First-in-human study of 99mTc-labeled fucoidan, a SPECT tracer targeting P-selectin

  • 0Department of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

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Summary

This summary is machine-generated.

This study found technetium-99m-labeled fucoidan (99mTc-fucoidan) is safe and shows good biodistribution for imaging P-selectin. However, its effectiveness for deep vein thrombosis (DVT) imaging was not supported by in vivo results.

Area Of Science

  • Nuclear medicine
  • Molecular imaging
  • Biochemistry

Background

  • P-selectin is upregulated in atherothrombosis, making it a target for molecular imaging.
  • Fucoidan, a polysaccharide from brown algae, has high affinity for P-selectin.
  • Early detection of thrombosis can be improved with targeted molecular imaging agents.

Purpose Of The Study

  • To evaluate the safety, biodistribution, and dosimetry of 99mTc-fucoidan in healthy volunteers.
  • To assess the binding of 99mTc-fucoidan to human thrombi ex vivo and in vivo.
  • To investigate 99mTc-fucoidan as a potential imaging agent for deep vein thrombosis (DVT).

Main Methods

  • Ten healthy volunteers received intravenous 99mTc-fucoidan for whole-body scans up to 24 hours.
  • Gamma counting measured 99mTc-fucoidan uptake in 11 ex vivo human thrombi.
  • SPECT/CT imaging was performed on three patients with newly diagnosed DVT.

Main Results

  • 99mTc-fucoidan was well-tolerated with no adverse events and favorable dosimetry.
  • Ex vivo thrombi showed tracer binding, reduced by 16% with Sialyl Lewis X.
  • In vivo imaging demonstrated specific uptake at the thrombus site in only one of three DVT patients.

Conclusions

  • 99mTc-fucoidan demonstrates a favorable safety profile and biodistribution.
  • Specific binding to human thrombi was observed in both ex vivo and in vivo settings.
  • Clinical investigation for DVT imaging is not supported; alternative applications for this P-selectin tracer should be explored.