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Automated Preparation of [68Ga]Ga-3BP-3940 on a Synthesis Module for PET Imaging of the Tumor Microenvironment
Published on: April 25, 2025
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First-in-Human Evaluation of [68Ga]Ga-HTK03149, a PSMA-Targeted Tracer for PET Imaging in Prostate Cancer
Guillaume Chaussé1, Xinchi Hou1, Carlos Uribe1,2
1Molecular Imaging and Therapy, BC Cancer, Vancouver, British Columbia, Canada; and.
Summary
The novel PET radiopharmaceutical [68Ga]Ga-HTK03149 shows safety and favorable biodistribution for prostate cancer imaging. This PSMA-targeted agent demonstrates high tumor uptake and improved lesion contrast, supporting its use in theranostics.
Area of Science:
- Nuclear Medicine
- Radiopharmaceutical Science
- Oncology
Background:
- Prostate-specific membrane antigen (PSMA) is a key target for prostate cancer diagnostics and therapeutics.
- [68Ga]Ga-HTK03149 is a novel PSMA inhibitor designed with a 2-aminoadipic acid moiety to enhance biodistribution.
- First-in-human studies are crucial for evaluating new radiotracers.
Purpose of the Study:
- To assess the safety, biodistribution, and dosimetry of [68Ga]Ga-HTK03149 in men with recurrent prostate cancer.
- To explore organ uptake patterns for potential theranostic applications.
- To evaluate the impact of forced diuresis on radiation dose to the bladder.
Main Methods:
- Ten men with biochemical recurrence of prostate cancer underwent dynamic and static PET/CT scans after [68Ga]Ga-HTK03149 injection.
- Organ absorbed doses were calculated using OLINDA/EXM software.
- Forced diuresis was administered in a subset of participants to assess its effect on bladder dose.
Main Results:
- [68Ga]Ga-HTK03149 was well-tolerated with no adverse events or significant changes in vital signs or lab parameters.
- The radiotracer exhibited rapid clearance from blood and soft tissues, with notable uptake in salivary and lacrimal glands, liver, spleen, kidneys, and small intestine.
- Kidneys received the highest absorbed dose (0.107 ± 0.020 mGy/MBq), while forced diuresis significantly reduced bladder wall dose (0.029 ± 0.0097 mGy/MBq).
- Lesions demonstrated high uptake (SUVmax 9.52 at 2h) and improved tumor-to-background ratios (20.42 at 2h), indicating excellent lesion conspicuity.
Conclusions:
- [68Ga]Ga-HTK03149 is a safe PSMA-targeted PET radiopharmaceutical with comparable biodistribution and dosimetry to existing agents.
- Its high tumor uptake and enhanced delayed lesion contrast support its further clinical evaluation for prostate cancer imaging.
- The agent holds promise for future theranostic applications in prostate cancer management.
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