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  • A61K51/0478—Organic compounds complexes or complex-forming compounds, i.e. wherein a radioactive metal (e.g. 111In3+) is complexed or chelated by, e.g. a N2S2, N3S, NS3, N4 chelating group complexes from non-cyclic ligands, e.g. EDTA, MAG3
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  • A61K51/0482—Organic compounds complexes or complex-forming compounds, i.e. wherein a radioactive metal (e.g. 111In3+) is complexed or chelated by, e.g. a N2S2, N3S, NS3, N4 chelating group chelates from cyclic ligands, e.g. DOTA
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  • A61K51/04—Organic compounds
  • A61K51/08—Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
  • A61K51/087—Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins the peptide being an annexin, e.g. annexin V
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  • A61K51/08—Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
  • A61K51/088—Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins conjugates with carriers being peptides, polyamino acids or proteins
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  • C07C229/04—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated
  • C07C229/06—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having only one amino and one carboxyl group bound to the carbon skeleton
  • C07C229/10—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having only one amino and one carboxyl group bound to the carbon skeleton the nitrogen atom of the amino group being further bound to acyclic carbon atoms or to carbon atoms of rings other than six-membered aromatic rings
  • C07C229/16—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having only one amino and one carboxyl group bound to the carbon skeleton the nitrogen atom of the amino group being further bound to acyclic carbon atoms or to carbon atoms of rings other than six-membered aromatic rings to carbon atoms of hydrocarbon radicals substituted by amino or carboxyl groups, e.g. ethylenediamine-tetra-acetic acid, iminodiacetic acids
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  • C07C323/23—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups containing thio groups and nitrogen atoms, not being part of nitro or nitroso groups, bound to the same carbon skeleton
  • C07C323/31—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups containing thio groups and nitrogen atoms, not being part of nitro or nitroso groups, bound to the same carbon skeleton having the sulfur atom of at least one of the thio groups bound to a carbon atom of a six-membered aromatic ring of the carbon skeleton
  • C07C323/33—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups containing thio groups and nitrogen atoms, not being part of nitro or nitroso groups, bound to the same carbon skeleton having the sulfur atom of at least one of the thio groups bound to a carbon atom of a six-membered aromatic ring of the carbon skeleton having at least one of the nitrogen atoms bound to a carbon atom of the same non-condensed six-membered aromatic ring
  • C07C323/34—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups containing thio groups and nitrogen atoms, not being part of nitro or nitroso groups, bound to the same carbon skeleton having the sulfur atom of at least one of the thio groups bound to a carbon atom of a six-membered aromatic ring of the carbon skeleton having at least one of the nitrogen atoms bound to a carbon atom of the same non-condensed six-membered aromatic ring the thio group being a mercapto group
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  • C07D257/00—Heterocyclic compounds containing rings having four nitrogen atoms as the only ring hetero atoms
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  • C07D265/00—Heterocyclic compounds containing six-membered rings having one nitrogen atom and one oxygen atom as the only ring hetero atoms
  • C07D265/28—1,4-Oxazines; Hydrogenated 1,4-oxazines
  • C07D265/30—1,4-Oxazines; Hydrogenated 1,4-oxazines not condensed with other rings
  • C07D265/32—1,4-Oxazines; Hydrogenated 1,4-oxazines not condensed with other rings with oxygen atoms directly attached to ring carbon atoms
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  • C07D333/04—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom
  • C07D333/26—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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  • C07D495/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having sulfur atoms as the only ring hetero atoms
  • C07D495/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having sulfur atoms as the only ring hetero atoms in which the condensed system contains two hetero rings
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  • C07D495/12—Heterocyclic compounds containing in the condensed system at least one hetero ring having sulfur atoms as the only ring hetero atoms in which the condensed system contains three hetero rings
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  • C07F9/00—Compounds containing elements of Groups 5 or 15 of the Periodic System
  • C07F9/02—Phosphorus compounds
  • C07F9/28—Phosphorus compounds with one or more P—C bonds
  • C07F9/38—Phosphonic acids RP(=O)(OH)2; Thiophosphonic acids, i.e. RP(=X)(XH)2 (X = S, Se)
  • C07F9/3804—Phosphonic acids RP(=O)(OH)2; Thiophosphonic acids, i.e. RP(=X)(XH)2 (X = S, Se) not used, see subgroups
  • C07F9/3808—Acyclic saturated acids which can have further substituents on alkyl
  • C07F9/3817—Acids containing the structure (RX)2P(=X)-alk-N...P (X = O, S, Se)
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  • C07F9/02—Phosphorus compounds
  • C07F9/547—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
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Definitions

• the present invention relates generally to chelation compounds, radionuclide metal chelate compounds (i.e., complexes) and radiolabeled targeting moieties (i.e., conjugates) formed therefrom, and methods of making and using these compounds, complexes and conjugates for diagnostic and therapeutic purposes.
• This invention is more particularly related to compounds in which at least two of the chelating atoms are nitrogen atoms which are directly attached to aromatic rings and there is a non-hydrogen substituent directly attached to at least one of these nitrogen chelating atoms .
• Radiolabeled chelation compounds have been studied and used as pharmaceuticals for diagnostic and therapeutic purposes for a number of years.
• the requirements for a useful radiolabeled chelating compound are well known to those skilled in the art of nuclear medicine and radiopharmaceutical research. Briefly, these requirements include: efficient final preparation of the radiopharmaceutical, such that preparation in the hospital or pharmacy is possible; efficient transport of the radiopharmaceutical to the target organ; efficient extraction of the radiopharmaceutical by the target organ, such that adequate target to background ratios are achieved to allow diagnostic and therapeutic distinctions; and adequate retention in the target organ to allow detection and therapy using conventionally available radiation monitoring equipment.
• Representative organs of interest are those containing malignant cells or activated platelets. Imaging agents and therapeutic agents have typically been unsuitable due to poor in vivo stability post-chelation, resulting in inadequate retention and accretion by the effected cells.
• the present invention fulfills this need and further provides other related advantages .
• the present invention in one aspect provides compounds having the formula:
• n 0 or 1
• R 3 is hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ).--Z or -(CH 2 ) ra -W;
• R 4 and R 5 are attached at one or more of the ring positions and are independently selected from hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) m -Z and -(CH 2 ) ra -W;
• R 6 and R-i are independently selected from hydrogen with the proviso that both are not hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro,
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic and hydrocarbon radicals haying from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals;
• X, X', Y and Y' are independently selected from carbon, nitrogen, oxygen and sulfur to independently form five or six member aromatic rings wherein the remaining ring atoms are carbon;
• a and A' are independently selected from sulfur, nitrogen and oxygen, where sulfur may bear a hydrogen or a sulfur protecting group, or where A and A' are both sulfur, A and A' may be joined together by a bond; where an oxygen or a nitrogen may bear a hydrogen; or where A or A' is nitrogen, A may bear R 8 or R 10 or both and A' may bear R 9 or R u or both, wherein R 8 , R 9 , R 10 and R u are independently selected from lower alkyl, alkoxy, halogen, hydroxyl, nitro,
• R 10 may be joined to form a cyclic anhydride or R 9 and R u may be joined to form a cyclic anhydride; or when A and A' are both nitrogen, R 1Q and R u may be joined to form T, where T 15 CH (CH) CH and n is 0 to 1,
• the invention provides chelates comprising radionuclide metals (including oxides or nitrides thereof) complexed by a compound described above.
