A new approach to produce [18F]MC225 via one-step synthesis, a PET radiotracer for measuring P-gp function

Lara Garcia-Varela; Khaled Attia; John Carlo Sembrano; Olivier Jacquet; Inês F Antunes; Chantal Kwizera; Ton J Visser; Rudi A J O Dierckx; Philip H Elsinga; Gert Luurtsema

doi:10.1186/s41181-021-00139-8

A new approach to produce [¹⁸F]MC225 via one-step synthesis, a PET radiotracer for measuring P-gp function

EJNMMI Radiopharm Chem. 2021 Jul 15;6(1):24. doi: 10.1186/s41181-021-00139-8.

Affiliations

¹ Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Centre Groningen, Hanzeplein 1, 9713, GZ, Groningen, the Netherlands.
² Symeres, Kadijk 3, 9747, AT, Groningen, the Netherlands.
³ Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Centre Groningen, Hanzeplein 1, 9713, GZ, Groningen, the Netherlands. g.luurtsema@umcg.nl.

Abstract

Background: [¹⁸F]MC225 is a radiotracer for imaging P-glycoprotein (P-gp) function at the blood-brain barrier. The P-gp function can be altered due to different factors, for instance, decreased P-gp function has been described in patients with Alzheimer's or Parkinson's Disease. The current applied radiosynthesis of [¹⁸F]MC225 involves 2 steps, including the distillation of the [¹⁸F] fluoroethylbromide intermediate. To develop a more robust synthetic procedure, it is of interest to produce the radiotracer via a 1-step synthesis. The present study describes a new synthetic approach to produce [¹⁸F]MC225 via direct ¹⁸F-fluorination. Moreover, we also provide the appropriate conditions for the automation of the synthesis. A mesylate precursor was synthesized via a multi-step synthetic route and used for the radiolabeling. The nucleophilic substitution of the mesylate group by [¹⁸F] Fluoride was automated in two different synthesis modules: IBA Synthera and Eckert and Ziegler PharmTracer (E&Z).

Results: The mesylate precursor was synthesized in 7 steps starting with 5-hydroxy-1-tetralone (commercially available) in practical yields. The stability of the precursor was improved via mesylate salt formation method. The radiolabeling was done by adding the mesylate precursor dissolved in DMF to the dried [¹⁸F]KF/K_2.2.2 complex and heating at 140 °C for 30 min. Quality control by UPLC confirmed the production of [¹⁸F]MC225 with a molar activity (A_m) higher than 100 GBq/micromole. The synthesis time in Synthera was 106 min and the product was obtained with a radiochemical purity higher than 95% and RCY of 6.5%, while the production in E&Z lasted 120 min and the product had a lower radiochemical purity (91%) and RCY (3.8%).

Conclusions: [¹⁸F]MC225 was successfully produced via a 1-step reaction. The procedure is suitable for automation using commercially available synthesis modules. The automation of the radiosynthesis in the Synthera module allows the production of the [¹⁸F]MC225 by a reliable and simple method.