TW200536558A - Alpha-emitting hydroxyapatite particles - Google Patents
Alpha-emitting hydroxyapatite particles Download PDFInfo
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- TW200536558A TW200536558A TW094104922A TW94104922A TW200536558A TW 200536558 A TW200536558 A TW 200536558A TW 094104922 A TW094104922 A TW 094104922A TW 94104922 A TW94104922 A TW 94104922A TW 200536558 A TW200536558 A TW 200536558A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K51/1244—Preparations containing radioactive substances for use in therapy or testing in vivo characterised by a special physical form, e.g. emulsion, microcapsules, liposomes, characterized by a special physical form, e.g. emulsions, dispersions, microcapsules particles, powders, lyophilizates, adsorbates, e.g. polymers or resins for adsorption or ion-exchange resins microparticles or nanoparticles, e.g. polymeric nanoparticles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K51/00—Preparations containing radioactive substances for use in therapy or testing in vivo
- A61K51/02—Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
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Abstract
Description
200536558 九、發明說明: 【發明所屬之技術領域】 本發明係關於適於活體内傳# _ 蔽μ得遞放射核種之組合物。更詳 細地說’本發明係關於含 ^ ^ ' 放射性放射核種之微粒狀組合 物或供α -放射性放射核種產 、、 產生时°本發明該等組合物適 用以治療癌症及非癌疾病。 【先前技術】 在所有領域之醫藥研究及尤其在癌研究方面,新穎療法 …重要此種研究之—項領域係關於放射核種用於 治療目的之用途。多年夾,螢 I 業、,、工研九用於癌症治療中之 公粒子發射體,並業經建議使用經石粒子發射體標記之 膠體’以治療腔内疾病,其包括轉移性卵巢癌。 近年來’亦業經努力以將α _發射體利用於抗腫瘤藥劑 發射體之-些特徵與發射體不同,其包括在組 織中較高的能量及輕輛μ益m J犯里及孕乂短的靶圍。在生理環境中,一般“發 射體之輪射範圍通常小於1 、币』万、1U0U未,其相當於僅有少許細 胞之直控。因此可以使這此原 文t二,原很適於治療包括微轉移之腫 瘤,因為很少該幸畐射能可越過目標細胞,因此可以減少對 於周圍健康組織之損害。反之,P , ^ σ汉之万粒子在水中具有1毫米 或更大的範圍。 旦與^粒子n線及χ-射線比較’該“粒子輻射之能 量亦高’ 一般而言’係為5至8 MeV(百冑電子伏特)、或ρ 粒子之5至10倍、及r射線能量之2〇或更多倍。因此,當 與r或幸畐射比較時,此種大量能量在很短距離的區域内 99711.doc 200536558 之沉積,可以使α輻射得到非常高的線性能量轉移 (LET)。其可說明該等α _放射性放射核種之異常細胞毒害 性,及對於為了避免不可接受之副作用所需之放射核種分 佈之控制及研究程度,有強制性的嚴袼要求。 業經建議α -發射體可結合微粒及膠體,使用於内放射 核種療法(見 Bl〇omer等人,int· j· Radiat 〇nc〇1 Bi〇1200536558 IX. Description of the invention: [Technical field to which the invention belongs] The present invention relates to a composition suitable for in vivo transmission of a radioactive nuclear species. More specifically, the present invention relates to a particulate composition containing ^ ^ 'radioactive nucleus or for production of α-radioactive nucleus, when produced. These compositions of the present invention are suitable for treating cancer and non-cancer diseases. [Prior art] In all fields of medical research and especially in cancer research, novel therapies… important areas of this research—the field relates to the use of radionuclides for therapeutic purposes. For many years, Fluoride I, GK9, and GK9 are used as public particle emitters in cancer treatment, and it has been suggested to use colloids labeled with stone particle emitters to treat intraluminal diseases, including metastatic ovarian cancer. In recent years, efforts have also been made to use α_emitters as antitumor agents. Some characteristics of the emitters are different from those of the emitters, including higher energy in tissues and lighter weights and shorter pregnancy duration. Target range. In the physiological environment, the "round range of the projectile is usually less than 1 million yuan, 1U0U, which is equivalent to direct control with only a few cells. Therefore, this text can be used for treatment. Micrometastasis tumors, because they rarely cross the target cells, can reduce damage to surrounding healthy tissues. On the contrary, P, ^ σ Hanzhiwan particles have a range of 1 mm or greater in water. Compared with ^ particle n-rays and χ-rays, 'the energy emitted by this particle is also high', in general, it is 5 to 8 MeV (one hundred electron volts), or 5 to 10 times the ρ particle, and r-ray energy 20 or more times. Therefore, when compared with r or Xingfu, such a large amount of energy is deposited in a short distance region 99711.doc 200536558, which can obtain very high linear energy transfer (LET) for alpha radiation. It can explain the abnormal cytotoxicity of these α _ radioactive nuclei, and the strict and rigorous requirements for the control and research level of the radionuclide distribution needed to avoid unacceptable side effects. It has been suggested that alpha-emitters can be used in combination with microparticles and colloids for internal radiation nucleation therapy (see Blomer and others, int.j. Radiat 〇nc〇1 Bi〇1
Phys. 10(3) 341-348(1984); Rotmensch等人,int· j· Radiat. Oncol. Biol· Phys· 34,609-616(1996); US 970062、US 5030441、US 5085848 ;及 Verg〇te 等人,❼獄“ 47(3) · 366-372(1992)與 Gynecol Oncol 47(3) : 358_ 65(1992)) 〇 關於這些先前使用之微粒狀及膠體狀載體之一項問題 為,所使用載體材料並不具生物共存性及生物可分解性。 因此,尤其當重覆投予至體腔時,該等載體會積聚。非生 物共存性材料之積聚可因此引起發炎等病症。 尤其,例如,使用先前技藝之砸_211膠體及鉛_212膠體 之另一項問題,為游離態放射核種之滲漏,因為石厄11及 鉍-212(得自鉛_212)業經證明,可積聚在正常組織内,例 如,砸積聚在曱狀腺及胃内,而鉍積聚在腎臟内。 有關所使用許多該等放射核種之第三項問題為,其係難 製備及僅能少量得到,或其半衰期如此短,以致其不適用 於治療性製劑。 «粒子之很高能量、及其顯著的質量’一旦核衰變時會 使該發射粒子具有重大動量。因此,相等但是反向的動量 99711.doc 200536558 以”核反衝(nuclear recoll)”型式提供給剩下的"子 (dw)”核。該反衝之動力足以切斷大部份化學鍵,並 迫使新形成之子核脫㈣合作用。若該子核本身是^放 射性,由於該子核不再受已投予該母核於其中之該粒子或 整合物複合物限制,所以上述核反衝之影響非常重大。因 :匕,用以投予^放射化學品之過去的方法之一項重大問 題 i為如何控制α _放射性子核種之生物分佈性。其 可以將α-發射體之選用侷限於彼等不需要^放射性子核 者,或使該劑量受到限制以減少健康組織之暴露。 右可維持對於子核生物分佈性之控制,則在形成具有 α-發射體之放射性藥劑方面有重要優點。藉由該方法, 可減少於用藥期間,經由健康組織所接收之劑量,並在羅 病範圍可理想地發生幾種α衰變。然而,若無法控制 子核之最終強度’則若其為α_發射體,這些發射體會 成為-項問題。因此其會接著積聚在健康組織内,並引: 非所欲副作用。 WOO 1/60417提議一種維持控制α _放射性子核之方法。 該方法使用含脂質體之螯合劑以控制該α-發射體,並防 止名核反衝將該子核驅趕入溶液内。然而,就所有投藥方 法而曰,脂質體並不理想,且在某些情況下,其會顯示非 所欲清除率及路徑。 ι因此對於可顯示α _放射性放射核種之安定標記,及 幾乎不會渗漏放射性子核種至其它組織之改良性放射性治 療、且口物,有重大的需求。此外’有需要具有生物共存性 99711.doc 200536558 及生物可降解性組份之放射性治療組合物。而且,有需要 可適用於醫藥製劑之放射性治療組合物,其中該核種很容 易製備並以充份大的數量得到。 【發明内容】Phys. 10 (3) 341-348 (1984); Rotmensch et al., Int.j. Radiat. Oncol. Biol. Phys. 34, 609-616 (1996); US 970062, US 5030441, US 5085848; and Verg. te et al., Prison "47 (3) · 366-372 (1992) and Gynecol Oncol 47 (3): 358_ 65 (1992)) 〇 One question about these previously used particulate and colloidal carriers is, The carrier materials used are not biocoexistent and biodegradable. Therefore, these carriers can accumulate especially when repeatedly administered to the body cavity. The accumulation of non-biological coexisting materials can thus cause diseases such as inflammation. Especially, for example Another problem of using the previous technique of _211 colloid and lead_212 colloid is the leakage of free radionuclides, because Shi'e 11 and bismuth-212 (from lead _212) have been proven to accumulate in normal conditions. Tissues, for example, accumulate in the sacral glands and stomach, and bismuth accumulates in the kidneys. A third problem with many of these radionuclides used is that they are difficult to prepare and are only available in small amounts, or their half-life So short that it is not suitable for therapeutic preparations. «High energy of particles , And its significant mass' will cause the emitted particle to have significant momentum once the nuclear decays. Therefore, equal but reversed momentum 99711.doc 200536558 is provided to the remaining " in the form of "nuclear recoll" (Dw) "nucleus. The momentum of this recoil is enough to cut off most of the chemical bonds and force the newly formed daughter nuclei to decouple and cooperate. If the daughter nucleus itself is radioactive, since the daughter nucleus is no longer restricted by the particle or integrative complex in which the