Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers

Abstract Background In recent years, Copper-64 (T1/2 = 12.7 h) in the chemical form of copper dichloride ([64Cu]CuCl2) has been identified as a potential agent for PET imaging and radionuclide therapy targeting the human copper transporter 1, which is overexpressed in a variety of cancer cells. Limi...

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Main Authors: M.A. Avila-Rodriguez, C. Rios, J. Carrasco-Hernandez, J. C. Manrique-Arias, R. Martinez-Hernandez, F. O. García-Pérez, A. R. Jalilian, E. Martinez-Rodriguez, M. E. Romero-Piña, A. Diaz-Ruiz
Format: Article
Language:English
Published: SpringerOpen 2017-12-01
Series:EJNMMI Research
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Online Access:http://link.springer.com/article/10.1186/s13550-017-0346-4
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author M.A. Avila-Rodriguez
C. Rios
J. Carrasco-Hernandez
J. C. Manrique-Arias
R. Martinez-Hernandez
F. O. García-Pérez
A. R. Jalilian
E. Martinez-Rodriguez
M. E. Romero-Piña
A. Diaz-Ruiz
author_facet M.A. Avila-Rodriguez
C. Rios
J. Carrasco-Hernandez
J. C. Manrique-Arias
R. Martinez-Hernandez
F. O. García-Pérez
A. R. Jalilian
E. Martinez-Rodriguez
M. E. Romero-Piña
A. Diaz-Ruiz
author_sort M.A. Avila-Rodriguez
collection DOAJ
description Abstract Background In recent years, Copper-64 (T1/2 = 12.7 h) in the chemical form of copper dichloride ([64Cu]CuCl2) has been identified as a potential agent for PET imaging and radionuclide therapy targeting the human copper transporter 1, which is overexpressed in a variety of cancer cells. Limited human biodistribution and radiation dosimetry data is available for this tracer. The aim of this research was to determine the biodistribution and estimate the radiation dosimetry of [64Cu]CuCl2, using whole-body (WB) PET scans in healthy volunteers. Six healthy volunteers were included in this study (3 women and 3 men, mean age ± SD, 54.3 ± 8.6 years; mean weight ± SD, 77.2 ± 12.4 kg). After intravenous injection of the tracer (4.0 MBq/kg), three consecutive WB emission scans were acquired at 5, 30, and 60 min after injection. Additional scans were acquired at 5, 9, and 24 h post-injection. Low-dose CT scan without contrast was used for anatomic localization and attenuation correction. OLINDA/EXM software was used to calculate human radiation doses using the reference adult model. Results The highest uptake was in the liver, followed by lower and upper large intestine walls, and pancreas, in descending order. Urinary excretion was negligible. The critical organ was liver with a mean absorbed dose of 310 ± 67 μGy/MBq for men and 421 ± 56 μGy/MBq for women, while the mean WB effective doses were 51.2 ± 3.0 and 61.8 ± 5.2 μSv/MBq for men and women, respectively. Conclusions To the best of our knowledge, this is the first report on biodistribution and radiation dosimetry of [64Cu]CuCl2 in healthy volunteers. Measured absorbed doses and effective doses are higher than previously reported doses estimated with biodistribution data from patients with prostate cancer, a difference that could be explained not just due to altered biodistribution in cancer patients compared to healthy volunteers but most likely due to the differences in the analysis technique and assumptions in the dose calculation.
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spelling doaj.art-4c9532160aa34751bef3bef57434c6792022-12-21T19:53:08ZengSpringerOpenEJNMMI Research2191-219X2017-12-01711710.1186/s13550-017-0346-4Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteersM.A. Avila-Rodriguez0C. Rios1J. Carrasco-Hernandez2J. C. Manrique-Arias3R. Martinez-Hernandez4F. O. García-Pérez5A. R. Jalilian6E. Martinez-Rodriguez7M. E. Romero-Piña8A. Diaz-Ruiz9Unidad Radiofarmacia-Ciclotrón, División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoDepartamento de Neuroquímica, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez S.S.AUnidad Radiofarmacia-Ciclotrón, División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoUnidad Radiofarmacia-Ciclotrón, División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoDepartamento de Neuroquímica, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez S.S.ADepartamento de Medicina Nuclear, Instituto Nacional de CancerologíaDepartment of Nuclear Sciences and Applications, International Atomic Energy Agency (IAEA)Departamento de Neuroquímica, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez S.S.ADepartamento de Medicina Nuclear, Instituto Nacional de CancerologíaDepartamento de Neuroquímica, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez S.S.AAbstract Background In recent years, Copper-64 (T1/2 = 12.7 h) in the chemical form of copper dichloride ([64Cu]CuCl2) has been identified as a potential agent for PET imaging and radionuclide therapy targeting the human copper transporter 1, which is overexpressed in a variety of cancer cells. Limited human biodistribution and radiation dosimetry data is available for this tracer. The aim of this research was to determine the biodistribution and estimate the radiation dosimetry of [64Cu]CuCl2, using whole-body (WB) PET scans in healthy volunteers. Six healthy volunteers were included in this study (3 women and 3 men, mean age ± SD, 54.3 ± 8.6 years; mean weight ± SD, 77.2 ± 12.4 kg). After intravenous injection of the tracer (4.0 MBq/kg), three consecutive WB emission scans were acquired at 5, 30, and 60 min after injection. Additional scans were acquired at 5, 9, and 24 h post-injection. Low-dose CT scan without contrast was used for anatomic localization and attenuation correction. OLINDA/EXM software was used to calculate human radiation doses using the reference adult model. Results The highest uptake was in the liver, followed by lower and upper large intestine walls, and pancreas, in descending order. Urinary excretion was negligible. The critical organ was liver with a mean absorbed dose of 310 ± 67 μGy/MBq for men and 421 ± 56 μGy/MBq for women, while the mean WB effective doses were 51.2 ± 3.0 and 61.8 ± 5.2 μSv/MBq for men and women, respectively. Conclusions To the best of our knowledge, this is the first report on biodistribution and radiation dosimetry of [64Cu]CuCl2 in healthy volunteers. Measured absorbed doses and effective doses are higher than previously reported doses estimated with biodistribution data from patients with prostate cancer, a difference that could be explained not just due to altered biodistribution in cancer patients compared to healthy volunteers but most likely due to the differences in the analysis technique and assumptions in the dose calculation.http://link.springer.com/article/10.1186/s13550-017-0346-4Copper-64[64Cu]CuCl2Copper biodistributionRadiation dosimetryTheranostics
spellingShingle M.A. Avila-Rodriguez
C. Rios
J. Carrasco-Hernandez
J. C. Manrique-Arias
R. Martinez-Hernandez
F. O. García-Pérez
A. R. Jalilian
E. Martinez-Rodriguez
M. E. Romero-Piña
A. Diaz-Ruiz
Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
EJNMMI Research
Copper-64
[64Cu]CuCl2
Copper biodistribution
Radiation dosimetry
Theranostics
title Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
title_full Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
title_fullStr Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
title_full_unstemmed Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
title_short Biodistribution and radiation dosimetry of [64Cu]copper dichloride: first-in-human study in healthy volunteers
title_sort biodistribution and radiation dosimetry of 64cu copper dichloride first in human study in healthy volunteers
topic Copper-64
[64Cu]CuCl2
Copper biodistribution
Radiation dosimetry
Theranostics
url http://link.springer.com/article/10.1186/s13550-017-0346-4
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