Abstrakt
Metastatic bone lesion is a common syndrome of many cancer diseases in an advanced state. Common treatments including systemic application of bisphosphonate drugs aim on pain reduction and on improving the quality of life of the patient.
Particularly, patients with multiple metastatic lesions benefit from bone-targeting therapeutic radiopharmaceuticals. No-carrier-added (177)Lu is remarkably suitable for an application in this scope.
Five DOTA-and DO2A-based bisphosphonates, including monomeric and dimeric structures and one NO2A-derivative, were synthesized and labelled with (177)Lu. Radiolabelling yields for (177)Lu-DOTA and (177)Lu-NO2A monomeric bisphosphonate complexes were >98 % within 15 min.
The dimeric macrocyclic bisphosphonates showed a decelerated labelling kinetics, reaching a plateau after 30 min of 60 to 90 % radiolabelling yields. All (177)Lu-bisphosphonate complexes showed exclusive accumulation in the skeleton.
Blood clearance and renal elimination were fast. SUV data (all for 1 h p.i.) in the femur ranged from 3.34 to 5.67.
The bone/blood ratios were between 3.6 and 135.6, correspondingly. (177)Lu-bisphosphonate dimers showed a slightly higher bone accumulation (SUVfemur = 4.48 +/- 0.38 for (177)Lu-DO2A(P-BP)(2); SUV(femur) = 5.41 +/- 0.46 for (177)Lu-DOTA(M-BP)(2)) but a slower blood clearance (SUV(blood) = 1.25 +/- 0.09 for (177)Lu-DO2A(P-BP)(2); SUV(blood) = 1.43 +/- 0.32 for (177)Lu-DOTA(M-BP)(2)). Conclusions: Lu-complexes of macrocyclic bisphosphonates might become options for the therapy of skeletal metastases in the near future, since they show high uptake in bone together with a very low soft-tissue accumulation.