USRE31463E - Radiopharmaceutical chelates and method of external imaging - Google Patents
Radiopharmaceutical chelates and method of external imaging Download PDFInfo
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- USRE31463E USRE31463E US06/148,052 US14805280A USRE31463E US RE31463 E USRE31463 E US RE31463E US 14805280 A US14805280 A US 14805280A US RE31463 E USRE31463 E US RE31463E
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- chelate
- indium
- gallium
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- 238000000034 method Methods 0.000 title claims description 33
- 238000003384 imaging method Methods 0.000 title claims description 19
- 230000002799 radiopharmaceutical effect Effects 0.000 title abstract description 6
- 239000012217 radiopharmaceutical Substances 0.000 title abstract description 5
- 229940121896 radiopharmaceutical Drugs 0.000 title abstract description 5
- 239000013522 chelant Substances 0.000 claims abstract description 56
- GKLVYJBZJHMRIY-OUBTZVSYSA-N Technetium-99 Chemical compound [99Tc] GKLVYJBZJHMRIY-OUBTZVSYSA-N 0.000 claims abstract description 34
- 229940056501 technetium 99m Drugs 0.000 claims abstract description 34
- GUTLYIVDDKVIGB-YPZZEJLDSA-N cobalt-57 Chemical compound [57Co] GUTLYIVDDKVIGB-YPZZEJLDSA-N 0.000 claims abstract description 13
- GYHNNYVSQQEPJS-OIOBTWANSA-N Gallium-67 Chemical compound [67Ga] GYHNNYVSQQEPJS-OIOBTWANSA-N 0.000 claims abstract description 12
- 229940006110 gallium-67 Drugs 0.000 claims abstract description 12
- GYHNNYVSQQEPJS-YPZZEJLDSA-N Gallium-68 Chemical compound [68Ga] GYHNNYVSQQEPJS-YPZZEJLDSA-N 0.000 claims abstract description 11
- NBZBKCUXIYYUSX-UHFFFAOYSA-N iminodiacetic acid Chemical class OC(=O)CNCC(O)=O NBZBKCUXIYYUSX-UHFFFAOYSA-N 0.000 claims abstract description 11
- 229940055742 indium-111 Drugs 0.000 claims abstract description 11
- APFVFJFRJDLVQX-AHCXROLUSA-N indium-111 Chemical compound [111In] APFVFJFRJDLVQX-AHCXROLUSA-N 0.000 claims abstract description 11
- 239000005725 8-Hydroxyquinoline Chemical class 0.000 claims abstract description 7
- 229960003540 oxyquinoline Drugs 0.000 claims abstract description 7
- MCJGNVYPOGVAJF-UHFFFAOYSA-N quinolin-8-ol Chemical class C1=CN=C2C(O)=CC=CC2=C1 MCJGNVYPOGVAJF-UHFFFAOYSA-N 0.000 claims abstract description 7
- 239000002738 chelating agent Substances 0.000 claims description 19
- 229910021626 Tin(II) chloride Inorganic materials 0.000 claims description 12
- 210000004185 liver Anatomy 0.000 claims description 12
- 239000000203 mixture Substances 0.000 claims description 12
- 238000001990 intravenous administration Methods 0.000 claims description 10
- TXUICONDJPYNPY-UHFFFAOYSA-N (1,10,13-trimethyl-3-oxo-4,5,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-17-yl) heptanoate Chemical compound C1CC2CC(=O)C=C(C)C2(C)C2C1C1CCC(OC(=O)CCCCCC)C1(C)CC2 TXUICONDJPYNPY-UHFFFAOYSA-N 0.000 claims description 8
- 239000001119 stannous chloride Substances 0.000 claims description 8
- 235000011150 stannous chloride Nutrition 0.000 claims description 8
- XWSGEVNYFYKXCP-UHFFFAOYSA-N 2-[carboxymethyl(methyl)amino]acetic acid Chemical group OC(=O)CN(C)CC(O)=O XWSGEVNYFYKXCP-UHFFFAOYSA-N 0.000 claims description 6
- DJQJFMSHHYAZJD-UHFFFAOYSA-N lidofenin Chemical compound CC1=CC=CC(C)=C1NC(=O)CN(CC(O)=O)CC(O)=O DJQJFMSHHYAZJD-UHFFFAOYSA-N 0.000 claims description 6
- 210000000232 gallbladder Anatomy 0.000 claims description 5
- DPAZYVOAYDIQBT-UHFFFAOYSA-N 11-[bis(carboxymethyl)amino]undecanoic acid Chemical compound OC(=O)CCCCCCCCCCN(CC(O)=O)CC(O)=O DPAZYVOAYDIQBT-UHFFFAOYSA-N 0.000 claims description 4
- CABMTIJINOIHOD-UHFFFAOYSA-N 2-[4-methyl-5-oxo-4-(propan-2-yl)-4,5-dihydro-1H-imidazol-2-yl]quinoline-3-carboxylic acid Chemical compound N1C(=O)C(C(C)C)(C)N=C1C1=NC2=CC=CC=C2C=C1C(O)=O CABMTIJINOIHOD-UHFFFAOYSA-N 0.000 claims description 4
- WJJMNDUMQPNECX-UHFFFAOYSA-N Dipicolinic acid Natural products OC(=O)C1=CC=CC(C(O)=O)=N1 WJJMNDUMQPNECX-UHFFFAOYSA-N 0.000 claims description 4
- IYRMVVRWPNKMAY-UHFFFAOYSA-N 2-[(2-bromophenyl)methyl-(carboxymethyl)amino]acetic acid Chemical compound OC(=O)CN(CC(O)=O)CC1=CC=CC=C1Br IYRMVVRWPNKMAY-UHFFFAOYSA-N 0.000 claims description 3
- 125000004432 carbon atom Chemical group C* 0.000 claims description 3
- 239000003638 chemical reducing agent Substances 0.000 claims description 3
- -1 galium-67 Chemical compound 0.000 claims description 3
- UXZFQZANDVDGMM-UHFFFAOYSA-N iodoquinol Chemical compound C1=CN=C2C(O)=C(I)C=C(I)C2=C1 UXZFQZANDVDGMM-UHFFFAOYSA-N 0.000 claims description 3
- MGFYIUFZLHCRTH-UHFFFAOYSA-N nitrilotriacetic acid Chemical compound OC(=O)CN(CC(O)=O)CC(O)=O MGFYIUFZLHCRTH-UHFFFAOYSA-N 0.000 claims description 3
- XSIHGZKXMYHVCR-UHFFFAOYSA-N 2-[carboxymethyl-(2-hydroxy-3-naphthalen-1-yloxypropyl)amino]acetic acid Chemical compound C1=CC=C2C(OCC(O)CN(CC(O)=O)CC(O)=O)=CC=CC2=C1 XSIHGZKXMYHVCR-UHFFFAOYSA-N 0.000 claims description 2
- 125000000217 alkyl group Chemical group 0.000 claims description 2
- 238000002360 preparation method Methods 0.000 abstract description 3
- 239000012216 imaging agent Substances 0.000 abstract description 2
- 239000000047 product Substances 0.000 description 23
