Fully automated radiolabeling of [68Ga]Ga-EMP100 targeting c-MET for PET-CT clinical imaging

Timofei Rusu; Matthieu Delion; Charlotte Pirot; Amaury Blin; Anita Rodenas; Jean-Noël Talbot; Nicolas Veran; Christophe Portal; Françoise Montravers; Jacques Cadranel; Aurélie Prignon

doi:10.1186/s41181-023-00213-3

Fully automated radiolabeling of [⁶⁸Ga]Ga-EMP100 targeting c-MET for PET-CT clinical imaging

EJNMMI Radiopharm Chem. 2023 Oct 16;8(1):30. doi: 10.1186/s41181-023-00213-3.

Authors

Timofei Rusu^{1

2

3

4}, Matthieu Delion⁵, Charlotte Pirot⁵, Amaury Blin⁵, Anita Rodenas⁶, Jean-Noël Talbot⁷, Nicolas Veran⁸, Christophe Portal⁹, Françoise Montravers⁵, Jacques Cadranel^{6

10}, Aurélie Prignon^{6

11}

Affiliations

¹ THERANOSCAN Clinical Research Group Sorbonne University, Tenon Hospital AP-HP, Paris, France. timofei.rusu@aphp.fr.
² Positron Molecular Imaging Laboratory (LIMP) UMS28 Small Animal Phenotyping, Sorbonne University, Paris, France. timofei.rusu@aphp.fr.
³ Nuclear Medicine Imaging Department and Radiopharmacy, Tenon Hospital AP-HP, Paris, France. timofei.rusu@aphp.fr.
⁴ Radiopharmacist - Hôpital Tenon Assistance Publique - Hôpitaux de Paris, Paris, France. timofei.rusu@aphp.fr.
⁵ Nuclear Medicine Imaging Department and Radiopharmacy, Tenon Hospital AP-HP, Paris, France.
⁶ THERANOSCAN Clinical Research Group Sorbonne University, Tenon Hospital AP-HP, Paris, France.
⁷ Institut National des Sciences et Techniques Nucléaires (INSTN), Saclay, France.
⁸ CHRU de Nancy Pôle Pharmacie : Centre Hospitalier Régional Universitaire de Nancy Pôle Pharmacie, Nancy, France.
⁹ Edinburgh Molecular Imaging, Edinburgh, UK.
¹⁰ Service de Pneumologie et Oncologie Thoracique, APHP - Hôpital Tenon and Sorbonne Université, Paris, France.
¹¹ Positron Molecular Imaging Laboratory (LIMP) UMS28 Small Animal Phenotyping, Sorbonne University, Paris, France.

Abstract

Background: c-MET is a transmembrane receptor involved in many biological processes and contributes to cell proliferation and migration during cancer invasion process. Its expression is measured by immunehistochemistry on tissue biopsy in clinic, although this technique has its limitations. PET-CT could allow in vivo mapping of lesions expressing c-MET, providing whole-body detection. A number of radiopharmaceuticals are under development for this purpose but are not yet in routine clinical use. EMP100 is a cyclic oligopeptide bound to a DOTA chelator, with nanomolar affinity for c-MET. The aim of this project was to develop an automated method for radiolabelling the radiopharmaceutical [⁶⁸Ga]Ga-EMP100.

Results: The main results showed an optimal pH range between 3.25 and 3.75 for the complexation reaction and a stabilisation of the temperature at 90 °C, resulting in an almost complete incorporation of gallium-68 after 10 min of heating. In these experiments, 90 µg of EMP-100 peptide were initially used and then lower amounts (30, 50, 75 µg) were explored to determine the minimum required for sufficient synthesis yield. Radiolysis impurities were identified by radio-HPLC and ascorbic acid and ethanol were used to improve the purity of the compound. Three batches of [⁶⁸Ga]Ga-EMP100 were then prepared according to the optimised parameters and all met the established specifications. Finally, the stability of [⁶⁸Ga]Ga-EMP100 was assessed at room temperature over 3 h with satisfactory results in terms of appearance, pH, radiochemical purity and sterility.

Conclusions: For the automated synthesis of [⁶⁸Ga]Ga-EMP100, the parameters of pH, temperature, precursor peptide content and the use of adjuvants for impurity management were efficiently optimised, resulting in the production of three compliant and stable batches according to the principles of good manufacturing practice. [⁶⁸Ga]Ga-EMP100 was successfully synthesised and is now available for clinical development in PET-CT imaging.

Keywords: PET imaging; [68Ga]Ga-EMP100; [68Ga]Ga-radiopharmaceuticals; c-MET.