Abstract

(4S)-4-(3-[18F]Fluoropropyl)-L-glutamic acid ([18F]FSPG) is a positron emission tomography (PET) imaging agent for measuring the system xC- transporter activity. It has been used for the detection of various cancers and metastasis in clinical trials. [18F]FSPG is also a promising diagnostic tool for evaluation of multiple sclerosis, drug resistance in chemotherapy, inflammatory brain diseases, and infectious lesions. Due to the very short half-life (110 min) of 18F nuclide, [18F]FSPG needs to be produced on a daily basis; therefore, fast and efficient synthesis and analytical methods for quality control must be established to assure the quality and safety of [18F]FSPG for clinical use. To manufacture cGMP-compliant [18F]FSPG, all four nonradioactive stereoisomers of FSPG were prepared as reference standards for analysis. (2S,4S)-1 and (2R,4R)-1 were synthesized starting from protected L- and D-glutamate derivatives in three steps, whereas (2S,4R)-1 and (2R,4S)-1 were prepared in three steps from protected (S)- and (R)-pyroglutamates. A chiral HPLC method for simultaneous determination of four FSPG stereoisomers was developed by using a 3-cm Chirex 3126 column and a MeCN/CuSO4(aq) mobile phase. In this method, (2R,4S)-1, (2S,4S)-1, (2R,4R)-1, and (2S,4R)-1 were eluted in sequence with sufficient resolution in less than 25 min without derivatization. Scale-up synthesis of intermediates for the production of [18F]FSPG in high optical purity was achieved via stereo-selective synthesis or resolution by recrystallization. The enantiomeric excess of intermediates was determined by HPLC using a Chiralcel OD column and monitored at 220 nm. The nonradioactive precursor with >98% ee can be readily distributed to other facilities for the production of [18F]FSPG. Based on the above accomplishments, cGMP-compliant [18F]FSPG met the acceptance criteria in specifications and was successfully manufactured for human use. It has been routinely prepared and used in several pancreatic ductal adenocarcinoma metastasis-related clinical trials.

Highlights

  • Positron emission tomography (PET) is a noninvasive molecular imaging technique that uses special radiotracers and scanners to obtain cross-sectional images of the distribution of radiotracers in live animals and humans

  • PET and PET tracers have been widely used in oncology, cardiology, and neurology for diagnosis, in which [18F]fluorodeoxyglucose ([18F]FDG) is the most popular of the PET drugs used in clinics

  • Based on the promising preclinical data, we decided to conduct clinical trials to evaluate whether the (4S)-4-(3-fluoropropyl)-Lglutamic acid (FSPG) PET is a more sensitive tool than FDG PET and Contrast-enhanced computerized tomography (ceCT) in detecting liver metastases from pancreatic ductal adenocarcinoma (PDAC)

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Summary

Introduction

Positron emission tomography (PET) is a noninvasive molecular imaging technique that uses special radiotracers and scanners to obtain cross-sectional images of the distribution of radiotracers in live animals and humans. [18F]FDG is useful in cancer diagnosis, staging, and treatment monitoring, new PET tracers aimed at other molecular targets for early tumor detection with higher sensitivity and specificity are still pursued by numerous researchers. Based on the promising preclinical data, we decided to conduct clinical trials to evaluate whether the FSPG PET is a more sensitive tool than FDG PET and ceCT in detecting liver metastases from PDAC. The chemistry, manufacturing, and controls (CMC) for the production of [18F]FSPG need to be thoroughly studied to establish appropriate specifications of a qualified [18F]FSPG injection for clinical use These are the information needed to submit an investigational new drug (IND) application to the local authority. By integration of the above research accomplishments, the [18F]FSPG injection met the regulatory requirements and has been successfully manufactured for human use

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