- 239000000243 solution Substances 0.000 description 20
- 210000000056 organ Anatomy 0.000 description 14
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 12
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 8
- 241000699670 Mus sp. Species 0.000 description 7
- 238000001727 in vivo Methods 0.000 description 7
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 239000003124 biologic agent Substances 0.000 description 5
- 239000008280 blood Substances 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 210000000936 intestine Anatomy 0.000 description 5
- 239000011780 sodium chloride Substances 0.000 description 5
- 241000282472 Canis lupus familiaris Species 0.000 description 4
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 4
- 238000002347 injection Methods 0.000 description 4
- 239000007924 injection Substances 0.000 description 4
- AXZWODMDQAVCJE-UHFFFAOYSA-L tin(II) chloride (anhydrous) Chemical compound [Cl-].[Cl-].[Sn+2] AXZWODMDQAVCJE-UHFFFAOYSA-L 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 3
- 230000002378 acidificating effect Effects 0.000 description 3
- GHAFORRTMVIXHS-UHFFFAOYSA-L bromosulfophthalein sodium Chemical compound [Na+].[Na+].C1=C(S([O-])(=O)=O)C(O)=CC=C1C1(C=2C=C(C(O)=CC=2)S([O-])(=O)=O)C(C(Br)=C(Br)C(Br)=C2Br)=C2C(=O)O1 GHAFORRTMVIXHS-UHFFFAOYSA-L 0.000 description 3
- 210000003734 kidney Anatomy 0.000 description 3
- 150000004325 8-hydroxyquinolines Chemical class 0.000 description 2
- 102100025841 Cholecystokinin Human genes 0.000 description 2
- 101800001982 Cholecystokinin Proteins 0.000 description 2
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 2
- ZOKXTWBITQBERF-AKLPVKDBSA-N Molybdenum Mo-99 Chemical compound [99Mo] ZOKXTWBITQBERF-AKLPVKDBSA-N 0.000 description 2
- 229910052783 alkali metal Inorganic materials 0.000 description 2
- 150000001340 alkali metals Chemical class 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 229940107137 cholecystokinin Drugs 0.000 description 2
- 239000000084 colloidal system Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 125000000623 heterocyclic group Chemical group 0.000 description 2
- 238000011534 incubation Methods 0.000 description 2
- 238000002372 labelling Methods 0.000 description 2
- 229950009740 molybdenum mo-99 Drugs 0.000 description 2
- 238000012633 nuclear imaging Methods 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- IZTQOLKUZKXIRV-YRVFCXMDSA-N sincalide Chemical compound C([C@@H](C(=O)N[C@@H](CCSC)C(=O)NCC(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC=1C=CC=CC=1)C(N)=O)NC(=O)[C@@H](N)CC(O)=O)C1=CC=C(OS(O)(=O)=O)C=C1 IZTQOLKUZKXIRV-YRVFCXMDSA-N 0.000 description 2
- 210000000813 small intestine Anatomy 0.000 description 2
- 229910052708 sodium Inorganic materials 0.000 description 2
- 239000011734 sodium Substances 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- GEZAUFNYMZVOFV-UHFFFAOYSA-J 2-[(2-oxo-1,3,2$l^{5},4$l^{2}-dioxaphosphastannetan-2-yl)oxy]-1,3,2$l^{5},4$l^{2}-dioxaphosphastannetane 2-oxide Chemical compound [Sn+2].[Sn+2].[O-]P([O-])(=O)OP([O-])([O-])=O GEZAUFNYMZVOFV-UHFFFAOYSA-J 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- 229910005267 GaCl3 Inorganic materials 0.000 description 1
- GYHNNYVSQQEPJS-UHFFFAOYSA-N Gallium Chemical compound [Ga] GYHNNYVSQQEPJS-UHFFFAOYSA-N 0.000 description 1
- 229930194542 Keto Chemical group 0.000 description 1
- 101100386054 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) CYS3 gene Proteins 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 125000003342 alkenyl group Chemical group 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 125000003710 aryl alkyl group Chemical group 0.000 description 1
- 125000003118 aryl group Chemical group 0.000 description 1
- 208000027119 bilirubin metabolic disease Diseases 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 239000007853 buffer solution Substances 0.000 description 1
- 239000007795 chemical reaction product Substances 0.000 description 1
- 239000003153 chemical reaction reagent Substances 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 239000000032 diagnostic agent Substances 0.000 description 1
- 229940039227 diagnostic agent Drugs 0.000 description 1
- 239000000706 filtrate Substances 0.000 description 1
- 229910052733 gallium Inorganic materials 0.000 description 1
- UPWPDUACHOATKO-UHFFFAOYSA-K gallium trichloride Chemical compound Cl[Ga](Cl)Cl UPWPDUACHOATKO-UHFFFAOYSA-K 0.000 description 1
- 229910052736 halogen Inorganic materials 0.000 description 1
- 150000002367 halogens Chemical group 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 208000036796 hyperbilirubinemia Diseases 0.000 description 1
- 229910052738 indium Inorganic materials 0.000 description 1
- APFVFJFRJDLVQX-UHFFFAOYSA-N indium atom Chemical compound [In] APFVFJFRJDLVQX-UHFFFAOYSA-N 0.000 description 1
- PSCMQHVBLHHWTO-UHFFFAOYSA-K indium(iii) chloride Chemical compound Cl[In](Cl)Cl PSCMQHVBLHHWTO-UHFFFAOYSA-K 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 125000000468 ketone group Chemical group 0.000 description 1
