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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
Van Gen tot Geneesmiddel:Van Gen tot Geneesmiddel:Nuclear Imaging techniquesNuclear Imaging techniques
Part 2.Part 2.radiopharmaceutical chemistryradiopharmaceutical chemistry
BertBert Windhorst ([email protected])Windhorst ([email protected])Radiopharmaceutical scientistRadiopharmaceutical scientistVU University Medical Center AmsterdamVU University Medical Center Amsterdam
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
OutlineOutline
Radiochemistry generalRadiochemistry general
1111CC chemistrychemistry
1818F chemistryF chemistry
8989Zr chemistryZr chemistry
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Half Half lifelife
Short half lives Short half lives demanddemand fastfast productionproduction processesprocesses
1111C : C : 20 min half life: max20 min half life: max 60 60 minutesminutes1818F : F : 110 min half life: max110 min half life: max 240 240 minutesminutes
YieldYield ::At At leastleast 750 750 MBqMBq
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Reaction speed and yieldReaction speed and yield
55 1010 151500
2525
5050
7575
100100
(%)
(%)
55 1010 151500
2525
5050
7575
100100
(%)
(%)
time (min)time (min)time (min)time (min)
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SpecificSpecific activityactivity
AmountAmount of of radioactivityradioactivity / / massmass
StartingStarting materialmaterial of of allall 1111C chemistry : C chemistry : 1111COCO22
In In thisthis case : case : 1111C / C / 1212CC
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SpecificSpecific activityactivity
Receptor studies : at Receptor studies : at leastleast 18.5 18.5 GBqGBq//µµmolmol((injinj 370 370 MBqMBq = 20 = 20 nmolnmol = 6 = 6 -- 10 10 µµg)g)
1111C : C : EveryEvery 20 20 minutesminutes the SA is the SA is halvedhalved!!
EveryEvery productionproduction alsoalso maxmax 20 20 nmolnmol 1212COCO22
Air Air containscontains 0,03% 0,03% 1212COCO22 : 20 : 20 nmolnmol = 1.5 ml of air!= 1.5 ml of air!
In practice : Yield In practice : Yield = 2= 2--5 5 GBqGBqSASA = 50= 50--100 100 GBqGBq//µµmolmol
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1111C chemistryC chemistry
Ideal isotope: every organic molecule has CarbonIdeal isotope: every organic molecule has Carbon
Large variety of chemical reactions possibleLarge variety of chemical reactions possible
Half life good for PET studyHalf life good for PET study
Radiation burden to patient/volunteer smallRadiation burden to patient/volunteer small
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Possibilities : Possibilities : 1111CC1111COCO22
1111COCO1111CHCH44
HH1111CNCN1111CHCH22OO
1111CHCH33OHOH
1111CHCH33II1111CHCH33II
Zn Zn 400 400 °°CC
Pt, HPt, H22360 360 °°CC
II2 2 (g) (g) 720 720 °°CC
LiAlHLiAlH44--40 40 °°CC
LiAlHLiAlH44 , 20 , 20 °°CC
HIHI130 130 °°CC
Pt, NHPt, NH33360 360 °°CC
1111CHClCHCl33
1111CHCH22NN22
HH22NNHNNH22KOH, 60KOH, 60 °°CC
ClCl22, CuCl, CuCl22310 310 °°CC
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1111C chemistry examples: C chemistry examples: TaxotereTaxotere
C11OH
O
O O
Cl
Cl
Cl
Cl
C11
OO OOH
OHOH O
O
OH
NHO
OO
O
OC11
CH3Li1) 11CO2, Et2O 15°C, 3'
2) HCl in Et2O
1,2,2,2-tetrachloroethyl chloroformate
THF, pyridine, 50 °C, 3 min
pyridine, 65 °C, 7 min
Tax-NH2
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1111CHCH33II
N
N
N O
O
O
F
11CH3
O
NH
N
ClO
OHCl
11CH3
NN
O
Cl
11CH3
NO
O N
O
O
11CH3
N C11 H3
Cl
OH
FlumazenilFlumazenilPK11195PK11195
VerapamilVerapamil
RacloprideRaclopride
SCH23390SCH23390
S
N
NH2
CN
C11 H3DASBDASB
N
HC11 H3
OH S
NNH
C11 H3
DeprenylDeprenyl PIBPIB
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[[1111C]Fumazenil : GABAC]Fumazenil : GABAAA
0.0
2.0
4.0
6.0
8.0
10.0
12.0
[und
efin
ed]
0.0
2.0
4.0
6.0
8.0
10.0
12.0
