Efficient Synthesis of Chelators for Nuclear
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(19) TZZ Z_T (11) EP 2 079 486 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61K 49/00 (2006.01) A61K 51/04 (2006.01) 04.04.2018 Bulletin 2018/14 A61P 9/00 (2006.01) A61P 9/10 (2006.01) A61P 9/06 (2006.01) A61P 35/00 (2006.01) (2006.01) (21) Application number: 07799253.5 A61P 35/02 (22) Date of filing: 02.07.2007 (86) International application number: PCT/US2007/072669 (87) International publication number: WO 2008/045604 (17.04.2008 Gazette 2008/16) (54) EFFICIENT SYNTHESIS OF CHELATORS FOR NUCLEAR IMAGING AND RADIOTHERAPY: COMPOSITIONS AND APPLICATIONS EFFIZIENTE SYNTHESE VON CHELATOREN FÜR NUKLEARBILDGEBUNG UND RADIOTHERAPIE: ZUSAMMENSETZUNGEN UND ANWENDUNGEN SYNTHÈSE EFFICACE DE CHÉLATEURS DESTINÉS À L’IMAGERIE NUCLÉAIRE ET À LA RADIOTHÉRAPIE : COMPOSITIONS ET APPLICATIONS (84) Designated Contracting States: (74) Representative: Dehmel, Albrecht AT BE BG CH CY CZ DE DK EE ES FI FR GB GR Dehmel & Bettenhausen HU IE IS IT LI LT LU LV MC MT NL PL PT RO SE Patentanwälte PartmbB SI SK TR Herzogspitalstraße 11 Designated Extension States: 80331 München (DE) AL BA HR MK RS (56) References cited: (30) Priority: 05.10.2006 US 828347 P US-A1- 2005 079 133 US-A1- 2006 182 687 28.06.2007 US 770395 • G. BORMANS, B. CLEYNHENS, T. J. DE GROOT, (43) Date of publication of application: L. MORTELMANS, J.-L. MORETTI, A. 22.07.2009 Bulletin 2009/30 VERBRUGGEN: "Synthesis, radio-LC-MS analysis and biodistribution in mice of (73) Proprietors: 99mTc-NIM-BAT" JOURNAL OF LABELLED • The Board of Regents of The University of Texas COMPOUNDS AND RADIOPHARMACEUTICALS, System vol. 46, no. 6, May 2003 (2003-05), pages 575-585, Austin, TX 78701 (US) XP002500849 • Cell>Point, LLC • ZARENEYRIZI F ET AL: "SYNTHESIS OF Centennial, CO 80111 (US) 99MTCETHYLENEDICYSTEINE-COLCHICINE FOR EVALUATION OF ANTIANGIOGENIC (72) Inventors: EFFECT" ANTI-CANCER DRUGS, RAPID • YANG, David J. COMMUNICATIONS, OXFORD, GB, vol. 7, no. 10, Sugar Land, TX 77478 (US) August 1999 (1999-08), pages 685-692, • YU, Dongfang XP001073905 ISSN: 0959-4973 Houston, TX 77030 (US) • ROLLO, David Saratoga, CA95070 (US) • THOMPSON, Andrew S. South Plainfield, NJ 07080 (US) Note: Within nine months of the publication of the mention of the grant of the European patent in the European Patent Bulletin, any person may give notice to the European Patent Office of opposition to that patent, in accordance with the Implementing Regulations. Notice of opposition shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention). EP 2 079 486 B1 Printed by Jouve, 75001 PARIS (FR) (Cont. next page) EP 2 079 486 B1 • VERBEKE K ET AL: "DEVELOPMENT OF A • David Yang ET AL: "Assessment of Therapeutic CONJUGATE OF 99MTC-EC WITH Tumor Response Using 99m AMINOMETHYLENEDIPHOSPHON ATE IN THE Tc-Ethylenedicysteine-Glucosamine", Box TX SEARCH FOR A BONE TRACER WITH FAST Tel CANCER BIOTHERAPY & CLEARANCE FROM SOFT TISSUE" RADIOPHARMACEUTICALS, 1 January 2004 BIOCONJUGATE CHEMISTRY, ACS, (2004-01-01), pages 443-457, XP055110166, WASHINGTON, DC, US, vol. 13, no. 1, 27 Retrieved from the Internet: December 2001 (2001-12-27), pages 16-22, URL:http://online.liebertpub.com/doi/pdfpl XP001093038 ISSN: 1043-1802 us/10.1089/cbr.2004.19.443 [retrieved on • VERBEKE K ET AL: "Preparation and preliminary 2014-03-26] evaluationof <99m>Tc-EC-For-MLFK" NUCLEAR MEDICINE AND BIOLOGY, ELSEVIER, NY, US, vol. 29, no. 5, July 2002 (2002-07), pages 585-592, XP004367635 ISSN: 0969-8051 • YANG D J ET AL: "NONINVASIVE ASSESSMENT OF TUMOR HYPOXIA WITH 99MTC LABELED METRONIDAZOLE" PHARMACEUTICAL RESEARCH, NEW YORK, NY, US, vol. 5, no. 16, May 1999 (1999-05), pages 743-750, XP001073914 ISSN: 0724-8741 2 EP 2 079 486 B1 Description BACKGROUND OF THE INVENTION 5 1. Field of the Invention [0001] The present invention relates generally to the fields of chemical synthesis, imaging, radiotherapy, labeling, chemotherapy, medical therapy, treatment of cardiovascular disease and treatment of cancer. More particularly, the invention concerns novel methods of synthesizing chelator-targeting ligand conjugates. Organic methods of synthesis 10 are set forth herein that yield chelator-targeting ligands of high purity in comparison to chelator-targeting conjugates prepared by aqueous methods. Methods of imaging a site using these conjugates, as well as kits for preparing these conjugates,are also set forthherein. Methods ofdiagnosting and treatingdiseases ( i.e.,cancers, cardiovascular diseases, infections and inflammation) in a subject using compositions that includes the aforementioned conjugates are also disclosed. 