• a preferred metal chelate compound is of the formula:
• M is a radionuclide metal or an oxide or a nitride thereof selected from technetium, copper, rhenium, sumarian, yttrium, indium, lead, bismuth, ruthenium, rhodium, gold and palladium;
• n 0 or 1;
• R 3 is hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) m -Z or -(CH 2 ) m -W;
• R 4 and R 5 are attached at one or more of the ring positions and are independently selected from hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) rn -Z and -(CH 2 )_,-W; R 6 and R 7 are independently selected from hydrogen with the proviso that both are not hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro,
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals;
• X, X', Y and Y' are independently selected from carbon, nitrogen, oxygen and sulfur to independently form 5 or 6 member aromatic rings wherein the remaining ring atoms are carbon;
• a and A' are independently selected from sulfur, nitrogen and oxygen, where A or A' is nitrogen,
• A may bear R g or R 10 or both and
• A' may bear R 9 or R ⁇ : or both, wherein R 3 , R 9 , R i0 and R :: are independently selected from lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) ra -Z,
• R 9 and R 10 may be -(CH 2 ) p -C-Q Ru
• R 9 and R n may be joined to form a cyclic anhydride; or when A and A' are both nitrogen, R 10 and R n may be joined to form T, where T is
• Yet another aspect of the invention provides for the use of the chelation compounds described above in methods for diagnostic and therapeutic purposes.
• a diagnostic method for detecting the presence or absence of a target site within a mammalian host. This method comprises providing to cells a diagnostically effective dose of a compound of the present invention which contains a metal radionuclide, such as 99m Tc and/or lu In, and detecting the biodistribution of the radionuclide.
• a therapeutic method is described for delivering a radionuclide, such as 186 Re/ 188 Re, 30 Y, and 153 Sm, to a target site within a mammalian host. This method comprises providing to cells a therapeutically effective dose of a chelate compound of the present invention.
• Targeting moiety - is any molecule that binds to a defined population of cells, and includes analogs of naturally occurring and synthetically or recombinantly prepared molecules.
• the targeting moiety may bind a receptor, an oligonucleotide, an enzymatic substrate, an antigenic determinant, or other binding site present on or in the target cell population.
• a protein may be a targeting moiety.
• Antibodies and peptides are used throughout the specification as prototypical examples of targeting moieties.
• Tumor is used as a prototypical example of a target in describing the present invention.
• Protein - as used herein includes proteins, fusion proteins, polypeptides and peptides; and may be an intact molecule, a fragment thereof, or a functional equivalent thereof; and may be genetically engineered.
• Antibody - as used herein includes both polyclonal and monoclonal antibodies; and may be an intact molecule, a fragment thereof, or a functional equivalent thereof; and may be genetically engineered; examples of antibody fragments include F(ab') 2 , Fab', Fab and Fv.
• the present invention provides chelation compounds and radionuclide metal chelate compounds (i.e., complexes) prepared therefrom, as well as radiolabeled targeting moieties having the chelation compounds or chelates attached thereto
• the radionuclide metal chelates of the present invention may be attached to targeting moieties, such as antibodies and proteins, to form radiolabeled targeting moieties having diagnostic and therapeutic use.
• the radionuclide metal chelates of the present invention may be used for diagnostic and therapeutic purposes without attachment to targeting moieties.
• the present invention provides compounds that have a variety of uses, including for malignant cell imaging and therapy as well as thrombus imaging.
• the compounds are capable of rapidly co plexing a metal as well as forming a stable metal chelate (complex) .
• the presence of nitrogen atoms within the chelating compound accelerates complex formation with the metal. This acceleration is due in part to the fact that a metal (e.g., technetium) is a soft acid, and nitrogen (in the form of an a ine or amide) is a base.
• Amines generally provide for a greater increase in chelation rates than amides. Where sulfur atoms are additionally present within the chelating compound, they also provide for an increased rate of metal complexation and contribute to the stability of the resulting chelate.
• the compounds of the present invention are characterized by desirable metal complex formation kinetic properties and desirable metal-chelate retention thermodynamic properties.
• the compounds of the present invention have the further advantage of nitrogen atoms attached directly to aromatic rings which aid in fast kinetics of chelation and further enhances the stability of the aromatic esters of this invention with respect to hydrolysis in the bloodstream.
• an additional advantage of the present invention is the presence of substituents attached to the nitrogen atoms within the chelating compound, which imparts a higher basicity to the chelation compound and allows for additional donor atoms for complexation, thereby expanding the type of radionuclides useful for radiotherapy and radiodetection in the present invention.
• the presence of substituents enhances pharmakokinetics and pharmacodynamics, such as the biopharmaceutical properties (i.e., absorption, distribution, metabolism and excretion) .
• the chelation compounds of the present invention have the following formula (I) :
• the phrase independently selected means the selection of one substituent may be made without regard for the selection of any other substituent.
• R : and R 2 may be taken together to form a cyclic group, such as an anhydride or a benzene ring.
• a benzene ring may be benzene or benzene with one or more substituents.
• a substituent may be any electron donating (methyl, methoxy, a ino and the like) and/or electron withdrawing (halogens, nitro, carboxy, nitrile and the like) and functional groups (esters, i idates, carbaminates and the like) known in the art.
• Z represents a conjugation group or a targeting moiety.
• a "conjugation group" in the compounds of the present invention is any chemically reactive group capable of forming a covalent bond with a targeting moiety under conditions that do not adversely affect the targeting moiety' s functional properties.
• the targeting moiety is a protein such as an antibody
• the conjugation group is sufficiently reactive with a functional group on the protein so that the reaction can be conducted in substantially aqueous solutions and does not have to be forced (e.g., by heating to high temperatures which may denature the protein) .
• a conjugation group may be strongly electrophilic or nucleophilic and thereby capable of reacting directly with a targeting moiety.
• a precursor to a conjugation group may be a weaker electrophile or nucleophile that requires activation prior to conjugation with a targeting moiety. Conversion of a group from a precursor group to a conjugation group is generally performed in a separate step prior to conjugation with a targeting moiety. However, where a targeting moiety is unreactive with the conversion reagents and unaffected by the reaction conditions, it is possible to generate a conjugation group in the presence of the targeting moiety.
• An electrophilic conjugation group may react directly with a nucleophile, either through nucleophilic substitution or nucleophilic addition.
• electrophilic conjugation groups react with the targeting moiety acting as the nucleophile.
• a targeting moiety may naturally possess nucleophilic group (s).
• a targeting moiety may contain an amino group or a sulfhydryl group.
• a targeting moiety may have been modified to contain nucleophilic group (s). Procedures for modifying molecules to contain nucleophilic groups are well known to those in the art (see, e.g., catalog of Pierce Chemical Co., Rockford, IL, and U.S. Patent No. 4,659,839).
• Electrophilic groups which provide conjugation through nucleophilic substitution include those groups which contain substituents which are readily displaced. Such readily displaced substituents are commonly referred to as leaving groups. Leaving groups include halides which are readily displaced from alkyl halides and alphahalo carbonyl compounds, and carboxylate and stabilized oxyanions which are readily displaced from carbonyl-containing groups such as anhydrides and active esters, respectively.
• halide ion- leaving groups such as iodide, bromide, and chloride ions
• other leaving groups include carboxylate ions such as acetate and trifluoroacetate and phenolate ions such as phenolate and p-nitrophenolate as well as tosylates and mesylates.
• Suitable active ester groups include N- hydroxysuccinimidyl, tetrafluorophenyl, nitrophenyl, and 1- hydroxybenzotriazolyl.
• Electrophilic groups which provide conjugation through nucleophilic addition include those groups which contain unsaturated carbon atoms susceptible to nucleophilic addition. Suitable electrophilic carbon species include thiocyanates, isocyanates, isothiocyanates and maleimides .
• a conjugation group capable of reacting directly with a targeting moiety may be prepared by conversion of a weaker electrophilic or nucleophilic group to a stronger one.
• a carboxylic acid group is a precursor group which may be activated, (e.g., by conversion into an active ester conjugation group capable of reaction with targeting moieties as described above) .
• Another example of a conversion to a strong electrophilic group is deprotection of a phenylsulfonyl succinimide to provide a maleimide capable of reaction with nucleophilic targeting moieties as described above.
• the conjugation group may also be a nucleophilic group, such as an amino or sulfhydryl group.
• a nucleophile is capable of reacting with an electrophilic targeting moiety, such as one that naturally possesses electrophilic group (s) or one that has been modified to include electrophilic group (s) .
• a targeting moiety may contain an active ester or a maleimide group.
