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New sensitive method for HEPES quantification in 68Ga-radiopharmaceuticals.

I F Antunes1, G M Franssen2, R Zijlma3

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A new HPLC method accurately quantifies 2-[4-(2-hydroxyethyl)piperazin-1-yl]ethanesulfonic acid (HEPES) in 68Ga-radiopharmaceuticals, unlike less sensitive TLC methods. This ensures patient safety by preventing excessive HEPES doses.

Keywords:
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Area of Science:

  • Nuclear Medicine
  • Radiopharmaceutical Chemistry
  • Analytical Chemistry

Background:

  • GMP-certified 68Ga generators have increased 68Ga-radiopharmaceutical use.
  • 2-[4-(2-hydroxyethyl)piperazin-1-yl]ethanesulfonic acid (HEPES) buffer improves radiosynthesis but is an impurity.
  • European Pharmacopoeia (Ph Eur) limits HEPES to 200 μg/VInjected for radiopharmaceuticals like edotreotide.

Purpose of the Study:

  • To evaluate the sensitivity of the Ph Eur thin-layer chromatography (TLC) method for HEPES quantification.
  • To develop and validate a new high-performance liquid chromatography (HPLC) method for HEPES quantification in 68Ga-radiopharmaceuticals.
  • To compare the new HPLC method with the Ph Eur TLC method and assess HEPES levels in various 68Ga-radiopharmaceuticals from different institutes.

Main Methods:

  • Tested the Ph Eur TLC method for HEPES detection in 68Ga-radiopharmaceuticals.
  • Developed and validated a modified TLC method and a new HPLC method for HEPES quantification.
  • Analyzed 68Ga-radiopharmaceutical samples from multiple institutions using the developed methods.

Main Results:

  • The Ph Eur TLC method failed to detect HEPES within 4 minutes of iodine incubation.
  • The modified TLC method required 2 hours for visible spots, only at concentrations >1 mg/mL.
  • The HPLC method achieved a limit of quantification (LOQ) of 3 μg/mL and a limit of detection (LOD) of 1 μg/mL, detecting excessive HEPES in [68Ga]Ga-NODAGA-Exendin samples.

Conclusions:

  • The Ph Eur and modified TLC methods are insufficiently sensitive for quality control (QC) of HEPES in 68Ga-radiopharmaceuticals.
  • The new HPLC method is sensitive, quantitative, reproducible, and suitable for QC release.
  • This HPLC method identified 68Ga-radiopharmaceutical batches exceeding the pharmacopoeial HEPES limit, enabling dose adjustment for patient safety.