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Questions and Answers

What quality control measure is used to assess the radiochemical purity of the [225Ac]Ac-DOTA-peptide?

  • Infrared Spectroscopy
  • Thin Layer Chromatography (correct)
  • Mass Spectrometry
  • Nuclear Magnetic Resonance
  • What is the specified gamma counting RCP value validated for the [225Ac]Ac-DOTA-peptide using accelerator produced material?

  • 90.5%
  • 85.6%
  • 94.2% (correct)
  • 98.7%
  • Which technique is NOT utilized to report the radioisotopic composition of the [225Ac]Ac-DOTA-peptide?

  • Gamma Counting
  • Thin Layer Chromatography (correct)
  • High Purity Germanium Spectrometry
  • High Performance Liquid Chromatography
  • What is the half-life of 227Ac, which is significant in the context of the 227/225Ac-labeled agents?

    <p>21.7 years</p> Signup and view all the answers

    How long post-separation is 227Th at equilibrium with 227Ac according to the Bateman equations?

    <p>100 days</p> Signup and view all the answers

    What is one of the reasons that the quality control of alpha-emitting isotopes is considered challenging?

    <p>Direct detection of gamma emissions is often not possible</p> Signup and view all the answers

    What is the half-life of Actinium-225?

    <p>9.92 days</p> Signup and view all the answers

    Which of the following isotopes does not decay into a stable isotope but instead continues to produce alpha-emitting progenies?

    <p>Actinium-225</p> Signup and view all the answers

    What is an important consideration regarding the amount of activity required for alpha-emitting isotopes in vivo detection compared to therapy efficacy?

    <p>Need for high activity in vivo detection and low activity for therapy efficacy</p> Signup and view all the answers

    When does secular equilibrium occur during the decay of Actinium-225?

    <p>Both A and C are correct</p> Signup and view all the answers

    Study Notes

    Quality Control of Long-Lived Alpha-Emitting Radiopharmaceuticals

    • Focus on Actinium-225/227, Thorium-227, and Radium-223 for quality control (QC).
    • QC challenges for alpha-emitting isotopes due to complex detection methods and contaminants/progenies.
    • Targeted Alpha Particle Therapy (TAPT) is effective due to high Linear Energy Transfer (LET) and short tissue path-length.
    • Alpha particle emission leads to severe DNA damage: single and double-strand breaks.

    Actinium-225 Overview

    • Actinium-225 has a half-life of 9.92 days and is used in targeted constructs for radio-labeled therapies.
    • Key decay products include 213Bi (45 min T½) and 221Fr (5 min T½) with significant gamma emissions.
    • Secular equilibrium affects QC procedures, reaching after approximately 55 min and 6.5 hours for certain isotopes.

    Actinium-225 Supply and Demand

    • Current production capacity is low compared to growing research and industrial interest.
    • Active production sites: Oak Ridge National Laboratories (USA), Rosatom (Russia), Institute for Transuranium Elements (Germany).
    • Innovative methods are being developed to boost supply.

    Quality Control Procedures

    • QC processes for [225Ac]Ac-DOTA-peptide include ensuring radiochemical purity, chemical identity, and radioisotopic purity.
    • Techniques employed: Thin Layer Chromatography (TLC), High-Performance Liquid Chromatography (HPLC), and gamma counting.
    • Specific quality control metrics involve achieving radiochemical purity (RCP) greater than 99.9%.

    Alternative Production Routes for Actinium-225

    • Alternative methods involve using accelerator-produced Actinium-225, allowing for efficient detection of gamma emissions at specific energy levels.
    • Gamma counting of the resulting compounds demonstrates RCP of 94.2%, indicating effective processing.

    High Purity Germanium Analysis

    • High Purity Germanium detectors are utilized to evaluate processed peptide fractions over time.
    • Quantification of decay products, such as radium and thorium isotopes, helps confirm the stability and purity during processing.

    Quantification Techniques

    • Bateman equations are employed for the quantification of 227Ac in labeled agents, establishing a relationship to 227Th ratios based on decay.
    • After approximately 100 days, 227Th reaches equilibrium with 227Ac, allowing for accurate content determination.

    Challenges in Detection and Discrimination

    • Discrimination between Thorium-227 and Radium-223 poses significant challenges due to overlapping gamma emissions.
    • Automated measurements are necessary for effective organ distribution evaluations of radiopharmaceuticals and understanding dosimetry.

    Innovations in Detection Methods

    • Combining gamma counting with spectral deconvolution techniques improves the ability to achieve exclusive detection of Thorium-227.
    • Ongoing calibration and efficiency evaluations improve measurement accuracy against NIST standards for both 223Ra and 227Th.

    Conclusion

    • Quality control of long-lived alpha-emitting radiopharmaceuticals remains critical for safe and effective therapeutic applications.
    • Advances in detection methodologies, alongside increased production capabilities, are essential to meet rising demand and enhance patient safety in targeted therapies.### Pharmacokinetics and Organ Distribution in Mice
    • Used 227Th/223Ra discrimination to study in vivo 223Ra ingrowth.
    • Administered [227Th]Th-Trastuzumab via intravenous injection to naive female Swiss/Webster mice.

    Organ Uptake Observations

    • 227Th Uptake:
      • Elevated in liver, decreased in spleen, low in bone.
    • 223Ra In Vivo Ingrowth:
      • Accumulated significantly in spleen and bones, but remained low in liver.

    Theranostic Capabilities

    • 227Th and 89Zr labeled Trastuzumab utilized the same chemical precursor.
    • Comparison of injected activity per gram (% Injected Activity/gram) at 24 hours and 14 days revealed similar patterns for 227Th and 89Zr.

    Quality Control of Alpha Emitting Isotopes

    • Quality control presents challenges specific to alpha-emitting isotopes due to potential radiation safety considerations and material handling.### Equipment Requirements
    • Imaging radiopharmaceuticals laboratory requires a TLC reader, dose calibrator, and gamma counter.
    • High Purity Germanium (HpGe) detector is essential for precise measurements.
    • An alpha spectrometer may be utilized in certain situations.

    Isotope Considerations

    • Adjustments needed for each isotope and its progenies.
    • Must respect secular and transient equilibrium for accurate results.
    • Calibration and cross-instrument checks are crucial for reliability and consistency.

    Team Composition

    • A multidisciplinary team is necessary for effective operation and research.
    • Team includes professionals from different backgrounds, enhancing collaboration and expertise.

    Acknowledgements and Funding

    • Thorek Laboratory and Program for Quantitative Molecular Therapeutics received recognition.
    • Contributions from diverse experts in fields such as chemistry, engineering, and molecular therapeutics.
    • Group includes individuals with advanced degrees and affiliations from institutions like Moffitt Cancer Center and University of Iowa.

    Notable Contributors

    • Key figures include Dr. Nadia Benabdallah, Dr. Peng Lu, Dr. Mark McLaughlin, and Dr. Richard L. Wahl.
    • Various contributors from cyclotron facilities and the Department of Chemistry at Washington University in St. Louis.

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