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Research ArticleThe State of the Art
Open Access

68Ga-PSMA-11 NDA Approval: A Novel and Successful Academic Partnership

Giuseppe Carlucci, Robin Ippisch, Roger Slavik, Ashley Mishoe, Joseph Blecha and Shaojun Zhu
Journal of Nuclear Medicine February 2021, 62 (2) 149-155; DOI: https://doi.org/10.2967/jnumed.120.260455
Giuseppe Carlucci
1Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; and
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Robin Ippisch
2Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California
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Roger Slavik
1Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; and
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Ashley Mishoe
2Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California
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Joseph Blecha
2Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California
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Shaojun Zhu
1Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; and
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  • FIGURE 1.
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    FIGURE 1.

    Structural formula of 68Ga-PSMA-11.

  • FIGURE 2.
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    FIGURE 2.

    68Ga-PSMA-11 production method from UCLA NDA 212642.

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    FIGURE 3.

    68Ga-PSMA-11 production method (cyclotron-based) from UCSF NDA 212643.

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    FIGURE 4.

    68Ga-PSMA-11 production method (generator-based) from UCSF NDA 212643.

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    TABLE 1

    PSMA-11 Precursor Specifications

    CriteriaAcceptance
    Specific filling
     Amount of filling1 mg ± 10%
     Identity (HPLC)Reference retention time ± 0.5 min
     Impurities (HPLC)Any unspecified impurity ≤ 2.0%
    Total impurities ≤ 6.0%
     Bioburden/vialTAMC ≤ 100 cfu
    TYMC ≤ 10 cfu
     BET (LAL)≤ 10 IU/vial
    Bulk precursor batch
     AppearanceWhite to off-white solid
     Monoisotopic mass (net peptide)946.1 ± 1 m.u.
     1H-NMRConforms to structure
     13C-NMRConforms to structure
     Impurities (HPLC)Any unspecified impurity ≤ 2.0%
    Total impurities ≤ 3.0%
     Residual solvents (GC)Acetonitrile ≤ 5,000 ppm
    Tertbutylmethylether ≤ 5,000 ppm
     Water (GC)≤ 10%
     Heavy metals (ICP-MS)Iron ≤ 100 ppm;
    Copper ≤ 100 ppm;
    Zinc ≤ 100 ppm;
    Palladium ≤ 100 ppm
     Assay (HPLC)≥50%
     Trifluoroacetic acid (GC)≤40%
    • HPLC = high performance liquid chromatography; TAMC = total anaerobic microbial count; TYMC = total yeast/mold count; BET = bacterial endotoxin test; LAL = limulus amebocyte lysate; NMR = nuclear MR; GC = gas chromatography; ICP-MS = inductively coupled plasma mass spectrometry.

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    TABLE 2

    Batch Formula for UCLA Final Product

    ComponentAmountFunctionQuality standard
    68Ga-PSMA-1118.5–185 MBq/mL (0.5–5 mCi/mL)Drug substanceIn-house
    PSMA-115 μgDrug substance precursorGMP
    HEPES*1.5 mL (1.5 M)Processing aidPharmaGrade
    Hydrochloric acid*15 mL (0.1 M)Processing aidGMP
    Sodium chloride 0.9% injection10 mLTonicityUSP
    Ethanol1 mLEluentUSP
    Water for injection USP1 mLEluentUSP
    • ↵* HEPES and hydrochloric acid are completely removed during processing and are not present in final formulation. GMP = good manufacturing practice; HEPES = 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid.

    • View popup
    TABLE 3

    Batch Formula for UCSF Final Product (Cyclotron-Based Production)

    ComponentAmountFunctionQuality standard
    PSMA-115 μgPrecursorGMP grade
    68Ga-PSMA-1118.5–185 MBq/mL (0.5–5 mCi/mL)Drug substanceIn-house
    Sodium acetate, 1 M*1.3 mLBuffering agentPharma grade
    Nitric acid, 0.1 M14 mL68Ga purificationTrace-metal basis
    Hydrochloric acid, 1.75 M*4 mL68Ga purificationUltrapure
    Sodium chloride, 2 M14 mL68Ga purificationTrace metal basis
    Ethanol, 60%1 mLProduct eluentUSP grade
    Ultra-high purity water50 mLSolution preparationPharma grade
    Water for injection100 mLSolution preparationUSP grade
    Sodium chloride, 0.9%5–10 mLIsotonicityUSP grade
    • ↵* Completely removed during processing and are not present in final formulation. GMP = good manufacturing practice.

    • View popup
    TABLE 4

    Batch Formula for UCSF Final Product (Generator-Based Production)

    ComponentAmountFunctionQuality standard
    PSMA-115 μgPrecursorGMP grade
    68Ga-PSMA-1118.5–185 MBq/mL (0.5–5 mCi/mL)Drug substanceIn-house
    Sodium acetate, 0.5 M*0.1 mLBuffering agentPharma grade
    Hydrochloric acid, 0.1 M*5 mLGenerator eluentGMP grade
    Ethanol, 60%1 mLProduct eluentUSP grade
    Ultra-high purity water10 mLSolution preparationPharma grade
    Water for injection4 mLSolution preparationUSP grade
    Sodium chloride, 0.9%5–10 mLIsotonicityUSP grade
    • ↵* Completely removed during processing and are not present in final formulation. GMP = good manufacturing practice.

    • View popup
    TABLE 5

    Final Product Specifications

    TestTest methodAcceptance criteria
    Prerelease
     Radiochemical purityThin-layer chromatography≥90%
     AppearanceVisual observationClear solution, free of particulates
     pHpH paper4.0–7.0
     Endotoxin contentPTS Endosafe, USP < 85 ><17.5 EU/mL
     Radiochemical identityThin layer chromatography*UCLA: Rf value = 0.75–0.95
    UCLA: Rf value = 0.3–0.6
     Radionuclidic identityHalf-life determination64.4–71.2 min
     Filter integrityBubble point pressure reading, USP < 823 > / < 797 >>50 psi
    Postrelease
     SterilityDirect inoculation. USP < 71 > / < 823 >Sterile
    • ↵* UCLA and UCSF use different mobile phases.

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Journal of Nuclear Medicine: 62 (2)
Journal of Nuclear Medicine
Vol. 62, Issue 2
February 1, 2021
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68Ga-PSMA-11 NDA Approval: A Novel and Successful Academic Partnership
Giuseppe Carlucci, Robin Ippisch, Roger Slavik, Ashley Mishoe, Joseph Blecha, Shaojun Zhu
Journal of Nuclear Medicine Feb 2021, 62 (2) 149-155; DOI: 10.2967/jnumed.120.260455

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68Ga-PSMA-11 NDA Approval: A Novel and Successful Academic Partnership
Giuseppe Carlucci, Robin Ippisch, Roger Slavik, Ashley Mishoe, Joseph Blecha, Shaojun Zhu
Journal of Nuclear Medicine Feb 2021, 62 (2) 149-155; DOI: 10.2967/jnumed.120.260455
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  • Article
    • Abstract
    • PART I: 68GA-PSMA-11 DEVELOPMENT AND REGULATORY APPROVAL PROCESS
    • PART II: KEY CMC INFORMATION FOR 68GA-PSMA-11
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Keywords

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  • approval
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