• procedures for modifying molecules to contain electrophilic groups are well known to those in the art (see, e.g., catalog of Pierce Chemical Co., Rockford, IL, and U.S. Patent No. 4,671,958).
• Z may be a targeting moiety rather than a conjugation group.
• a "targeting moiety" in the compounds of the present invention has the functional property that it binds to a defined target cell population, such as tumor cells.
• Preferred targeting moieties useful in this regard include proteins, peptides, antibody and antibody fragments, hormones, and vitamins such as biotin.
• Proteins corresponding to known cell surface receptors including low density lipoproteins, transferrin and insulin), fibrinolytic enzymes, anti-HER2, platelet binding proteins such as annexins, avidin, streptavidin, and biological response modifiers (including interleukin, interferon, erythropoietin, colony-stimulating factor, TNF-tissue necrosis factors and similar cytokines) are also preferred targeting moieties.
• anti-EGF receptor antibodies which internalize following binding to the receptor and traffic to the nucleus to an extent, are preferred targeting moieties for use in the present invention to facilitate delivery of Auger emitters and nucleus binding drugs to target cell nuclei.
• Oligonucleotides e.g., antisense oligonucleotides that are complementary to portions of target cell nucleic acids (DNA or RNA) , are also useful as targeting moieties in the practice of the present invention. Oligonucleotides binding to cell surfaces are also useful. Analogs, including those of the above-listed targeting moieties, that retain the capacity to bind to a defined target cell population may also be used within the claimed invention. In addition, synthetic or recombinant targeting moieties may be designed and produced. Functional equivalents of the aforementioned molecules are also useful as targeting moieties of the present invention.
• a targeting moiety functional equivalent is a "mimetic" compound, which is an organic chemical construct designed to mimic the proper configuration and/or orientation for targeting moiety-target cell binding.
• Another example of a targeting moiety functional equivalent is a short polypeptide designated as a "minimal" polypeptide. Such a polypeptide is constructed using computer-assisted molecular modeling and mutants having altered binding affinity of the targeting moiety.
• preferred targeting moieties of the present invention are proteins, antibodies (polyclonal or monoclonal), peptides, oligonucleotides or the like.
• Polyclonal antibodies useful in the practice of the present invention are polyclonal (Vial and Callahan, Univ. Mich . Med. Bull . 20:284-6, 1956), affinity-purified polyclonal or fragments thereof (Chao et al., Res . Comm . in Chem . Pa th . & Pharm . (J 749-61 , 1974) .
• Monoclonal antibodies useful in the practice of the present invention include whole antibody and fragments thereof. Such monoclonal antibodies and fragments are producible in accordance with conventional techniques, such as hybridoma synthesis, recombinant DNA techniques and protein synthesis. Useful monoclonal antibodies and fragments may be derived from any species (including humans) or may be formed as chimeric proteins which employ sequences from more than one species. See, generally, Kohler and Milstein, Na ture 256: 495- 97, 1975; £ur. J. Immunol . 6:511-19, 1976.
• Human monoclonal antibodies or "humanized” murine antibody are also useful as targeting moieties in accordance with the present invention.
• a murine monoclonal antibody may be "humanized” by genetically recombining the nucleotide sequence encoding the murine Fv region (i.e., containing the antigen binding sites) or the complementary determining regions ("CDR's") thereof with the nucleotide sequence encoding a human constant domain region and an Fc region (i.e., human framework), e.g., in a manner similar to that disclosed in U.S. Patent Nos. 4,816,397, 4,816,567, 5,530,101 and 5,585,089.
• Humanized targeting moieties are recognized to decrease the immunoreactivity of the antibody or polypeptide in the host recipient, permitting an increase in the half-life and a reduction in the possibility of adverse immune reactions.
• Another preferred targeting moiety of the present invention is an annexin and other platelet binding proteins, such as PAP-1 (Placental Anticoagulant Protein or Annexin V) .
• Annexins are (with the exception of annexin II) , single-chain, non-gylcosylated protein of approximately 36 kilodaltons. In the presence of calcium, these proteins have an especially high affinity for negatively-charged phospholipids, such as phosphatitylserine .
• W is a hydrolyzable group.
• hydrolyzable group refers to any neutral organic group that provides a charged group upon hydrolysis.
• the hydrolysis may be chemical or enzymatic in nature.
• examples of hydrolyzable groups include esters, imidates, and nitriles which may be hydrolyzed to carboxylic acids; and carbamates which may be hydrolyzed to amines.
• the distance by which the chelating nitrogen atoms are separated may be increased by interposing a methylene group, -CH 2 -, between the carbon atoms bonded to the nitrogens depicted.
• a methylene group -CH 2 -
• the chelating nitrogens are separated by two carbon atoms.
• the interposed methylene group may be substituted with R 3 .
• R 3 may be hydrogen, a lower alkyl group, an alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, -(CH 2 ) m -Z or -(CH 2 ) ra -W.
• a lower alkyl group is an alkyl group of hydrocarbon radicals having from 1- 10 carbon atoms, and physiologically acceptable salts of the acid radicals which includes a substituted lower alkyl.
• a substituted lower alkyl group is a lower alkyl group that O 98/43678
• halogen perhaloalkyl, hydroxyl or alkoxy substituent
• an alkoxy group is any alkoxy group of C 6 or less.
• Suitable halogens include fluorine, chlorine, bromine and iodine.
• R 4 and R 5 may be attached at one or more of the aromatic ring positions, preferably the ring carbon atoms.
• R 4 and R 5 are independently selected from hydrogen, a lower alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, -(CH 2 ) ra -Z and -(CH 2 ) m -W.
• preferred groups include lower alkyl groups such as methyl, alkoxy groups such as methoxy, and halogen groups such as fluorine.
• Preferred Z groups include active esters such as N-hydroxysuccinimide esters and maleimides.
• Preferred W groups include ester and carbamate groups, such as ethyl esters and ethyl carbamates.
• ester and carbamate groups such as ethyl esters and ethyl carbamates.
• such preferred alkyl groups, alkoxy groups, and ester groups are substituted at the aromatic ring carbon ortho or para to the chelating nitrogen depicted in formula I above.
• R 6 and R 7 may be independently a hydrogen, lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) ra -Z, -(CH 2 ) m -W and , where Q represents a multivalent acid
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic, and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals, and R 12 and R 13 may be the same as or different from one another.
• R 7 may be hydrogen when R 6 is D and Q is a phosphonic or a
• R 6 may be hydrogen when R 7 is
• Q is a phosphonic or a carboxylic acid, but R 6 and R 7 cannot both be hydrogen simultaneously.
• Q represents a multivalent acid functionality.
• the term multivalent acid functionality refers to any multivalent acid capable of coordinating a metal ion known to one of ordinary skill in the art.
• R 6 or R 7 or both bear a Q containing substituent.
• Preferred multivalent acids are the following: a phosphonic acid, a carboxylic acid, a thioacetic acid and a sulfonic acid. Particularly preferred are a phosphonic acid and a carboxylic acid.
• the multivalent acid provides extra donor atoms which allow for binding of a metal through coordination of such donor atoms, thereby providing for a versatile chelation compound for diagnostic and therapeutic use.
• the compounds of the present invention typically have one or more Q, Z and/or W groups.
• a compound may have one Z or one W or one Q, or a combination of all three or some lesser combination.
• a compound may have multiple Z and/or multiple W groups, and/or multiple Q groups.
• a and A' may be independently selected from nitrogen, oxygen and sulfur. Where a sulfur is present, it may bear a hydrogen or a sulfur protecting group. Where A and A' are both sulfur, they may be joined together by a bond or any sulfur protecting group known in the art. Where an oxygen or a nitrogen is present, it may bear a hydrogen. Where A or A' is nitrogen, A may bear R 8 or R 10 or both and A' may bear R 9 or
• R n or both wherein R 8 , R 9 , R 10 and R u are independently selected from a lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) m -Z, -(CH,) m -W and R, 2 , where Q represents a
• R 3 ' is selected from hydrogen, lower alkyl, substituted lower, alkoxy, perhaloalkoxy, perhaloalkyl, halogen, hydroxyl, nitro, -(CH 2 ) m -Z and -(CH 2 ) rn -W.
