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用于人类骨痛缓解治疗试验的(177)镥-乙二胺四甲叉膦酸的生产、质量控制及药代动力学研究

Production, Quality Control and Pharmacokinetic Studies of (177)Lu-EDTMP for Human Bone Pain Palliation Therapy Trials.

作者信息

Bahrami-Samani Ali, Anvari Akbar, Jalilian Amir Reza, Shirvani-Arani Simindokht, Yousefnia Hassan, Aghamiri Mahmoud Reza, Ghannadi-Maragheh Mohammad

机构信息

Radiopharmaceutical Research and Development Lab (RRDL), Nuclear Science and Technology Research Institute (NSTRI), Tehran, Iran.

Department of Radiation Medicine, Engineering Shahid Beheshti University, Tehran, Iran.

出版信息

Iran J Pharm Res. 2012 Winter;11(1):137-44.

PMID:25317195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3876567/
Abstract

Developing new bone pain palliation agents is a mandate in handling end-stage cancer patients around the world. Possibly, Lu-177 ethylenediaminetetramethylene phosphonic acid ((177)Lu-EDTMP) is a therapeutic agent which can be widely used in bone palliation therapy. In this study, (177)Lu-EDTMP complex was prepared successfully using synthesized EDTMP ligand and (177)LuCl3. Lu-177 chloride was obtained by thermal neutron irradiation (4 × 10(13) n.cm(-2)s(-1)) of natural Lu2O3 samples. Radiochemical purity of (177)Lu-EDTMP was determined by ITLC (more than 99%). Stability studies of the final preparations in the presence of human serum were performed. The biodistribution of (177)Lu-EDTMP and (177)LuCl3 in wild-type rats was studied by SPECT imaging. A comparative accumulation study for (177)Lu-EDTMP and (177)LuCl3 was performed for vital organs up to 7 days. The complex was obtained in high radiochemical purity (more than 99%). The complex was stable in vitro in presence of human serum as well as final formulation. Significant bone uptake (> 70%) was observed for the radiopharmaceutical. Due to better physical properties of Lu-177 compared to Sm-153 and acceptable biodistribution results of the compound, (177)Lu-EDTMP seemed to be an interesting new candidate for clinical trials for bone pain palliation therapy.

摘要

开发新的骨痛缓解剂是全球范围内治疗晚期癌症患者的一项任务。Lu-177乙二胺四亚甲基膦酸((177)Lu-EDTMP)可能是一种可广泛用于骨缓解治疗的治疗剂。在本研究中,使用合成的EDTMP配体和(177)LuCl3成功制备了(177)Lu-EDTMP络合物。通过天然Lu2O3样品的热中子辐照(4×10(13) n·cm(-2)s(-1))获得氯化镥-177。通过ITLC测定(177)Lu-EDTMP的放射化学纯度(超过99%)。对最终制剂在人血清存在下进行稳定性研究。通过SPECT成像研究了(177)Lu-EDTMP和(177)LuCl3在野生型大鼠体内的生物分布。对(177)Lu-EDTMP和(177)LuCl3在重要器官中的累积情况进行了长达7天的比较研究。该络合物以高放射化学纯度(超过99%)获得。该络合物在人血清存在下以及最终制剂中在体外是稳定的。观察到该放射性药物在骨中的摄取量显著(>70%)。由于与钐-153相比,镥-177具有更好的物理性质,且该化合物的生物分布结果可接受,(177)Lu-EDTMP似乎是骨痛缓解治疗临床试验中一个有吸引力的新候选药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/5462e025d124/IJPR-011-137-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/9632b959c052/IJPR-011-137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/980a905d49b4/IJPR-011-137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/6d31dd2204e7/IJPR-011-137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/f9b555845bbf/IJPR-011-137-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/812b9a61f0f0/IJPR-011-137-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/5462e025d124/IJPR-011-137-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/9632b959c052/IJPR-011-137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/980a905d49b4/IJPR-011-137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/6d31dd2204e7/IJPR-011-137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/f9b555845bbf/IJPR-011-137-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/812b9a61f0f0/IJPR-011-137-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/3876567/5462e025d124/IJPR-011-137-g006.jpg

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