mother nucleus has been injected, the impact of the above nuclear recoil is very significant. Because of the dagger, a major problem of the past method of administering radiochemicals i is how to control the biodistribution of α_ radionuclide species. It can limit the choice of α-emitters to those who do not need radioactive nuclei, or limit the dose to reduce the exposure of healthy tissues. You can maintain control over the distribution of daughter nucleus organisms, which has important advantages in forming radiopharmaceuticals with alpha emitters. By this method, the dose received through the healthy tissue during the administration period can be reduced, and several alpha decays can ideally occur in the range of the disease. However, if the final intensity of the daughter nucleus cannot be controlled, then if it is an alpha emitter, these emitters will become a problem. Therefore, it will then accumulate in healthy tissue and lead to: unwanted side effects. WOO 1/60417 proposes a method for maintaining control of alpha radionuclide. This method uses a liposome-containing chelating agent to control the alpha-emitter, and prevents the nuclei from kicking back the daughter nuclei into the solution. However, for all methods of administration, liposomes are not ideal, and in some cases, they can show undesired clearances and pathways. ι Therefore, there is a great demand for improved radiotherapy and mouthpieces that can display a stable radionuclide of α_ radioactive nucleus, and improve the radiotherapy treatment that hardly leaks the radionuclide to other tissues. In addition, there is a need for a radiotherapeutic composition having biocoexistence 99711.doc 200536558 and a biodegradable component. Moreover, there is a need for a radiotherapeutic composition that is suitable for use in pharmaceutical formulations, in which the nuclear species are easily prepared and available in sufficient quantities. [Summary of the Invention]
本案發明人現在已驚訝地確定,羥基磷灰石(HA)顆粒 可以經α放射性放射核種放射性標記,且可安定地保持 該核種很長的時間。此外,本案發明人已確定在出人意 料地同耘度上,該經α發射體放射性標記之11人在該母核 種衰變後,仍可保持子核種。此為高度意外的發現,因 為藉由該α衰變所產生之反衝,通常會中斷化學鍵,並 導致該子核種產物之釋放。 因此,本發明第一方面係提供可合併α_放射性放射核 種或放射核種(其係為α _放射性放射核種之活體内發生器) 之羥基磷灰石(ΗΑ)。 本發明之隸❹錄佳具安n亦即,該核種被安 定地捕捉於ΗΑ中,且於生理條件下不會顯著地濾出而進 入溶液或其它組織内。該HAs又更佳具安定性,亦即,該 子核種亦藉由HA載體捕捉,且於生理條件下實質上並不 會濾出而進入溶液或其它組織内。 此外,可較佳使用衰變可產生一連串另發射線之所 欲α-發射體,因為本發明之羥基磷灰石可控制此等子核 本發明該㈣似石及自其製成之組合物之優點為,可 使用該治療上更有效的α _放射性放射核種,以取代前先 技藝之万-放射性核種,且可維持對於該子核之控制性。 99711.doc 200536558 敢、、W貞麦。如Unni 等人(Nucl Med Bio 129,199-209(2002)) 及Brodack等人(w〇 97/(^304)所述,羥基磷灰石微粒之唯 已头之先别用途為作為放射性滑膜切除術(亦即,用以 /〇療關即炎之疼痛)之沒_放射性核種之載體。先前使用之 /5-發射體全部可衰變成具有與該劑量分佈無關聯之 安疋核種(亦即,一旦衰變時,基本上無反衝現象,且該 子核產物無放射性,因此,其分佈不具任何意義)。 本卷明之羥基磷灰石及自其製成之組合物很適合用以治 療癌症及非癌疾病。尤其因為該治療上活性之α -發射體 係、、二本t明该羥基磷灰石投予或活體内產生,所以與冷_ 發射體比較,可得到高細胞毒害性,並對正常組織之更深 及周圍區域之損害很低。尤其當本發明該HAs用於局部 1*生邛位丨生或標的性用藥法(例如,腔内、標的全身性戋 腫瘤内方法)時,上述作用更適用,且可以由較短程之^ 幸昌射引起。 因此,本發明第二方面係提供藉由投予有玄丈量之合併 α放射性放射核種或放射核種(其係為“ _放射性放射核種 之活體内發生器)之經基鱗灰石(ΗΑ),或藉由投予自此種 ΗΑ製成之組合物’以治療人類或動物患者(特別為哺乳動 物,尤其需要此種療法之哺乳動物)之法。 本發明另—方面係提供包含本發明經基鱗灰石及至少_ 種生理上可接受載體之醫藥組合物。 本;明又另一方面係提供合併α -放射性放射核種或放 射核種(其係為α -放射性放射核種之活體内發生器)之經美 99711.doc 10 200536558 磷灰石(HA),其可用於治療。本發明又另一方面係提供人 併^放射性放射核種或放射核種(其係為^放射性放射核 種之活體内發生器)之羥基磷灰石(HA),用於製備可治療 癌症或非癌疾病_口,下文所述疾病當中任一種)之藥物 (特別為可注射、可注人或可高部性塗敷之藥物)之用途。 本發明又另一方面係關於含合併《 -放身ί性放射核種或 α-—放射性放射核種之活體内發生器之羥基磷灰石(η⑸的 醫藥組合物及裝置,例如,預先裝入醫藥製劑之注射器。 本發明進一步係關於製備合併α _放射性放射核種或“ _ 放射性放射核種之活體内發生器之羥基磷灰石(ηα)的方 法,其包括以下步驟: (a) 以羥基磷灰石微粒接觸α _放射性放射核種或α _放 射性放射核種之活體内發生器之溶液;及 (b) 可視需要晶化在步驟(a)中所製成之經標記微粒上 之羥基磷灰石塗料,藉以將該放射核種或該活體内發生器 包膝在該微粒内。 該方法較佳包括: (a) 較佳於PH在約3至12範圍内,將該α —發射體放射 核種或α -發射體放射核種之活體内發生器溶液,吸收至 該經基磷灰石微粒;及 (b) 可視需要晶化步驟(a)中所製成之經標記微粒上之 规基碟灰石塗料,藉以將該放射核種包膠在該微粒内。 【實施方式】 本技藝所使用之名詞,,羥基磷灰石”係表示各種相關的碟 9971 l.doc 200536558 ^鹽化合物’特別為式[Ca“(p〇4)6(〇H)2]幾基鱗灰石約。 =基麟灰石_ S所有脊椎動物之健康骨基質之成份。目 ’其係作為假狀材#,特別為”無纟泥”骨插入物之材 料。經基磷灰石<其它用途為作為柱内之ϋ擇性陽離子交 換劑1基碌灰石為生物共存性及生物可降解性材料,= 此在活體内應用上特別有用。關於這一點,另一項優點為 其可經熱或壓熱處理。因此,本發明另外提供於標準狀況 下對壓熱作用具安定性之產物及組合物。 汝在°兒明文及申請專利範圍中所使用,該名詞”羥基磷 火石(ΗΑ)係用以表示具生物共存性或生物可降解性之任 何煙基磷灰石及其任何衍生物或類似物。這些材料較佳應 «亥在目的用途上不會顯示副作用。 例如,如文中使用,該名詞"羥基磷灰石*ηα”包括羥基 磷灰石鈣及任何化合物,其中該鈣離子(Ca2+)可藉由任何 其它(較佳具生物耐受性)陽離子(例如,、如2+、出3 + 或Ac3 + )、或一或多種這些陽離子之組合取代。在一項具體 只施例中,較佳為含羥基磷灰石鈣之羥基磷灰石。該Ha 可進一步經其它低溶度之礦物(尤其低溶度鈣鹽)共沉積或 晶化。 適用於本發明且文中被稱為羥基磷灰石或H A或該h A, 可進一步經表面修飾以帶有其它取代基或基團,例如, 氣、膦酸酯(其包括雙膦酸酯及四膦酸酯)、蛋白質、胺基 酸、肽及磁性物質。 藉由表面修飾作用,可以使該微粒狀Η A具有不同性 99711.doc 12 200536558 較高之抗降解性。表面修飾作用之另—項應用 心括識合分子,該受體結合分子可作為打擊生物 -、結構(特別為與腫瘤有關之受體)之標的性㈣體。 ★文中使用’羥基磷灰石或HA亦可包括複合物,例 士: ’與其它物質化合或共沉積之任何羥基磷灰石化合物, :些其它物質為,例如,金屬、氧化物、蛋白質、胺基 酸、碳水化合物、膦酸自旨(其包括雙膦酸酯)、有機化合物The inventors of the present case have now surprisingly determined that hydroxyapatite (HA) particles can be radiolabeled with alpha radioactive species, and that they can be stably maintained for a long time. In addition, the inventors of this case have determined that, on an unexpectedly comparable level of work, the 11 persons radiolabeled with an alpha emitter can still maintain daughter species after the mother species has decayed. This is a highly unexpected discovery because the recoil produced by the alpha decay usually breaks the chemical bond and results in the release of the daughter product. Therefore, the first aspect of the present invention is to provide hydroxyapatite (ΗΑ) which can incorporate α-radioactive species or radionuclides, which are in-vivo generators of α-radioactive species. In the present invention, the repertoire of the present invention is that the nucleus is stably captured in ΗΑ and does not significantly filter out under physiological conditions and enters a solution or other tissue. The HAs are more stable, that is, the daughter nucleus is also captured by the HA carrier, and does not substantially filter out under physiological conditions and enters the solution or other tissues. In addition, it is preferable to use the desired α-emitter that can produce a series of other emission lines, because the hydroxyapatite of the present invention can control these sub-cores of the aragonite of the present invention and the composition made from it. The advantage is that the α-radioactive nuclear species, which is more effective in treatment, can be used to replace the 10,000-radioactive nuclear species of the prior art, and the controllability of the daughter nuclei can be maintained. 99711.doc 200536558 Dare, W Zhenmai. As described by Unni et al. (Nucl Med Bio 129, 199-209 (2002)) and Brodack et al. (WO97 / (^ 304)), the only other use of hydroxyapatite particles is as a radioactive lubricant. Membraneectomy (i.e., used to treat the pain of inflammation), a carrier of radioactive species. All previously used / 5-emitters can decay into a nuclear species that has no association with the dose distribution ( That is, once decayed, there is basically no recoil, and the daughter nuclear product is not radioactive, so its distribution does not make any sense.) The hydroxyapatite and the composition made from it are very suitable for this application. Treatment of cancer and non-cancer diseases. Especially because of the therapeutically active α-emission system, the two hydroxyapatite administration or in vivo production, it can obtain high cytotoxicity compared with cold_emitters. And the damage to the deeper and surrounding areas of normal tissues is very low. Especially when the HAs of the present invention are used for local 1 * biopsy or target sexual medication (for example, intraluminal, target systemic / tumor methods) When the above effect is