A detailed description of the precursor synthesis is provided in the supplemental materials (available at http://jnm.snmjournals.org). Purification was accomplished via reversed-phase high-performance liquid chromatography (HPLC).
64Cu and 68Ga labeling was performed in analogy to an established protocol for 177Lu labeling (19 (link)). A detailed description of the labeling procedures is provided in the supplemental materials. [64Cu]CuCl2 was purchased from DSD-Pharma GmbH. [68Ga]GaCl3 was provided by ITM Isotope Technologies Munich SE. The radiolabeled reference, 3 -[125I]I-Tyr6-MJ9 (Supplemental Fig. 1), was prepared according to reported procedures (19 (link),21 (link)). Characterization of all GRPR ligands is provided in Supplemental Figures 2–4.
The synthesis of [68Ga]Ga-AMTG according to good manufacturing practices for human PET/CT studies was performed using a good radiopharmaceutical practice module (Scintomics GmbH) while using an SC-01 gallium peptide labeling kit (ABX). [68Ga]GaCl3 was obtained from a GalliaPharm generator (Eckert & Ziegler) and was trapped on a PS-H+ cartridge (ABX), which was eluted by a sodium chloride solution. The eluate was transferred in the reactor containing the AMTG precursor and the 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) buffer. The solution was heated and afterward transferred to a Sep-Pak C18 Light cartridge (Waters) for purification. After washing with water, the cartridge was eluted with ethanol and the solution was diluted with phosphate-buffered saline. The Cathivex-GV (Merck KGaA) was used as a sterile filter after the synthesis. Quality control included an instant thin-layer chromatography silica gel scan (NH4OAc/MeOH; Agilent), as well as an HPLC measurement against the corresponding reference compound, [natGa]Ga-AMTG. Compliance with the HEPES limit was determined by a spot test. Furthermore, a sterile filter integrity test, a limulus amebocyte lysate test, and a postapplication sterility test were performed. The ethanol concentration was measured by gas chromatography analysis.
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