Improved quality control of [177Lu]Lu-PSMA I&T

Abstract Background Targeted radionuclide therapy with [177Lu]Lu-PSMA I&T (zadavotide guraxetan) has proven high efficacy and safety in treating patients with advanced prostate cancer worldwide. Several methods to determine the radiochemical purity have been reported but also limitations in the...

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Main Authors: Martin Kraihammer, Piotr Garnuszek, Andreas Bauman, Michael Maurin, Manuel Alejandre Lafont, Roland Haubner, Elisabeth von Guggenberg, Michael Gabriel, Clemens Decristoforo
Format: Article
Language:English
Published: SpringerOpen 2023-03-01
Series:EJNMMI Radiopharmacy and Chemistry
Subjects:
Online Access:https://doi.org/10.1186/s41181-023-00191-6
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author Martin Kraihammer
Piotr Garnuszek
Andreas Bauman
Michael Maurin
Manuel Alejandre Lafont
Roland Haubner
Elisabeth von Guggenberg
Michael Gabriel
Clemens Decristoforo
author_facet Martin Kraihammer
Piotr Garnuszek
Andreas Bauman
Michael Maurin
Manuel Alejandre Lafont
Roland Haubner
Elisabeth von Guggenberg
Michael Gabriel
Clemens Decristoforo
author_sort Martin Kraihammer
collection DOAJ
description Abstract Background Targeted radionuclide therapy with [177Lu]Lu-PSMA I&T (zadavotide guraxetan) has proven high efficacy and safety in treating patients with advanced prostate cancer worldwide. Several methods to determine the radiochemical purity have been reported but also limitations in the HPLC analysis due to retention of the sample and tailing effects when using standard gradients containing trifluoroacetic acid (TFA). We here report on the validation of a method for quality control of [177Lu]Lu-PSMA I&T including determination of radiochemical purity, identity testing and limit test for PSMA I&T by HPLC using a Phosphate buffer /Acetonitrile gradient system, complemented with a TLC system with 0.1N Citrate buffer pH 5 as mobile phase including validation of the methods, batch and stability data as well as identification of the main radiochemical impurity by mass spectrometry. Results The described HPLC method met the defined acceptance criteria in terms of accuracy, specificity, robustness, linearity, range and LOQ. HPLC analysis revealed symmetrical peaks and quantitative recovery from the column. Batch data showed a radiochemical purity > 95% as determined by HPLC, stability data a pronounced degradation due to radiolysis, which could be limited by addition of ascorbic acid, dilution and storage at low temperatures. The main radiochemical impurity was found to be the de-iodinated form of [177Lu]Lu-PSMA I&T. TLC analysis allowed to determine the amount of free Lu-177 even in the presence of DTPA in the final formulation. Conclusion Overall the described combination of HPLC and TLC provides a reliable tool for quality control of [177Lu]Lu-PSMA I&T.
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spelling doaj.art-4c85afc87f8d4dbfa7c2ec18479058c92023-04-03T05:45:02ZengSpringerOpenEJNMMI Radiopharmacy and Chemistry2365-421X2023-03-018111310.1186/s41181-023-00191-6Improved quality control of [177Lu]Lu-PSMA I&TMartin Kraihammer0Piotr Garnuszek1Andreas Bauman2Michael Maurin3Manuel Alejandre Lafont4Roland Haubner5Elisabeth von Guggenberg6Michael Gabriel7Clemens Decristoforo8Department of Nuclear Medicine, Medical University InnsbruckRadioisotope Centre POLATOM, National Centre for Nuclear ResearchDivision of Radiopharmaceutical Chemistry, University Hospital BaselRadioisotope Centre POLATOM, National Centre for Nuclear ResearchDivision of Radiopharmaceutical Chemistry, University Hospital BaselDepartment of Nuclear Medicine, Medical University InnsbruckDepartment of Nuclear Medicine, Medical University InnsbruckDepartment of Nuclear Medicine and Endocrinology, Kepler University HospitalDepartment of Nuclear Medicine, Medical University InnsbruckAbstract Background Targeted radionuclide therapy with [177Lu]Lu-PSMA I&T (zadavotide guraxetan) has proven high efficacy and safety in treating patients with advanced prostate cancer worldwide. Several methods to determine the radiochemical purity have been reported but also limitations in the HPLC analysis due to retention of the sample and tailing effects when using standard gradients containing trifluoroacetic acid (TFA). We here report on the validation of a method for quality control of [177Lu]Lu-PSMA I&T including determination of radiochemical purity, identity testing and limit test for PSMA I&T by HPLC using a Phosphate buffer /Acetonitrile gradient system, complemented with a TLC system with 0.1N Citrate buffer pH 5 as mobile phase including validation of the methods, batch and stability data as well as identification of the main radiochemical impurity by mass spectrometry. Results The described HPLC method met the defined acceptance criteria in terms of accuracy, specificity, robustness, linearity, range and LOQ. HPLC analysis revealed symmetrical peaks and quantitative recovery from the column. Batch data showed a radiochemical purity > 95% as determined by HPLC, stability data a pronounced degradation due to radiolysis, which could be limited by addition of ascorbic acid, dilution and storage at low temperatures. The main radiochemical impurity was found to be the de-iodinated form of [177Lu]Lu-PSMA I&T. TLC analysis allowed to determine the amount of free Lu-177 even in the presence of DTPA in the final formulation. Conclusion Overall the described combination of HPLC and TLC provides a reliable tool for quality control of [177Lu]Lu-PSMA I&T.https://doi.org/10.1186/s41181-023-00191-6PSMA[177Lu]Lu-PSMA I&TZadavotide guraxetanRadionuclide therapyQuality controlHPLC
spellingShingle Martin Kraihammer
Piotr Garnuszek
Andreas Bauman
Michael Maurin
Manuel Alejandre Lafont
Roland Haubner
Elisabeth von Guggenberg
Michael Gabriel
Clemens Decristoforo
Improved quality control of [177Lu]Lu-PSMA I&T
EJNMMI Radiopharmacy and Chemistry
PSMA
[177Lu]Lu-PSMA I&T
Zadavotide guraxetan
Radionuclide therapy
Quality control
HPLC
title Improved quality control of [177Lu]Lu-PSMA I&T
title_full Improved quality control of [177Lu]Lu-PSMA I&T
title_fullStr Improved quality control of [177Lu]Lu-PSMA I&T
title_full_unstemmed Improved quality control of [177Lu]Lu-PSMA I&T
title_short Improved quality control of [177Lu]Lu-PSMA I&T
title_sort improved quality control of 177lu lu psma i t
topic PSMA
[177Lu]Lu-PSMA I&T
Zadavotide guraxetan
Radionuclide therapy
Quality control
HPLC
url https://doi.org/10.1186/s41181-023-00191-6
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