- 238000011068 loading method Methods 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 125000001570 methylene group Chemical group [H]C([H])([*:1])[*:2] 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 150000002894 organic compounds Chemical class 0.000 description 1
- 238000004816 paper chromatography Methods 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 230000002250 progressing effect Effects 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 239000012266 salt solution Substances 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 238000000638 solvent extraction Methods 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 101150035983 str1 gene Proteins 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 150000003568 thioethers Chemical class 0.000 description 1
- 238000003828 vacuum filtration Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K51/00—Preparations containing radioactive substances for use in therapy or testing in vivo
- A61K51/02—Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
- A61K51/04—Organic compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2123/00—Preparations for testing in vivo
Definitions
- Radiopharmaceutical imaging agents have been utilized heretofore for the external imaging of various portions of the anatomy. Only radiopharmaceuticals which emit gamma-photons are suitable for this utility. The field of application is restricted due to the fact that of the radionuclides which emit gamma rays, very few meet the additional requirements imposed by the inherent limitations of exiting imaging systems and by the necessity of keeping the radiation dose as low as possible. Among these requirements are the need for a simple gamma spectrum, a high yield of photons having an energy sufficiently low to permit effective collimation and efficient detection and a half-life sufficiently short to permit the admininstration of millicurie quantities without an excessive post-test radiation dose.
- the usual method of external imaging generally comprises labeling or tagging an organic compound suitable for administration to a patient with a suitable radio-isotope. More particularly, a biological agent known to localize in the particular organ or anatomical section to be imaged is labeled to a small extent with a radio-isotope. The thus labeled biological agent then permits external imaging of the desired organ utilizing conventional radio scanning techniques.
- the problems associated with prior art attempts in this direction center mainly on combining the requirements (1) that the biological agent be specific to the organ to be imaged (2) that a suitable radionuclide be employed as the labeling agent (3) that the labeled agent is sufficiently stable in vivo to permit effective imaging and (4) that the labeled biological agent retains its organ specificity.
- the above objects are achieved by providing a radiolabeled diagnostic agent which combines the high target organ specificity of various drugs and biochemicals with the excellent nuclear imaging properties of the radiometals technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m.
- the invention is predicated on the discovery that chelates of the above radiometals with a substituted iminodiacetic acid or an 8-hydroxyquinoline have a high degree of in vivo stability, are highly specfic to certain organs or anatomical sections and posses excellent nuclear imaging properties.
- the above chelates may be prepared by reacting the desired radio-isotope with the chelating agent.
- FIG. 1 is a graph showing in vivo distribution of a product according to the invention.
- FIG. 2 is a graph showing in vivo distribution of another product according to the invention.
- FIG. 3 is an anterior imaging study, after injection of a product according to the invention.
- FIG. 4 is an anterior imaging study at a later time than FIG. 3.
- FIG. 5 is an imaging study of a Rose Bengal product vs. a product according to the invention.
- Technetium-99m is commercially available either from an isotope generator as a daughter product of molybdenum-99 or as a direct product from a commercial supplier. It is also available as a solvent extraction product from molybdenum-99 solutions generally as alkali metal pertechnetate solutions at 5-100 mCi. A further discussion of preparative methods appears in U.S. Pat. Nos. 3,468,808 and 3,382,152.
- the technetium-99m chelate is most preferably prepared by reducing a solution of a pertechnetate, e.g., an alkali metal pertechnetate in the presence of the chelating agent.
- the reduction is preferably effected utilizing stannous chloride as a reducing agent.
- Any suitable reducing agent may be employed including other stannous salts such as stannous pyrophosphate.
- the product will also contain a significant proportion of the stannous chelate. It is to be understood that the present invention includes the product mixture containing both the radiometal chelate and the corresponding stannous chelate.
- composition of the invention is most conveniently provided as a sterile kit consisting of non-radioactive chemicals for mixing with the radiometal source prior to use.
- the kit preferably contains a stannous salt solution, pH buffer solution or combinations thereof.