more applicable, and can be made shorter Cheng Zhixing is caused by Xingchang. Therefore, the second aspect of the present invention is to provide a base for the combined alpha radioactive nucleus or radioactive nucleus (which is a "_ in vivo generator of radioactive nucleus") by administration Wollastonite (ΗΑ), or a method of treating a human or animal patient (especially a mammal, especially a mammal in need of such a therapy) by administering a composition made from such ΗΑ. The present invention additionally— One aspect is to provide a pharmaceutical composition comprising the base wollastonite of the present invention and at least one physiologically acceptable carrier. The present invention also provides a combined alpha-radioactive nucleus or radionuclide (which is alpha-radioactive) The in vivo generator of radionuclide species), the beauty of 99711.doc 10 200536558 apatite (HA), which can be used for treatment. Yet another aspect of the present invention is to provide human and radiation radionuclides or radiation nuclei (which are ^ Hydroxyapatite (HA) of radioactive nuclear species in vivo generator) for the preparation of medicines (especially injectable, Human or a drug that can be applied in high doses). Another aspect of the present invention relates to a hydroxyapatite ( The pharmaceutical composition and device of η⑸, for example, a syringe filled with a medicinal preparation in advance. The present invention further relates to the preparation of hydroxyapatite (ηα) incorporating in vivo generators of α _ radioactive nuclear species or "_ radioactive nuclear species. A method comprising the steps of: (a) contacting a solution of an α-radioactive species or an α-radioactive species in vivo generator with hydroxyapatite particles; and (b) crystallizing in step (a) as required The prepared hydroxyapatite coating on the labeled particles is used to wrap the radionuclide or the in vivo generator in the particles. The method preferably includes: (a) absorption of the α-emitter radionuclide or α-emitter radionuclide in vivo generator solution, preferably at a pH ranging from about 3 to 12, to the base apatite Stone particles; and (b) optionally crystallizing the base plate graystone coating on the labeled particles made in step (a), thereby encapsulating the radionuclide in the particles. [Embodiment] The term used in the art, "hydroxyapatite" refers to various related dishes 9971 l.doc 200536558 ^ Salt compounds' are particularly of the formula [Ca "(p〇4) 6 (〇H) 2] A few base scale gray stone approx. = Jilin Grey Stone _ S is a healthy bone matrix component of all vertebrates. It is used as a pseudo-shaped material #, especially a material of "no mud" bone insert. Trans-Apatite < Other uses are as selective cation exchangers in the column. 1-Based Apatite is a bio-coexisting and biodegradable material, which is particularly useful for in vivo applications. In this connection, another advantage is that it can be heat or autoclaved. Therefore, the present invention additionally provides products and compositions that are stable to autoclave under standard conditions. The term "hydroxyapatite (ΗΑ)" is used in the plain text and the scope of patent applications to refer to any nicotinic apatite and any derivatives or analogues that have bio-existence or biodegradability. These materials should preferably have no adverse effects on the intended use. For example, as used herein, the term " hydroxyapatite * ηα " includes calcium hydroxyapatite and any compounds in which the calcium ion (Ca2 + ) May be substituted by any other (preferably biologically tolerable) cation (eg, such as 2+, 3+ or Ac3 +), or a combination of one or more of these cations. In a specific embodiment, hydroxyapatite containing hydroxyapatite calcium is preferred. The Ha can be further co-deposited or crystallized by other low-solubility minerals, especially low-solubility calcium salts. Suitable for the present invention and referred to herein as hydroxyapatite or HA or the h A, may be further surface modified to carry other substituents or groups, such as gas, phosphonates (which include bisphosphonates and Tetraphosphonates), proteins, amino acids, peptides and magnetic substances. By surface modification, the particulate ΗA can be made different. 99711.doc 12 200536558 High resistance to degradation. Another application of surface modification is to include associative molecules. The receptor-binding molecule can be used as a target sex carcass for combating biological and structural (especially tumor-related receptors). ★ The use of 'hydroxyapatite or HA in this text may also include complexes, for example:' Any hydroxyapatite compound that is compounded or co-deposited with other substances, such as metals, oxides, proteins, Amino acids, carbohydrates, phosphonic acids (which include bisphosphonates), organic compounds
(例如」聚内交酯、聚乙二酮)、玻璃陶瓷、氧化鈦、氧化 =、乳化鍅、氧化石夕、聚乙烯、環氧基化物、聚乙二醇、 ㈣基τ酸s旨、明膠、㈣、去乙醯殼多醣、鱗氮基化 物鐵、氧化鐵及/或磁鐵。此等組合可用以使最終HA微 =侍到附加所欲性質,例如,磁性(磁鐵)或凝膠作用(明 夕膠原、去乙醯殼多醣)。此外,如熟悉本技藝者所熟 知、。上述群組當中一些可以使該HA更具親脂性,且其被 認為是欲用於本發明之任何HA衍生物或類似物的一項有 利性質。 適用於本發明之該等羥基磷灰石可且有任何固體型式, 且在本說明文及申請專利範圍中,通稱為”微粒”,以使與 放射粒子(例如,α粒子(氦核種)、或ys粒子(電子))區別。 4 HA彳政粒可以是,例如,結晶、微球體或膠體。該微粒 之形狀、孔隙大小及密度可經選擇以適應該目的用途。 該HA微粒之大小通常可以在自約1〇奈米至約ι〇〇微米之 範圍内’但是,包括微粒在内,可以使用小如1奈米之膠 體及其它小微粒。 99711.doc 200536558 . 在一項具體實施例中,該微粒之大小較佳可以使其維持 在懸浮液中不會沉積。在本文中,沉積作用係包括漂浮作 用’其中該”沉積物”係於懸浮液之頂部形成,而非在底部 f成:更詳細地說,當該微粒懸浮在一流體(例如,具醫 樂耐受性(特別為水性)溶液)内,並貯存至少一小時(較佳 至少6小時,且最佳至少一個月)時,該微粒之大小較佳可 以使其不會沉積。因此报容易藉由例行沉積實驗,測定任 何微粒狀HA之合適微粒大小。 •、,根據本發明該Μ微粒之-項更特佳普遍大小範圍為㈣ 米至20微米,最佳自1微米至5微米。 較佳使用具有實質上均勻大小分佈之微粒。不同大小範 圍較佳’且可根據目的用途選用。 在有立體阻礙之區域内,小尺寸的微粒之分佈性更佳。 同樣、當以靜脈方式投予(例如,供全身性之癌治療)或局 4遞迗(例如’遞送至受癌症感染之器官,諸如,肝臟)本 # 毛月忒、及合物日守,小尺寸之微粒可具有優點。因此,特別 就虎脈用藥而言’—種較佳之小尺寸範圍為約1奈米至約2 微米,且更佳範圍為自約8奈米至4〇奈米。 在:項具體實施例中,係投予很小的微粒以優先將腫瘤 細胞:為目標。更詳細地說,腫瘤毛細管比健康組織中之 毛細官更容易滲漏(例如,由於其開窗手術)。目此,本發 明之^小,,奈米-微粒狀,ΉΑ微粒(例如,1至50奈米、較佳^ 至10奈米、更佳3至5奈米),可選擇性地自腫瘤内之毛細 吕滲漏,因此,能有效地將其合併的放射核種設定在該腫 99711.doc -14· 200536558 瘤部位。此等微粒亦可以與標的分子團(例如,抗體或受 體結合分子(見上文))連接,以增加其標的效用。 又 另-方面’較大尺寸之微粒可更佳地保留在該經投藥之 部位’例% ’體腔。此等較大微粒之第二項優點為,其不 很容易被巨噬細胞吞噬或破壞,因此,被預其更佳在活體 内可保留該放射核種。 a 因此,特別就投予至體腔之方法而言,另外較佳大小範 圍為約100奈米至100微米,且更佳範圍為自約5〇〇奈米至 20微米。 '、 如文中使用,微粒之”大小”係指該等微粒之最大尺寸之 平均(模式)大小。該等微粒可具有任何形狀或形狀之混 合’其包括球形物、片狀物、針狀物、桿狀物等,但是, 通常該最大尺寸不超過該最短尺寸之2G倍,較佳不超過5 倍。若微粒經調製供(特別為靜脈内或動脈内)注射或灌 注’通常事實為沒有可谓職例之微粒具有大於8微粒(較 佳5微米)之任何尺寸。例如,對於腔之局部或部位感毕, 瘤内投藥、皮下用藥或肌内用藥可以不需要此種限制。 孔隙率為該等HA微粒之第二項性質,其可以經選擇以 配合該目的用途或欲在該微粒上標記之放射核種。更詳细 地說’該孔隙率與該微粒之密度有密切關聯,且就某些該 等應用而t ’較佳選擇孔隙率可得到密度類似水之-微 粒,以得到即使有也很慢之沉積作用。 適於標記HA以得到本發明組合物之任何放射核種,皆 可使用於本發明。於至少一個^放射核種可具有或產生 99711.doc 15 200536558(E.g., polylactide, polyethylene glycol), glass ceramics, titanium oxide, oxidation =, emulsified rhenium, oxidized stone, polyethylene, epoxy compounds, polyethylene glycol, fluorenyl tau acid, Gelatin, tincture, deacetylated chitin, squamous iron, iron oxide and / or magnet. These combinations can be used to make the final HA micro = to serve additional desired properties, for example, magnetic (magnet) or gel effect (mingle collagen, chitosan). In addition, as is familiar to those skilled in the art. Some of the above groups can make the HA more lipophilic, and it is considered an advantageous property of any HA derivative or analogue to be used in the present invention. The hydroxyapatite suitable for the present invention may have any solid type, and in the scope of this description and the patent application, they are commonly referred to as "fine particles", so as to communicate with the radiation particles (for example, alpha particles (helium nuclei), Or ys particles (electrons)). 