WO2016019285A1 - Method of preparing fluorine-18 labeled cabozantinib and its analogs - Google Patents
Method of preparing fluorine-18 labeled cabozantinib and its analogs Download PDFInfo
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- WO2016019285A1 WO2016019285A1 PCT/US2015/043195 US2015043195W WO2016019285A1 WO 2016019285 A1 WO2016019285 A1 WO 2016019285A1 US 2015043195 W US2015043195 W US 2015043195W WO 2016019285 A1 WO2016019285 A1 WO 2016019285A1
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- 0 *c(cc1)ccc1N Chemical compound *c(cc1)ccc1N 0.000 description 8
- XJGPHKQYHLZWFL-UHFFFAOYSA-N COC(C1(CC1)C(Nc(cc1)ccc1Oc1c(cc(c(OC)c2)OC)c2ncc1)=O)=O Chemical compound COC(C1(CC1)C(Nc(cc1)ccc1Oc1c(cc(c(OC)c2)OC)c2ncc1)=O)=O XJGPHKQYHLZWFL-UHFFFAOYSA-N 0.000 description 1
- VXEQRXJATQUJSN-UHFFFAOYSA-N COc(c(OC)cc1ncc2)cc1c2Oc(cc1)ccc1N Chemical compound COc(c(OC)cc1ncc2)cc1c2Oc(cc1)ccc1N VXEQRXJATQUJSN-UHFFFAOYSA-N 0.000 description 1
- ONIQOQHATWINJY-UHFFFAOYSA-N COc(c(OC)cc1ncc2)cc1c2Oc(cc1)ccc1NC(C1(CC1)C(Nc(cc1)ccc1F)=O)=O Chemical compound COc(c(OC)cc1ncc2)cc1c2Oc(cc1)ccc1NC(C1(CC1)C(Nc(cc1)ccc1F)=O)=O ONIQOQHATWINJY-UHFFFAOYSA-N 0.000 description 1
- KRZCOLNOCZKSDF-UHFFFAOYSA-N Nc(cc1)ccc1F Chemical compound Nc(cc1)ccc1F KRZCOLNOCZKSDF-UHFFFAOYSA-N 0.000 description 1
- ANHHAPAMTGRQMJ-UHFFFAOYSA-N OC(C1(CC1)C(Nc(cc1)ccc1Oc1ccnc2ccccc12)=O)=O Chemical compound OC(C1(CC1)C(Nc(cc1)ccc1Oc1ccnc2ccccc12)=O)=O ANHHAPAMTGRQMJ-UHFFFAOYSA-N 0.000 description 1
Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen 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
- C07D215/20—Oxygen atoms
- C07D215/22—Oxygen atoms attached in position 2 or 4
- C07D215/233—Oxygen atoms attached in position 2 or 4 only one oxygen atom which is attached in position 4
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen 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
- C07D215/20—Oxygen atoms
- C07D215/22—Oxygen atoms attached in position 2 or 4
Definitions
- the present invention relates to a method of preparing Cabozantinib (Cyclopropane- 1,1-dicarboxylic acid [4-(6,7-dimethoxy-quinolin-4-yloxy)-phenylo]amide (4-fluoro- phenyl)amide) and 18 F-labeled Cabozantinib.
- Molecular imaging provides a non-invasive assessment of biological and biochemical processes in living subjects.
- PET positron emission tomography
- GBM glioblastoma multiforme
- Cabozantinib (Cyclopropane- 1 , 1 -dicarboxylic acid [4-(6,7-dimethoxy-quinolin-4- yloxy)-phenylo]amide (4-fluoro-phenyl)amide, (1) is a multitargeted kinase inhibitor with inhibitory activity against vascular endothelial growth factor receptor-2 (VEGFR-2) (IC50 of 0.035 nM), tyrosine kinase MET (IC50 of 1.3 nM), receptor tyrosine kinase encoded by rearranged during transfection (RET) proto-oncogene (IC 50 4 nM), and c- IT (stem-cell factor) (IC50 of-4.6 nM)
- VEGFR-2 vascular endothelial growth factor receptor-2
- RET receptor tyrosine kinase encoded by rearranged during transfection
- RET receptor tyrosine kinase encoded
- Cabozantinib inhibits phosphorylation of receptors VEGFR-2, RET, and MET, as well as c-KIT, with ICs 0 values of 1.9, 7.8, 5.0, and 42 nM, respectively.