• a and A' are both sulfur
• the sulfur atoms are joined together by a bond thus forming a disulfide.
• R 10 and R n are joined to form T where n is either 0 or 1 and R 8 and R 9 are , where Q represents
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic, and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals, and R 12 and R 13 may be the same as or different from one another.
• the chelation compounds of the present invention may be categorized by the number and type of chelating atoms (i.e. N x S y O, where x is 2 to 4, y is 0 to 2, and z is 0 to 2) .
• N x S y O a chelating atom
• x 2 to 4
• y 0 to 2
• z 0 to 2
• both A and A' are nitrogen
• the chelation compounds of the present invention are able to bind a metal through coordination with all four nitrogen atoms.
• Such a chelating compound may be referred to as an "NJ' (N 4 3O 0 ) compound.
• both A and A' are sulfur, resulting in the capacity for metal chelation through two nitrogen atoms and two sulfur atoms, and thus providing an "N 2 S 2 " (N 2 S 2 O 0 ) chelating compound.
• A may be nitrogen and A' may be sulfur or A may be sulfur and A' may be nitrogen. Either of these embodiments are capable of metal chelation involving three nitrogen atoms and a single sulfur atom, an "N 3 S" (N 3 S x O 0 ) chelating compound.
• a and/or A' may be oxygen atoms (e.g., hydroxyl groups) . Where both A and A' are oxygen, an "N 2 0 2 " (N 2 S 0 O 2 ) chelating compound results.
• Other embodiments include "N 3 0" ( ⁇ S Q O and "N 2 SO" (N ⁇ O ⁇ chelation compounds where one of either A or A' is oxygen and the other is nitrogen or sulfur, respectively.
• the chelation compounds are able to bind a metal radionuclide with the donor atoms providing up to eight coordination sites.
• a and A' are both nitrogen
• R 10 and R u may join the two nitrogen atoms, through the formation of T to create a cyclic "N 4 " (N 4 S 0 O 0 ) chelation compound and wherein R 6 , R 7 , R s and R 9 may be R ; wherein Q is preferably a — (CH 2 ) p -C-Q
• the multivalent acid functionality such as a phosphonic and/or a carboxylic acid.
• the oxygen atoms of the multivalent acid functionality provide up to four additional coordination sites, thereby expanding the type of radionuclide that is useful in this invention (e.g., Indium and Yttrium).
• the sulfur atoms of the chelation compounds may bear sulfur protecting groups.
• Suitable sulfur protecting groups include any of the alkyl, acyl, and aryl groups, disulfides and bunte salts known by those of ordinary skill in the art.
• Preferred sulfur protecting groups are those that result in the formation of thioacetal, hemithioacetal, thioketal, hemithioketal, thioester or acetamidomethyl substituent.
• Particularly preferred groups include p-anisylidine, acetonyl, tetrahydrylfuranyl, ethoxyethyl, tetrahydrylpyranyl, acetamidomethyl and derivatives thereof.
• the protecting groups may be removed just prior to metal complexation or during the radiolabeling reaction.
• An acetamidomethyl sulfur-protecting group is represented by the following formula, wherein the sulfur atom shown is a sulfur donor atom of the chelating compound:
• the acetamidomethyl group is displaced from the chelating compound during radiolabeling conducted at about 50°C in a reaction mixture having a pH of about 3 to 6.
• each sulfur atom to be protected has a separate protective group attached to it, which together with the sulfur atom defines a hemithioacetal group.
• the hemithioacetal groups contain a carbon atom bonded directly (i.e., without any intervening atoms) to a sulfur atom and an oxygen atom, i.e.,
• Preferred hemithioacetals generally are of the following formula, wherein the sulfur atom is a sulfur atom of the chelating compound, and a separate protecting group is attached to each of the sulfur atoms on the chelating compound:
• R a is a lower alkyl group, preferably of from 2-5 carbon atoms
• R° is a lower alkyl group, preferably of from 1-3 carbon atoms.
• R a and R° may be taken together with the carbon atom and the oxygen atom shown in the formula to define a nonaromatic ring, preferably comprising from 3-7 carbon atoms in addition to the carbon and oxygen atoms shown in the formula.
• R c represents hydrogen or a lower alkyl group wherein the alkyl group preferably is of from 1-3 carbon atoms. Examples of such preferred hemithioacetals include, but are not limited to:
• the sulfur protecting groups may join the two sulfur chelating atoms.
• Preferred embodiments of the sulfur protecting groups include thioketals and thioacetals, which may be prepared by condensation of the sulfur containing chelating compound with ketones and aldehydes, respectively.
• These particular sulfur protecting groups are represented by the following formula, wherein the sulfur atoms shown are the sulfur donor atom of the chelating compound:
• R d and R e are independently selected from hydrogen, lower alkyl groups (preferably methyl or ethyl) , lower alkoxy groups (preferably containing one or two carbon atoms) , aryl groups, or taken together form a cyclic group (preferably a cyclopentane or cyclohexane ring) .
• the aromatic ring atoms designated as X, Y, X' and Y' are independently selected from carbon, nitrogen, sulfur and oxygen to independently form five or six member rings, wherein the remaining ring atoms are carbon.
• the aromatic rings containing X and Y or X' and Y' are selected independently.
• one ring may be a five member ring and the other a six member ring.
• the aromatic rings are benzene type rings.
• the aromatic rings are pyrimidine type rings.
• one of X or Y and one of X' or Y' are nitrogen, the aromatic rings are pyridine type rings.
• the aromatic rings are imidaz ⁇ le or pyrazole type rings. Where one of X or Y and one of X' or Y' are sulfur, the aromatic rings are thiophene type rings. Where one of X or Y and one of X' or Y' are sulfur and nitrogen, the aromatic rings are thiazole or isotniazole type rings, where on of X or Y and one of X' or Y' are oxygen, the aromatic rings are furan type rings, where one of X or Y and one of X' or Y' are oxygen and nitrogen, the aromatic rings are oxa ⁇ ole or isoxazole type rings .
• Preferred embodiments of the aromatic rings designated X, Y, X' and Y' include benzene, pyrimidine, pyridine and thiophene, the most preferred being benzene or thiophene.
• aromatic rings are interchangeable within the chelating compound formula because they are either structurally related or contribute similar properties, e.g., spatial configuration, electronic resonance and inductive properties (i.e., electron withdrawing and donating effects).
• the chelation compounds and metal chelates of the present invention may also be asymmetric with respect to the nature of the aromatic rings.
• the aromatic rings are a combination of benzene and pyridine types where X and Y are both carbon and either X' or Y' are both carbon, or either X or
• Y is nitrogen and X' and Y' is nitrogen, or either X or Y is nitrogen and X' and Y' are both carbon.
• the aromatic rings are a combination of benzene and pyrimidine types where X and Y are both carbon and X' and Y' are both nitrogen, or X and Y are both nitrogen and X' and Y' are both carbon.
• the aromatic rings are a combination of pyridine and pyrimidine types where either X or
• Y is nitrogen and X' and Y' are both nitrogen, or X and Y are both nitrogen and either X' or Y' are nitrogen.
• the aromatic rings are a combination of benzene and thiophene types where either X or Y are both carbon and either X' or YJ is sulfur, or either X or Y is sulfur and X' and Y' are both carbon.
• the aromatic rings are a combination of pyridine and thiophene types whether either X or Y is nitrogen and one of which is carbon and X' or Y' is sulfur and one of which is carbon, or either X or Y is sulfur, one of which is carbon and either X' or Y' is nitrogen, one of which is carbon.
• the present invention provides radionuclide metal chelate compounds wherein a metal is chelated (complexed) .
• the chelation compounds of the present invention rapidly form stable metal complexes (radionuclide metal chelates) when reacted with a metal.
• the preferred radionuclide metal chelate compound (complexes) of the present invention have the formula (II) :
• M is a radiometal or a radionuclide metal oxide or nitride, capable of being chelated by a compound of the present invention.