- a stannous salt solution preferably contains a stannous salt solution, pH buffer solution or combinations thereof.
- the respective solutions would be mixed with each other in any desired order and then with the radiometal source solution.
- the resulting solution containing the radiometal chelate, te stannous chelate and any free chelate may then be employed directly for imaging purposes.
- a solution adapted for intravenous administration containing up to 15 mCi of radioactivity is administered to the patient. Generally, this may be accomplished by administering 0.2-1 ml of a solution containing from about 2 to about 100 mg of combined chelate product. Radioassay of the radio-isotope in the desired organ may be accomplished utilizing equipment, such as a scintillation camera, etc.
- Organ specificity is determined by the particular chelating agent employed. All of the chelates according to the present invention, however, are cleared through either the kidneys or liver. Therefore, the chelates of the above radiometals with most substituted iminodiacetic acids and 8-hydroxyquinolines may be utilized for the imaging of these organs.
- the chelating agents are of the formulae ##STR1## wherein R may be alkyl of up to about 24 carbon atoms preferably about 14 carbon atoms, alkenyl, aryl alkyl or cyclo-aliphatic groups substituted with halogen, hydroxy, carboxy, nitro, amino, keto or heterocyclic groups.
- the groups may be interrupted by ether or thio-ether linkages.
- the most preferred chelating agents are the substituted iminodiacetic acid and 8-hydroxyquinoline analogs of drugs and biochemicals whose organ specificity characteristics are known.
- chelating agents suitable for use in the practice of the invention are N-methyl-iminodiacetic acid, N-(10-carboxydecyl) iminodiacetic acid, N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid, N-(o-bromobenzyl) iminodiacetic acid, N-[3-(1-naphthyloxy)-2-hydroxypropyl] iminodiacetic acid, nitrilotriacetic acid, or 5,7-diiodo-8-hydroxyquinoline.
- substituted iminodiacetic acid is intended to include those compounds wherein R in the above structural formula combines with each methylene group to form a heterocyclic ring.
- R in the above structural formula combines with each methylene group to form a heterocyclic ring.
- An example of such an acid is 2,6-pyridinedicarboxylic acid.
- the gallium and indium chelates ae prepared by the addition of either GaCl 3 or indium chloride in 0.05 M HCl to the appropriate chelating agent at pH 3.5. After a 25-minute incubation period, the pH is raised to between 5 and 7.
- N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid prepared according to Example 1 in an amount of 150 mg (0.51 mmoles) was dissolved in 3 ml of 0.1 N NaOH.
- the pH of the solution was adjusted to 3.5 with 1 N HCl.
- Extra 0.1 N NaOH was added thereto to compensate for the acidic SnCl 2 solution which follows.
- 0.3 cc of a solution of SnCl 2 (20 mg. 0.11 mmole in 10 ml of 1 N HCl) was added. After a five-minute wait 80 microcuries of technetium-99m as sodium pertechnetate was added.
- the product was chromatographed in saline and recorded on a radiochromatogram scanner.
- the resulting graph showed a peak at the solvent front, R f ⁇ 1 due to the chelated compound. There was little colloid formation. There was substantially no free technetium-99m (TR f ⁇ 75).
- Methyl iminodiacetic acid in an amount of 150 mg was dissolved in 3 ml of 0.1 N NaOH.
- the pH of the solution was adjusted to 3.5 with 1 N HCl.
- Extra 0.1 N NaOH was added thereto to compensate for the acidic SnCl 2 solution which follows.
- 0.3 cc of a solution of SnCl 2 (20 mg. 0.11 mmole in 10 ml of 1 N HCl) was added.
- After a five-minute wait 80 microcuries of technetium-99m as sodium pertechnetate was added.
- the product was chromatographed in saline and recorded on a radiochromatogram scanner. The resulting graph showed a peak at the solvent front, R f ⁇ 1 due to the chelated compound. There was little colloid formation. There was substantially no free technetium-99m (TR f ⁇ 0.75).
- Ci(technetium-99m) of the product of Example 2 were injected intravenously into mice.
- the animals were sacrificed serially after injection and the activities in major organs were determined by counting multiple samples from each organ in a scintillation counter.
- the in vivo distribution of the product of Example 2 in the mice were plotted as a function of time as shown in FIG. 1.
- Example 4 The procedure of Example 4 was followed utilizing the product of Example 3. The in vivo distribution of the product in mice as a function of time were plotted as shown in FIG. 2.
- Example 6 The procedure of Example 6 was carried out and the results compared with those obtained following injection of the same dog at a later time with I-131 Rose Bengal. Both before and after plasma loading with bromosulphthalein (BSP) to simulate hyperbilirubinemia, BSP levels of 4-7 mg percent did not substantially alter the plasma clearance or imaging characteristics of the techmetium-99m labeled product. These images were of much better quality when compared to those obtained subsequently in the same dog using I-131 Rose Bengal, as shown in FIG. 5.
- BSP bromosulphthalein
- the gallium-67 chelate of 8-hydroxyquinoline was prepared by adding Ga 67 Cl 3 in 0.05 M HCl to an aqueous 7 m-molar 8-hydroxyquinoline solution having a pH of 3.5. Following a 25 minute incubation period the pH is raised to 6. Chloroform extraction of the reaction product produced a >90% yield of the chelate. Biodistribution studies were undertaken according to the procedure outlined in Example 8. Following intravenous injection of the chelate into 25 g mice, 25% of the injected dose was found in the liver, 13% in the intestines and 20% in the blood after 60 minutes.
