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Research ArticleClinical Investigations

Radiopharmaceutical Therapy of Patients with Metastasized Melanoma with the Melanin-Binding Benzamide 131I-BA52

Walter Mier, Clemens Kratochwil, Jessica C. Hassel, Frederik L. Giesel, Barbro Beijer, John W. Babich, Matthias Friebe, Michael Eisenhut, Alexander Enk and Uwe Haberkorn
Journal of Nuclear Medicine January 2014, 55 (1) 9-14; DOI: https://doi.org/10.2967/jnumed.112.112789
Walter Mier
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Clemens Kratochwil
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Jessica C. Hassel
2Department of Dermatology and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany
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Frederik L. Giesel
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Barbro Beijer
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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John W. Babich
3Molecular Insight Pharmaceuticals, Cambridge, Massachusetts
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Matthias Friebe
4Bayer Pharma AG, Research Laboratories, Berlin, Germany; and
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Michael Eisenhut
5Department of Radiopharmaceutical Chemistry, German Cancer Research Center, Heidelberg, Germany
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Alexander Enk
2Department of Dermatology and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany
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Uwe Haberkorn
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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  • FIGURE 1.
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    FIGURE 1.

    Chemical structure of novel melanin-binding benzamide 131I-BA52.

  • FIGURE 2.
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    FIGURE 2.

    (A) Biodistribution of 131I-BA52 in patient with malignant melanoma. Arrows indicate uptake of benzamide in melanin-bearing cells of eyes, specific uptake in tumor lesions (auxiliary) as identified by 18F-FDG (B), unspecific uptake in lungs, and elimination through liver and bowel.

  • FIGURE 3.
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    FIGURE 3.

    (A) A 68-y-old patient with liver and bone (sternum) metastases of malignant melanoma. Tumor lesions were identified by 18F-FDG PET. Tumor residence time and elimination pathway were determined with scans of 123I-BA52 at 4 h (B) to 24 h (C) after injection. Side-by-side reading with 18F-FDG demonstrates highly specific accumulation and also long retention time in tumor tissue. Increasing contrast of bowel corresponds to hepatoenteral excretion.

  • FIGURE 4.
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    FIGURE 4.

    A 59-y-old patient with malignant melanoma of left lower extremity causing lymph node metastasis inguinal and paraortal up to mediastinum. 18F-FDG PET maximum-intensity projection (A) demonstrates metastases inguinal and paraaortal, both abdominal and mediastinal. One example of paraaortal metastasis (B) presented with intense 18F-FDG accumulation (standardized uptake value [SUV], 12.3) in pretherapeutic PET/CT that changed to 18F-FDG–negative in follow-up PET/CT 6 wk after therapy (C). Inguinal lymph node metastasis with initially intense 18F-FDG-uptake (D) (SUV, 9.02) decreased in size and metabolism (SUV, 5.81) in posttherapy 18F-FDG PET/CT (E).

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    TABLE 1

    Summary of Dosimetric Gy/GBq Values of 131I-BA52 Estimated for Organs and Tumor Lesions

    OrganDose (Gy/GBq)
    Adrenals0.35
    Brain0.19
    Breasts0.24
    Gallbladder wall0.43
    Lower large intestine wall3.10
    Small intestine0.39
    Stomach wall0.30
    Upper large intestine wall4.64
    Heart wall0.36
    Kidneys0.30
    Liver1.30
    Lungs3.15
    Muscle0.25
    Ovaries0.36
    Pancreas0.34
    Red marrow0.20
    Osteogenic cells0.40
    Skin0.19
    Spleen0.59
    Testes0.19
    Thymus0.29
    Thyroid0.23
    Urinary bladder wall0.66
    Uterus0.30
    Total body0.33
    Effective dose equivalent0.99
    Effective dose0.92
    Eyes
     Ciliary body5.7–15.4
     Choroid8.1
     Retina2.7
    Melanoma metastases
     Mean ± SD5.5 ± 3.6
     Range1.13–12.2

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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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Radiopharmaceutical Therapy of Patients with Metastasized Melanoma with the Melanin-Binding Benzamide 131I-BA52
Walter Mier, Clemens Kratochwil, Jessica C. Hassel, Frederik L. Giesel, Barbro Beijer, John W. Babich, Matthias Friebe, Michael Eisenhut, Alexander Enk, Uwe Haberkorn
Journal of Nuclear Medicine Jan 2014, 55 (1) 9-14; DOI: 10.2967/jnumed.112.112789

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Radiopharmaceutical Therapy of Patients with Metastasized Melanoma with the Melanin-Binding Benzamide 131I-BA52
Walter Mier, Clemens Kratochwil, Jessica C. Hassel, Frederik L. Giesel, Barbro Beijer, John W. Babich, Matthias Friebe, Michael Eisenhut, Alexander Enk, Uwe Haberkorn
Journal of Nuclear Medicine Jan 2014, 55 (1) 9-14; DOI: 10.2967/jnumed.112.112789
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