Chemistry:Gallium 68 PSMA-11

From HandWiki
Revision as of 14:54, 17 July 2022 by imported>TextAI2 (fixing)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Short description: Drug approved by USFDA
Gallium 68 PSMA-11
Gallium 68 PSMA-11 SOM.png
Gallium 68 PSMA-11 SOM3.gif
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.  This article incorporates text from a publication now 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.