Development of a carbon-11 labeled thienopyrimidine based radioligand for EGFR-tyrosine-kinase-inhibitor (TKI) specific PET imaging of glioblastoma. Guttormsen, Y., Moldes-Anaya, A., Fjellaksel, R., Oteiza, A., Martin-Armas, M., Lindemann, M., Bihler, J., Hoff, B. H., Jakobsen, S., Sundby, E., Sundset, R., & Kranz, M. Journal of Nuclear Medicine, 62(supplement 1):1476–1476, Society of Nuclear Medicine, 2021.
Development of a carbon-11 labeled thienopyrimidine based radioligand for EGFR-tyrosine-kinase-inhibitor (TKI) specific PET imaging of glioblastoma [link]Paper  abstract   bibtex   1 download  
1476Introduction: Glioblastoma (GBM) is a devastating cancer disease affecting 3 of 100000 Europeans. Furthermore, GBM accounts for 25% of all malignant tumors of the central nervous system. Combined approaches, including surgery, chemotherapy and external radiation have shown to only slightly prolong the survival of patients to a maximum of 14 months after first diagnosis. Reasons for this ineffective treatment are the tumor growth pattern, its invasive vascularization and high heterogenicity. Hence, a specific PET radioligand for visualization of GBM biomarkers like EGFR-TKI might help to improve diagnostic and therapy monitoring following anti-angiogenic treatment. Here, we describe the development of a thienopyrimidine based radiotracer from a library of EGFR-TKI from Bugge et al. [1] and its subsequent in vivo characterization and visualization. Methods: The non-radioactive thienopyrimidine standard 1 and the desmethyl precursor 2 were synthesized according to published methods [1]. Radiosynthesis of [11C]1 was achieved by methylation with [11C]MeI using NaOH as a base in DMSO at 100 °C for 3-5 min in a TRACERlab FX2C module. [11C]1 was purified by preparative HPLC and further passed through a C-18 Sep-Pak cartridge. The eluted ethanolic extract was evaporated to approximately 30 \textmul and reconstituted to a final volume of 400 \textmul with 1% polysorbate 80 in isotonic saline for in vivo application. The cell association was evaluated at room temperature by in vitro saturation studies in A431 cells using Erlotinib as a blocking agent. Radiotracer biodistribution in vivo was studied by 1 h dynamic simultaneous PET/MR imaging (DRYMAG 7024/PET, MRsolutions, Guildford, UK) following [11C]1 i.v. injection (5.8\textpm4.3 MBq) in healthy female CD1 mice (31.7\textpm4.2 g, n=4). Initial metabolism was studied in healthy CD1 mice (n=3) administered with 130\textpm45 MBq [11C]1. Animals were sacrificed five minutes after administration and brain, blood and liver were collected and homogenized in ACN/H2O (7:3). Tissue homogenates and plasma were further analyzed by HPLC-RAD-MS. Results: Compounds 1 and 2 were obtained in 29% and 39% overall yields over six steps. Radiomethylation of 2 with [11C]MeI resulted in [11C]1 with 8.9\textpm3.8% (n=12) radiochemical yield (non-decay corrected, EOB) in 45 min total synthesis time. The radiochemical purity was found to be >99% (n=12) and the molar activity achieved was 115\textpm80 GBq/\textmumol (n=12). In vitro stability in human serum shows >99% intact [11C]1 after 30 minutes. Compound [11C]1 showed uptake in EGFR overexpressing A431 cells which was displaceable with Erlotinib. The radiotracer showed blood-brain-barrier (BBB) penetration and nonsignificant amounts of radiometabolites were detected with the methods applied. However, possible hydroxylated metabolites were found in trace amounts by LC/MS analysis. PET/MR imaging revealed high brain uptake (SUV=1.4 at 5 min p.i.) followed by a wash-out during the investigation time. Conclusion: Our preliminary PET/MR and ex vivo metabolism results indicate that compound [11C]1 crosses the BBB and that non-significant radiometabolite amounts are detected with the analysis methods applied . Cellular uptake in A431 cells renders [11C]1 suitable for subsequent in vivo studies. Hence, further studies in brain tumor bearing animals are planned to show specific binding to GBM tissue and to further develop the radiotracer as a tool for brain tumor imaging with PET. 1. Bugge, S., et al., Structure-activity study leading to identification of a highly active thienopyrimidine based EGFR inhibitor. European Journal of Medicinal Chemistry, 2014. 75: p. 354-374. Acknowledgements: This study is financed by 180°N the Norwegian Nuclear Medicine Consortium
@article {Guttormsen1476,
