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An Automated Radiosynthesis of [68Ga]Ga-FAPI-46 for Routine Clinical Use
Published on: May 24, 2024
Microfluidic-based production of [68Ga]Ga-FAPI-46 and [68Ga]Ga-DOTA-TOC using the cassette-based iMiDEV™ microfluidic
Hemantha Mallapura1, Olga Ovdiichuk2, Emma Jussing3,4
1Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet and Stockholm County Council, SE-17176, Stockholm, Sweden. hemantha.mallapura@ki.se.
Microfluidic synthesis of Gallium-68 (68Ga) labeled FAPI-46 and DOTA-TOC tracers was achieved using the iMiDEV radiosynthesizer. This efficient method reduces precursor use and enables reliable radiopharmaceutical production for clinical applications.
Area of Science:
- Nuclear Medicine
- Radiopharmaceutical Chemistry
- Microfluidics
Background:
- Increasing demand for 68Ga-labeled radiotracers like FAPI derivatives and PSMA-11 for theranostic applications.
- 68Ga-labeled FAPI-46 for broad cancer diagnosis and 68Ga-labeled DOTA-TOC for neuroendocrine tumors are key clinical probes.
- Need for efficient and reliable synthesis methods to meet clinical demand.
Purpose of the Study:
- To develop and validate a microfluidic synthesis method for 68Ga-labeled FAPI-46 and 68Ga-labeled DOTA-TOC.
- To utilize a dose-on-demand (DOD) approach with the iMiDEV radiosynthesizer.
- To optimize synthesis parameters for improved yield and purity.
Main Methods:
- Utilized a microfluidic cassette-based iMiDEV radiosynthesizer.
- Employed a dose-on-demand (DOD) approach for synthesis.
- Optimized 68Ga trapping, elution, mixing, and purification (SPE).
Main Results:
- Achieved decay-corrected yields of 44 ± 5% for [68Ga]Ga-FAPI-46 and 46 ± 7% for [68Ga]Ga-DOTA-TOC in ~30 min.
- Obtained high radiochemical purities: 98.2 ± 0.2% for [68Ga]Ga-FAPI-46 and 98.4 ± 0.9% for [68Ga]Ga-DOTA-TOC.
- Reduced precursor and chemical usage by 2-3 times compared to conventional methods.
- All quality control results met European Pharmacopoeia standards.
Conclusions:
- The microfluidic approach on the iMiDEV module enables efficient radiosynthesis of [68Ga]Ga-FAPI-46 and [68Ga]Ga-DOTA-TOC.
- This method facilitates preclinical and clinical applications and reduces precursor requirements.
- Validated synthesis demonstrates the potential of microfluidics for routine radiopharmaceutical production.
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