4 HA particles can be, for example, crystals, microspheres, or colloids. The shape, pore size and density of the particles can be selected to suit the intended use. The size of the HA particles can usually be in the range from about 10 nanometers to about 100 micrometers'. However, including microparticles, colloids as small as 1 nanometer and other small particles can be used. 99711.doc 200536558. In a specific embodiment, the size of the particles is preferably such that they are maintained in the suspension without sedimentation. In this context, sedimentation systems include flotation, where the "sediment" is formed on the top of the suspension, rather than on the bottom: in more detail, when the particles are suspended in a fluid (eg, In a tolerant (especially aqueous) solution) and stored for at least one hour (preferably at least 6 hours, and most preferably at least one month), the size of the particles is preferably such that they do not deposit. It is therefore easy to determine the appropriate particle size of any particulate HA by routine deposition experiments. • According to the present invention, one of the M particles has a more preferred universal size range from ㈣ to 20 microns, and most preferably from 1 to 5 microns. It is preferred to use particles having a substantially uniform size distribution. Different size ranges are better 'and can be selected according to the purpose. In areas with three-dimensional obstruction, the distribution of small-sized particles is better. Similarly, when administered intravenously (e.g., for systemic cancer treatment) or local delivery (e.g., 'delivered to cancer-infected organs, such as liver), this # 毛 月 忒, and 合 日 日 守, Small size particles can have advantages. Therefore, particularly for tiger vein medication, a preferred small size range is from about 1 nm to about 2 microns, and a more preferred range is from about 8 nm to 40 nm. In the specific embodiment, small particles are administered to preferentially target tumor cells :. In more detail, tumor capillaries are more likely to leak than capillaries in healthy tissue (for example, due to their window surgery). Thus, the small, nano-particulate particles of the present invention (for example, 1 to 50 nm, preferably ^ to 10 nm, more preferably 3 to 5 nm) can be selectively removed from tumors. The inner capillary leaks, so the combined radionuclide species can be effectively set at the tumor site at 99711.doc -14 · 200536558. These microparticles can also be linked to target molecular groups (eg, antibodies or receptor-binding molecules (see above)) to increase their target utility. On the other hand, the 'larger-sized particles' can be better retained in the body cavity of the administered site. The second advantage of these larger particles is that they are not easily phagocytosed or destroyed by macrophages, so they are expected to retain the radionucleus in the living body. a Therefore, particularly in terms of the method of administration to the body cavity, another preferred size range is from about 100 nm to 100 microns, and a more preferred range is from about 500 nm to 20 microns. '. As used herein, the "size" of the particles means the average (mode) size of the largest size of the particles. The particles may have any shape or mixture of shapes' which includes spheres, flakes, needles, rods, etc., but usually the maximum size does not exceed 2G times the shortest size, preferably it does not exceed 5 Times. If the particles are prepared for injection (intravenous or intra-arterial) injection or infusion ', it is often the fact that there are no descriptive examples of particles having any size greater than 8 particles (preferably 5 microns). For example, for local or partial sensation in the cavity, intratumoral, subcutaneous, or intramuscular administration may not require such restrictions. The porosity is the second property of these HA particles, which can be selected to suit the intended use or the radionuclide species to be marked on the particles. In more detail, 'the porosity is closely related to the density of the microparticles, and for some of these applications, t' the better choice of porosity can result in water-like microparticles with a density that is very slow, if any effect. Any radionuclide suitable for labeling HA to obtain the composition of the present invention can be used in the present invention. At least one radionuclide can have or produce 99711.doc 15 200536558
(例如,藉由至少一次々衰變 文)種冋位素。該名詞,f α -放 ί性放射核種之活體内發生器"係意指本身會衰變之”母” 放射核種,且在衰„會得収射性子核種,因此可得到 放射衰變鏈,以該鏈中之至少—個核種係藉由放射 ,衰變。通常,該母核種係藉由万放射而衰變。而且,該 衰變鏈中之核種之半衰期, " /、生上於各核種滯留在體内期 間,會產生治療上重要量之輻射。 ’ 」在本發明組合物中所調整之同位素為α_發射體,其 +农期較佳介於-小時與—年之間、更佳介於5小時與 天之間。 較佳核種群組包括以下群組〇放射性核種:、、 212(Eg, by at least one tritium decay text). This term, f α-in vivo generator of radioactive radionuclides "means" mother "radionuclides that will themselves decay, and will receive radioactive daughter nucleus during decay. Therefore, a radioactive decay chain can be obtained. At least one nuclear species in the chain decays through radiation. Usually, the parent nuclear species decays through radiation. Moreover, the half-life of the nuclear species in the decay chain, " During the in vivo period, a therapeutically important amount of radiation is generated. "" The isotope adjusted in the composition of the present invention is an alpha emitter, and its + agricultural period is preferably between -hour and -year, and more preferably between 5 and Between hours and days. Preferred nuclear species groups include the following groups: 0 Radioactive species: ,, 212
Bi 223Bi 223
Ra 224Ra 224
Ra 2 2 5 a 2 ? 7 Ac、 Th、及其任何組合Ra 2 2 5 a 2? 7 Ac, Th, and any combination thereof
另一放射核種群組為具有至少一個α_放射性子核在i 衰變鏈中之石_發射體。這些包括,例如,2llpb、其可: 為I放射性2"Bi之來H,其可衰變成^放射性 ma,其可^衰變以得到〜、並接著藉由四 次α放射及兩次/?放射進行衰變,最後產 特佳實例一,其可藉由其…性::種::二 行衰變。 在本發明一項較佳具體實施例中,可藉由下述方法製備 適用於本發明該ΗΑ之212Pb/212Bi,該方法包括: 0 製備224Ra(例如,藉由陰離子交換層析法,得自如敍源), ϋ)藉由接觸f-阻斷特異性結合劑(例如,锕系/綱系-特 異性樹脂,尤其呈柱型式)以純化該224Ra, 99711.doc 16 •200536558 ill)使2I2Pb向内生長(例如,藉由使224Ra靜置6至24小 時),及 IV)藉由接觸鉛-特異性結合劑(例如,特異性樹脂, 尤其呈柱型式)以純化所形成212pb。 在上述方法中,可使用相同或不同特共性結合劑試樣, 重覆該等純化步驟i)、ii)及/或iv)當中任何一種之步驟、至 少一次。合適的f-阻斷元素特異性結合劑包括甲烷雙膦酸 衍生物,例如,P,P,二-辛基甲烷雙膦酸(諸如, DIPEX(RTM))。合4的Pb特異性結合齊丨包括冠狀醚、特別 為18-冠狀-6衍生物,例如,二_第三-丁基-環己基·18_冠 狀-6(諸如,含Pb-B25_S0之mchr〇m扑特異性樹脂)。若 使用放射核種,較佳使用非不穩定載體(例如,矽石)載特 異性結合劑,但是為了純化,若與該樹脂接觸的時間短, 則可以使用有機樹脂載體。此種方法可以合併用以形成文 中所指之合併放射核種之HA的方法。藉由這些方法形成 • 及可形成之"2pb、及合併212抑之HA,可構成本發明其它 方面。 上述該212Pb之製法之優點為可提供簡單及容易進行之程 序’及可得到放射核種純度高於先前方法之2】2pb。 、本發明該等組合物對於由於該等HA微粒而導致之該負 载放射核種之損失,具穩定性。一組合物可被視為具穩定 性之條件為一旦於37〇C下,在溶液内培育至少2〇分鐘時, 在該等HA微粒(而非在該溶液)中,可以自該負載放射核種 偵測到至少80%活性。該比率應該較佳至少85%、更佳至 99711.doc -17- 200536558 少90%、且最佳95%或更高。 本發明該等組合物對於由於該負載放射核種之衰變(例 士 α衣麦)所產生之子核種、或其衰變產物當中一種之 損失,亦具穩疋性。關於這一點,一組合物可被視為具穩 疋性之條件為’一旦培育合適時間,若於該培育期間,由 所產生之該子放射核種得到之活性的分佈,可以使至少 70%活性維持與該等ΗΑ微粒有關。該比例較佳至少、 更佳至少80%且最佳至少9〇〇/。。 可藉由例如,以下方法步驟,進行放射核種對於該羥基 磷灰石之標記,其步驟包括: (a) 較佳於pH約3至12範圍内(更佳於pH 5至1〇範圍内), 以該羥基磷灰石微粒吸收α _放射性放射核種或該^ _放射 性放射核種之活體内發生器之溶液;及 (b) 可視需要晶化步驟(a)所製成該等紀標記微粒上之羥 基鱗灰石塗料,以將該放射核種包膠在該HA微粒内。 該方法亦較佳包括以下步驟: (c) 將得自步驟(a)或步驟(b)2HA顆粒,加熱至7〇至15〇它 溫度’較佳80至130°C、更佳100至120°C。 可添加根據(a)或(b)經標記之HA微粒,及任何必要或所 欲賦形劑及/或添加劑至生物共存性或生理上可接受之液 體載劑(較佳為水性載劑),以製備可注射或灌注懸浮液或 分散液。添加劑包括,適於製備及安定化用以治療癌症, 及用於放射性滑膜切除術之生理上可接受製劑之惰劑。