• Preferred metals and metal oxides or nitrides include radionuclides of copper, yttrium, ruthenium, technetium, rhodium, palladium, gadolinium, samarian, holmium, ytterbium, lutetium, indium, rhenium, gold, lead and bismuth.
• 90 Y a particle emitting therapeutic radionuclide resulting from transmutation processes (without non-radioactive carrier forms present), is commercially available from several sources, including Pacific Northwest National Laboratory, located in Richland, Washington; Nordion International Inc., located in Kanata, Ontario, Canada and by Du Pont as NEN Research products located in North Billerica, Massachusetts. Production of 153 Sm is described in Goeckeler et al ( Nucl . Med. Biol . , Vol. 20, No. 5, pp. 657-661, 1993) . lu In is commercially available as INDICLORTM supplied by Amersham Healthcare located in Arlington Heights, Illinois. " m ⁇ c is preferred for diagnostic use, and the other radionuclides listed above are preferred for therapeutic use.
• chelation compounds of the invention including acetamidomethyl and/or hemithioacetal sulfur protective groups are radiolabeled with a metal radionuclide by reacting the compound with the radionuclide under conditions of acidic pH. It is believed that the acidic pH and the presence of the metal both contribute to the displacement of the sulfur protective groups from the chelating compound. The radionuclide is in chelatable form when reacted with the chelation compounds of the invention.
• reducing agent will be employed to reduce the radionuclides (e.g., in the form of pertechnetate and perrhenate, respectively) to a lower oxidation state at which chelation will occur.
• radionuclides e.g., in the form of pertechnetate and perrhenate, respectively
• suitable reducing agents are known . (See, for example, U.S. Patent Nos .
• Such reducing agents include stannous ion (e.g., in the form of stannous salts such as stannous chloride or stannous fluoride) , metallic tin, ferrous ion (e.g., in the form of ferrous salts such as ferrous chloride, ferrous sulfate, or ferrous ascorbate) and many others.
• stannous ion e.g., in the form of stannous salts such as stannous chloride or stannous fluoride
• metallic tin e.g., in the form of ferrous salts such as ferrous chloride, ferrous sulfate, or ferrous ascorbate
• ferrous ion e.g., in the form of ferrous salts such as ferrous chloride, ferrous sulfate, or ferrous ascorbate
• Sodium pertechnetate i.e., ⁇ TcOJ 1 which is in the +7 oxidation level
• sodium perrhenate
• 186 Re0 4 "1 may be combined simultaneously with a reducing agent and a chelating compound of the invention, in accordance with the radiolabeling method of the invention, to form a chelate.
• the radionuclide is treated with a reducing agent and a co plexing agent to form an intermediate complex (i.e., an "exchange complex").
• Complexing agents are compounds which bind the radionuclide more weakly than do the chelate compounds of the invention, and may be weak chelators.
• any of the suitable known complexing agents may be used, including gluconic acid, glucoheptonic acid, tontanic acid, methylene disphosphonate, glyceric acid, glycolic acid, mannitol, oxalic acid, malonic acid, succinic acid, bicine, N,N'-bis (2-hydroxy ethyl) ethylene diamine, citric acid, ascorbic acid and gentisic acid. Good results are obtained using gluconic acid or glucoheptonic acid as the Tc-complexing agent and citric acid for rhenium.
• Radionuclides in the form of such an exchange complex When the radionuclide in the form of such an exchange complex is reacted with the chelation compounds of the invention, the radionuclide will transfer to the chelation compounds., which bind the radionuclide more strongly to form chelates of the invention. In some instances, heating is necessary to promote transfer of the radionuclide. Radionuclides in the form of such complexes also are considered to be in "chelatable form" for the purposes of the present invention. Y-90 is a particularly preferred radionuclide for therapy, because it exhibits favorable nuclear properties including high specific activity, long path length with respect to deposition of radiation in tissue, high equilibrium dose constant and favorable half-life properties.
• the beta emission of Y-90 makes it one of the most energetic of all beta emitters.
• the X 90 value of Y-90 is 5.34 mm (i.e. , 90% of the energy emitted from a point source is absorbed in a sphere of 5.34 mm radius) .
• Y-90 can be manufactured at high specific activity and is available as a generator product.
• Y-90 has the capability to kill neighboring target cells not directly targeted by conventional methods (2) that more radiation is deposited per microcurie localized than for other beta emitters of lower mean particle energy (provided that a sufficiently large target volume is available) .
• Chelates of 212 Pb, 212 Bi, 109 Pd, Cu 64 and Cu 67 may be prepared by combining the appropriate salt of the radionuclide with the chelating compound and incubating the reaction mixture at room temperature or at higher temperatures. It is not necessary to treat the lead, bismuth, palladium and copper radioisotopes with a reducing agent prior to chelation, as such isotopes are already in an oxidation state suitable for chelation (i.e., in chelatable form) .
• the specific radiolabeling reaction conditions may vary somewhat according to the particular radionuclide and chelating compound involved.
• chelation compounds of the invention are radiolabeled following reduction of the disulfide bond under mild conditions.
• the disulfide may be reduced with SnCl 2 under conditions which do not reduce disulfides on proteins such as antibodies.
• the chelation compounds and metal chelates of the present invention have a variety of uses, although certain uses are preferred depending upon the particular embodiment.
• the chelation compounds can be employed in the pretargeting methods as described in U.S. Patent No. 5,608,060.
• the chelation compounds and the radionuclide metal chelates are either reactive with a targeting moiety, or are conjugated to a targeting moiety.
• These compounds may be generally represented by the above-described compounds which bear the group Z.
• a chelating compound or a metal chelate that is reactive with a targeting moiety bears at least one conjugation group Z.
• conjugation groups include those described above (e.g., an active ester or a maleimide).
• the chelating compound or metal chelate may be conjugated to a targeting moiety Z.
• targeting moieties include those described above (e.g., proteins and antibodies).
• the preparation of representative chelation compounds that are reactive with targeting moieties is presented in the examples below.
• the preparation of representative radionuclide metal- targeting moiety conjugates is also presented in the examples below.
• metal chelate- targeting moiety conjugates may be prepared by complexation of the radionuclide metal either before or after the chelating compound is conjugated to the targeting moiety. More specifically, a conjugate may be "pre-formed” or “post- formed, " depending upon whether the chelating compound and targeting moiety are joined after or before the complexation of the radionuclide metal.
• a pre-formed conjugate comprises a chelating compound of the present invention that is first labeled with a radionuclide metal and then is conjugated to a targeting moiety.
• a post-formed conjugate comprises a chelating compound of the present invention that is first conjugated to a targeting moiety and then is labeled with a radionuclide metal.
• the radionuclide is added to the chelating compound prior to the addition of the targeting moiety, whereas, for post-formed conjugates, the radionuclide is added after the addition of the targeting moiety.
• the final conjugate is the same regardless of how formed.
• the chelation compounds of the present invention that are either reactive with targeting moieties or are conjugated to targeting moieties may be represented by the formula (I) above, where the specific embodiments of the elements of the formula include the following:
• the distance between the chelating nitrogen atoms of formula (I) may be varied by the imposition of a methylene group.
• the methylene group When imposed, the methylene group may be substituted with R 3 .
• R 3 may be hydrogen, a lower alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, or -(CH 2 ) m -Z.
• R 4 and R 5 may be attached at one or more of the aromatic ring positions, preferably the ring carbon atoms, and are independently selected from hydrogen, a lower alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, and "(CH 2 ) m -Z.
• R 6 and R 7 are independently selected from lower alkyl, alkoxy, halogen, hydroxyl, nitro, -(CH 2 ) m -Z, and R ,
• R i2 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, 31 phosphonic, and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals, and R 12 and R 13 may be the same as or different from one another.
• the chelation compounds reactive with or conjugated to targeting moieties have at least one Z, but may contain more than one Z. For example, any two groups selected from Ri-R s may be Z .
• A, A', X, X', Y, Y' and n are as described above for formula (I) .
