Nuklearmedizin 2021; 60(05): 375-380
DOI: 10.1055/a-1486-3683
Original Article

Human Absorbed Dose Evaluation of [177Lu]Lu-IBA as a Bone Palliative Candidate

Bewertung der vom Menschen absorbierten Dosis von [177Lu] Lu-IBA als Kandidat für ein Knochenpalliativmittel
Hassan Ranjbar
1   Nuclear Science and Technology Research Institute, Tehran, Iran (the Islamic Republic of)
,
Zahra Pourhabib
2   Payame Noor University, Tehran, Iran (the Islamic Republic of)
› Author Affiliations

Abstract

The role of lutetium-177 among bone-seeking radionuclides in targeted therapy is noteworthy. The clinical pharmacokinetics of ibandronate (IBA) indicates that this bisphonate has powerful bone mineral affinity. The aim of this study was to evaluate of [177Lu]Lu-IBA efficacy as a new compound.

The [177Lu]Lu-IBA was prepared by radiolabeling of IBA ligand to 177LuCl3 that was obtained by thermal neutron irradiation of enriched Lu2O3 sample. Produced [177Lu]Lu-IBA with high radiochemical purity was administered intravenously to mice. Biodistribution data were collected at 1, 4, 24, 48 h and 7 d post injections. With calculating accumulated activities in each organ and extrapolating mouse’s organs to human’s organs by the RADAR method and using OLINDA/EXM software the injected dose in various human organs was achieved.

[177Lu]Lu-IBA was produced with radiochemical purity nearly 96 %. Its biodistribution data showed the high uptake and durability in the skeletal tissues without significant uptake in other major organs.

The results showed that [177Lu]Lu-IBA has considerably good properties as a bone-seeking radiopharmaceutical and therefore can be a candidate for bone pain palliative therapy in skeletal metastases; however, further biological studies are still needed.

Zusammenfassung

Die Rolle von Lutetium-177 unter den knochensuchenden Radionukliden in der zielgerichteten Therapie ist bemerkenswert. Die klinische Pharmakokinetik von Ibandronat (IBA) deutet darauf hin, dass dieses Bisphosphonat eine starke Affinität zu Knochenmineral besitzt. Das Ziel dieser Studie war es, die Wirksamkeit von [177Lu] Lu-IBA als neue Verbindung zu untersuchen.

[177Lu] Lu-IBA wurde durch Radiomarkierung des IBA-Liganden an 177LuCl3 hergestellt, das durch thermische Neutronenbestrahlung einer angereicherten Lu2O3-Probe gewonnen wurde. Hergestelltes [177Lu] Lu-IBA mit hoher radiochemischer Reinheit wurde Mäusen intravenös verabreicht. Biodistributionsdaten wurden 1, 4, 24, 48 Stunden und 7 Tage nach der Injektion gesammelt. Durch die Berechnung der akkumulierten Aktivitäten in jedem Organ und die Extrapolation der Mäuseorgane auf die Organe des Menschen mittels der RADAR-Methode und unter Verwendung der OLINDA/EXM-Software wurde die injizierte Dosis in verschiedenen menschlichen Organen ermittelt.

[177Lu] Lu-IBA wurde mit einer radiochemischen Reinheit von fast 96 % hergestellt. Seine Biodistributionsdaten zeigten die hohe Aufnahme und Haltbarkeit im Skelettgewebe ohne signifikante Aufnahme in andere wichtige Organe.

Die Ergebnisse zeigten, dass [177Lu] Lu-IBA als knochensuchendes Radiopharmazeutikum beträchtlich gute Eigenschaften aufweist und daher ein Kandidat für eine palliative Knochenschmerztherapie bei Skelettmetastasen sein kann. Weitere biologische Studien sind jedoch noch erforderlich.