若 存在’典型上’係在視需要選要之步驟(c)之前,添二這些 99711.doc -18 - 200536558 額外組份。 醫藥上可耐受之載劑及賦形劑, ^ ^ 為熟悉本技藝者所熟 知,且可包括,例如,鹽 - 糖及其它張力調整劑、緩衝 劑、酸、鹼及其它pH調整劑、卖土洚从 p m黏度改質劑、著色劑等。 或者,可以將先後根據() 一 視而要選用之步驟(b)及/或 (c ) 6己之j*j a微粒、及任何必雲# 订义而或所欲賦形劑及/或添加 劑包含在醫藥凝膠組合物内。人 口週之添加劑為熟悉本技藝Another group of radionuclide species is a stone_emitter with at least one α_ radionuclide in the i decay chain. These include, for example, 2llpb, which can be: I-radio 2 " Bi's origin H, which can decay to ^ radio ma, which can decay to get ~, and then by four alpha radiations and two /? Radiations It decays, and finally produces a very good example 1. It can be used for its: sex :: species :: two-line decay. In a preferred embodiment of the present invention, 212Pb / 212Bi suitable for use in the present invention can be prepared by the following method, which method includes: 0 Preparation of 224Ra (for example, by anion exchange chromatography, obtained freely Xie Yuan), ϋ) purification of the 224Ra by contacting an f-blocking specific binding agent (for example, actinide / gangline-specific resin, especially in a columnar form), 99711.doc 16 • 200536558 ill) to make 2I2Pb Growing inwardly (eg, by leaving 224Ra to stand for 6 to 24 hours), and IV) purifying the formed 212 pb by contacting a lead-specific binding agent (eg, a specific resin, especially in a columnar form). In the above method, the same or different specific binding agent samples can be used to repeat any one of the purification steps i), ii) and / or iv) at least once. Suitable f-blocking element-specific binding agents include methanebisphosphonic acid derivatives, for example, P, P, di-octylmethanebisphosphonic acid (such as DIPEX (RTM)). Pb-specific binding conjugates of 4 include crown ethers, especially 18-crown-6 derivatives, for example, di-third-butyl-cyclohexyl 18-crown-6 (such as mchr containing Pb-B25_S0 〇m flutter specific resin). If a radionuclide is used, a non-labile carrier (for example, silica) containing a specific binding agent is preferred, but for purification, if the contact time with the resin is short, an organic resin carrier may be used. This method can be combined to form the HA of the combined radionuclide referred to herein. Forming " 2pb < " > by combining these methods, and merging HA, may constitute other aspects of the present invention. The advantages of the above-mentioned 212Pb manufacturing method are that it can provide a simple and easy-to-perform procedure 'and that the purity of the radionuclide species that can be obtained is higher than 2pb of the previous method. 2. The compositions of the present invention are stable against the loss of the load radionuclides due to the HA particles. A composition can be considered as stable if the HA particles (but not in the solution) can be radiated from the load once they are incubated in the solution for at least 20 minutes at 37 ° C. At least 80% activity was detected. The ratio should preferably be at least 85%, more preferably to 99711.doc -17- 200536558 and 90% less, and most preferably 95% or more. The compositions of the present invention are also stable against the loss of one of the seed nucleus, or one of its decay products, due to the decay of the loaded radionuclides (e.g., alpha-coated wheat). In this regard, a composition can be regarded as having a stability condition of 'once it is cultivated for a suitable time, if the distribution of the activity obtained from the daughter radionucleus produced during that cultivation period can make at least 70% active Associated with these ΗΑ particles. This ratio is preferably at least, more preferably at least 80%, and most preferably at least 900 /. . The labeling of the hydroxyapatite by radionucleation can be performed by, for example, the following method steps, the steps include: (a) preferably in the pH range of about 3 to 12 (more preferably in the pH range of 5 to 10) To absorb the solution of α_radioactive nucleus or the in vivo generator of the ^ _radioactive nucleus with the hydroxyapatite particles; and (b) crystallize the epoch-marked particles produced in step (a) if necessary A coating of hydroxyl wollastonite to encapsulate the radionuclide within the HA particles. The method also preferably includes the following steps: (c) The 2HA particles obtained from step (a) or step (b) are heated to 70 to 150 ° C. Its temperature is preferably 80 to 130 ° C, more preferably 100 to 120. ° C. The HA particles labeled according to (a) or (b), and any necessary or desired excipients and / or additives may be added to a biologically coexistent or physiologically acceptable liquid carrier (preferably an aqueous carrier) To prepare injectable or infused suspensions or dispersions. Additives include inerts suitable for preparing and stabilizing physiologically acceptable preparations for the treatment of cancer, and for radioactive synovectomy. If present 'typically', add these two additional components 99711.doc -18-200536558 before step (c) is selected as needed. Pharmaceutically tolerable carriers and excipients are well known to those skilled in the art and may include, for example, salt-sugar and other tonicity adjusting agents, buffers, acids, bases, and other pH adjusting agents, Selling earthenware from pm viscosity modifiers, colorants, etc. Alternatively, the steps (b) and / or (c) to be selected according to () at first glance can be used to define the j * ja particles, and any biyun # as defined or desired excipients and / or additives Contained in a pharmaceutical gel composition. Additives to the mouth are familiar with the art
者所熟知’且可包括上述各物及眾所熟知之膠化劑,例 如,天然及/或合成聚合物凝膠。呈凝膠型式之組合物較 佳具有持續釋放性質。 可以自該經放射性放射核種或α_放射性放射核種之 發生器標記之ΗΑ微粒’製成之所有其它合適的醫藥調配 物,包括供注射或灌注之液體、凝膝、乳膏、糊狀物、滴 d貼劑、擦劑、噴劑、浸泡膜及片劑等。這些醫藥調配 物可構成本發明之其它具體實施例。 。本發明該等組合物之最佳醫藥製劑通常為液體、生理上 可接X T /主射或可灌注懸浮液或分散液。為了製備此等 :藥組合物,係添加本發明該等組合物至生理上可接受液 心載J内。更特佳為等滲壓鹽水或磷酸鹽緩衝劑,但是可 以=用,具生理可接受且可以與本發明化合物其存之任何 其匕液體載劑或载劑混合物。許多此等液體載劑或載劑系 、、先為’熱悉製備供活體内注射及/或灌注之醫藥製劑之技 藝者所知。 本發明該等組合物之另 一項優點為其及/或自其製成之 99711.doc -19- •200536558 醫藥製劑,可經熱處理 ^ ^ Δ Μ進仃,例如,消毒。典型上,本 靴;之:合物對於超過70t(較佳高於就及更佳至少 i 熱處理呈籍仝从 微粒而t^〜’。就不容易藉由過濾滅菌之較大 、ϋ该熱安定性特別重要。 為了避免該ΗΑ微粒蝥隹少班_ 知之合適的伙赴 浮液内,可添加本技藝熟 醫藥製劑二b::二編,,分散劑)至本發明該液體 質。 ^ ~ ^之貫例可以是碳水化合物或蛋白 素人tr至需要治療之患者之有效劑量,可取決於幾項因 變鏈:::ΓΓΓ合物所含該放射核種之半衰期及衰 之广、Λ 式,心者之病況及其年齡與體重,·及欲治療 心二Τ猎由以單—劑量型式,一次投予本發明醫藥組 (典型上,每天—、_戈_2猎由母天至少—次單一劑量 一或二。人),其治療期為至少一個別天 為1:?至少一天’費時一或多週或月。如熟練的醫師認 為必要或合適,可至少重覆一次該治療步驟。 若使用具有短半衰期之放射核種,與具有較長半衰期之 放射核種比較,其每單一投藥可產生較高活性劑量。 一般劍量通常在每-次個別單一投藥之自⑸响錢 幻gaBq之範圍内,且更佳範圍為每一次個別單—投藥之1 megaBq至 I gigaBq。 又〆、 本發明該等組合物可用於醫藥組合物(特別為呈液能或 膠化態之製劑或裝置),以治療癌症及非癌疾病。 。 如上述,本發明在各方面中,係提供治療:症或非癌疾 9971 l.doc -20- .200536558 病之方法、用於此種方法之組合物、及組合物用於製備用 在此種治療方法之藥物之用途。特別適用於本發明這此方 法之疾病,包括轉移性及非轉移性癌症 一 j x 小細胞及 非小細胞肺癌、惡性黑色素瘤、卵巢癌、乳癌、骨痒、大 «…膀胱癌、子宮頸癌、肉瘤、淋巴瘤、血白:攝: 腺腫瘤。特別適用於本發明這些方面之應 g、丹匕疾病, 包括非癌(特別為增生性)疾病及關於疾病(特別為典 病,其包括關節炎)疼痛之減少。 $ 因此’這些方面之—項具體實施例係關於局部性治療腫 瘤之方法。此種治療法之施用方式較佳為藉由對需;= 療法之患者(通常為人類病患),瘤内 種 效量之本發明組合物”咖 照射。在該具體實施例中,α放射性放射核種报有 局= 為其乾圍很短’因此可減少對周圍健康組織之損 :為本發明該具體實施例而特別受益之疾病實例:二 會引起固態腫瘤(例如,非小室肺癌、惡性黑色素 巢癌、大腸癌、肉瘤)、及攝護腺癌症等之疾病。Ί P 本發明另一項具體實施例係關於治療 士口,日不Η去—\ η>. %月文性癌(例 肝腫瘤)、或版膜性或顧内性拘束的疾 ( 種療法之施用方式更特佳 方法。此 &行仏為猎由對需要此種療 局部庄射或灌注治療上有 ^ Μ者, 4文里之本發明組合物。 本發明又另一具體眘始&、 Η為治療局部播散性 肝腫瘤)之方法,其步驟為對需要此種療法之^拉口, 對供應至經感染區或器官 ’、w者(特別為 W患者之血液’例如,就肝腫 99711.doc .200536558 瘤而言,對供應至肝臟之a、、六^ /夜’其可促進本發明該組合物 進入腫瘤内),投予、、Λ、佐 /σ療上有效量之含本發明經放射標記 之ha的液體製劑。 本發明另一項且杏士 a /丨〆 、 /、且錢⑫例係關於治療全身播散性癌之方 法’其步驟為對需I卜 、 種療法之患者,靜脈注射或灌注 (或其它全身性投单方士、、Λ ^式)/σ療上有效量之含本發明經放射 才示ό己之Η Α的醫藥製劑。 