• the radionuclide metal chelate compounds of the present invention that are either reactive with targeting moieties or are conjugated to targeting moieties may be represented by the formula (II) .
• the specific embodiments of those elements of the formula denoted by R ! -R 5 , n, X, X', Y, and Y' are as described immediately above for the chelation compounds.
• M is a radionuclide, radionuclide metal oxide or radionuclide metal nitride.
• the metal chelate compounds reactive with or conjugated to targeting moieties have at least one Z, but may contain more than one Z.
• the compounds of the present invention are "N 4 " (N 4 S 0 O 0 ) chelation compounds and metal chelates. Therefore, for preferred chelation compounds and metal chelates, A and A' are nitrogen. For particularly preferred chelation compounds, A and A' are nitrogen atoms joined together by a bond, i.e., R 10 and R n form T, the chelation compounds are tetraazacyclic, a tetradectane system. Preferred compounds of the present invention have X, Y, X' and Y' as carbon, nitrogen and sulfur. For the metal chelates of the present invention, technetium (e.g., 99m Tc) and indium
• rhenium e.g., 186 Re and 188 Re
• yttrium e.g., 90 Y
• the compounds of the present invention which are reactive with targeting moieties, possess a single conjugation group.
• a preferred conjugation group is the N-hydroxysuccinimide ester group.
• the conjugation group is an aromatic ring substituent, i.e., either R 4 or R 5 is -(CH 2 )-,-Z.
• R 4 or R 5 is -(CH 2 )-,-Z.
• the conjugation group may be a substituent of the carbons linking the chelating nitrogens, i.e., R] . -R 3 .
• R 6 , R 7 , R 8 and R 9 may be , where Q represents multivalent acid
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic, and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals, and R 12 and R 13 may be the same as or different from one another.
• Rl3 multivalent acid functionality capable of coordinating with metal ions, and p 0 to 1;
• R 12 and R 13 are independently selected from hydrogen, hydroxyl, carboxyl, phosphonic, and hydrocarbon radicals having from 1-10 carbon atoms, and physiologically acceptable salts of the acid radicals, and R 12 and R 13 may be the same as or different from one another.
• the conjugation group is an anhydride, i.e., R x and R 2 are taken together to form a cyclic anhydride.
• targeting moieties include proteins such as antibodies and annexin as well as binding proteins such as avidin and streptavidin.
• the chelation compounds and the radionuclide metal chelate compounds are used in radiopharmaceutical applications without the necessity for a conjugation group or targeting moiety.
• Such chelating and metal chelate compounds are useful by virtue of their lipophilic properties and may be generally represented by the above-described compounds which bear hydrolyzable group W.
• the chelation compounds of the present invention that are useful without possessing a conjugating group or targeting moiety may be represented by the formula (I) above where the specific embodiments of the elements of the formula include the following.
• the distance between the chelating nitrogen atoms of formula (I) may be varied the imposition of a methylene group, -CH 2 .
• the methylene group may be substituted with R 3 .
• R 3 may be hydrogen, a lower alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, and -(CH 2 )_,-W.
• R 4 and R 5 may be attached at one or more of the aromatic ring positions, preferably the ring carbon atoms, and are independently selected from hydrogen, a lower alkyl group, an alkoxy group, a halogen, a hydroxyl group, a nitro group, or - (CH 2 ) m -W.
• the chelation compounds that are useful in the absence of a conjugation group of targeting moiety have at least one W, but may contain more than one W.
• any two groups selected from R ⁇ -R 5 may be W.
• A, A', X, X', Y, Y', R 6 , R 7 , and R 9 through R xl and n are as described above for formula (I).
• the radionuclide metal chelate compounds of the present invention that are useful without a conjugation group or targeting moiety may be represented by the formula (II) where the specific embodiments of the elements of the formula, R1 . -R 5 , R 6 -R u , n, X, X', Y and Y' are as described immediately above for the chelation compounds.
• M is a radionuclide, radionuclide metal oxide or radionuclide metal nitride.
• the metal chelates that are useful in the absence of a conjugation group or targeting moiety have at least one W, but may contain more than one W.
• W is an enzyme hydrolyzable group, such as an ester or a carbamate. Such groups are subject to hydrolysis by esterases commonly found in tissues such as the heart and bone marrow.
• the hydrolyzable group is an ethyl ester or ethyl carbamate.
• Preferred embodiments of the compounds which possess hydrolyzable groups W include the preferences for M, A, AJ X, Y, X' and Y' described above for the compounds which possess a conjugation group or a targeting moiety, Z.
• the compounds of the present invention having hydrolyzable groups W possess more than one W.
• the hydrolyzable group is an aromatic ring substituent, i.e., R 4 and R 5 are -(CH 2 ) ra -W.
• the hydrolyzable group W is a substituent of the carbon atoms linking the chelating nitrogens, i.e., one or more of R L -R 3 is -(CH 2 ) rn -W.
• R L -R 3 is -(CH 2 ) rn -W.
• n 1, R x and
• R 2 are hydrogen, R 3 is -(CH 2 ) ra -W as described above, and R 4 and R 5 are methoxy.
• the lipophilic properties of these chelating and metal chelate compounds are due in part to the hydrophobic nature of hydrolyzable W.
• W includes any neutral organic group that provides a charged group upon hydrolysis.
• the neutral organic group of W is hydrophobic and imparts lipophilic character to the chelating and metal chelate compounds.
• the lipophilic compounds of the present invention are particularly useful in vivo where it is desirous to accumulate the metal chelates in tissues such as the heart and bone marrow. In such applications, the administered lipophilic metal chelates reach these tissues through the bloodstream and, because of their lipophilic properties, the metal chelates are absorbed by these tissues.
• the metal chelates are subject to hydrolysis where the hydrolyzable group, W (e.g., an ester), which imparted lipophilicity to the chelate is converted to a charged species (e.g., an acid if the ester is a carboxylate ester, and a base if the ester is a carbamate ester) and is thereby prevented from escaping the tissue.
• W e.g., an ester
• a charged species e.g., an acid if the ester is a carboxylate ester, and a base if the ester is a carbamate ester
• Suitable hydrolyzable groups W included nitriles, carbamates, and esters.
• Preferred hydrolyzable groups include carbamates and carboxylate esters.
• Preferred carboxylate esters include methyl, ethyl, propyl and isopropyl esters.
• Preferred carbamate esters include methyl and ethyl esters.
• the lipophilic metal chelates of the present invention may undergo either chemical or enzymatic hydrolysis to yield residually charged metal chelates.
• the metal chelates are resistant to rapid hydrolysis in the bloodstream, but are readily hydrolyzed upon uptake by the tissue of interest. Hydrolysis which occurs in the bloodstream is primarily chemical in nature while tissue hydrolysis is primarily enzymatic.
• the compounds of the present invention are additionally resistant toward chemical hydrolysis.
• the chelation compounds and metal chelates that bear ester groups, which are directly conjugated to the aromatic ring as either ortho or para substituents relative to the chelating nitrogen are particularly stable toward chemical hydrolysis.
• esters are resistant toward chemical hydrolysis by virtue of electron donation from the chelating nitrogen through the aromatic ring to the ester carbonyl group.
• This dispersal of electron density renders the ester carbonyl relatively electron rich and reduces its reactivity as an electrophile .
• ester carbonyl groups that are less electrophilic react more slowly toward nucleophilic addition.
• ester carbonyl groups which are stabilized toward nucleophilic addition by electron donating groups are resistant toward hydrolysis. For these reasons, the above-described esters of the present invention are resistant toward chemical hydrolysis in the bloodstream.
• the compounds of the present invention are retained within a tissue, such as malignant cells, by conversion of the lipophilic compounds to charged compounds (ionic species) by hydrolysis.
• the compounds of the present invention which are resistant to chemical hydrolysis, are readily susceptible to enzymatic hydrolysis.
• Suitable hydrolyzable groups that are converted to charged compounds by enzymatic action include ester and carbamate groups which are converted to carboxylic acid and amino groups, respectively.