	author = {Guttormsen, Yngve and Moldes-Anaya, Angel and Fjellaksel, Richard and Oteiza, Ana and Martin-Armas, Montserrat and Lindemann, Marcel and Bihler, Julia and Hoff, Bard Helge and Jakobsen, Steen and Sundby, Eirik and Sundset, Rune and Kranz, Mathias},
	title = {Development of a carbon-11 labeled thienopyrimidine based radioligand for EGFR-tyrosine-kinase-inhibitor (TKI) specific PET imaging of glioblastoma},
	volume = {62},
	number = {supplement 1},
	pages = {1476--1476},
	year = {2021},
	publisher = {Society of Nuclear Medicine},
	abstract = {1476Introduction: Glioblastoma (GBM) is a devastating cancer disease affecting 3 of 100000 Europeans. Furthermore, GBM accounts for 25\% of all malignant tumors of the central nervous system. Combined approaches, including surgery, chemotherapy and external radiation have shown to only slightly prolong the survival of patients to a maximum of 14 months after first diagnosis. Reasons for this ineffective treatment are the tumor growth pattern, its invasive vascularization and high heterogenicity. Hence, a specific PET radioligand for visualization of GBM biomarkers like EGFR-TKI might help to improve diagnostic and therapy monitoring following anti-angiogenic treatment. Here, we describe the development of a thienopyrimidine based radiotracer from a library of EGFR-TKI from Bugge et al. [1] and its subsequent in vivo characterization and visualization. Methods: The non-radioactive thienopyrimidine standard 1 and the desmethyl precursor 2 were synthesized according to published methods [1]. Radiosynthesis of [11C]1 was achieved by methylation with [11C]MeI using NaOH as a base in DMSO at 100 {\textdegree}C for 3-5 min in a TRACERlab FX2C module. [11C]1 was purified by preparative HPLC and further passed through a C-18 Sep-Pak cartridge. The eluted ethanolic extract was evaporated to approximately 30 {\textmu}l and reconstituted to a final volume of 400 {\textmu}l with 1\% polysorbate 80 in isotonic saline for in vivo application. The cell association was evaluated at room temperature by in vitro saturation studies in A431 cells using Erlotinib as a blocking agent. Radiotracer biodistribution in vivo was studied by 1 h dynamic simultaneous PET/MR imaging (DRYMAG 7024/PET, MRsolutions, Guildford, UK) following [11C]1 i.v. injection (5.8{\textpm}4.3 MBq) in healthy female CD1 mice (31.7{\textpm}4.2 g, n=4). Initial metabolism was studied in healthy CD1 mice (n=3) administered with 130{\textpm}45 MBq [11C]1. Animals were sacrificed five minutes after administration and brain, blood and liver were collected and homogenized in ACN/H2O (7:3). Tissue homogenates and plasma were further analyzed by HPLC-RAD-MS. Results: Compounds 1 and 2 were obtained in 29\% and 39\% overall yields over six steps. Radiomethylation of 2 with [11C]MeI resulted in [11C]1 with 8.9{\textpm}3.8\% (n=12) radiochemical yield (non-decay corrected, EOB) in 45 min total synthesis time. The radiochemical purity was found to be \>99\% (n=12) and the molar activity achieved was 115{\textpm}80 GBq/{\textmu}mol (n=12). In vitro stability in human serum shows \>99\% intact [11C]1 after 30 minutes. Compound [11C]1 showed uptake in EGFR overexpressing A431 cells which was displaceable with Erlotinib. The radiotracer showed blood-brain-barrier (BBB) penetration and nonsignificant amounts of radiometabolites were detected with the methods applied. However, possible hydroxylated metabolites were found in trace amounts by LC/MS analysis. PET/MR imaging revealed high brain uptake (SUV=1.4 at 5 min p.i.) followed by a wash-out during the investigation time. Conclusion: Our preliminary PET/MR and ex vivo metabolism results indicate that compound [11C]1 crosses the BBB and that non-significant radiometabolite amounts are detected with the analysis methods applied . Cellular uptake in A431 cells renders [11C]1 suitable for subsequent in vivo studies. Hence, further studies in brain tumor bearing animals are planned to show specific binding to GBM tissue and to further develop the radiotracer as a tool for brain tumor imaging with PET. 1. Bugge, S., et al., Structure-activity study leading to identification of a highly active thienopyrimidine based EGFR inhibitor. European Journal of Medicinal Chemistry, 2014. 75: p. 354-374. Acknowledgements: This study is financed by 180{\textdegree}N the Norwegian Nuclear Medicine Consortium},
	issn = {0161-5505},
	URL = {https://jnm.snmjournals.org/content/62/supplement_1/1476},
	journal = {Journal of Nuclear Medicine}
}

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