Publication History

Received: 25 January 2021

Accepted: 18 April 2021

Article published online:
08 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Macedo F, Ladeira K, Pinho F. et al. Bone metastases: an overview. Oncology reviews 2017; 11 (01) 45-49
  • 2 Abbasi IA. Studies on 177Lu-labeled methylene diphosphonate as potential bone-seeking radiopharmaceutical for bone pain palliation. Nuclear medicine and biology 2011; 38 (03) 417-425
  • 3 Liberal FDG, Tavares AAS, Tavares JMR. Palliative treatment of metastatic bone pain with radiopharmaceuticals: A perspective beyond Strontium-89 and Samarium-153. Applied Radiation and Isotopes 2016; 110: 87-99
  • 4 Pandit-Taskar N, Batraki M, Divgi CR. Radiopharmaceutical therapy for palliation of bone pain from osseous metastases. Journal of Nuclear Medicine 2004; 45 (08) 1358-1365
  • 5 Ogawa K, Mukai T, Inoue Y. et al. Development of a novel 99mTc-chelate–conjugated bisphosphonate with high affinity for bone as a bone scintigraphic agent. Journal of Nuclear Medicine 2006; 47 (12) 2042-2047
  • 6 Drake MT, Clarke BL, Khosla S. Bisphosphonates: mechanism of action and role in clinical practice. Mayo Clinic Proceedings Elsevier; 2008
  • 7 Baum RP. Therapeutic nuclear medicine. Springer; 2014
  • 8 Xu Q, Zhang S, Zhao Y. et al. Radiolabeling, quality control, biodistribution, and imaging studies of 177Lu‐ibandronate. Journal of Labelled Compounds and Radiopharmaceuticals 2019; 62 (01) 43-51
  • 9 Fernandez R, Eppard E, Lehnert W. et al. Evaluation of safety and dosimetry of 177Lu DOTA-ZOL for therapy of bone metastases. Journal of Nuclear Medicine 2021; DOI: 10.2967/jnumed.120.255851.
  • 10 Salek N, Mehrabi M, Shirvani Arani S. et al. Production, quality control, and determination of human absorbed dose of no carrier added 177Lu‐risedronate for bone pain palliation therapy. Journal of Labelled Compounds and Radiopharmaceuticals 2017; 60 (01) 20-29
  • 11 Barrett J, Worth E, Bauss F. et al. Ibandronate: a clinical pharmacological and pharmacokinetic update. The Journal of Clinical Pharmacology 2004; 44 (09) 951-965
  • 12 Yousefnia H, Zolghadri S, Jalilian AR. et al. Preliminary dosimetric evaluation of 166Ho-TTHMP for human based on biodistribution data in rats. Applied Radiation and Isotopes 2014; 94: 260-265
  • 13 Ranjbar H, Bahrami-Samani A, Yazdani MR. et al. Determination of human absorbed dose of cocktail of 153 Sm/177 Lu-EDTMP, based on biodistribution data in rats. Journal of Radioanalytical and Nuclear Chemistry 2016; 307 (02) 1439-1444
  • 14 Stabin MG, Siegel JA. Physical models and dose factors for use in internal dose assessment. Health physics 2003; 85 (03) 294-310
  • 15 Stabin MG, Sparks RB, Crowe E. OLINDA/EXM: the second-generation personal computer software for internal dose assessment in nuclear medicine. Journal of nuclear medicine 2005; 46 (06) 1023-1027
  • 16 Shanehsazzadeh S, Oghabian MA, Daha FJ. et al. Biodistribution of ultra small superparamagnetic iron oxide nanoparticles in BALB mice. Journal of Radioanalytical and Nuclear Chemistry 2013; 295 (02) 1517-1523
  • 17 Das T, Chakraborty S, Sarma HD. et al. 170Tm-EDTMP: a potential cost-effective alternative to 89SrCl2 for bone pain palliation. Nuclear medicine and biology 2009; 36 (05) 561-568
  • 18 Chopra A. 177Lu-Labeled methylene diphosphonate, in Molecular Imaging and Contrast Agent Database (MICAD) [Internet]. National Center for Biotechnology Information (US); 2011
  • 19 Zakaly HM, Mostafa MY, Deryabina D. et al. Comparative studies on the potential use of 177Lu-based radiopharmaceuticals for the palliative therapy of bone metastases. International Journal of Radiation Biology 2020; 1-11
  • 20 Jansen RD, Krijger GC, Kolar ZI. et al. Targeted radiotherapy of bone malignancies. Current drug discovery technologies 2010; 7 (04) 233-246