[und
efin
ed]
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
[[1111C]DASB : serotonine transporterC]DASB : serotonine transporter
Citalopram treatment: Citalopram treatment: 2020 mg/day for 4 weeksmg/day for 4 weeks 0%
20%
40%
60%
80%
100%
0 20 40 60 80O
ccup
ancy
10 mg 20 mg
Plasma Plasma paroxetine (paroxetine (µµg/Lg/L))
Courtesy of CAMHCourtesy of CAMH
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1818F F radiochemistryradiochemistry
Fluoride or FluorineFluoride or Fluorine
Fluoride: Fluoride: 1818FF--
Fluorine: [Fluorine: [1818F]FF]F22
Different chemistryDifferent chemistry
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1818F nucleophilic F nucleophilic substitutionsubstitution
AliphaticAliphatic : at primary or secondary C atoms: at primary or secondary C atoms
Typical STypical SNN2 mechanism2 mechanism
R L
H
HF18 R
H
H18F-
Leaving group: Halogens, Leaving group: Halogens, sulphonatesulphonate estersesters
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1818F nucleophilic F nucleophilic substitutionsubstitution
AromaticAromatic ::
Leaving group: Nitro, Leaving group: Nitro, trimethylammoniumtrimethylammoniumEwEw : nitro, amide, : nitro, amide, nitrilnitril, , aldehydealdehyde
LEw
LEw
F18F18
Ew18F- -
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1818F ChemistryF Chemistry
RL
RF18
18F- +
PTCK[2.2.2]/K2CO3 or(n-Bu)4NH4CO3
SolventHeat 5 - 30 min
OH
F18
OHOH
OOH
OAc
F18
OAcAcO
OAcO
OAc
OSO2CF3
OAcAcO
OAcO
[[1818F]FDGF]FDG
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1818F F WorkWork upup
No fluorination in presence of waterNo fluorination in presence of water
AzeotropicAzeotropic distillation with distillation with AcetonitrilAcetonitril
““nakednaked”” fluoride impossible in organic solvent : fluoride impossible in organic solvent : Phase Phase tranfertranfer catalyst, PTCcatalyst, PTC
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TypicalTypical reactionreaction conditionsconditions
PTC : crownPTC : crown--ether or ether or AmmoniumsaltAmmoniumsalt
CrownetherCrownether: Counter ion needed, K: Counter ion needed, K++
Krytofix[2.2.2] optimal :Krytofix[2.2.2] optimal :
OO
N
OO
NO
O
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TypicalTypical reactionreaction conditionsconditions
Solvents : Solvents : aproticaprotic and and dry to get dry to get 1818FF-- reacting as reacting as nucleophile, not as basenucleophile, not as base
Acetonitrile,Acetonitrile, THF, DMSO, THF, DMSO, dioxanedioxane, (, (chloro)benzenechloro)benzene(DMF)(DMF)
Temperatures : 80Temperatures : 80--180 180 °°CC
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1818F chemistry examples: F chemistry examples: FLTFLT
MartinMartin(2001)(2001)
OO
N N
O
O
dMTr
NOS
boc
OO
N N
O
O
dMTr
F18boc
OOH
N NH
O
O
F18
18F
H+
[18F]FLT
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[[1818F]FLT: imaging cel proliferationF]FLT: imaging cel proliferation
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1818F chemistry example: F chemistry example: FPFP--ββ--CITCIT
N OO
I
F18
NH
OO
I
SO
O
O
Br F18 Br
+
+ 18F-
KI, DiPEA
DMF, CH3CN150°C, 30'
K[2.2.2], K2CO3
CH3CN, 110 °C, 5'
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[[1818F]FPF]FP--ββ--CITCIT
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1818F F FluorineFluorine reactionsreactions
SiR3F18
[18F]F2 / Ne +
RxRx
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1818F F FluorineFluorine reactionreaction
FF--DOPADOPA
NHO
O
O
Si
OO
boc
boc
NHO
O
OO
Oboc
boc
F18
NH2
OH
O
OHOH
F18
[18F]F2 +
H+
freon
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
8989ZrZr chemistrychemistry
Coordination chemistry: radiometalsCoordination chemistry: radiometals
Lone pair electronsLone pair electrons
Hydration or coordination ligandHydration or coordination ligand
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
