difference between total body residence time and the sum of organ and urine residence time. The dynamic voiding model was used in OLINDA/EXM 1.0 dosimetry software to assess the residence time of bladder contents. Finally, standard adult mean organ dose equivalents (in mSv/MBq) and effective doses (also in mSv/MBq) were calculated using OLINDA/EXM 1.0.

Final calculation of radiation absorbed dose in mice and dosimetry from biodistribution: the tissues or organs (i.e., source organs) in which significant accumulation of radioactivity occurs are the kidney, spleen, lung, liver and heart. For active accumulation and clearance, clearance from the blood and into the urine was found to be rapid, but accumulation in the kidneys was relatively slow.

Results

TABLE 14 use of 3.5h bladder voiding intervals¹⁸F-rhPSMA-7 dosimetry results.

TABLE 15 use of 1.0h bladder voiding intervals¹⁸The dose results of F-rhPSMA-7.

TABLE 16 use of 3.5h bladder voiding intervals¹⁸The dose results of F-rhPSMA-7.3.

TABLE 17 use of 1.0h bladder voiding intervals¹⁸The dose results of F-rhPSMA-7.3.

Conclusion

All detection time points in mice, at administration¹⁸F-rhPSMA-7 and¹⁸the radioactivity distribution ratio after both F-rhPSMA-7.3 was highest in the kidney. Furthermore, both radiotracers were higher in both spleen and in bladder compared to all other evaluated tissues where the activity ratio was below 8% ID/g.

In view of the majority¹⁸F-rhPSMA-7/¹⁸F-rhPSMA-7.3 activity is additive in the kidney and excretion via the bladder shows high radioactivity, so the main route of excretion is determined to be via the kidney and urinary system.

Using the 3.5h and 1.0h bladder voiding intervals, the extrapolated total effective dose for¹⁸F-rhPSMA-7 is 2.66E-02mSv/MBq and 1.22E-02mSv/MBq, and for¹⁸F-rhPSMA-7.3 is 2.17E-02mSv/MBq and 1.28E-02 mSv/MBq. Given a 1h voiding interval, injection of up to 370MBq (10mCi) for clinical scanning would result in satisfactory radiation exposure for both agents of less than 5 mSv.

A noteworthy difference between the two radiotracers was only evident in renal uptake, since¹⁸F-rhPSMA-7.3 tends to accumulate gradually as the retention time increases. However, the radiation exposure of the two reagents was comparable.

B)Human biodistribution and uptake in tumor lesions of 18F-rhPSMA-7 and 18F-rhPSMA-7.3

The following sections describe the biodistribution of 18F-rhPSMA-7 and 18F-rhPSMA-7.3. The proof of concept evaluation was performed under the same use. Complying with german drug law, AMG § 132 b and complying with the responsible regulatory body (the upper bavaria administrative district government) for the application of drugs.

All subjects were examined with a Biograph mCT scanner (Siemens Medical Solutions, Erlangen, Germany). All PET scans were acquired in 3D-mode with an acquisition time of 2-4min per bed. Emission data were corrected for randomness, insensitive time, scatter, and attenuation and iteratively reconstructed by an ordered subset expectation maximization algorithm (four iterations, eight subsets) followed by a post-reconstruction smoothing gaussian filter (5-mm full width at half maximum).

Method

By analyzing the clinics in 47 patients and 32 patients, respectively¹⁸F-rhPSMA-7-PET/CT and¹⁸F-rhPSMA-7.3-PET/CT test to evaluate human biodistribution. For the¹⁸F-rhPSMA-7 and¹⁸F-rhPSMA-7.3, mean injection activities of 324 (range 236-424) MBq and 345 (range 235-420) MBq, and uptake times of 84 (range 42-166) min and 76 (range 59-122) min, respectively.

Mean and maximum normalized uptake values (SUV mean/SUV maximum) were determined for the background (gluteus), normal organs (salivary glands, blood pool, lung, liver, spleen, pancreas, duodenum, kidney, bladder, bone) and three representative tumor foci. In 89 lesions (26 primary tumors/local recurrences, 23 bone metastases, 38 lymph node metastases and 2 visceral metastases) and 63 lesions (14 primary tumors/local recurrences, 30 bone metastases, 18 lymph node metastases and 1 visceral metastasis) respectively¹⁸F-rhPSMA-7 and¹⁸tumor uptake of F-rhPSMA-7.3.

For the calculation of SUV, a circular target region is drawn around the region of increased uptake gathered in a transaxial slice and automatically adapted to a three-dimensional target Volume (VOI) of 50% contour. Organ-background ratio and tumor-background ratio were calculated.

Results

¹⁸F-rhPSMA-7 and¹⁸the human biodistribution of F-rhPSMA-7.3 shows a typical pattern known from other PSMA-ligands.¹⁸F-rhPSMA-7 and¹⁸the uptake parameters of F-rhPSMA-7.3 are very similar for¹⁸F-rhPSMA-7.3, the activity retention in bladder is lower and the uptake in tumor foci is higher: for the¹⁸F-rhPSMA-7 and¹⁸F-rhPSMA-7.3 for¹⁸F-rhPSMA-7 and¹⁸the average SUV values of F-rhPSMA-7.3 were 16.9 and 16.0 (parotid gland), 19.6 and 19.6 (submandibular gland), 2.0 and 1.9 (blood pool), 0.7 and 0.7 (lung), 7.0 and 7.3 (liver), 9.1 and 8.5 (spleen), 32.4 and 35.5 (kidney), 2.5 and 2.8 (pancreas), 10.9 and 11.0 (duodenum), 1.1 and 1.3 (uninjured bone), and 10.2 and 2.0 (bladder), respectively. In particular, the method of manufacturing a semiconductor device,¹⁸F-rhPSMA-7 and¹⁸uptake of F-rhPSMA-7.3 was significantly lower for retention in the bladder (2.0. + -. 0.8 and 6.3. + -. 21.2, p)<0.05) and significantly higher for tumor lesions (32.5 ± 42.7vs.20.0 ± 20.2, p<0.05)。

TABLE 18 use¹⁸F-rhPSMA-7 allows the SUV maximum and SUV mean of normal organs and tumor lesions. Data are shown as mean, minimum and maximum.

TABLE 19 use¹⁸SUV maximum and SUV mean for normal organs and tumor lesions at F-rhPSMA-7.3. Data are shown as mean, minimum and maximum.

TABLE 20 use¹⁸SUV maximum and SUV mean to background ratios for normal organs and tumor lesions at F-rhPSMA-7. Data are shown as mean, minimum and maximum.

TABLE 21 use¹⁸SUV maximum and SUV mean to background ratios for normal organs and tumor lesions at F-rhPSMA-7.3. Data are shown as mean, minimum and maximum.

And (4) conclusion:

for the most part of the normal organs,¹⁸F-rhPSMA-7 and¹⁸the human body distribution of F-rhPSMA-7.3 is similar. However, for¹⁸F-rhPSMA-7.3, significantly lower tracer retention in the bladder and significantly higher uptake in tumor lesions, represents a clear advantage for clinical imaging. In FIG. 28 is shown as having¹⁸An example of satisfactory human biodistribution and high tumor lesion uptake for F-rhPSMA-7.3.