本發明另一項具體實施例係關於治療腔内腫瘤之方法, 胃 療法之患者,以注射或灌注方式將治 療上有效量之呈本發明組合 玉八之放射核種,投入受腫 瘤感染之腔内,並样囟力石 1立μ在那裡’以得到該腔表面之。 此等腔包括顱腔、逋膜胪月益 腹朕肛及猎由心包流出物及間皮瘤產生 t腔’且此種用藥法適用於下述癌症,例如,顱内癌、腹 膜内癌或位於藉由心包流出物及間皮瘤所產生之腔内之 癌。 1 < 本發明另—項具體實施例係關於合併治療之方法 括對需要此種療法之$者,於早 ^ 摩决之心#杈予治療上有效量之本 活性經放射標年之HA、及伯 天月口玄 巧丁知屺之HA、及使用一或多種選自由外科、 療及放療(特別為外射束放療)所組成之群組之額 法。 員外冶療 合併療法為本發明之更特佳具體實施例,且可^、、 時、連續或交替之方式、或其任何組合來進行。因此” 併療法可包括_種療法’繼而—或多種其它治療法,里-各種療法可重覆一或多次。同時合併療法之—項實例^中 9971].doc -22- .200536558 於相同時間點下,合 ^ ,.. 又予(可藉由相同或不同用華方法) 本發明組合物之化療n ^用表方法) 併療法可合併連續療法交 舜、落、、乒n话 而要,根據患者之病況,該重 覆療法可重覆一或多次。 里 交替合併療法之實例可以θ 疋在一或夕個治療期中進行之 化療,其係在不同天或 ... 次週,父替投予本發明該醫藥組合 物,或’例如,手術後, — 4. 42& ^ 、、k而進仃一或多次經本發明該經 放射彳示記之Η A治療之治療期。 本發明最佳具體實施例# 广吉去 、;》口療方法,其係於移 除心者之癌症物質之程序章 施-…效*之本 =施用於腫瘤床或其周圍組織。可進行此種施用二 1在4腫瘤床(及若適合,該 作用贫 或八周圍得到滅菌 作用。萬一腫瘤破裂(例如,於外 、土壯+ 打枉序期間)時,該施用 鬥、1有用。此種療法進—步亦可(或)對該位置及/或其周 圍之任何殘留腫瘤細胞產生抗塵瘤作用 性化合物之懸浮液(例如,調製成喰剜七檢 便用°亥活 ^ ^ 、贺W或擦劑)實現該具體 貫把例。或者’當與此種治療法有關時,本發明該組合物 可較佳呈糊劑、貼劑、浸沒片劑(特別為可吸收貼劑或片 劑)、乳膏或凝膠型式,及特別為可持 ^ 一 」孖,釋放該治療放射 性樂劑之調配物(例如,凝膠)型式。 本發明又另一項具體實施例係關於滑膜切除術之方法, 亦即,治療罹患關節及/或骨疼痛(例如,自關節炎引起之 疼痛)之患者。 99711.doc -23- .200536558 • 如文中使用,該名詞π患者’’ 一般而言,係指人類患者, 但是亦可表示非人類之哺乳動物患者,特別為犬科或貓科 哺乳動物患者。 在下節中,係以實例說明本發明,以表示該羥基磷灰石 微粒分別經〇:-放射性放射核種及yS -放射性放射核種標記 之步驟。該等實例並不被視為對本發明之限制。 本發明亦可藉由附圖說明。 通用材料及方法 • 所使用羥基填灰石為Hydroxyapatite緩衝水溶液、Type 1 (Sigma, St. Louis,MO, USA)或 Macro-Prep Ceramic Hydroxyapatite Type 1,20 微米(Bio Rad Laboratories, Hercules, CA,USA)。 計數器及偵測器:使用EG & G Ortec GEM15-P Germanium Detector進行7光譜測定。使用多井Nal偵測器 (Packard Crystal II? Packard Instrument Co.? Downers ^ Grove,IL,USA)進行一般放射性計數。 微粒標記及純化:在旋渦混合機(MSI Minishaker,ΙΚΑ, Germany)上,強烈混合該反應混合物,費時一分鐘,然後 在搖動器上培育30分鐘,接進離心三次(5分鐘,9000 rpm ’ MiniSpin離心機,Eppendorf,Germany),並以 1 毫升 0· 1 Μ擰檬酸鹽溶液洗滌該小粒兩次。 實例1 經錯-2 2 3標記之微粒之製法 自固定在DIPEX-2柱上之227Ac/227Th源,製備鐳-223, 99711.doc -24- .200536558 並使用1 M HC1溶析該223Ra。添加0· 1 Μ檸檬酸Na至該HC1 溶離液,直到pH高於5為止。添加250微升經基磷灰石分散 液(其每毫升具有40毫克羥基磷灰石)及50微升該223Ra/檸檬 酸鹽溶液至2毫升Eppendorfer試管内。如材料及方法節所 述,進行該標記化及純化步驟。該小粒之結合活性超過 9 6 %所有同時進行之3種該分成三分之實驗之活性。 實例2 經223Ra標記之HA微粒之活體外安定性測試 添加500微升之〇.1 Μ檸檬酸鈉或牛血清白蛋白至實例i 中所述該等223Ra-HA微粒。於37°C下,培育該分散液_ 夜,並根據實例1離心該等溶液。經20分鐘後測定,該小 粒結合活性超過96%。計數率顯示無重大差異(其表示該等 子核種之分佈與該223Ra之子核種分佈一致)後兩小時,進 行再測定。 在使用陶瓷HA微粒之進一步實驗中,於室溫下,在胎 牛血清中培育已併入1〇毫克陶瓷HA内之223Ra(i MBq),其 後小粒之結合活性為9 3 · 2 %。 實例3 經212Pb及2】2Bi標記之ΗA微粒之製法 製成實質上不含228Th及224Ra之鉛-212。 將228Th蒸發至乾燥以作為起始物質,添加〇.5毫升8 M HNO3 ’並將該溶液移至含已預先平衡之陰離子交換劑 (AG卜X8)之柱内。在3毫升8 M HN〇3内萃取鐳-224及子核 種。接著,將該224Ra萃取物蒸發至乾燥,溶解在〇·5毫升工 99711.doc -25 - .200536558 M HC1内’並在 DIPEX柱(AO樹脂,Eichrom Inc,Darien 化,1^八)上純化,藉由在7〇〇微升1]^110:1内溶析2241^以得 到不含灶-2 2 8之產物。 隔天(212Pb向内生長後),將該224Ra溶離液蒸發至乾燥, 其後使其溶解在0.5毫升1 Μ HN〇3内,並移至含Pb_特異性 樹脂(PB_B25-S,Eichrom)之柱内。使鐳-224經2毫升1 μ ΗΝ〇3及2毫升蒸餾Η2〇溶析。使用650微升〇·ΐ Μ草酸銨溶 液,自該Pb-樹脂萃取鉛-212。 該最終212Pb溶液可以直接與羥基磷灰石合併,並如實例 1有關223Ra所述,進行反應。 實例4 經212Pb及212Bi標記之ΗA微粒之安定性測試 在胎牛血清内培育經鉛_212標記之HA,費時一夜,其 後,如上述經離心。測定該小粒及上澄清液相關之放射 性。發現超過93%該mPb及川Bi與該小粒有關。該小粒結 合活性分數似乎稍高於該等陶瓷微粒。 實例5 經212Pb標記之HA之生物分佈性 將如上述製成之經212Pb標記之HA(20微升,陶瓷)洗滌, 並離心三次,然後使其溶解在〇.〇1厘檸檬酸鈉/檸檬酸之等 滲壓鹽水溶液(pH 7.4)内。以腹膜内注射方式,對7隻體重 為21至25克之balb C雌鼠,投予〇.5毫升含對丨〇毫克11八具 〇'4 MBq抑結合性之懸浮液。在1小時(n=3)及24小時 (n=4)的時候,開始宰殺該等動物,並解剖。結果:該生 99711.doc -26- .200536558 * 物分佈性資料(表1)顯示在該i.p.腔内幾乎可定量性發現該 活性,且該腔内之器官及組織顯示自該腔内之滲漏量極 微。該分佈模式與游離態212Bi有且,亦即,並未偵測到大 量的高腎臟積聚現象。 表1.腹膜内注射經212Pb標記之陶瓷羥基磷灰石微粒後1小 時及24小時之組織分佈。 組織 1小時 24小時 血液 (0.46±0.40)/0·39 士 0.34 (0.32 士 0.19)/0.30 士 0.24 肝臟 (3.04±2.83)/3.09±2.93 (2.10 士 1.56)/2.06士 1·45 脾臟 (3.03 士 1.11)/3.25 士 1.21 (5.47 土 5·21)/5·58 士 5·27 腎臟 (4.05 土 3·08)/3·32 士 2.84 (4.21 土 3.29)/4.12 士 3.39 小腸 (0.78 士0.86)/0.72士 0.80 (0.62 士0.25)/0.60士 0.26 大腸 (0.45 士 0.41)/0.43 士 0·38 (0.52±0.39)/0.52±0.40 胃 (3.20 土 2·09)/3·29 士 2·18 (5.11 土2.79)/5.10土 2.79 橫隔膜 (6.23 士 2·39)/6·25±2·33 (4.84 士 1.95)/4.49士 2.47 心臟 (0.10±0.11)/0.12±0.13 (0.06士0.06)/0.04士 0.03 肺 (0.36 土0.29)/0.33士 0.27 (0.18 士 0·12)/0·13 土 0·09 肌肉 (1.18士 1.89)/1.32士 2·14 (0.35 士0.58)/0.37士 0·67 骨 (0.44 士0.46)/0.44士 0.47 (0.44 士 0.20)/4·49±2·47 圓括弧内之數字:宰殺該等動物後約1小時所測定之組 織。粗體列印内之數字:宰殺該等動物後1天(亦即使子核 種可以與該212Pb母核種平衡之時間)所測定之組織。若圓 括弧内之數字低於相應粗體數字,則表示於死亡時該組織 内之212Bi子核種vs 212Pb之消耗(反之,則表示於死亡時, 富含 212Bi vs 212Pb)。 【圖式簡單說明】 圖1表示212Pb投藥後1及24小時,在各組織内,該212Bi之 滯留性。亦表示平衡程度,且證明該212Bi含量接近平衡。 99711.doc -27-It is well known ' and may include the foregoing and well-known gelling agents, such as natural and / or synthetic polymer gels. Compositions in a gel form preferably have sustained release properties. All other suitable pharmaceutical formulations, including liquids for injection or perfusion, knees, creams, pastes, Drop d patches, wipes, sprays, soaking films and tablets. These pharmaceutical formulations may constitute other specific embodiments of the present invention. . The preferred pharmaceutical formulations of the compositions of the present invention are usually liquid, physiologically accessible X T / primary or infusible suspensions or dispersions. In order to prepare these pharmaceutical compositions, the compositions of the present invention are added to a physiologically acceptable liquid core load J. More particularly preferred are isotonic saline or phosphate buffering agents, but can be used with any other liquid carrier or vehicle mixture that is physiologically acceptable and can be present with the compounds of the invention. Many of these liquid carriers or carriers are known to those skilled in the art of preparing heat-resistant pharmaceutical preparations for injection and / or infusion in vivo. Another advantage of the compositions of the present invention is that they and / or the 99711.doc -19- • 200536558 pharmaceutical preparations made therefrom can be heat-treated, for example, sterilized. Typically, the boots; the composition for more than 70t (preferably higher than and more preferably at least i heat treatment and the same from the particles and t ^ ~ '. It is not easy to sterilize by filtration, the larger the heat Stability is particularly important. In order to prevent the ΗΑ particulates from falling into the float, the skilled pharmaceutical preparation 2b :: 2, dispersant) can be added to the liquid substance of the present invention. The conventional examples of ^ ~ ^ can be the effective dose of carbohydrate or proteoglycan human tr to patients in need of treatment, which can depend on several dependent variable chains ::: ΓΓΓ The half-life of the radionuclide contained in the compound and the range of decay, Λ Type, the condition of the heart person, their age and weight, and the heart to be treated in a single-dose form, once administered to the pharmaceutical group of the present invention (typically, daily, _ Ge_2 hunting at least from the mother's day) -One single dose one or two. Human), the treatment period is at least one other day for 1: at least one day 'and takes one or more weeks or months. This step can be repeated at least once if the skilled physician considers it necessary or appropriate. If a radionuclide with a short half-life is used, it can produce a higher active dose per single administration than a radionuclide with a longer half-life. The general amount of sword is usually within the range of self-sustaining money gaBq per individual single administration, and the more preferred range is 1 megaBq to 1 gigaBq per individual individual administration. In addition, the compositions of the present invention can be used in pharmaceutical compositions (especially preparations or devices in a liquid energy or gelled state) to treat cancer and