• the compounds of the present invention may be taken up by various tissues, but are primarily intended for the tissues containing malignant cells and activated platelets.
• the metal chelates of the present invention may be selectively taken up by either malignant cell tissue depending upon the nature of the chelate.
• the radiolabeled chelates of the present invention have use in diagnostic and therapeutic procedures, both for jLn vitro assays and for in vivo medical procedures.
• the radiolabeled chelates may be delivered (e.g., administered to a warm-blooded animal such as a human) intravenously, intraperitoneally, intralymphatically, locally, or by other suitable means, depending on such factors as the type of target site.
• the amount to be provided will vary according to such factors as the type of radionuclide (e.g., whether it is a diagnostic or therapeutic radionuclide) , the route of delivery, the type of target site(s), the affinity of the targeting moiety, if employed, for the target site of interest, and any cross-reactivity of the targeting moiety, if employed, with normal tissues. Appropriate amounts may be established by conventional procedures, and a physician skilled in the field to which this invention pertains will be able to determine a suitable amount for a patient.
• a diagnostically effective dosage is generally from about 5 to about 35 and typically from about 10 to about 30 mCi per 70 kg body weight.
• a therapeutically effective dosage is generally from about 20 mCi to about 300 mCi or higher.
• conventional non-invasive procedures e.g., gamma cameras
• the diagnostic radionuclide For diagnosis, conventional non-invasive procedures (e.g., gamma cameras) are used to detect the biodistribution of the diagnostic radionuclide, thereby determining the presence or absences of the target sites of interest (e.g., tumors, heart, brain).
• the comparatively low intestinal localization of the therapeutic radiolabeled chelates of the present invention or catabolites thereof permits increased dosages, since intestinal tissues are exposed to less radiation.
• the clarity and accuracy of diagnostic images also is improved by the reduced localization of radiolabeled chelates or catabolites thereof in normal tissues via an increase in target to nontarget ratio.
• the pH is maintained between 9.75 and 10.0 with 5.0 N sodium hydroxide during the entire course of reaction.
• the progress of the reaction is monitored by high performance liquid chromatography (HPLC) using PRP-X100 anion exchange column (supplied by Hamilton) .
• Small amounts of bromoacetic acid i.e., 100 to 200 mg are added to the reaction mixture to drive the reaction to completion.
• the reaction mixture is diluted with sterile water to 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide.
• the measured conductivity is 2.89 ms/cm.
• the amine solution from the dropping funnel is added dropwise to the stirred acidic solution under nitrogen atmosphere. After completion of addition, the reaction mixture is heated under reflux using an oil bath for at least 1.0 hour. Then the dropping funnel is charged with formaldehyde 27.2 g (0.938 mole) of a 37% aqueous solution and is added to the reaction mixture dropwise over a 2 to 3 hour time interval. The reaction mixture is continued heating under reflux throughout the entire formaldehyde solution addition period. After completion of all of the formaldehyde solution, the reaction mixture is continued stirring under reflux for an additional 3 to 4 hours.
• the reaction mixture is diluted with sterile water to 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide.
• the measured conductivity is 2.89 ms/cm.
• This solution is loaded on 5 x 60 cm column with 900 mL bed volume of AG ⁇ 1-X2 (acetate form) resin which is prewashed with 1 liter 1.5 M acetic acid, 1.5 liter water, 0.5 liter 0.02 N ammonium acetate pH 7.18 and 4 liter water final eluent pH 4.28 by FPLC at 40 mL/min.
• the cyclic amine solution from the dropping funnel is added dropwise to the stirred acidic solution under nitrogen atmosphere. After completion of addition, the reaction mixture is heated under reflux using an oil bath for at least 1 hour. Then the dropping funnel is charged with formaldehyde 5.0 g (0.172 mole) of a 37% aqueous solution and is added to the reaction mixture dropwise over a 2 to 3 hour time period. The reaction mixture is continued heating under reflux throughout the entire formaldehyde solution addition. After completion of all of the formaldehyde solution, the reaction mixture is continued stirring under reflux for an additional 3 to 4 hours.
• reaction mixture is then allowed to cool and the product 2, 3, 9, 10-diphenylenyl-l, 4, 8, 11-tetraazacyclo tetradecane-N, N', N", N'"-tetramethylene phosphonic acid 8. is isolated from the reaction mixture and purified by ion exchange chromatography in 35% yield.
• Example III 3, 8, 9, -diphenylenyl 5, 6, 11, 12-bis ortho carboxydiphenylenyl- 1, 4, 7, 10-tetraazacyclododecane N, N',N",N'"-tetraacetic acid 13 and 2, 3, 8, 9-diphenylenyl 5, 6, 11, 12-bis ortho carboxydiphenylenyl-1, 4,7, 10-tetraazacyclododecane N, N', N", N'"- tetramethylene phosphonic acid 4
• the crude residue is purified by reverse phase HPLC using aqueous acetonitrile containing acetic acid as a mobile phase.
• the fractions containing the desired product are combined and the solvent removed under reduced pressure to give 50% of the desired compound, 2,3,8,9- diphenylenyl 5, 6, 11, 12-bis ortho carboxy-diphenylenyl-
• the progress of the reaction is monitored by HPLC using PRP-X100 anion exchange column and small amounts of bromoacetic acid (i.e., 100 to 200 mg) are added to the reaction mixture to drive the reaction to completion.
• the reaction mixture is diluted with sterile water to a 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide.
• the measured conductivity is 2.89 ms/cm.
• Dissolution of the phosphorous acid is achieved upon stirring. 15.0 mL of concentrated hydrochloric acid is added to the reaction mixture and the stirring continued.
• the dropping funnel is charged with 20.0 g (0.044 mole) of 2,3,8,9- diphenylenyl 5, 6, 11, 12-bis ortho carboxydiphenylenyl 1,4,7,10- tetraazacyclododecane, 2 dissolved in 25 mL water.
• the cyclic tetramine solution from the dropping funnel is added dropwise to the stirred acidic solution under nitrogen atmosphere. After completion of addition, the reaction mixture is heated under reflux using an oil bath for at least 1.0 hour.
• the dropping funnel is charged with formaldehyde 27.2 g (0.938 mole) of a 37% aqueous solution and is added to the reaction mixture dropwise over a 2 to 3 hour time interval.
• the reaction mixture is continued heating under reflux throughout the entire formaldehyde solution addition period. After completion of all of the formaldehyde solution, the reaction mixture is continuously stirred under reflux for an additional 3 to 4 hours.
• reaction solution is then allowed to cool and the product, 2, 3, 8, 9-diphenylenyl- 1,4,7,10-bis ortho- carboxydiphenylenyl-1, 4, 7, 10- tetraazacyclododecane N, N', N", N'"-tetramethylene phosphonic acid 14 is isolated from the reaction mixture and purified by ion exchange resin chromatography in 40-50% yield.
• Example VI Y90-labeled N, N'-Bis (2-diaminophenyl) -1, 3-propane diaminohexacetic acid 4. and N, N'-Bis (2-diaminophenyl) -1, 3- propane-dia ino hexamethylene phosphonic acid 5.
• Stimbed gluconate kits are prepared containing 5.0 mg sodium gluconate 100 micrograms stannous chloride, 1.0 mg (1 mg/ml) of N 4 ligand-r-Annexin V conjugate 6., and 0.1 to 1.0 mg of lactose. The pH is maintained between 5 and 7 using hydrochloric acid, acetic acid or sodium hydroxide. To the stannous gluconate kit is added 1.0 mL sodium pertechnetate (99mTcO ⁇ 4 ) with a specific activity of 50 mCi/mL. The vial is thoroughly mixed and incubated at 25°C - 37°C for 15' - 30'. The percent formation of radiolabeled conjugate, remaining
• Tc0 4 and hydrolyzed reduced technetium is determined by ITLC in 12% TCA as developing solvent.
