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Research ArticleSupplement

Prostate-Specific Membrane Antigen–Targeted Radiohalogenated PET and Therapeutic Agents for Prostate Cancer

Steven P. Rowe, Alexander Drzezga, Bernd Neumaier, Markus Dietlein, Michael A. Gorin, Michael R. Zalutsky and Martin G. Pomper
Journal of Nuclear Medicine October 2016, 57 (Supplement 3) 90S-96S; DOI: https://doi.org/10.2967/jnumed.115.170175
Steven P. Rowe
1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Alexander Drzezga
2Department of Nuclear Medicine, University Hospital of Cologne, Cologne, Germany
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Bernd Neumaier
3Institute of Radiochemistry and Experimental Molecular Imaging, University Hospital of Cologne, Cologne, Germany
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Markus Dietlein
2Department of Nuclear Medicine, University Hospital of Cologne, Cologne, Germany
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Michael A. Gorin
4The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland; and
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Michael R. Zalutsky
5Department of Radiology, Duke University Medical Center, Durham, North Carolina
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Martin G. Pomper
1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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    FIGURE 1.

    Chemical structures of small-molecule inhibitors of PSMA.

  • FIGURE 2.
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    FIGURE 2.

    Predominantly lytic bone metastasis (arrow) (A) that was occult on 68Ga-PSMA PET (B) and PET/CT (C) but readily apparent on 18F-DCFPyL PET (D) and PET/CT (E).

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    FIGURE 3.

    Detection of wide variety of PC lesions with 18F-DCFPyL. Locally recurrent PC (CT [A] and 18F-DCFPyL PET/CT [B]) and lymph node (CT [C] and 18F-DCFPyL PET/CT [D]) and bone (CT [E] and 18F-DCFPyL PET/CT [F]) lesions were visible as marked focal radiotracer uptake (arrows).

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    FIGURE 4.

    Auger electron–emitting (125I-DCIBzL) and α-particle–emitting (211At-DCAtBzL) radiohalogenated small-molecule inhibitors of PSMA.

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    TABLE 1

    Selected Characteristics of Radiohalogenated PSMA-Targeted Agents

    Full chemical nameAbbreviation used in this articleKi for PSMA (nM)IC50 for PSMA (nM)Imaging or therapyCurrent status
    N-[N-[(S)-1,3-dicarboxypropyl]carbamoyl]-S-3-125I-iodo-l-tyrosine (35)125I-DCIT1.5ImagingEarly preclinical agent
    N-[N-[(S)-1,3-dicarboxypropyl]carbamoyl]-4-18F-fluorobenzyl-l-cysteine (38)18F-DCFBC13.9ImagingCurrently under investigation in clinical trials
    2-(3-(1-Carboxy-5-[(6-18F-fluoro-pyridine-3-carbonyl)-amino]-pentyl)-ureido)-pentanedioic acid (42)18F-DCFPyL1.1ImagingCurrently under investigation in clinical trials
    (2R,4S)-2-18F-fluoro-4-phosphonomethyl-pentanedioic acid (43)BAY 10755531.4 (major stereoisomer)ImagingCurrently under investigation in clinical trials
    4-Bromo-2-18F-fluorobenzoyllysineoxypentanedioic acid (30)4-Bromo-2-18F-fluorobenzoyllysine OPA0.11ImagingUndergoing preclinical development
    4-Iodo-2-18F-fluorobenzoyllysineoxypentanedioic acid (30)4-Iodo-2-18F-fluorobenzoyllysine OPA0.21ImagingUndergoing preclinical development
    (S)-2-(3-((S)-1-carboxy-5-(3-(4-123I/131I-iodophenyl)ureido)pentyl)ureido)pentanedioic acid (52)MIP-10950.24Imaging and therapyCurrently under investigation in clinical trials
    2-[3-[1-Carboxy-5-(4-125I-iodo-benzoylamino)-pentyl]-ureido]-pentanedioic acid (56)125I-DCIBzL0.01TherapyUndergoing preclinical development
    (2S)-2-(3-(1-carboxy-5-(4-211At-astato-benzamido)pentyl)ureido)-pentanedioic acid (58)211At-DCAtBzLNot reportedNot reportedTherapyUndergoing preclinical development
    • Ki = dissociation constant; IC50 = 50% maximal inhibitory concentration.

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Journal of Nuclear Medicine: 57 (Supplement 3)
Journal of Nuclear Medicine
Vol. 57, Issue Supplement 3
October 1, 2016
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Prostate-Specific Membrane Antigen–Targeted Radiohalogenated PET and Therapeutic Agents for Prostate Cancer
Steven P. Rowe, Alexander Drzezga, Bernd Neumaier, Markus Dietlein, Michael A. Gorin, Michael R. Zalutsky, Martin G. Pomper
Journal of Nuclear Medicine Oct 2016, 57 (Supplement 3) 90S-96S; DOI: 10.2967/jnumed.115.170175

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Prostate-Specific Membrane Antigen–Targeted Radiohalogenated PET and Therapeutic Agents for Prostate Cancer
Steven P. Rowe, Alexander Drzezga, Bernd Neumaier, Markus Dietlein, Michael A. Gorin, Michael R. Zalutsky, Martin G. Pomper
Journal of Nuclear Medicine Oct 2016, 57 (Supplement 3) 90S-96S; DOI: 10.2967/jnumed.115.170175
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  • Article
    • Abstract
    • RADIOHALOGENATED INHIBITORS OF PSMA AS IMAGING AGENTS
    • PSMA-TARGETED IMAGING: IMPLICATIONS FOR MANAGING PC
    • 18F VERSUS 68Ga: PRACTICAL CONSIDERATIONS
    • RADIOHALOGENATED PSMA-TARGETED SMALL MOLECULES FOR THERAPY
    • FUTURE DIRECTIONS FOR PSMA-TARGETED MANAGEMENT OF PC
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  • Preclinical Evaluation and Pilot Clinical Study of Al18F-PSMA-BCH for Prostate Cancer PET Imaging
  • PSMA Ligands for Imaging Prostate Cancer: Alternative Labeling by Complex Formation with Al18F2+
  • PSMA Ligands for PET Imaging of Prostate Cancer
  • Prostate-Specific Membrane Antigen Ligands for Imaging and Therapy
  • Radiotheranostics in Prostate Cancer: Introduction and Overview
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Keywords

  • prostate-specific membrane antigen
  • PET
  • 18F
  • 211At
  • biochemical recurrence
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