On the radiolabeling of rituximab, trastuzumab and pertuzumab with low specific activity (Lu-177) chloride
AbstractAbstract
[en] Radioimmunotherapy (RIT) using 177Lu-labeled monoclonal antibodies is increasingly gaining prominence in therapeutic nuclear medicine practices. Towards the use of these agents, the major challenges involved are preparation of the clinical dose and optimization of radiolabeling parameters of differently conjugated 177Lu- labeled monoclonal antibodies (MoAbs) viz. 177Lu-DOTA-Rituximab, 177Lu-DOTA-Trastuzumab and 177Lu-DOTA-Pertuzumab. Efficient radiolabeling of these MoAbs with varied molecular weight (143-148 KDa) depends on optimum pre-concentration, incubation-temperature, time and pH of conjugation and suitable purification of immunoconjugates. The present study merits the development of a single protocol which has been optimized for conjugation of rituximab, trastuzumab and pertuzumab with p-NCS-benzyl-DOTA and radiolabeling of these immunoconjugates using low specific activity (LSA) 177LuCl3. Commercial rituximab, trastuzumab, pertuzumab (5.0 mg/500 µL) preconcentrated to 80-100 µL using 30kDa MW cut-off ultra-centrifugal filtration-device at 3000 g for 17 minutes. Coupling of rituximab, trastuzumab, pertuzumab with p-NCS-benzyl-DOTA carried out at 1:10 molar ratio under incubation at 24℃ (2 h), followed by 4℃ (18 h) at pH~8.0. Reaction-mixtures purified using pre-conditioned PD-10 columns. All the three immunoconjugates eluted from PD-10 using 0.2M CH3COONa-buffer (pH~5.5) and concentrations estimated by Bradford's-assay. The number of DOTA molecules per antibody determined by spectrophotometric-method using Pb (II)-Arsenazo (III) complex. Prior to radiolabeling, pH of 177LuCl3 (250-300 mCi, SA: 15-20 mCi/µg) adjusted to 6.5, using 0.2M CH3COONa solution. 177Lu-acetate incubated with all the three purified immunoconjugates at 37℃ for 90 minutes. Radiolabeled reaction-mixture purified using pre-conditioned PD-10 column. In-vitro stability of radioconjugates ascertained by adding ascorbic acid (60 mg). The RCP evaluated using TLC and HPLC both. Using 300 mCi of LSA 177LuCl3 (15 mCi/µg), all the three radioconjugates (80-85 mCi) could be prepared. All the three radioconjugates were clear and colorless, pH (5.5-6.0) and RAC (8-10 mCi/mL). The RCP of all the three radioconjugates estimated by TLC was >98% (Rf: 0.0-0.1), while RCP derived by HPLC was >98% (Rt: 11-13 minutes). The RLY of all the three radioconjugates were between 32-35%. The EL was <6 EU/mL and product was sterile with in-vitro stability upto 96 h (storage at -20℃) ℃with stabilizer. In all the three immunoconjugates, number of DOTA attached per antibody were ~3 and MoAbs concentration were ~2.8 mg/mL. A single, protocol could be successfully optimized for coupling of rituximab, trastuzumab, pertuzumab with p-NCS-benzyl-DOTA. The subsequent radiolabeling with 15-20 mCi/µg of 177LuCl3 yielded patient doses of the radioconjugates i.e 177Lu-DOTA-Rituximab, 177Lu-DOTA-Trastuzumab and 177Lu-DOTA-Pertuzumab. Further studies towards clinical translation of all the three radiopharmaceuticals in patient are underway. (author)
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Source
SNMICON-2019: 51. annual conference of the society of nuclear medicine, India - abstracts; Mumbai (India); 12-15 Dec 2019
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Journal Article
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Conference
Journal
Indian Journal of Nuclear Medicine; ISSN 0972-3919; ; v. 34(5,suppl.1); p. 96-97
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Descriptors (DEC)
BETA DECAY RADIOISOTOPES, BETA-MINUS DECAY RADIOISOTOPES, DAYS LIVING RADIOISOTOPES, DOSES, DRUGS, IMMUNOTHERAPY, INTERMEDIATE MASS NUCLEI, ISOMERIC TRANSITION ISOTOPES, ISOTOPES, LABELLED COMPOUNDS, LUTETIUM ISOTOPES, MATERIALS, MEDICINE, NUCLEAR MEDICINE, NUCLEI, ODD-EVEN NUCLEI, RADIATION DOSES, RADIOACTIVE MATERIALS, RADIOISOTOPES, RADIOLOGY, RADIOTHERAPY, RARE EARTH NUCLEI, TESTING, THERAPY
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