- Cabozantinib inhibits MET and VEGFR-2 phosphorylation in tumor models in vivo and demonstrates potent antimetastatic, antitumor, and antiangiogenic activity in preclinical models.
- the vascular endothelial growth factor (VEGF) and the hepatocyte growth factor (HGF) are potent mediators of angiogenesis.
- Angiogenesis is the formation of new blood vessels and is one of the key requirements of tumor growth during cancer progression. Recent studies suggest that activation of VEGF through the VEFGR-2 and the HGF receptor kinase MET, play synergistic roles in tumor progression.
- l-(4-(6,7-dimethoxyquinolin-3- yloxy)phenylcarbamoyl) cyclopropanecarboxylic acid is coupled with 4-fluoroaniline or [ 18 F]-fluoroaniline.
- the present invention provides a method for generating a compound of Formula I:
- Formula I or a pharmaceutically acceptable salt thereof wherein each of R 1 and R 2 is independently alkoxy or haloalkoxy; R 3 is H, F, CI, I or Br; and R 4 is F, 18 F, CI, I or Br; comprising:
- the coupling reagent is selected from the group consisting of ⁇ , ⁇ '-dicyclohexylcarbodiimide (DCC), ⁇ , ⁇ '-diisopropylcarbodiimide (DIC), l-ethyl-3- (3-dimethylaminopropyl)carbodiimide (EDCI), hydroxybenzotriazole (HOBt), l-hydroxy-7- azabenzotriazole (HOAt), benzotriazole-1 -yl-oxytripyrrolidinophosphonium
- hexafluorophosphate BOP reagent
- benzotriazol-l-yl-oxytripyrrolidinophosphonium hexafluorophosphate PyBOP
- l-[bis(dimethylamino)methylene]-lH-l,2,3-triazolo[4,5- b]pyridinium 3-oxid hexafluorophosphate HATU
- 0-(benzotriazol-l-yl)-N,N,N'N'- tetramethyluronium tetrafluoroborate TBTU
- N,N,N',N'-Tetramethyl-0-(lH-benzotriazol- l-yl)uranium hexafluorophosphate HBTU
- 0-[(ethoxycarbonyl)cyanomethylenamino]- ⁇ , ⁇ , ⁇ ', ⁇ ' -tetramethyluronium tetrafluoroborate TOTU
- Another aspect of the present invention provides a method for generating a compound of Formula I or a pharmaceutically acceptable salt thereof wherein each of R 1 and R 2 is independently alkoxy or haloalkoxy; R 3 is H, F, CI, I or Br; and R 4 is F, l8 F, CI, I or Br; comprising:
- microwave radiation can be applied to the coupling reaction in an amount ranging from about 10 watts to about 20 watts, thereby generating a higher yield of a compound of Formula I as compared to the yield of a compound of Formula I in the absence of microwave heating.
- Another aspect of the present invention provides a method for synthesizing a compound of Formula I, the method comprising:
- the base can include: potassium carbonate, sodium carbonate, sodium bicarbonate, triethyl amine (TEA), diisopropyl ethyl amine (DIPEA), pyridine, N,N-dimethylamino-4-pyridine (DMAP), and N-methylmorpholine (NMO), or combination thereof.
- TEA triethyl amine
- DIPEA diisopropyl ethyl amine
- pyridine N,N-dimethylamino-4-pyridine
- NMO N-methylmorpholine
- the fluorinating reagent is K[ 18 F] bound to a cryptand.
- suitable cryptand compounds can include: l,10-diaza-4,7, 13, 16,21,24- hexaoxa-l,10-diazabicyclo[8.8.8]hexacosane (Kryptofix® 2.2.2. or Kryptofix 2.2.2 or Kryptofix 222).
- an exemplary fluorinating reagent is Kryptofix 2.2.2/K 18 [F].