8989ZrZr chemistrychemistry
8989ZrZr4+4+
6 coordination, 6 coordination,
DesferalDesferal
NH2
NHO
N O
NH
N
O
N
O
OH
OH
OH
O
desferal(Df)
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
NH2
NHO
N O
NH
N
O
N
O
OH
OH
OH
ONH
NHO
N O
NH
N
O
N
O
OH
OH
OH
OOH
O
O
NH
NHO
N O
NH
N
O
N
O
OH
O
O
OO
O
O
Fe3+
F F
FF
NH
NHO
N O
NH
N
O
N
O
OH
O
O
ONHO
O
Fe3+
OH
ONH
NHO
N O
NH
N
O
N
O
OH
O
O
O O
Fe3+
desferal(Df)
N-succinyldesferal(N-sucDf) N-sucDf-Fe
TFP-N-sucDf-Fe mAb-N-sucDf-Fe
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3 4
8989ZrZr chemistrychemistry
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
8989ZrZr chemistrychemistry
NH
NHO
N O
NH
N
O
N
O
OH
OH
OH
ONHO
ONH
NHO
N O
NH
N
O
N
O
O
O
O
ONHO
O
Zr89 4+
mAb-N-sucDf mAb-N-sucDf-89Zr
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Nuclear Medicine & PET ResearchNuclear Medicine & PET Research
GMPGMP
Good Manufacturing PracticeGood Manufacturing Practice
ValidationValidation
Standard Operating Procedures (Standard Operating Procedures (SOPSOP’’ss))
Clean room technologyClean room technology
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GMP GMP cleanroomcleanroom
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GMP GMP cleanroomcleanroom
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SOPSOP’’ss
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Specifications [Specifications [1111C]FlumazenilC]FlumazenilAlgemeenAlgemeen EisenEisen Vrijgifte SpecificatieVrijgifte Specificatie
UiterlijkUiterlijk Helder en kleurloze vloeistofHelder en kleurloze vloeistof JaJa
pHpH 5 5 –– 88 JaJa
Radiochemische zuiverheid (Radiochemische zuiverheid (HPLCHPLC)) > 98 %> 98 % JaJa
Specifieke Activiteit (ART)Specifieke Activiteit (ART) > 18,5 > 18,5 GBqGBq//µµmolmol NeeNee
Steriel en Steriel en pyrogeenvrijpyrogeenvrij BubblepointBubblepoint steriel filter > 1 barsteriel filter > 1 bar JaJa
AcetonAceton < 50 ppm< 50 ppm NeeNee
AcetonitrilAcetonitril < 50 ppm< 50 ppm NeeNee
TetrahydrofuraanTetrahydrofuraan < 50 ppm< 50 ppm NeeNee
TetrabutylammoniumhydroxideTetrabutylammoniumhydroxide < 50 ppm< 50 ppm NeeNee
DimethylformamideDimethylformamide < 50 ppm< 50 ppm NeeNee
Ethanol concentratieEthanol concentratie 5 5 –– 8 %8 % NeeNee
HalfwaardetijdHalfwaardetijd 18 18 -- 22 minuten22 minuten NeeNee
SteriliteitSteriliteit SterielSteriel NeeNee
BacterieleBacteriele endotoxineendotoxine gehaltegehalte < 2,5 EU/ml (< 2,5 EU/ml (VVmaxmax = 70 ml)= 70 ml) NeeNee
RadionuclidischeRadionuclidische zuiverheidzuiverheid > 99.9%> 99.9% NeeNee
RadionucliodischeRadionucliodische Identiteit Identiteit dmvdmvgammaspectrumgammaspectrum
0.511 0.511 MeVMeV NeeNee
Radiochemische identiteit Radiochemische identiteit RRtt = 4 = 4 -- 6 min (6 min (HPLCHPLC)) NeeNee
Chemische zuiverheidChemische zuiverheid Precursor < 0,1 Precursor < 0,1 µµMM ((HPLCHPLC)) NeeNee
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LogisticsLogistics [[1111C]Flumazenil PET C]Flumazenil PET studystudyHospital ProductionHospital Production
Prepare labPrepare labPatient arrivesPatient arrives
Prepare patientPrepare patient
Transmission scanTransmission scanReleaseRelease
InjectionInjectionBlood samplesBlood samples
Analysis blood samplesAnalysis blood samples
PreparationsPreparationsIsotope productionIsotope productionSynthesisSynthesisPurificationPurificationFormulationFormulationTransportTransportAnalysisAnalysis
08:3008:30
12:3012:3011:4511:4510:4510:4510:4010:4010:3010:3010:2510:2510:1510:1510:0010:0009:1509:15
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ConclusionConclusion
Basics of:Basics of:
nuclear imagingnuclear imagingCyclotron pridcution of radio isotopesCyclotron pridcution of radio isotopesPET radiochemistry PET radiochemistry 1111C, C, 1818F and F and 8989ZrZrGMP productionGMP production
Some examplesSome examples