First-in-human study of PSMA-targeting agent, [18F]AlF-P16-093: dosimetry and initial evaluation in prostate cancer patients.

Purpose: This is a first-in-human study to evaluate the radiation dosimetry of a new prostate-specific membrane antigen (PSMA)-targeted radiopharmaceutical, [18F]AlF-P16-093, and also initial investigation of its ability to detect PSMA-positive tumors using PET scans in a cohort of prostate cancer (...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 51; no. 6; pp. 1753 - 1763
Autores principales: Zhao, Ruiyue, Ke, Miao, Lv, Jie, Liu, Shaoyu, Liu, Yuheng, Zhang, Jing, Xu, Lifu, Gu, Di, Li, Mingzhao, Cai, Chao, Liu, Yongda, Zeng, Guohua, Alexoff, David, Ploessl, Karl, Zhu, Lin, Kung, Hank F., Wang, Xinlu
Formato: Journal Article
Publicado: Springer Nature May2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2024
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      pub: Springer Nature
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        atl: First-in-human study of PSMA-targeting agent, [18F]AlF-P16-093: dosimetry and initial evaluation in prostate cancer patients.
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          Zhao, Ruiyue
          Ke, Miao
          Lv, Jie
          Liu, Shaoyu
          Liu, Yuheng
          Zhang, Jing
          Xu, Lifu
          Gu, Di
          Li, Mingzhao
          Cai, Chao
          Liu, Yongda
          Zeng, Guohua
          Alexoff, David
          Ploessl, Karl
          Zhu, Lin
          Kung, Hank F.
          Wang, Xinlu
        affil: https://ror.org/00z0j0d77 Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, 510120, Guangzhou, Guangdong, China
      sug:
      ab: Purpose: This is a first-in-human study to evaluate the radiation dosimetry of a new prostate-specific membrane antigen (PSMA)-targeted radiopharmaceutical, [18F]AlF-P16-093, and also initial investigation of its ability to detect PSMA-positive tumors using PET scans in a cohort of prostate cancer (PCa) patients. Methods: The [18F]AlF-P16-093 was automatically synthesized with a GE TRACERlab. A total of 23 patients with histopathologically proven PCa were prospectively enrolled. Dosimetry and biodistribution study investigations were carried out on a subset of six (6) PCa patients, involving multiple time-point scanning. The mean absorbed doses were estimated with PMOD and OLINDA software. Results: [18F]AlF-P16-093 was successfully synthesized, and radiochemical purity was > 95%, and average labeling yield was 36.5 ± 8.3% (decay correction, n = 12). The highest tracer uptake was observed in the kidneys, spleen, and liver, contributing to an effective dose of 16.8 ± 1.3 μSv/MBq, which was ~ 30% lower than that of [68Ga]Ga-P16-093. All subjects tolerated the PET examination well, and no reportable side-effects were observed. The PSMA-positive tumors displayed rapid uptake, and they were all detectable within 10 min, and no additional lesions were observed in the following multi-time points scanning. Each patient had at least one detectable tumor lesion, and a total of 356 tumor lesions were observed, including intraprostatic, lymph node metastases, bone metastases, and other soft tissue metastases. Conclusions: We report herein a streamlined method for high yield synthesis of [18F]AlF-P16-093. Preliminary study in PCa patients has demonstrated its safety and acceptable radiation dosimetry. The initial diagnostic study indicated that [18F]AlF-P16-093 PET/CT is efficacious and potentially useful for a widespread application in the diagnosis of PCa patients.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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