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Research ArticleImaging

α-Labeling of J591, an Antibody Targeting Prostate-Specific Membrane Antigen: The Technique and Considerations from the First Dedicated Production Lab at an Academic Institution in the United States

Kritika Subramanian, Judith Stangl-Kremser, Lady Sawoszczyk, Vasilios Avlonitis, Andrew Gernerd, Kyla Nixon, Michael Zgaljardic, Scott Tagawa, Neil Bander and Joseph R. Osborne
Journal of Nuclear Medicine Technology September 2023, 51 (3) 215-219; DOI: https://doi.org/10.2967/jnmt.122.265166
Kritika Subramanian
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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Judith Stangl-Kremser
2Department of Urology, Weill Cornell Medicine, New York, New York;
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Lady Sawoszczyk
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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Vasilios Avlonitis
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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Andrew Gernerd
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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Kyla Nixon
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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Michael Zgaljardic
3Department of Medical Health Physics, Weill Cornell Medicine, New York, New York; and
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Scott Tagawa
4Division of Medical Oncology, Department of Oncology, Weill Cornell Medicine, New York, New York
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Neil Bander
2Department of Urology, Weill Cornell Medicine, New York, New York;
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Joseph R. Osborne
1Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, New York;
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  • FIGURE 1.
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    FIGURE 1.

    Steps for production assembly of 225Ac-J591. DG = durable grade; DTPA = diethylenetriaminepentaacetic acid; FDP = final drug product; HSA = human serum albumin; SDP = sterile drug product; SWFI = sterile water for injection; TMAA = triethylammonium acetate.

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    FIGURE 2.

    Labeling efficiency and radiochemical purity measured using instant thin-layer chromatography. (A) Labeling efficiency before ethylenediaminetetraacetic acid elusion, remarkable for high concentration of 225Ac bound to protein (green peak) and small percentage of unbound 225Ac, which has formed into daughter compounds of francium and bismuth (red peaks). (B and C) Radiochemical purity after ethylenediaminetetraacetic acid elusion at 2 h (B) and 24 h (C). Two hours after elusion, higher concentration of daughter compounds is noted whereas peak concentration of 225Ac bound to protein is stable. Because of shorter half-lives of daughter compounds, their presence is negligible at 24 h after elution, validating chemical purity of final product.

  • FIGURE 3.
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    FIGURE 3.

    Schematic diagram of 225Ac decay and daughter compounds.

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    FIGURE 4.

    Endosafe-PTS test record. Endotoxin content should demonstrate limit well within guidelines of 175 endotoxin units for entire batch, as demonstrated here. Cal = calibration; CV = coefficient of variation; Rxn = reaction; Sec = seconds.

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    FIGURE 5.

    PSMA PET imaging demonstrating good response in this patients with metastatic castration-resistant prostate cancer at baseline (B) and after receiving 2 sessions of 225Ac-J591 (A). Marked decrease in metastatic disease burden is demonstrated in maximum-intensity-projection images, particularly in subcarinal lymph node (column 2) and osseous lesions (column 3).

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    TABLE 1.

    Acceptance Criteria for Batch Release

    CriteriaValues or range of acceptance
    AppearanceColorless, clear, free from particulate matter
    Assay0.4–2.8 MBq (11–76 μCi)/mL
    Specific activity0.67–4.67 MBq (18–126 μCi)/mg
    pH5–8
    Radionuclide identity218 and 440 keV
    Radiochemical purity225Ac-DOTA-J591 > 95%
    Test for endotoxins<35 endotoxin units/mL
    Bubble testPt > Pm, where Pm = ψ
    Sterility testTest started within 24 h
    • Pt = pressure at which bubbles appear; Pm = minimum acceptable bubble point pressure; ψ = pound-force per square inch.

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Journal of Nuclear Medicine Technology: 51 (3)
Journal of Nuclear Medicine Technology
Vol. 51, Issue 3
September 1, 2023
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α-Labeling of J591, an Antibody Targeting Prostate-Specific Membrane Antigen: The Technique and Considerations from the First Dedicated Production Lab at an Academic Institution in the United States
Kritika Subramanian, Judith Stangl-Kremser, Lady Sawoszczyk, Vasilios Avlonitis, Andrew Gernerd, Kyla Nixon, Michael Zgaljardic, Scott Tagawa, Neil Bander, Joseph R. Osborne
Journal of Nuclear Medicine Technology Sep 2023, 51 (3) 215-219; DOI: 10.2967/jnmt.122.265166

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α-Labeling of J591, an Antibody Targeting Prostate-Specific Membrane Antigen: The Technique and Considerations from the First Dedicated Production Lab at an Academic Institution in the United States
Kritika Subramanian, Judith Stangl-Kremser, Lady Sawoszczyk, Vasilios Avlonitis, Andrew Gernerd, Kyla Nixon, Michael Zgaljardic, Scott Tagawa, Neil Bander, Joseph R. Osborne
Journal of Nuclear Medicine Technology Sep 2023, 51 (3) 215-219; DOI: 10.2967/jnmt.122.265166
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Keywords

  • radiochemistry
  • Radionuclide Therapy
  • radiopharmaceuticals
  • 225Ac
  • PSMA
  • α-particle
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