Chemistry:Gallium 68 PSMA-11

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Short description: Drug approved by USFDA
Gallium 68 PSMA-11
Clinical data
Other namesGALLIUM GA-68 GOZETOTIDE;
(68)Ga Labeled Glu-NH-CO-NH-Lys(ahx)-hbed-CC
AHFS/Drugs.com
Routes of
administration
intravenous (IV)[1]
Pharmacokinetic data
ExcretionUrine[1]
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
Chemical and physical data
3D model (JSmol)

Gallium 68 PSMA-11, or Ga 68 PSMA-11, is a radiopharmaceutical made of 68Ga conjugated to prostate-specific membrane antigen (PSMA) targeting ligand, Glu-Urea-Lys(Ahx)-HBED-CC, used for imaging prostate cancer by positron emission tomography (PET).[2] The PSMA targeting ligand specifically directs the radiolabeled imaging agent towards the prostate cancerous lesions in men. [3] This is the first drug approved by USFDA as a PET imaging agent.[3]

Development

Initially Gallium (68Ga) chloride solution injections used for radiolabelling,[4] in 2019 European Pharmacopoeia mentions Gallium (68Ga) DOTATOC injection for radiolabelling and PET imaging.[5]

Ga 68 PSMA-11 is co-developed by University of California, Los Angeles and University of California, San Francisco, they conducted phase 3 clinical trial.[6] On 1st December 2020, the drug was first approved by USFDA for PET imaging.[3]

Mechanism of action

PSMA-11, Glu-Urea-Lys(Ahx)-HBED-CC of Ga 68 PSMA-11, directs and binds with prostate-specific membrane antigen (PSMA). This usually binds to cells that overexpress PSMA, such as the malignant prostate cancer cells. The radioactive Isotope of Gallium, Ga-68 is responsible for emitting β+ radiations and X-rays. This helps in recording images by positron emission tomography (PET) and CT scan.[1]

Usage

Ga 68 PSMA-11 injections are used for PET imaging of prostate-specific membrane antigen (PSMA) positive lesions in males with prostate cancer. It can be given for the patients with suspected metastasis, and the candidates with initial definitive therapy.[1]

References

  1. 1.0 1.1 1.2 1.3 "Highlights of Prescribing Information: Gallium Ga 68 PSMA-11 Injection, for intravenous use". FDA. https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/212642s000lbl.pdf. "These highlights do not include all the information needed to use Gallium Ga 68 PSMA-11 Injection safely and effectively. See full prescribing information for Gallium Ga 68 PSMA-11 Injection." 
  2. "gallium Ga 68 gozetotide" (in en). 2 February 2011. https://www.cancer.gov/publications/dictionaries/cancer-drug/def/gallium-ga-68-gozetotide?redirect=true. 
  3. 3.0 3.1 3.2 Office of the Commissioner (2 December 2020). "FDA Approves First PSMA-Targeted PET Imaging Drug for Men with Prostate Cancer" (in en). https://www.fda.gov/news-events/press-announcements/fda-approves-first-psma-targeted-pet-imaging-drug-men-prostate-cancer. Public Domain This article incorporates text from this source, which is in the public domain.
  4. "Gallium (68Ga) Chloride Solution for Radiolabelling". European Pharmacopoeia (9th ed.). Stuttgart. 2018. p. 1148. ISBN 978-3-7692-6816-4. 
  5. "Gallium (68Ga) DOTATOC injection". European Pharmacopoeia (10th ed.). Stuttgart. 2019. p. 1208. ISBN 978-3-7692-7453-0. 
  6. "68Ga-PSMA-11 NDA Approval: A Novel and Successful Academic Partnership". Journal of Nuclear Medicine 62 (2): 149–155. February 2021. doi:10.2967/jnumed.120.260455. PMID 33443068.