non-cancer diseases. . As described above, the present invention, in various aspects, provides a method for the treatment of a disease or a non-cancer disease 9971 l.doc -20- .200536558 disease, a composition for such a method, and a composition for use in the preparation thereof. Use of a therapeutic method of medicine. Diseases particularly suitable for this method of the present invention include metastatic and non-metastatic cancer-jx small cell and non-small cell lung cancer, malignant melanoma, ovarian cancer, breast cancer, bone itching, large «... bladder cancer, cervical cancer , Sarcoma, lymphoma, blood white: Photo: Adenocarcinoma. Particularly applicable to these aspects of the present invention are g, Dan disease, including non-cancerous (especially proliferative) diseases and reduction of pain related to diseases (particularly atypical diseases, including arthritis). Therefore, a specific embodiment of these aspects is related to a method for the local treatment of tumors. The method of administration of such a treatment method is preferably through on-demand; = therapy patients (usually human patients), intratumoral effective amount of the composition of the present invention "ca irradiation. In this specific embodiment, alpha radioactivity Radionuclide reports have a bureau = its short perimeter 'so it can reduce damage to surrounding healthy tissue: Examples of diseases that are particularly beneficial for this specific embodiment of the invention: Second, it can cause solid tumors (for example, non-compartment lung cancer, malignant Melanoma, colorectal cancer, sarcoma), and prostate cancer. ΊP Another specific embodiment of the present invention is related to the treatment of spleen, which does not go away— \ η >.% monthly cancer ( Such as liver tumors), or lacrimal or guilty confinement disorders (a more preferred method of administration of this therapy. This & practice is a guide to the need for local radiotherapy or perfusion therapy for this type of treatment) The composition of the present invention is described in Article 4. The present invention is another specific method for treating local disseminated liver tumors. The steps are to pull the mouth and supply To infected areas or organs', especially those with W For example, in the case of hepatoma 99711.doc.200536558 tumors, for the a ,, ^ / night, which is supplied to the liver, it can promote the composition of the present invention into the tumor), administration ,, Λ, A therapeutically effective amount of a liquid preparation containing the radiolabeled ha of the present invention. Another aspect of the present invention is a method for treating systemic disseminated cancer. The steps are: for patients in need of treatment, intravenous injection or perfusion (or other systemic single prescription, Λ ^^) / σ therapeutically effective amount containing the present invention has been shown by radiation. Α Another specific embodiment of the present invention relates to a method for treating intratumoral tumors. For patients receiving gastric therapy, a therapeutically effective amount of a radiation nucleus presenting the combination of japonica japonica according to the present invention is injected or injected into the affected tumor. In the infected cavity, there are 1 μ 囟 石 石 在 那里 where to get the surface of the cavity. These cavities include the cranial cavity, the diaphragm, the abdominal cavity, the anus, and the anus, and the cavities produced by the pericardial exudate and mesothelioma ' And this method is applicable to the following cancers, for example, intracranial cancer Intraperitoneal cancer or cancer located in the cavity produced by pericardial exudate and mesothelioma. 1 < Another-specific embodiment of the present invention is a method for combined treatment, including those who need such treatment,于 早 ^ 摩 定 之 心 # For a therapeutically effective amount of the active HA of the radioactive year, and HA of Bo Tianyuekou Xuanqiao Ding Zhiyu, and use one or more selected from the group consisting of surgery, therapy and radiotherapy ( The method of grouping composed of external beam radiation therapy is particularly useful. The combined therapy of external therapy is a more specific embodiment of the present invention, and can be performed in a continuous, alternating or alternate manner, or any combination thereof. Perform. So "combination therapy can include 'therapies' and then-or a variety of other treatments, where-each therapy can be repeated one or more times. Simultaneous combination therapy-item example ^ 中 9971] .doc -22- .200536558 At the same time point, ^, .. and again (can use the same or different methods of Chinese) chemotherapy of the composition of the present invention ^ Using the table method) Concomitant therapy can be combined with continuous therapy to deal with Shun, Luo, and Ping n. According to the patient's condition, the repeated therapy can be repeated one or more times. An example of alternating combination therapy here can be θ 之 chemotherapy performed in one or evening treatment periods, which is on different days or ... the next week, the parent administers the pharmaceutical composition of the present invention, or 'for example, after surgery,- 4. 42 & ^ ,, and k for one or more periods of treatment with the radiotherapy indicated in the present invention. The best embodiment of the present invention # 广 吉 去,;> Oral therapy method, which is a procedure for removing cancerous substances from the heart. Application -... Effects * = Application to the tumor bed or its surrounding tissues. This application can be performed on two tumor beds (and if appropriate, the effect is poor or sterilized around eight. In case the tumor ruptures (for example, during the external, Tu Zhuang + hiccup sequence), the application bucket, 1. Useful. This therapy can further (or) produce a suspension of anti-dust tumor compounds on the location and / or any residual tumor cells around it (for example, if it is prepared for the seventh test, it should be used) ^ ^, He W or wipes) to achieve this specific example. Or 'when related to this treatment, the composition of the present invention can preferably be a paste, patch, immersion tablet (especially can be Absorption patch or tablet), cream or gel type, and particularly a form that can be held in place, releases the formulation (eg, gel) of the therapeutic radioactive agent. Another embodiment of the present invention Examples are methods of synovectomy, that is, treating patients suffering from joint and / or bone pain (for example, pain from arthritis). 