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Research ArticleClinical Investigations

11C-MK-8278 PET as a Tool for Pharmacodynamic Brain Occupancy of Histamine 3 Receptor Inverse Agonists

Koenraad J. Van Laere, Sandra M. Sanabria-Bohórquez, David P. Mozley, Donald H. Burns, Terence G. Hamill, Anne Van Hecken, Inge De Lepeleire, Michel Koole, Guy Bormans, Jan de Hoon, Marleen Depré, Kristine Cerchio, John Plalcza, Lingling Han, John Renger, Richard J. Hargreaves and Robert Iannone
Journal of Nuclear Medicine January 2014, 55 (1) 65-72; DOI: https://doi.org/10.2967/jnumed.113.122515
Koenraad J. Van Laere
1Division of Nuclear Medicine, University Hospital and KU Leuven, Leuven, Belgium
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Sandra M. Sanabria-Bohórquez
2Imaging, Merck Research Laboratories, West Point, Pennsylvania
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David P. Mozley
2Imaging, Merck Research Laboratories, West Point, Pennsylvania
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Donald H. Burns
2Imaging, Merck Research Laboratories, West Point, Pennsylvania
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Terence G. Hamill
2Imaging, Merck Research Laboratories, West Point, Pennsylvania
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Anne Van Hecken
3Center for Clinical Pharmacology, University Hospital Leuven, Leuven, Belgium
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Inge De Lepeleire
4Clinical Pharmacology, Merck Research Laboratories, Brussels, Belgium
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Michel Koole
1Division of Nuclear Medicine, University Hospital and KU Leuven, Leuven, Belgium
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Guy Bormans
5Laboratory of Radiopharmaceutical Chemistry, KU Leuven, Leuven, Belgium
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Jan de Hoon
3Center for Clinical Pharmacology, University Hospital Leuven, Leuven, Belgium
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Marleen Depré
3Center for Clinical Pharmacology, University Hospital Leuven, Leuven, Belgium
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Kristine Cerchio
6Clinical Biostatistics and Research Decision Sciences, Merck Research Laboratories, North Wales, Pennsylvania
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John Plalcza
6Clinical Biostatistics and Research Decision Sciences, Merck Research Laboratories, North Wales, Pennsylvania
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Lingling Han
6Clinical Biostatistics and Research Decision Sciences, Merck Research Laboratories, North Wales, Pennsylvania
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John Renger
7Neurosymptomatic Disorders, Merck Research Laboratories, West Point, Pennsylvania; and
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Richard J. Hargreaves
2Imaging, Merck Research Laboratories, West Point, Pennsylvania
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Robert Iannone
8Clinical Oncology, Merck Research Laboratories, North Wales, Pennsylvania
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  • FIGURE 1.
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    FIGURE 1.

    Chemical structures of 11C-MK-8278, MK-0249, and MK-3134.

  • FIGURE 2.
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    FIGURE 2.

    Autoradiography of 11C-MK-8278 imaging in rhesus monkey versus summed image (0–100 min) in human subject. Coronal slices through level of nucleus accumbens and globus pallidus are shown. BST = bed stria terminalis; Cd-Pu = caudate-putamen; CG = cingulate gyrus; GP = globus pallidus; VP = ventropallidal.

  • FIGURE 3.
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    FIGURE 3.

    Dynamic human biodistribution of 11C-MK-8278. Maximal-intensity projections at consecutive time intervals (normalized on image maximum).

  • FIGURE 4.
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    FIGURE 4.

    Orthogonal sections of summed late-time images (60–80 min) of 11C-MK-8278 in human brain.

  • FIGURE 5.
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    FIGURE 5.

    11C-MK-8278 time–activity curves in brain of male, healthy volunteer under baseline condition (A) and after dosing with 2 different doses of MK-0249 (B).

  • FIGURE 6.
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    FIGURE 6.

    Transverse images at level of striatum for 3 consecutive healthy volunteers, showing RO changes for MK-0249 with 2.5- and 12.5-mg administration, 6 h postdose. Color scale indicates SUVs.

  • FIGURE 7.
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    FIGURE 7.

    (A) Occupancy versus dose relationship for MK-0249 (▲) and MK-3134 (▪) and fitted Hill curves. (B) Occupancy versus plasma concentration relationship for MK-0249 (▲, 6 h postdose; △, 27 h postdose) and for MK-3134 (▪, 6 h postdose).