15 2. Description of Related Art [0002] Biomedical imaging includes various modalities that are widely used by physicians and researchers to assist with not only the diagnosis of disease in a subject, but also to gain a greater understanding of normal structure and 20 function of the body. Exemplary imaging modalities include PET, SPECT, gamma camera imaging, CT, MRI, ultrasound, dual imaging and optical imaging. [0003] In many instances, optimal imaging of a particular site within a subject requires the administration of a particular agent to the subject. Inorganic metals such as technetium ( 99mTc), iron, gadolinium, rhenium, manganese, cobalt, indium, platinum, copper, gallium, or rhodium have proved to be a valuable component of many imaging agents. 25 [0004] Labeling molecules with inorganic metals can be achieved by chelating the metal to combinations of oxygen, sulfur and nitrogen atoms, for example, of particular compounds. Chelators such as sulfur colloid, diethylenetri- aminepentaacetic acid (DTPA, O4), ethylenediaminetetraacetic acid (EDTA, O4) and 1,4,7,10-tetraazacyclododecane- N,N’,N",N"’-tetraacetic acid (DOTA, N4) have been used for this purpose. However, inorganic metals that are chelated in this manner are of limited usefulness for imaging because of their fast clearance from the body. 30 [0005] The preferred radioactive label for imaging agents is technetium (99mTc) due to its favorable half life (6 hrs), ease of production, wide availability, low energy (140 keV) and low cost. The longer half-life of isotopes such as 99mTc facilitates shipping of the radiolabelled amino acids to hospitals without an on-site cyclotron or dedicated radiochemistry laboratory. However, attaching 99mTc to drugs for imaging purposes is often a challenge. [0006] 188Re has good characteristics for imaging and for potential therapeutic use because of its high β energy (2.1 35 MeV), short physical half-life (16.9 hr) and 155 keV gamma-ray emission for dosimetric and imaging purposes. The short physical half-life of 188Re allows for higher doses compared with long-lived radionuclides. Furthermore, the short half- life reduces the problems of radioactive waste handling and storage. In particular, 188Re is available from an in-house generator system similar to a 99mTc generator. 188Re can be obtained from a 188W/188Re generator, which makes it very convenient for clinical use. Both 99mTc and 188Re emit gamma rays, so the dosimetry generated based on 99mTc 40 images is expected to be more accurate than that produced using the current standard radioisotope, Y-90. [0007] Regarding imaging using positron emission tomography (PET), PET radiosynthesis must be rapid because the radioisotope will decay during lengthy chemical synthesis and higher risk of radiation exposure may occur during radi- osynthesis. Cyclotron-based tracers are constrained by the availability of a local cyclotron and its high cost. The Food and Drug Administration (FDA) permits radiopharmaceutical production in central commercial facilities under well-con- 45 trolled conditions, and distributes these to local clinics where they are administered. Similarly, radionuclide generator systems that can be produced in a well-controlled facility are embraced by current FDA proceduresand have a long history of successful clinical application. A generator uses a parent-daughter nuclide pair wherein a relatively long-lived parent isotope decays to a short-lived daughter isotope that is used for imaging. The parent isotope, which is produced at a cyclotron facility, can be shipped to a clinical site and from which the daughter isotope may be eluted on site for 50 clinical use. [0008] 68Ga has a high positron emitting quantity (89% of its total decay), therefore the main consideration with this radionuclide is its spatial resolution, which depends on the positron range (energy), the non-colinearity of annihilating photons, intrinsic properties, size and geometry of the detector and the selection of the reconstruction algorithm. Aspects of the detector design, physical properties and their influence on system spatial resolution have been extensively ad- 55 dressed by many authors, leading to a continuous optimization of hardware. Although the maximum positron energy of 68Ga (max = 1.90 MeV, mean = 0.89 MeV) is higher than that of 18F (max = 0.63 MeV, mean = 0.25 MeV), a study using Monte Carlo analysis on spatial resolution revealed that under the assumption of 3 mm spatial resolution of PET detectors, the conventional full width at half maximum (FWHM) of 18F and 68Ga are indistinguishable in soft tissue (3.01 mm vs. 3 EP 2 079 486 B1 3.09 mm). It implies that with the spatial resolution at 5 to 7 mm of current clinical scanners, the imaging quality using 68Ga -based tracers can be as good as that of 18F-based agents and this has stimulated others to investigate potential 68Ga-based imaging agents. Further, 68Ga-based PET agents possess significant commercial potential because the isotope can be produced from a68 Ge generator (275-day half-life) on site and serve as a convenient alternative to 5 cyclotron-based PET isotopes, such as 18F or 13N. [0009] Regarding synthetic preparations of imaging agents, when such agents are prepared in aqueous (wet) condi- tions, purification of the agents can sometimes present a problem.