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[Phase I clinical study for 111In-DTPA-IgG]
A Kubo1, K Nakamura, J Hashimoto
1Department of Radiology, School of Medicine, Keio University, Tokyo.
Kaku Igaku. the Japanese Journal of Nuclear Medicine
|September 1, 1994
Summary
This phase I study found the new imaging agent 111In-DTPA-IgG safe for inflammation and infection detection. Biodistribution and dosimetry support proceeding to phase II clinical trials.
Area of Science:
- Nuclear Medicine
- Radiopharmaceutical Development
- Clinical Trials
Background:
- Inflammation and infection imaging agents are crucial for diagnosis.
- 111In-DTPA-IgG is a novel agent developed for improved detection.
- Phase I studies are essential to establish safety and preliminary biodistribution.
Purpose of the Study:
- To evaluate the safety and tolerability of 111In-DTPA-IgG in healthy volunteers.
- To determine the biodistribution and pharmacokinetic profile of 111In-DTPA-IgG.
- To estimate radiation dosimetry for safe administration in future studies.
Main Methods:
- A single-center, open-label, phase I clinical trial.
- Inclusion of three healthy adult volunteers.
- Administration of a single dose of 111In-DTPA-IgG followed by safety assessments and biodistribution imaging.
Main Results:
- No adverse events were reported, with no significant changes in clinical laboratory parameters, vital signs, or physical examinations.
- 111In-DTPA-IgG exhibited biexponential clearance from blood with half-lives of approximately 5.72–8.51 hours (fast phase) and 34.0–35.5 hours (slow phase).
- Urinary excretion accounted for 12% of the injected dose within 72 hours. Dosimetry estimates suggest up to 80 MBq can be safely administered, with the liver, kidneys, heart, and lungs receiving the highest absorbed doses (<40 mGy per 80 MBq).
Conclusions:
- 111In-DTPA-IgG demonstrates a favorable safety profile and predictable biodistribution in healthy volunteers.
- Radiation dosimetry supports the safe administration of 111In-DTPA-IgG for scintigraphic imaging of inflammation/infection.
- The findings support the progression to phase II clinical studies to further evaluate the efficacy of 111In-DTPA-IgG.