Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S

Many radioactive PSMA inhibitory substances have already been developed for PET diagnostics and therapy of prostate cancer. Because PET radionuclides and instrumentation may not be available, technetium-99 m labelled tracers can be considered as a diagnostic alternative. A suitable tracer is [<su...

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Main Authors: Elisabeth Plhak, Christopher Pichler, Edith Gößnitzer, Reingard M. Aigner, Herbert Kvaternik
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/28/2/577
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author Elisabeth Plhak
Christopher Pichler
Edith Gößnitzer
Reingard M. Aigner
Herbert Kvaternik
author_facet Elisabeth Plhak
Christopher Pichler
Edith Gößnitzer
Reingard M. Aigner
Herbert Kvaternik
author_sort Elisabeth Plhak
collection DOAJ
description Many radioactive PSMA inhibitory substances have already been developed for PET diagnostics and therapy of prostate cancer. Because PET radionuclides and instrumentation may not be available, technetium-99 m labelled tracers can be considered as a diagnostic alternative. A suitable tracer is [<sup>99m</sup>Tc]Tc-PSMA-I&S, primarily developed for radio-guided surgery, which has been identified for diagnostics of prostate cancer. However, there is no commercial kit approved for the preparation of [<sup>99m</sup>Tc]Tc-PSMA-I&S on the market. This work presents an automated process for the synthesis of [<sup>99m</sup>Tc]Tc-PSMA-I&S concerning good manufacturing practice (GMP). We used a Scintomics GRP 4 V module, with the SCC software package for programming sequences for this development. The optimum reaction conditions were evaluated in preliminary experiments. The pH of the reaction solution was found to be crucial for the radiochemical yield and radiochemical purity. The validation of [<sup>99m</sup>Tc]Tc-PSMA-I&S (<i>n</i> = 3) achieved a stable radiochemical yield of 58.7 ± 1.5% and stable radiochemical purities of 93.0 ± 0.3%. The amount of free [<sup>99m</sup>Tc]TcO<sub>4</sub><sup>−</sup> in the solution and reduced hydrolysed [<sup>99m</sup>Tc]TcO<sub>2</sub> was <2%. Our automated preparation of [<sup>99m</sup>Tc]Tc-PSMA-I&S has shown reliability and applicability in the clinical setting.
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spelling doaj.art-671e7cd51cb24f85aa1dffaac8f4d2d12023-11-30T23:41:47ZengMDPI AGMolecules1420-30492023-01-0128257710.3390/molecules28020577Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&SElisabeth Plhak0Christopher Pichler1Edith Gößnitzer2Reingard M. Aigner3Herbert Kvaternik4Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, 8036 Graz, AustriaDepartment of Pharmaceutical Chemistry, Institute of Pharmaceutical Sciences, University of Graz, Schubertstraße 1/EG/0122, 8010 Graz, AustriaDepartment of Pharmaceutical Chemistry, Institute of Pharmaceutical Sciences, University of Graz, Schubertstraße 1/EG/0122, 8010 Graz, AustriaDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, 8036 Graz, AustriaDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, 8036 Graz, AustriaMany radioactive PSMA inhibitory substances have already been developed for PET diagnostics and therapy of prostate cancer. Because PET radionuclides and instrumentation may not be available, technetium-99 m labelled tracers can be considered as a diagnostic alternative. A suitable tracer is [<sup>99m</sup>Tc]Tc-PSMA-I&S, primarily developed for radio-guided surgery, which has been identified for diagnostics of prostate cancer. However, there is no commercial kit approved for the preparation of [<sup>99m</sup>Tc]Tc-PSMA-I&S on the market. This work presents an automated process for the synthesis of [<sup>99m</sup>Tc]Tc-PSMA-I&S concerning good manufacturing practice (GMP). We used a Scintomics GRP 4 V module, with the SCC software package for programming sequences for this development. The optimum reaction conditions were evaluated in preliminary experiments. The pH of the reaction solution was found to be crucial for the radiochemical yield and radiochemical purity. The validation of [<sup>99m</sup>Tc]Tc-PSMA-I&S (<i>n</i> = 3) achieved a stable radiochemical yield of 58.7 ± 1.5% and stable radiochemical purities of 93.0 ± 0.3%. The amount of free [<sup>99m</sup>Tc]TcO<sub>4</sub><sup>−</sup> in the solution and reduced hydrolysed [<sup>99m</sup>Tc]TcO<sub>2</sub> was <2%. Our automated preparation of [<sup>99m</sup>Tc]Tc-PSMA-I&S has shown reliability and applicability in the clinical setting.https://www.mdpi.com/1420-3049/28/2/577[<sup>99m</sup>Tc]Tc-PSMA-I&Sautomated preparationtechnetium-99m
spellingShingle Elisabeth Plhak
Christopher Pichler
Edith Gößnitzer
Reingard M. Aigner
Herbert Kvaternik
Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
Molecules
[<sup>99m</sup>Tc]Tc-PSMA-I&S
automated preparation
technetium-99m
title Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
title_full Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
title_fullStr Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
title_full_unstemmed Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
title_short Development of in-House Synthesis and Quality Control of [<sup>99m</sup>Tc]Tc-PSMA-I&S
title_sort development of in house synthesis and quality control of sup 99m sup tc tc psma i s
topic [<sup>99m</sup>Tc]Tc-PSMA-I&S
automated preparation
technetium-99m
url https://www.mdpi.com/1420-3049/28/2/577
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AT christopherpichler developmentofinhousesynthesisandqualitycontrolofsup99msuptctcpsmais
AT edithgoßnitzer developmentofinhousesynthesisandqualitycontrolofsup99msuptctcpsmais
AT reingardmaigner developmentofinhousesynthesisandqualitycontrolofsup99msuptctcpsmais
AT herbertkvaternik developmentofinhousesynthesisandqualitycontrolofsup99msuptctcpsmais