Formulation of patient dose of [177Lu]Lu-Trastuzumab using in-house developed freeze-dried kit : A path forward for clinical translation

© 2024 John Wiley & Sons Ltd..

Trastuzumab is a US-FDA-approved humanized monoclonal antibody used for the treatment of human epidermal growth factor receptor 2 (HER2)-positive breast cancer. The aim of the present work is to optimize a freeze-dried formulation of DOTA-Trastuzumab conjugate for the preparation of patient doses of [177Lu]Lu-Trastuzumab for radioimmunotherapy of breast cancer. The formulation of [177Lu]Lu-Trastuzumab usually takes a long time, and thus, such a process is not suitable for the routine preparation of this agent in hospital radiopharmacies. To circumvent this, a pre-synthesized DOTA-Trastuzumab conjugate as a freeze-dried formulation is proposed. In the present work, DOTA-Trastuzumab conjugate was subjected to a freeze-drying process after the addition of optimized amounts of radioprotectant and cryoprotectant. [177Lu]Lu-DOTA-Trastuzumab was prepared by incubating the lyophilized powder of the kit vial with medium-specific activity 177LuCl3. The final radiochemical purity of [177Lu]Lu-DOTA-Trastuzumab, prepared using freeze-dried kit, was determined to be >95%. To ascertain the reproducibility of the procedure, six consecutive batches of the freeze-dried formulation were prepared, radiolabeled, and evaluated by carrying out both in vitro and ex vivo studies. The consistency of the results of all the six consecutive batches confirmed the robustness and utility of the in-house optimized freeze-dried formulation for the preparation of patient doses of [177Lu]Lu-Trastuzumab at hospital radiopharmacies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:67

Enthalten in:

Journal of labelled compounds & radiopharmaceuticals - 67(2024), 4 vom: 09. Apr., Seite 131-144

Sprache:

Englisch

Beteiligte Personen:

Amirdhanayagam, Jeyachitra [VerfasserIn]
Guleria, Mohini [VerfasserIn]
Sharma, Rohit [VerfasserIn]
Kumar, Naveen [VerfasserIn]
Mukherjee, Archana [VerfasserIn]
Das, Tapas [VerfasserIn]

Links:

Volltext

Themen:

[177Lu]Lu
[177Lu]Lu‐Trastuzumab
5H0DOZ21UJ
Breast cancer
DOTA‐Trastuzumab
Freeze‐dried kit
Journal Article
Lutetium
P188ANX8CK
Radioimmunotherapy
Radioisotopes
Radiopharmaceuticals
Trastuzumab

Anmerkungen:

Date Completed 12.04.2024

Date Revised 12.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jlcr.4086

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368320642