- the technetium-99m chelate of nitrilotriacetic acid was prepared according to the stannous chloride reduction method outlined in Examples 2, 3 and 8.
- the chelate is water-soluble with >95% migration in saline employing paper chromatography. Biodistribution studies were carried out according to the procedure outlined in Example 8. The chelate was found to rapidly clear through the kidneys to urine (40% eliminated in urine after 60 minutes) with less than 5% of the injected dose found in the liver and intestines.
- the cobalt-57 chelate of N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid was prepared by heating 2-5 ⁇ Ci of Co 57 Cl 2 in the presence of 1 ml (20 mg/ml) of a solution of the compound (pH 4-5) for 1 hour at 100° C.
- the chelate was chromatographed and biodistribution studies carried out using the procedure of Example 8. At 30 minutes, 28% of the injected dose appears in the liver and 12% in the intestines.
- the technetium-99m chelate of 10-carboxydecyliminodiacetic acid was prepared according to the stannous chloride reduction method of Examples 2, 3 and 8.
- the product was chromatographed in saline. >98% the material had an R f ⁇ 1.
- Biodistribution studies of the chelate according to Example 8 in ten 25 g mice showed rapid blood clearance with less than 6% of the injected dose remaining in the blood at 60 minutes. Radioactivity was eliminated through both kidneys and liver with persistent activity noted in the liver and lungs.
- the technetium-99m chelate of N-(o-bromobenzyl) iminodiacetic acid was prepared by the stannous chloride reduction method described in Examples 2, 3 and 8.
- the product was paper chromatographed in saline (98% had an R ⁇ 1.)
- Biodistribution studies carried out on twelve 25 g mice according to the procedure of Example 8 showed rapid blood clearance (less than 5% remainig at 60 minutes) with a high uptake in the liver (40%) and intestines (30%) at 30 minutes.
- Example 11 The procedure of Example 11 was followed to prepare the cobalt-57 chelate of methyliminodiacetic acid.
- Example 9 The procedure of Example 9 was followed to prepare the gallium-67 chelate of methyliminodiacetic acid. Biodistribution studies carried out according to the procedure of Example 8 showed rapid renal clearance.
- the stannous chloride reduction method of Examples 2, 3 and 8 was used to prepare the technetium-99m chelate of 2,6-pyridinedicarboxylic acid.
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Abstract
A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and substituted iminodiacetic acid or an 8-hydroxyquinoline useful as a radiopharmaceutical external imaging agent. The invention also includes preparative methods therefor.
Description
This is a continuation-in-part application of our copending U.S. application Ser. No. 555,037, filed on Mar. 3, 1975, now abandoned.
Radiopharmaceutical imaging agents have been utilized heretofore for the external imaging of various portions of the anatomy. Only radiopharmaceuticals which emit gamma-photons are suitable for this utility. The field of application is restricted due to the fact that of the radionuclides which emit gamma rays, very few meet the additional requirements imposed by the inherent limitations of exiting imaging systems and by the necessity of keeping the radiation dose as low as possible. Among these requirements are the need for a simple gamma spectrum, a high yield of photons having an energy sufficiently low to permit effective collimation and efficient detection and a half-life sufficiently short to permit the admininstration of millicurie quantities without an excessive post-test radiation dose.
The usual method of external imaging generally comprises labeling or tagging an organic compound suitable for administration to a patient with a suitable radio-isotope. More particularly, a biological agent known to localize in the particular organ or anatomical section to be imaged is labeled to a small extent with a radio-isotope. The thus labeled biological agent then permits external imaging of the desired organ utilizing conventional radio scanning techniques.
The problems associated with prior art attempts in this direction center mainly on combining the requirements (1) that the biological agent be specific to the organ to be imaged (2) that a suitable radionuclide be employed as the labeling agent (3) that the labeled agent is sufficiently stable in vivo to permit effective imaging and (4) that the labeled biological agent retains its organ specificity.
It is an object of the present invention to provide a radiolabeled biological agent having a high degree of in vivo stability and which is highly organselective. It is a further object of the invention to provide a method of external imaging employing said agent. It is still a further object of the invention to provide a method for the preparation of said agent.
The above objects are achieved by providing a radiolabeled diagnostic agent which combines the high target organ specificity of various drugs and biochemicals with the excellent nuclear imaging properties of the radiometals technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m.
The invention is predicated on the discovery that chelates of the above radiometals with a substituted iminodiacetic acid or an 8-hydroxyquinoline have a high degree of in vivo stability, are highly specfic to certain organs or anatomical sections and posses excellent nuclear imaging properties.
The above chelates may be prepared by reacting the desired radio-isotope with the chelating agent.
FIG. 1 is a graph showing in vivo distribution of a product according to the invention.
FIG. 2 is a graph showing in vivo distribution of another product according to the invention.
FIG. 3 is an anterior imaging study, after injection of a product according to the invention.
FIG. 4 is an anterior imaging study at a later time than FIG. 3.
FIG. 5 is an imaging study of a Rose Bengal product vs. a product according to the invention.
Technetium-99m is commercially available either from an isotope generator as a daughter product of molybdenum-99 or as a direct product from a commercial supplier. It is also available as a solvent extraction product from molybdenum-99 solutions generally as alkali metal pertechnetate solutions at 5-100 mCi. A further discussion of preparative methods appears in U.S. Pat. Nos. 3,468,808 and 3,382,152.
