RT Journal Article SR Electronic T1 Biodistribution, Safety Profile, and Radiation Dosimetry of [18F]SYN2, a PET Cardiac Perfusion Tracer, in Healthy Subjects JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 626 OP 633 DO 10.2967/jnumed.124.268872 VO 66 IS 4 A1 Knuuti, Juhani A1 Kobylecka, Małgorzata A1 Krajewski, Seweryn A1 Steczek, Lukasz A1 Gotowicz, Karina A1 Towpik, Joanna A1 Kalliokoski, Kari A1 Tolvanen, Tuula A1 Kostkiewicz, Magdalena A1 Kozanecki, Przemysław A1 Włostowska, Joanna A1 Dziuk, Mirosław A1 Królicki, Leszek A1 Bil, Jacek A1 Slomka, Piotr J. A1 Bateman, Timothy M. A1 Al-Mallah, Mouaz H. A1 Chareonthaitawee, Panithaya A1 Soman, Prem A1 Kozanecki, Cezary YR 2025 UL http://jnm.snmjournals.org/content/66/4/626.abstract AB A first-in-human phase I clinical study aimed to assess the safety profile, radiation dosimetry, and biodistribution of a potential cardiac PET myocardial perfusion imaging tracer, [18F]SYN2 (18F-labeled acridine derivative), in healthy subjects. Methods: [18F]SYN2 intravenous administration with PET imaging was performed on healthy volunteers, and sequential whole-body imaging was performed over 4 h. Blood and urine samples were collected for up to 240 min. Safety follow-up visits took place at 2, 5, and 14 d after the administration. Results: Ten subjects (8 women and 2 men) completed all study procedures. The mean age was 38.1 ± 8.8 y, and the mean body mass index was 22.7 ± 3.0 kg/m2. The mean administered dose of radioactivity was 258 MBq (range, 246–272 MBq). There were no drug-related adverse events, and the tracer was well tolerated in all subjects. The mean whole-body effective radiation dose for [18F]SYN2 was 0.0195 mSv/MBq. The tracer was rapidly taken up by the myocardial wall and cleared from plasma, leading to good image quality within minutes of tracer injection. Conclusion: On the basis of the safety profile, radiation dosimetry, and biodistribution of [18F]SYN2, it appears to be a promising agent for clinical PET myocardial perfusion imaging and to warrant further clinical studies.