On the Separation of Yttrium-90 from High-Level Liquid Waste: Purification to Clinical-Grade Radiochemical Precursor, Clinical Translation in Formulation of 90 Y-DOTATATE Patient Dose

The quality control parameters of in-house-produced Y-Acetate from high-level liquid waste (HLLW) using supported liquid membrane (SLM) technology were validated and compared with the pharmacopeia standard. The radiolabeling of DOTATATE yielding Y-DOTATATE in acceptable radiochemical purity (RCP), w...

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Veröffentlicht in:Cancer biotherapy & radiopharmaceuticals 2021-03, Vol.36 (2), p.143-159
Hauptverfasser: Mitra, Arpit, Chakraborty, Avik, Gaikwad, Sujay, Tawate, Megha, Upadhye, Trupti, Lad, Sangita, Sahoo, Sudip, Jagesia, Poonam, Parghane, Rahul, Menon, Sreeja, Basu, Sandip, Dhami, Prem Singh, Banerjee, Sharmila
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container_title Cancer biotherapy & radiopharmaceuticals
container_volume 36
creator Mitra, Arpit
Chakraborty, Avik
Gaikwad, Sujay
Tawate, Megha
Upadhye, Trupti
Lad, Sangita
Sahoo, Sudip
Jagesia, Poonam
Parghane, Rahul
Menon, Sreeja
Basu, Sandip
Dhami, Prem Singh
Banerjee, Sharmila
description The quality control parameters of in-house-produced Y-Acetate from high-level liquid waste (HLLW) using supported liquid membrane (SLM) technology were validated and compared with the pharmacopeia standard. The radiolabeling of DOTATATE yielding Y-DOTATATE in acceptable radiochemical purity (RCP), with expected pharmacological behavior in models, establish the quality of Y-Acetate. Clinical translation of Y-Acetate in formulation of Y-DOTATATE adds support toward its use as clinical-grade radiochemical. Quality control parameters of Y-Acetate, namely radionuclide purity (RNP), were evaluated using β spectrometry, γ-spectroscopy, and liquid scintillation counting. RCP and metallic impurities were established using high-performance liquid chromatography and inductively coupled plasma optical emission spectrometry, respectively. The suitability of Y-Acetate as an active pharmaceutical ingredient radiochemical was ascertained by radiolabeling with DOTATATE. biodistribution of Y-DOTATATE was carried out in nude mice bearing AR42J xenografted tumor. Clinical efficacy of Y-DOTATATE was established after using in patients with large-volume neuroendocrine tumors (NET). Bremsstrahlung imaging was carried out in dual-head gamma camera with a wide energy window setting (100-250 keV). In-house-produced Y-Acetate was clear, colorless, and radioactive concentration (RAC) in the range of 40-50 mCi/mL. RCP was >98%. Sr content was
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Bremsstrahlung imaging was carried out in dual-head gamma camera with a wide energy window setting (100-250 keV). In-house-produced Y-Acetate was clear, colorless, and radioactive concentration (RAC) in the range of 40-50 mCi/mL. RCP was &gt;98%. Sr content was &lt;0.85 μCi/Ci of Y. Gross λ content was &lt;0.8 nCi/Ci of Y and no γ peak was observed. Fe , Cu , Zn , Cd , and Pb contents were &lt;1.7 μg/Ci. The radiolabeling yield (RLY) of Y-DOTATATE was &gt;94%, RCP was &gt;98%. The stability of Y-DOTATATE was up to 72 h postradiolabeling, upon storage at -20°C. Post-therapy (24 h) Bremsstrahlung image of patients with large NET exhibit complete localization of Y-DOTATATE in tumor region. This study demonstrates that the in-house-produced Y-Acetate from HLLW can be used for the formulation of various therapeutic Y-based radiopharmaceuticals. 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Bremsstrahlung imaging was carried out in dual-head gamma camera with a wide energy window setting (100-250 keV). In-house-produced Y-Acetate was clear, colorless, and radioactive concentration (RAC) in the range of 40-50 mCi/mL. RCP was &gt;98%. Sr content was &lt;0.85 μCi/Ci of Y. Gross λ content was &lt;0.8 nCi/Ci of Y and no γ peak was observed. Fe , Cu , Zn , Cd , and Pb contents were &lt;1.7 μg/Ci. The radiolabeling yield (RLY) of Y-DOTATATE was &gt;94%, RCP was &gt;98%. The stability of Y-DOTATATE was up to 72 h postradiolabeling, upon storage at -20°C. Post-therapy (24 h) Bremsstrahlung image of patients with large NET exhibit complete localization of Y-DOTATATE in tumor region. This study demonstrates that the in-house-produced Y-Acetate from HLLW can be used for the formulation of various therapeutic Y-based radiopharmaceuticals. Since Y is an imported radiochemical precursor available at a high cost in India, this study which demonstrates the suitability of indigenously sourced Y, ideally exemplifies the recovery of "wealth from waste." The Clinical Trial Registration number: (P17/FEB/2019).</abstract><cop>United States</cop><pmid>33750229</pmid><doi>10.1089/cbr.2020.4092</doi><tpages>17</tpages></addata></record>
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title On the Separation of Yttrium-90 from High-Level Liquid Waste: Purification to Clinical-Grade Radiochemical Precursor, Clinical Translation in Formulation of 90 Y-DOTATATE Patient Dose
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