The technetium-99m chelate is most preferably prepared by reducing a solution of a pertechnetate, e.g., an alkali metal pertechnetate in the presence of the chelating agent. The reduction is preferably effected utilizing stannous chloride as a reducing agent. Any suitable reducing agent may be employed including other stannous salts such as stannous pyrophosphate. As a result of this reduction step, the product will also contain a significant proportion of the stannous chelate. It is to be understood that the present invention includes the product mixture containing both the radiometal chelate and the corresponding stannous chelate.
Indeed, the composition of the invention is most conveniently provided as a sterile kit consisting of non-radioactive chemicals for mixing with the radiometal source prior to use. The kit preferably contains a stannous salt solution, pH buffer solution or combinations thereof. Using sterile reagents and aseptic techniques, the respective solutions would be mixed with each other in any desired order and then with the radiometal source solution. The resulting solution containing the radiometal chelate, te stannous chelate and any free chelate may then be employed directly for imaging purposes.
Generally, a solution adapted for intravenous administration containing up to 15 mCi of radioactivity is administered to the patient. Generally, this may be accomplished by administering 0.2-1 ml of a solution containing from about 2 to about 100 mg of combined chelate product. Radioassay of the radio-isotope in the desired organ may be accomplished utilizing equipment, such as a scintillation camera, etc.
Organ specificity is determined by the particular chelating agent employed. All of the chelates according to the present invention, however, are cleared through either the kidneys or liver. Therefore, the chelates of the above radiometals with most substituted iminodiacetic acids and 8-hydroxyquinolines may be utilized for the imaging of these organs.
Preferably, the chelating agents are of the formulae ##STR1## wherein R may be alkyl of up to about 24 carbon atoms preferably about 14 carbon atoms, alkenyl, aryl alkyl or cyclo-aliphatic groups substituted with halogen, hydroxy, carboxy, nitro, amino, keto or heterocyclic groups. The groups may be interrupted by ether or thio-ether linkages.
The most preferred chelating agents are the substituted iminodiacetic acid and 8-hydroxyquinoline analogs of drugs and biochemicals whose organ specificity characteristics are known.
Other specific chelating agents suitable for use in the practice of the invention are N-methyl-iminodiacetic acid, N-(10-carboxydecyl) iminodiacetic acid, N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid, N-(o-bromobenzyl) iminodiacetic acid, N-[3-(1-naphthyloxy)-2-hydroxypropyl] iminodiacetic acid, nitrilotriacetic acid, or 5,7-diiodo-8-hydroxyquinoline.
It is to be understood that the term "substituted iminodiacetic acid" is intended to include those compounds wherein R in the above structural formula combines with each methylene group to form a heterocyclic ring. An example of such an acid is 2,6-pyridinedicarboxylic acid.
The gallium and indium chelates ae prepared by the addition of either GaCl3 or indium chloride in 0.05 M HCl to the appropriate chelating agent at pH 3.5. After a 25-minute incubation period, the pH is raised to between 5 and 7.
The invention is illustrated by the following non-limiting examples.
2 grams (0.01 moles) of alpha-chloro-2,6-acetylxylidine and 2 grams (0.01 moles) of iminodiacetic acid (disodium salt) were refluxed in 200 ml of a 3:1 ETOH/H2 O mixture for 48 hours. The mixture was evaporated to dryness to yield a yellow residue. 25 ml of H2 O were added to the residue. That which failed to go into solution was collected by vacuum filtration. To the filtrate concentrated hydrochloric acid was added drop-wise and the pH monitored. At pH 3 the clear solution became cloudy and was cooled overnight. An off-white precipitate was collected which was recrystallized from boiling water. The product was identified as N-[N'-(2,6-dimethylphenyl) carbamolymethyl] iminodiacetic acid. m.p. 201°-203°. Percent yield 20% of theoretical.
______________________________________ NMR: DMSO-d.sub.6 δ = 7.11 (s,3, aromatic protons) δ = 3.63 (s,4, CH.sub.2 --COO--) δ = 3.57 (s,2, --CH.sub.2 --N<) δ = 2.20 (s,6, CH.sub.3) CHN: 57.13 C 6.16 H 9.52 N Theor 57.10 C 6.23 H 9.43 N Exp ______________________________________
The N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid prepared according to Example 1 in an amount of 150 mg (0.51 mmoles) was dissolved in 3 ml of 0.1 N NaOH. The pH of the solution was adjusted to 3.5 with 1 N HCl. Extra 0.1 N NaOH was added thereto to compensate for the acidic SnCl2 solution which follows. 0.3 cc of a solution of SnCl2 (20 mg. 0.11 mmole in 10 ml of 1 N HCl) was added. After a five-minute wait 80 microcuries of technetium-99m as sodium pertechnetate was added. The product was chromatographed in saline and recorded on a radiochromatogram scanner. The resulting graph showed a peak at the solvent front, Rf ═1 due to the chelated compound. There was little colloid formation. There was substantially no free technetium-99m (TRf ═75).
Methyl iminodiacetic acid in an amount of 150 mg was dissolved in 3 ml of 0.1 N NaOH. The pH of the solution was adjusted to 3.5 with 1 N HCl. Extra 0.1 N NaOH was added thereto to compensate for the acidic SnCl2 solution which follows. 0.3 cc of a solution of SnCl2 (20 mg. 0.11 mmole in 10 ml of 1 N HCl) was added. After a five-minute wait 80 microcuries of technetium-99m as sodium pertechnetate was added. The product was chromatographed in saline and recorded on a radiochromatogram scanner. The resulting graph showed a peak at the solvent front, Rf ═1 due to the chelated compound. There was little colloid formation. There was substantially no free technetium-99m (TRf ═0.75).
