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Research ArticleBasic Science Investigations

Adenosine 2A Receptor Occupancy by Tozadenant and Preladenant in Rhesus Monkeys

Olivier Barret, Jonas Hannestad, David Alagille, Christine Vala, Adriana Tavares, Caroline Papin, Thomas Morley, Krista Fowles, Hsiaoju Lee, John Seibyl, Dominique Tytgat, Marc Laruelle and Gilles Tamagnan
Journal of Nuclear Medicine October 2014, 55 (10) 1712-1718; DOI: https://doi.org/10.2967/jnumed.114.142067
Olivier Barret
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Jonas Hannestad
2UCB Pharma, Braine-l’Alleud, Belgium; and
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David Alagille
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Christine Vala
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Adriana Tavares
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Caroline Papin
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Thomas Morley
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Krista Fowles
3Yale PET Center, New Haven, Connecticut
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Hsiaoju Lee
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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John Seibyl
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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Dominique Tytgat
2UCB Pharma, Braine-l’Alleud, Belgium; and
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Marc Laruelle
2UCB Pharma, Braine-l’Alleud, Belgium; and
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Gilles Tamagnan
1Molecular NeuroImaging, LLC, New Haven, Connecticut
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  • FIGURE 1.
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    FIGURE 1.

    Radiosynthesis of 18F-MNI-444 from its tosylate precursor. DMSO = dimethyl sulfoxide.

  • FIGURE 2.
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    FIGURE 2.

    Average 18F-MNI-444 PET images over 180 min for rhesus macaque in transverse plane at baseline and after dosing with tozadenant at 1.5 and 10.5 mg/kg (occupancy of 47% and 95%, respectively) or with preladenant at 0.004 and 0.2 mg/kg (occupancy of 32% and 90%, respectively). Monkey individual MR image is also shown. SUV = standardized uptake value.

  • FIGURE 3.
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    FIGURE 3.

    (A) Representative time–activity curves at baseline for rhesus macaque in some brain regions after bolus injection of 18F-MNI-444. Dashed lines represent SRTM fit. (B) LGA with plasma input function. Dashed lines represent linear regression with t* set to 60 min. (C) NI-LGA with reference region input function. Dashed lines represent linear regression with t* set to 60 min and k′2 set to 0.35 min−1. △ = caudate; □ = putamen; ○ = globus pallidus; × = nucleus accumbens; ● = cerebellum.

  • FIGURE 4.
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    FIGURE 4.

    Correlation of SRTM and NI-LGA BPND with LGA BPND for acquisitions of 120 min (A) or 180 min (B). ○ = SRTM; △ = NI-LGA; solid line = line of identity; dashed line = SRTM linear regression fit; dotted line = NI-LGA linear regression fit.

  • FIGURE 5.
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    FIGURE 5.

    Time–activity curves for rhesus macaque in putamen (A) and cerebellum (B) after bolus injection of 18F-MNI-444 at baseline and after dosing with tozadenant or preladenant. ○ = baseline scan; ■ = tozadenant, 1.5 mg/kg; □ = preladenant, 0.004 mg/kg; ▲ = tozadenant, 10.5 mg/kg; △ = preladenant, 0.2 mg/kg.

  • FIGURE 6.
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    FIGURE 6.

    Striatal A2A RO against preladenant (A) or tozadenant (B) administered doses, and against preladenant (C) or tozadenant (D) plasma levels at beginning of scan. Symbols represent occupancy estimates using LGA (○), SRTM (△), or NI-LGA (□) for 120 min of data. Lines represent model fits using LGA (solid line), SRTM (dashed line), or NI-LGA (dotted lines) occupancy estimates.

  • FIGURE 7.
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    FIGURE 7.

    Pharmacokinetic modeling of tozadenant and preladenant plasma concentrations in humans was used to predict A2A RO after repeated dosing (180 mg BID of tozadenant and 10 mg BID of preladenant).

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    TABLE 1

    18F-MNI-444 VT and BPND at Baseline for Acquisitions of 180 Minutes

    RegionVT LGABPND LGABPND SRTMBPND NI-LGA
    Caudate21.9 ± 3.05.5 ± 1.56.8 ± 1.06.3 ± 1.0
    Putamen30.3 ± 5.88.0 ± 2.79.6 ± 1.99.1 ± 2.0
    Globus pallidus16.1 ± 3.93.6 ± 0.74.5 ± 0.94.2 ± 0.9
    Nucleus accumbens12.4 ± 2.12.6 ± 0.43.5 ± 0.43.2 ± 0.3
    Frontal cortex4.7 ± 1.30.3 ± 0.10.2 ± 0.10.2 ± 0.1
    Temporal cortex3.5 ± 0.60.0 ± 0.00.0 ± 0.00.0 ± 0.0
    Occipital cortex3.6 ± 0.30.1 ± 0.10.1 ± 0.10.1 ± 0.1
    Cerebellum3.5 ± 0.7NANANA
    • NA = not applicable.

    • Data are mean ± SD (n = 6).

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    TABLE 2

    Preladenant and Tozadenant A2A RO

    Occupancy (%) for 180 min of dataOccupancy (%) for 120 min of data
    DrugDose (mg/kg)LGASRTMNI-LGALGASRTMNI-LGA
    Preladenant1.0103100101102100101
    0.2909291929392
    0.04697673737876
    0.015394542454945
    0.015535655525856
    0.010354440434945
    0.004322627322727
    0.004232525292627
    Tozadenant10.5959494949494
    7.5938488918387
    5.0766871766669
    1.5474244494244
    1.3434446444345
    0.5282627262625

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Journal of Nuclear Medicine: 55 (10)
Journal of Nuclear Medicine
Vol. 55, Issue 10
October 1, 2014
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Adenosine 2A Receptor Occupancy by Tozadenant and Preladenant in Rhesus Monkeys
Olivier Barret, Jonas Hannestad, David Alagille, Christine Vala, Adriana Tavares, Caroline Papin, Thomas Morley, Krista Fowles, Hsiaoju Lee, John Seibyl, Dominique Tytgat, Marc Laruelle, Gilles Tamagnan
Journal of Nuclear Medicine Oct 2014, 55 (10) 1712-1718; DOI: 10.2967/jnumed.114.142067

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Adenosine 2A Receptor Occupancy by Tozadenant and Preladenant in Rhesus Monkeys
Olivier Barret, Jonas Hannestad, David Alagille, Christine Vala, Adriana Tavares, Caroline Papin, Thomas Morley, Krista Fowles, Hsiaoju Lee, John Seibyl, Dominique Tytgat, Marc Laruelle, Gilles Tamagnan
Journal of Nuclear Medicine Oct 2014, 55 (10) 1712-1718; DOI: 10.2967/jnumed.114.142067
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