Tables

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    TABLE 1

    Radiation Dosimetry of 11C-MK-8278 in 3 Healthy Young Male Volunteers

    Target organMean (μGy/MBq)Mean (mGy/300 MBq)Variance (%)
    Pancreas40.212.132.3
    Small intestine16.44.912.3
    Lungs14.44.3331.4
    Liver14.44.3216.0
    Kidneys13.64.0822.4
    Spleen11.13.3351.6
    Thyroid6.21.8726.7
    Urinary bladder wall5.01.499.7
    Gallbladder wall4.81.4430.5
    Heart wall4.51.3632.0
    Brain3.91.166.9
    Upper large intestine wall3.41.024.6
    Adrenals3.00.9112.5
    Ovaries2.40.736.6
    Stomach wall2.40.7312.6
    Uterus2.40.717.4
    Total body (remainder)2.30.7010.0
    Osteogenic cells2.10.6318.9
    Red marrow2.10.6320.2
    Lower large intestine wall2.00.598.6
    Thymus1.60.4711.4
    Muscle1.50.4410.9
    Breasts1.40.4111.5
    Skin1.00.3012.7
    Testes1.00.3016.0
    Effective dose5.4 (μSv/MBq)1.63 (mSv/300 MBq)19.8
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    TABLE 2

    Distribution Volume VT and BPND 11C-MK-8278 in Healthy Volunteers

    11C-MK-8278
    VTBPND
    OrganMeanSDMeanSD
    Striatum17.11.92.160.07
    Thalamus8.80.90.860.08
    Mid brain9.81.21.000.09
    Frontal8.40.70.810.13
    Anterior cingulate gyrus10.21.11.150.21
    Posterior cingulate gyrus8.91.10.920.26
    Parietal7.90.80.690.08
    Insula8.60.80.840.12
    Temporal7.70.70.660.09
    Occipital7.00.50.530.08
    Cerebellum7.40.50.640.13
    Pons4.50.5
    White matter3.70.4
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    TABLE 3

    Activity, Dosing, and Striatal Occupancy Data for MK-0249 and MK-3134

    Subject no.Activity (MBq)Dose (mg)H3 RO (%, striatum)Plasma level (nM)Time scan (h postdose)
    MK-0249
     Panel A
      1273Baseline———
      2234Baseline———
      3259Baseline———
      12962.5603.96
      22752.5614.06
      32612.5630.96
      127312.58819.56
      226512.58724.36
      328212.59016.96
     Panel B
      4298Baseline———
      5282Baseline———
      6265Baseline———
      42867.5808.56
      52887.58012.46
      62567.5777.86
      4269509497.96
      5274509399.46
      6267509389.76
     Panel E
      13259Baseline———
      14280Baseline———
      15278Baseline———
      13264108723.36
      14275108813.86
      15277108918.56
      1326110737.427
      1428410694.027
      1525610695.727
    MK-3134
     Panel A
      1267Baseline———
      2274Baseline———
      3309Baseline———
      12921690.86
      23041660.76
      32961670.66
      12735894.36
      22735924.66
      32965882.56
     Panel B
      4285Baseline———
      5293Baseline———
      6302Baseline———
      42890.547BLQ6
      52640.546BLQ6
      62560.543BLQ6
      428325946.96
      5263259711.86
      6306259611.06
    • BLQ = below level of quantification.

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Journal of Nuclear Medicine: 55 (1)
Journal of Nuclear Medicine
Vol. 55, Issue 1
January 1, 2014
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11C-MK-8278 PET as a Tool for Pharmacodynamic Brain Occupancy of Histamine 3 Receptor Inverse Agonists
Koenraad J. Van Laere, Sandra M. Sanabria-Bohórquez, David P. Mozley, Donald H. Burns, Terence G. Hamill, Anne Van Hecken, Inge De Lepeleire, Michel Koole, Guy Bormans, Jan de Hoon, Marleen Depré, Kristine Cerchio, John Plalcza, Lingling Han, John Renger, Richard J. Hargreaves, Robert Iannone
Journal of Nuclear Medicine Jan 2014, 55 (1) 65-72; DOI: 10.2967/jnumed.113.122515

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11C-MK-8278 PET as a Tool for Pharmacodynamic Brain Occupancy of Histamine 3 Receptor Inverse Agonists
Koenraad J. Van Laere, Sandra M. Sanabria-Bohórquez, David P. Mozley, Donald H. Burns, Terence G. Hamill, Anne Van Hecken, Inge De Lepeleire, Michel Koole, Guy Bormans, Jan de Hoon, Marleen Depré, Kristine Cerchio, John Plalcza, Lingling Han, John Renger, Richard J. Hargreaves, Robert Iannone
Journal of Nuclear Medicine Jan 2014, 55 (1) 65-72; DOI: 10.2967/jnumed.113.122515
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Keywords

  • 11C-MK-8278
  • PET
  • H3 receptor
  • receptor occupancy
  • inverse agonist
  • kinetic modeling
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