2 μ Ci(technetium-99m) of the product of Example 2 were injected intravenously into mice. The animals were sacrificed serially after injection and the activities in major organs were determined by counting multiple samples from each organ in a scintillation counter. The in vivo distribution of the product of Example 2 in the mice were plotted as a function of time as shown in FIG. 1.
The procedure of Example 4 was followed utilizing the product of Example 3. The in vivo distribution of the product in mice as a function of time were plotted as shown in FIG. 2.
4 mCi (technetium-99m) of the product of Example 2 were intravenously injected into laboratory dogs. One animal was selected for imaging at various time intervals utilizing a scintillation camera. Camera images were obtained in multiple exposures and demonstrated the localization of technetium-99m in the liver. See FIG. 3, which depicts anterior imaging studies and demonstrates the rapid uptake by the liver which is clearly identified at 5 minutes. (Frame A). The gall bladder appears as a cold defect. Sequential images taken at 25, 40 and 50 minutes are shown in Frames B, C, and D, in which clearance from the liver is demonstrated with progressive accumulation of the radiopharmaceutical in the gall bladder. Less than 10% and 3% of the injected dose remained in the blood at 10 minutes, respectively. Sufficiet cholecystokinin was injected into the dog intravenously to effect contraction of the gall bladder. Sequential studies revealed radiopharmaceutical activity progressing through the small intestines, seen in FIG. 4. Within 1 minute of the injection of cholecystokinin the technetium-99m labeled product is seen leaving the gall bladder (Frame E). Frames F, G and H taken at 5, 10 and 35 minutes show a bolus of activity moving progressively through a small intestine. The images were obtained using a gamma scintillation camera (Pho Gamma III) and a parallel hole high sensitivity collimator.
The procedure of Example 6 was carried out and the results compared with those obtained following injection of the same dog at a later time with I-131 Rose Bengal. Both before and after plasma loading with bromosulphthalein (BSP) to simulate hyperbilirubinemia, BSP levels of 4-7 mg percent did not substantially alter the plasma clearance or imaging characteristics of the techmetium-99m labeled product. These images were of much better quality when compared to those obtained subsequently in the same dog using I-131 Rose Bengal, as shown in FIG. 5.
The procedure of Examples 2 and 3 was followed to prepare the technetium-99m chelate of 8-hydroxyquinoline, employing a 7 m-molar solution of 8-hydroxyquinoline and an acidic stannous chloride reducing solution. The chelate was recovered by chloroform extraction at a yield greater than 90%.
Biodistribution studies were undertaken utilizing the procedure of Example 4. 2μ Ci (technetium-99m) of the above chelate were injected intravenously into 25 g mice. The animals were sacrificed after 60 minutes and the activities in major organs were determined by counting multiple samples from each organ in a scintillation counter. It was determined that on an average, 40% of the injected dose appeared in the liver and 20% in the intestines.
The gallium-67 chelate of 8-hydroxyquinoline was prepared by adding Ga67 Cl3 in 0.05 M HCl to an aqueous 7 m-molar 8-hydroxyquinoline solution having a pH of 3.5. Following a 25 minute incubation period the pH is raised to 6. Chloroform extraction of the reaction product produced a >90% yield of the chelate. Biodistribution studies were undertaken according to the procedure outlined in Example 8. Following intravenous injection of the chelate into 25 g mice, 25% of the injected dose was found in the liver, 13% in the intestines and 20% in the blood after 60 minutes.
The technetium-99m chelate of nitrilotriacetic acid was prepared according to the stannous chloride reduction method outlined in Examples 2, 3 and 8. The chelate is water-soluble with >95% migration in saline employing paper chromatography. Biodistribution studies were carried out according to the procedure outlined in Example 8. The chelate was found to rapidly clear through the kidneys to urine (40% eliminated in urine after 60 minutes) with less than 5% of the injected dose found in the liver and intestines.
The cobalt-57 chelate of N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid was prepared by heating 2-5μ Ci of Co57 Cl2 in the presence of 1 ml (20 mg/ml) of a solution of the compound (pH 4-5) for 1 hour at 100° C. The chelate was chromatographed and biodistribution studies carried out using the procedure of Example 8. At 30 minutes, 28% of the injected dose appears in the liver and 12% in the intestines.
The technetium-99m chelate of 10-carboxydecyliminodiacetic acid was prepared according to the stannous chloride reduction method of Examples 2, 3 and 8. The product was chromatographed in saline. >98% the material had an Rf ═1. Biodistribution studies of the chelate according to Example 8 in ten 25 g mice showed rapid blood clearance with less than 6% of the injected dose remaining in the blood at 60 minutes. Radioactivity was eliminated through both kidneys and liver with persistent activity noted in the liver and lungs.
The technetium-99m chelate of N-(o-bromobenzyl) iminodiacetic acid was prepared by the stannous chloride reduction method described in Examples 2, 3 and 8. The product was paper chromatographed in saline (98% had an R═1.) Biodistribution studies carried out on twelve 25 g mice according to the procedure of Example 8 showed rapid blood clearance (less than 5% remainig at 60 minutes) with a high uptake in the liver (40%) and intestines (30%) at 30 minutes.
The procedure of Example 11 was followed to prepare the cobalt-57 chelate of methyliminodiacetic acid.
The procedure of Example 9 was followed to prepare the gallium-67 chelate of methyliminodiacetic acid. Biodistribution studies carried out according to the procedure of Example 8 showed rapid renal clearance.