99711.doc -23- .200536558 • As used in this text, the term π `` Patient '' generally refers to a human patient, It can also indicate non-human mammal patients, especially canine or feline mammal patients. In the following section, the present invention is illustrated by examples to show that the hydroxyapatite particles are subjected to 0: -radioactive nuclear species and yS-the steps of radioactive radionuclide labeling. These examples are not to be considered as limiting the present invention. The present invention can also be illustrated by the accompanying drawings. General materials and methods • The hydroxyfiller used is Hydroxyapatite buffered aqueous solution, Type 1 (Sigma, St. Louis, MO, USA) or Macro-Prep Ceramic Hydroxyapatite Type 1, 20 microns (Bio Rad Laboratories, Hercules, CA, USA). Counters and detectors: use EG & G Ortec GEM15-P Germanium Detector performed 7-spectrum measurement. General radioactivity counting was performed using a multiwell Nal detector (Packard Crystal II? Packard Instrument Co.? Downers, Grove, IL, USA). Particle labeling and purification: in a vortex mixer (MSI Minishaker, IKΑ) , Germany), the reaction mixture was vigorously mixed for one minute, then incubated on a shaker for 30 minutes, and then centrifuged three times (5 Clock, 9000 rpm 'MiniSpin centrifuge, Eppendorf, Germany), and the pellets were washed twice with 1 ml of a 0.1 M citrate solution. Example 1 Self-immobilized on DIPEX by the method of microparticles labeled with -2 2 3 227Ac / 227Th source on -2 column to prepare radium-223, 99711.doc -24-.200536558 and elute this 223Ra using 1 M HC1. 0.1 M Na citrate was added to the HC1 eluate until the pH was above 5. Add 250 microliters of apatite-based dispersion (which has 40 mg of hydroxyapatite per milliliter) and 50 microliters of the 223Ra / citrate solution into a 2 milliliter Eppendorfer tube. This labeling and purification step is performed as described in the Materials and Methods section. The binding activity of the pellets exceeded 96% of the activity of all three triplicate experiments performed simultaneously. Example 2 In vitro stability test of 223Ra-labeled HA microparticles 500 microliters of 0.1 M sodium citrate or bovine serum albumin were added to the 223Ra-HA microparticles described in Example i. The dispersion was incubated at 37 ° C overnight, and the solutions were centrifuged according to Example 1. After 20 minutes, the particle-binding activity was more than 96%. Counting rate showed no significant difference (which indicates that the distribution of these seed species is consistent with the distribution of the seed species of 223Ra), and then re-measured. In a further experiment using ceramic HA microparticles, 223Ra (i MBq) incorporated into 10 mg of ceramic HA was incubated in fetal bovine serum at room temperature, after which the binding activity of the pellets was 93.2%. Example 3 A lead-212 containing substantially 228Th and 224Ra was prepared by a method of preparing 212Pb and 2] 2Bi-labeled rhenium A fine particles. 228Th was evaporated to dryness as a starting material, 0.5 ml of 8 M HNO3 'was added, and the solution was transferred to a column containing a pre-equilibrated anion exchanger (AGb X8). Radium-224 and daughter seeds were extracted in 3 ml of 8 M HNO3. Next, the 224Ra extract was evaporated to dryness, dissolved in 0.5 ml of 997997.doc -25-.200536558 M HC1 'and purified on a DIPEX column (AO resin, Eichrom Inc, Darienized, 1 ^ 8). By analysing 2241 ^ in 700 μl of 1] ^ 110: 1 to obtain the product without stove-2 28. The next day (after 212Pb in-growth), the 224Ra eluate was evaporated to dryness, and then it was dissolved in 0.5 ml of 1 M HNO3 and transferred to a Pb_specific resin (PB_B25-S, Eichrom). Inside the pillar. Radium-224 was eluted with 2 ml of 1 μΗNO3 and 2 ml of distilled Η20. Lead-212 was extracted from the Pb-resin using 650 µl of a 0.5 M ammonium oxalate solution. This final 212Pb solution can be directly combined with hydroxyapatite and reacted as described in Example 1 for 223Ra. Example 4 Stability test of ΗA microparticles labeled with 212Pb and 212Bi. Lead-212 labeled HA was cultured in fetal bovine serum, which took overnight, and then centrifuged as described above. The radioactivity related to the pellet and the supernatant was measured. It was found that more than 93% of the mPb and Chuan Bi were related to the pellet. The small particle binding activity fraction appears to be slightly higher than the ceramic particles. Example 5 Biodistribution of 212Pb-labeled HA The 212Pb-labeled HA (20 microliters, ceramic) made as described above was washed and centrifuged three times, and then dissolved in 0.01% sodium citrate / lemon Acid isotonic saline solution (pH 7.4). By intraperitoneal injection, 7 female Balb C females weighing 21 to 25 grams were administered with 0.5 ml of a suspension containing 11 mg of 4 MBq inhibitory capacity. At 1 hour (n = 3) and 24 hours (n = 4), the animals were slaughtered and dissected. Results: The student's 99711.doc -26- .200536558 * Material distribution data (Table 1) shows that the activity can be found almost quantitatively in the ip cavity, and the organs and tissues in the cavity show infiltration from the cavity Leakage is minimal. This distribution pattern is consistent with the free 212Bi, that is, a large amount of high kidney accumulation is not detected. Table 1. Tissue distribution at 1 hour and 24 hours after intraperitoneal injection of 212Pb-labeled ceramic hydroxyapatite particles. Tissue 1 hour 24 hours blood (0.46 ± 0.40) /0.39 ± 0.34 (0.32 ± 0.19) /0.30 ± 0.24 liver (3.04 ± 2.83) /3.09 ± 2.93 (2.10 ± 1.56) /2.06 ± 1.45 spleen (3.03 Judges 1.11) /3.25 Judges 1.21 (5.47 to 5.21) /5.58 Judges to 5.27 Kidneys (4.05 to 3.08) /3.32 Judges 2.84 (4.21 to 3.29) /4.12 Judges 3.39 Small Intestine (0.78 to 0.86 ) /0.72±0.80 (0.62 ± 0.25) /0.60±0.26 Large intestine (0.45 ± 0.41) /0.43±0·38 (0.52 ± 0.39) /0.52±0.40 Stomach (3.20 ± 2 · 09) / 3 · 29 ± 2 · 18 (5.11 soil 2.79) /5.10 soil 2.79 Diaphragm (6.23 ± 2.39) / 6 · 25 ± 2.33 (4.84 ± 1.95) / 4.49 ± 2.47 Heart (0.10 ± 0.11) /0.12 ± 0.13 (0.06 ± 0.06 ) /0.04±0.03 Lung (0.36 ± 0.29) /0.33±0.27 (0.18 ± 0.12) / 0 · 13 ± 0.09 Muscle (1.18 ± 1.89) /1.32±2.1 (0.35 ± 0.58) /0.37± 0 · 67 bone (0.44 ± 0.46) /0.44 ± 0.47 (0.44 ± 0.20) / 4.49 ± 2.47 Figures in parentheses: Tissues measured approximately 1 hour after killing these animals. Figures in bold print: Tissues measured one day after the animals were slaughtered (even if the daughter seed can be balanced with the 212Pb parent seed). If the number in parentheses is lower than the corresponding bold number, it means the consumption of 212Bi sub-nucleus vs 212Pb in the organization at the time of death (or vice versa, it means that at the time of death, it is rich in 212Bi vs 212Pb). [Schematic description] Figure 1 shows the retention of 212Bi in each tissue at 1 and 24 hours after 212Pb administration. It also indicates the degree of equilibrium, and proves that the 212Bi content is close to equilibrium. 99711.doc -27-
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US20170065731A1 (en) * | 2015-09-06 | 2017-03-09 | Medical Theranostics Inc. | Method, Apparatus, and System for Radiation Therapy |
CN106344927A (en) * | 2016-09-27 | 2017-01-25 | 大连理工大学 | Folate-modified medicine-carrying hydroxylapatite and preparation method thereof |
WO2024146921A1 (en) * | 2023-01-05 | 2024-07-11 | Oncoinvent As | Alpha-emitting radionuclides for use in the treatment of peritoneal cancer |
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WO1997001304A1 (en) * | 1995-06-29 | 1997-01-16 | Mallinckrodt Medical, Inc. | Radiolabeled apatite particles containing a paramagnetic ion |
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CN1972720A (en) | 2007-05-30 |
DK1735013T3 (en) | 2012-05-21 |
IL177354A (en) | 2013-04-30 |
TWI347194B (en) | 2011-08-21 |
NO20064232L (en) | 2006-09-19 |
CN1972720B (en) | 2010-07-07 |
IL177354A0 (en) | 2006-12-10 |
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GB0403856D0 (en) | 2004-03-24 |
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