• METHOD B Stannous tartrate kits are prepared in an evacuator vial under nitrogen to contain 0.5 mL of disodium tartrate (10 mg/mL) and 0.1 mL stannous chloride (1.0 mg/mL in ethanol) . The pH of the solution is kept between 5 and 7, preferably 6.0. To this stannous tartrate solution is added 1.0 mL of sodium pertechnetate at a specific concentration of 50 mCi/mL. The reaction mixture is allowed to stand at room temperature.
• Example VII 4-N, N'-Bis (3-diaminothiophenyl) -1, 3-propanediamino hexaacetic acid 2__ and 4-N, N'-Bis (3-diaminothiophenyl) -1, 3-propanediamino hexamethylene phosphonic acid 2__
• the reaction mixture is diluted with sterile water to 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 Ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide. The measured conductivity is 2.89 Ms/cm.
• This solution is loaded on 5 x 60 cm column with 900 mL bed volume of AG® 1-X2 (acetate form) resin which is prewashed with 1 liter 1.50 M acetic acid, 1.5 liter water, 0.5 liter 0.02 M ammonium acetate pH 7.18 and 4 liter water final eluent pH 4.28 by FPLC at 40 mL/min.
• the amine solution from the dropping funnel is added dropwise to the magnetically stirred acidic solution under ntirogen atmosphere. After completion of addition the reaction mixture is heated under reflux using an oil bath for at least 1.0 hour. Then the dropping funnel is charged with formaldehyde 22.0 g (0.73 mole) of a 37% aqueous solution and is added to the reaction mixture dropwise over a 2-3 hour time interval. The reaction mixture is continued heating under reflux throughout the entire formaldehyde solution addition period. After completion of all of the formaldehyde solution, the reaction mixture is continued stirring under reflux for an additional 4-6 hours.
• reaction mixture is then allowed to cool and the product 4-N, N'-Bis (3-diaminothio ⁇ henyl) -1, 3- propanediamino hexamethylene phosphonic acid 24. is isolated from the reaction mixture and purified by ion exchange resin chromatography .
• Example VIII 2, 3, 9, 10- [2, 3-C, 9, 10-C) -dithiophenyl] -1, 4, 8, 11-tetraazacyclo tetradecane N,N',N",N'"-tetraacetic acid 26. and 2, 3, 9, 10- [2, 3-C,
• 1 2.0 g (0.007 mole) of 1, 3-diiodopropane and 5.70 g (0.068 mole) of sodium bicarbonate in 100 mL dry dimethyl sulfoxide is heated at 115°C for 4 hours under nitrogen atmosphere.
• the dimethyl sulfoxide solvent is removed under high vacuum and dried.
• the crude product is extracted three times each time with 100 mL methylene chloride by partitioning with water.
• the combined methylene chloride layer is washed with brine and water.
• the organic layer is dried over anhydrous sodium sulfate and filtered.
• the reaction mixture is diluted with sterile water to 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 Ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide. The measured conductivity is 2.89 Ms/cm.
• This solution is loaded on 5 x 60 cm column with 900 mL bed volume of AG® 1-X2 (acetate form) resin which is prewashed with 1 liter 1.5 M acetic acid, 1.5 liter water, 0.5 liter 0.02 M ammonium acetate pH 7.18 and 4 liter water final eluent pH 4.28 by FPLC at 40 mL/min. The column is eluted with water and gradually increased the solvent B (1.50 M acetic acid) of the gradient system. Fractions containing the product are pooled and solvent evaporated and dried under high vacuum to give 8.0 g (46%) of compound 26.
• the dropping funnel is charged with formaldehyde 5.0 g (0.172 mole) of a 37% aqueous solution and is added to the reaction mixture dropwise over a 2 to 3 hour time period.
• the reaction mixture is continued heating under reflux throughout the entire formaldehyde solution addition. After completion of all of the formaldehyde solution, the reaction mixture is continuously stirred under reflux for an additional 3 to 4 hours .
• reaction mixture is then allowed to cool and the product 2, 3, 9, 10- [ (2, 3-C; 9, 10-C) - dithiophenyl] -1,4,8, 11-tetraazacyclotetradecane N,N',N",N'"- tetramethylene-phosphonic acid 21_ is isolated from the reaction mixture and purified by ion exchange chromatography in 25% yield.
• Example IX 4-N, N'-Bis (3-diaminothiophenyl) 1, 3-propanediamino hexamethylene phosphonic acid 2_ ⁇ _ and 2, 3, 9, 10- [ (2, 3-C, 9,10-
• Ammonium thiocyanate (16.5 g, 0.217 mole) was added to a magnetically stirred suspension of 4, 4-diethoxycarbonylpropyl- 1, 3-dianiline (10. Og, 0.027 mole) (prepared as described above) in 1500 mL glacial acetic acid.
• a solution of bromine (34.6 g, 0.216 mole) in 100 L glacial acetic acid was then added dropwise to the suspension with stirring at room temperature. After stirring the reaction mixture overnight at room temperature, the dihydrobromide salt of the crude product was collected by filtration and dried.
• the product, 3_2 was isolated by dissolving the crude product in hot water, adjusting to basic pH with the addition of saturated sodium bicarbonate solution, collecting the precipitate by filtration, and drying in vacua .
• Solid potassium hydroxide (20.0 g, 0.357 mole) was added to a suspension of the (1.0 g, 0.002 mole) 32 in 40 mL distilled water, and the resulting mixture was heated at 120°C for 12 hours. Complete dissolution occurred after 1 hour.
• the reaction mixture was then cooled in an ice bath and the pH was adjusted to 5.0 with 5.0 N acetic acid.
• the aqueous solution was then extracted with three 100 mL portions of ethyl acetate. The combined ethyl acetate extracts were dried over anhydrous sodium sulfate and the drying agent was filtered. Removal of solvent yielded the product 33.
• reaction mxiture is diluted with sterile water to 2 liter volume and the pH is adjusted to 6.8 with 6.0 N hydrochloric acid.
• the conductivity for this solution is 4.89 ms/cm. It is further diluted to 4 liters with sterile water and the pH is adjusted to 8.2 with 2.0 N sodium hydroxide.
• the measured conductivity is 2.89 ms/cm.
• This solution is loaded on 5 x 60 column with 900 L bed volume of AG® 1-X2 (acetate form) resin which is prewashed with 1 liter 1.5 M acetic acid, 1.5 liter water, 0.5 liter 0.02 N ammonium acetate pH 7.18 and 4 liter water final eluent pH 4.28 by FPLC at 40 mL/min.
• the column is eluted with water and solvent B (1.50 M acetic acid) of the gradient system is gradually increased. Fractions containing the product are pooled and solvent evaporated and dried under high vacuum to give 7.10 g (
• a solution of 0.6 mL of 170 ⁇ g/mL N, ⁇ -bis (2-disulfidyl- 4-ethoxylcarbonylphenyl) -1, 3-propyldiamine N, N'-diacetic acid in either acetonitrile or isopropanol is added to 1.1 mL of Tc-99m gluconate (prepared from 0.12 mg stannous chloride dihydrate, 5.0 mg sodium gluconate at pH 6.1 - 6.3, and 100 mCi/mL of Tc-99m pertechnetate) .
• Tc-99m gluconate prepared from 0.12 mg stannous chloride dihydrate, 5.0 mg sodium gluconate at pH 6.1 - 6.3, and 100 mCi/mL of Tc-99m pertechnetate.
• the resulting mixture is incubated either at room temperature for 15-30 minutes or heated at 75°C for 2-5 minutes followed by cooling with an ice bath.
• the crude reaction mixture is then diluted with 3 mL water and purified by reverse phase chromatography.
• the crude product is loaded onto a pre-conditioned C-18 sample preparation cartridge (SPICETM cartridge supplied by Analtech) and eluted with 5 mL water followed by 10 mL 5% ethanol- saline, and 10 mL 10% ethanol saline, respectively.
• the Tc- 99m chelate product is eluted with 10 mL 50% ethanol-saline to give 75% radiochemical yield of the desired product.
• the radiochemical purity of the eluent is analyzed by reverse phase C-18 isocratic liquid chromatography using 50% ethanol- saline as the mobile phase at a flow rate of 0.8 mL per minute.

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