Pharmacokinetics and Dosimetry of [68Ga]Ga-PSMA-11 in Chinese Participants with Progressive Metastatic Castration-Resistant Prostate Cancer: A Phase 2 Study.

IF 1.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Wei Fan, Yonghong Li, Hongcheng Shi, Jianming Guo, Rui Huang, Qiang Dong, Zhi Yang, Yong Yang, Xinlu Wang, Di Gu, Dingwei Ye, Feng Wang, Jing Wang, Danfeng Xu, Zhiqiang Jiang, Haifu Li, Jialu Li, Runqin Li, Li Huo, Zhigang Ji
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引用次数: 0

Abstract

Introduction: [68Ga]Ga-prostate-specific membrane antigen (PSMA)-11 positron emission tomography (PET)/computed tomography (CT) imaging has demonstrated clinical value for individuals with prostate cancer (PC). In this phase 2 study, we measured the pharmacokinetics and dosimetry of [68Ga]Ga-PSMA-11 in Chinese participants.

Methods: Adult Chinese participants with progressive metastatic castration-resistant PC (mCRPC) received a single intravenous [68Ga]Ga-PSMA-11 dose of approximately 150 MBq. Blood samples were collected at 5, 15, 30, 45, 85, 175, and 245 min post injection for pharmacokinetics assessments. Whole-body PET scans and low/ultra-low-dose CT scans were acquired at 30, 60, 120, and 255 min post injection for dosimetry assessments.

Results: Pharmacokinetics and dosimetry assessments were completed in seven participants who received a [68Ga]Ga-PSMA-11 dose (range: 108.3-236.7 MBq). In the blood, the geometric mean effective terminal half-life was 1.34 h (geometric coefficient of variation [geo-CV], 182%); geometric mean clearance was 9.80 L/h (geo-CV, 106%). The highest absorbed doses were seen in the kidneys, urinary bladder walls, and lacrimal glands. In the study population, the geometric mean (geo-CV) effective dose of [68Ga]Ga-PSMA-11 was 4.2 mSv (32.9%).

Conclusions: The pharmacokinetic and dosimetry profiles of [68Ga]Ga-PSMA-11, assessed using a validated method in participants with progressive mCRPC, make it very suitable with proves its suitability.

[68Ga]Ga-PSMA-11在中国进展性转移性去势抵抗性前列腺癌患者中的药代动力学和剂量学:一项2期研究
[68Ga] ga -前列腺特异性膜抗原(PSMA)-11正电子发射断层扫描(PET)/计算机断层扫描(CT)成像在前列腺癌(PC)患者中具有临床应用价值。在这项2期研究中,我们测量了[68Ga]Ga-PSMA-11在中国参与者体内的药代动力学和剂量学。方法:患有进展性转移性去势抵抗性PC (mCRPC)的中国成年参与者接受单次静脉注射[68Ga]Ga-PSMA-11剂量约150 MBq。分别于注射后5、15、30、45、85、175和245分钟采集血样进行药代动力学评估。在注射后30、60、120和255分钟进行全身PET扫描和低/超低剂量CT扫描,以进行剂量学评估。结果:7名接受[68Ga]Ga-PSMA-11剂量(范围:108.3-236.7 MBq)的参与者完成了药代动力学和剂量学评估。在血液中,几何平均有效终末半衰期为1.34 h(几何变异系数[geo-CV], 182%);几何平均间隙为9.80 L/h (geo-CV, 106%)。吸收剂量最高的部位是肾脏、膀胱壁和泪腺。在研究人群中,[68Ga]Ga-PSMA-11的几何平均(geo-CV)有效剂量为4.2 mSv(32.9%)。结论:[68Ga]Ga-PSMA-11的药代动力学和剂量学特征,在进展性mCRPC患者中使用一种经过验证的方法进行评估,使其非常适合作为显像剂。
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来源期刊
CiteScore
7.80
自引率
2.90%
发文量
87
审稿时长
3 months
期刊介绍: Cancer Biotherapy and Radiopharmaceuticals is the established peer-reviewed journal, with over 25 years of cutting-edge content on innovative therapeutic investigations to ultimately improve cancer management. It is the only journal with the specific focus of cancer biotherapy and is inclusive of monoclonal antibodies, cytokine therapy, cancer gene therapy, cell-based therapies, and other forms of immunotherapies. The Journal includes extensive reporting on advancements in radioimmunotherapy, and the use of radiopharmaceuticals and radiolabeled peptides for the development of new cancer treatments.
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