The stannous chloride reduction procedure of Examples 2, 3 and 8 was employed to prepare the technetium-99m chelate of 5,7-diiodo-8-hydroxyquinoline.
The stannous chloride reduction method of Examples 2, 3 and 8 was used to prepare the technetium-99m chelate of 2,6-pyridinedicarboxylic acid.
Claims (11)
1. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and a substituted iminodiacetic acid .[...]..Iadd., said chelate, upon intravenous administration, being liver and/or gallbladder selective..Iaddend. .[.2. A chelate of technetium-99m cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and an
8-hydroxyquinoline..]. 3. A composition comprising a mixture of the technetium-99m chelate of claim 1 and the stannous chelate of said
chelating agent. 4. A composition comprising a mixture of the technetium-99m chelate of claim 1, the stannous chelate of said chelating
agent and said chelating agent. 5. The chelate of claim 1 wherein said iminodiacetic acid chelating agent is N-methyliminodiacetic acid, N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid, N-(10-carboxydecyl) iminodiacetic acid, N-(O-bromobenzyl) iminodiacetic acid, N-[3-(1-naphthyloxy)-2-hydroxypropyl] iminodiacetic acid,
.[.nitrilo-triacetic acid.]. or 2,6-pyridinedicarboxylic acid.
6. N-[N'(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid. 7. A method of external imaging which includes the intravenous administration of a solution adapted for intravenous administration containing the chelate of claim 1. .[.8. A method of external imaging which includes the intravenous administration of a solution adapted for intravenous
administration containing the chelate of claim 2..]. 9. A method of preparing the chelate of claim 1 comprising reacting said radio-isotope
with said chelating agent. 10. The method of claim 9 wherein said
radioisotope is technetium-99m. 11. The method of claim 10 wherein said chelate is prepared by reducing a pertechnetrate in the presence of said
chelating agent. 12. The method of claim 11 wherein said reduction is effected utilizing stannous chloride as a reducing agent. .[.13. A method of preparing the chelate of claim 2 comprising reacting said radio-isotope with said chelating agent..]..Iadd. 14. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and 5,7-diiodo-8-hydroxyquinoline. .Iaddend..Iadd. 15. A method of external imaging which includes the intravenous administration of a solution adapted for intravenous administration and containing the chelate of claim 14. .Iaddend..Iadd. 16. A method of preparing the chelate of claim 14 comprising reacting said radio-isotope with said chelating agent. .Iaddend. .Iadd. 17. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and a substituted iminodiacetic acid of the formula: .Iaddend. ##STR2## .Iadd.wherein R may be alkyl having up to 14 carbon atoms. .Iaddend..Iadd.
8. A composition comprising a mixture of the technetium-99m chelate of claim 17 and the stannous chelate of said chelating agent. .Iaddend..Iadd. 19. A composition comprising a mixture of the technetium-99m chelate of claim 17, the stannous chelate of said chelating agent and said chelating agent. .Iaddend..Iadd. 20. A method of external imaging which includes the intravenous administration of a solution adapted for intravenous administration containing the chelate of claim 17. .Iaddend..Iadd. 21. A method of preparing the chelate of claim 17 comprising reacting said radio-isotope with said chelating agent. .Iaddend. .Iadd. 22. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and N-[N'-(2,6-dimethylphenyl) carbamoylmethyl] iminodiacetic acid. .Iaddend. .Iadd. 23. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and methyliminodiacetic acid. .Iaddend..Iadd. 24. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and 10-carboxydecyliminodiacetic acid. .Iaddend..Iadd. 25. A chelate of technetium-99m, cobalt-57, galium-67, gallium-68, indium-111 or indium-113m and N-(o-bromobenzyl) iminodiacetic acid. .Iaddend..Iadd. 26. A chelate of technetium-99m, cobalt-57, gallium-67, gallium-68, indium-111 or indium-113m and 2,6-pyridinedicarboxylic acid. .Iaddend..Iadd. 27. A chelate of claim 1 wherein said radioisotope is technetium-99m. .Iaddend.
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US06/148,052 USRE31463E (en) | 1975-03-03 | 1980-05-08 | Radiopharmaceutical chelates and method of external imaging |
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US5342925A (en) * | 1991-01-30 | 1994-08-30 | The Dow Chemical Company | Radioactive compositions for soft tissue tumors |
US5403862A (en) * | 1992-01-17 | 1995-04-04 | University Of Utah Research Foundation | Method for oral decorporation of metals |
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US5494935A (en) * | 1992-01-17 | 1996-02-27 | University Of Utah Research Foundation | Methods for oral decorporation of metals |
US5639439A (en) * | 1994-12-15 | 1997-06-17 | Institute Of Nuclear Energy Research, Taiwan | Gallium dimercaptosuccinate as a novel tumor imaging agent |
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US5342925A (en) * | 1991-01-30 | 1994-08-30 | The Dow Chemical Company | Radioactive compositions for soft tissue tumors |
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US5403862A (en) * | 1992-01-17 | 1995-04-04 | University Of Utah Research Foundation | Method for oral decorporation of metals |
US5494935A (en) * | 1992-01-17 | 1996-02-27 | University Of Utah Research Foundation | Methods for oral decorporation of metals |
WO1995030443A1 (en) * | 1994-05-05 | 1995-11-16 | Albany Medical College | Method for production of radiolabeled drug product |
US5639439A (en) * | 1994-12-15 | 1997-06-17 | Institute Of Nuclear Energy Research, Taiwan | Gallium dimercaptosuccinate as a novel tumor imaging agent |
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