- FIG. 1 depicts the solid phase extraction (SPE) purification of 1,4-[ I8 F]- fluoronitrobenzene.
- FIG. 2 depicts a radio-HPLC chromatogram showing co-elution of [ 18 F]- Cabozantinib co-injected with non-radioactive reference standard.
- FIG. 3 depicts Positron Emission Tomography (PET) images of mice injected with [ F]-Cabozantinib.
- FIG. 4 depicts the radiometabolite analysis of [ ,8 F]-Cabozantinib in mouse plasma.
- FIG. 5 depicts the biodistribution analysis of [ 18 F]-Cabozantinib in mice.
- a substituent "R” may reside on any atom of the ring system, assuming replacement of a depicted, implied, or expressly defined hydrogen from one of the ring atoms, so long as a stable structure is formed.
- Alkoxy refers to the group -O-alkyl, for example including from one to eight carbon atoms of a straight, branched, cyclic configuration, unsaturated chains, and combinations thereof attached to the parent structure through an oxygen atom. Examples include methoxy, ethoxy, propoxy, isopropoxy, cyclopropyloxy, cyclohexyloxy and the like. Lower-alkoxy refers to groups containing one to six carbons.
- Alkyl is intended to include linear, branched, or cyclic hydrocarbon structures and combinations thereof, inclusively.
- C 8 alkyl may refer to an n-octyl, z ' so-octyl, cyclohexylethyl, and the like.
- Lower alkyl refers to alkyl groups of from one to six carbon atoms. Examples of lower alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, s- butyl, t-butyl, isobutyl, pentyl, hexyl and the like.
- Higher alkyl refers to alkyl groups containing more than eight carbon atoms.
- alkyl groups are those of C 20 or below.
- Cycloalkyl is a subset of alkyl and includes cyclic hydrocarbon groups of from three to thirteen carbon atoms. Examples of cycloalkyl groups include c-propyl, c-butyl, c-pentyl, norbornyl, adamantyl and the like.
- alkyl refers to alkanyl, alkenyl, and alkynyl residues (and combinations thereof); it is intended to include cyclohexylmethyl, vinyl, allyl, isoprenyl, and the like.
- alkyl residue having a specific number of carbons all geometric isomers having that number of carbons are intended to be encompassed; thus, for example, either “butyl” or “C 4 alkyl” is meant to include w-butyl, sec- butyl, isobutyl, /-butyl, isobutenyl and but-2-yne radicals; and for example, "propyl” or “C 3 alkyl” each include «-propyl, propenyl, and isopropyl.
- halogen or halo group refers to fluorine, chlorine, bromine or iodine.
- Haloalkoxy refers to an alkoxy group which is substituted with one or more halogen atoms.
- Cryptands are a family of synthetic and polycyclic multidentate ligands for a variety of cations.
- An exemplary cryptand can include: 1, 10-diaza-4,7, 13, 16,21,24- hexaoxabicyclo[8.8.8]hexacosane, which is a [2.2.2]cryptand.
- Cryptands are commercially available under the tradename Kryptofix®. Cryptands with nitrogen atom(s) exhibit high affinity for alkali metal cations.
- Adsorbents are materials that adsorb various chemicals and/or gases.
- adsorbents include silica gel (chemically inert, nontoxic, polar and stable up to 399°C) zeolites, basic alumina, neutral alumina, octadecyl carbon chain (C 18)-bonded silica column, C8-bonded silica, cyano-bonded silica and phenyl-bonded silica.
- Ion exchange resins are ion exchangers that exchange ions from a solution and a complex. They are either cation exchangers that exchange positively charged ions (cations) or anion exchangers that exchange negatively charged ions (anions). There are also amphoteric exchangers that are able to exchange both cations and anions simultaneously.
- “Pharmaceutically acceptable salt” of a compound means a salt that is
- Examples of pharmaceutically acceptable acid addition salts include those formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; as well as organic acids such as acetic acid, trifluoroacetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, malic acid, citric acid, benzoic acid, cinnamic acid, 3-(4-hydroxybenzoyl)benzoic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1 ,2-ethanedisulfonic acid, 2
- hydroxyethanesulfonic acid benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2 naphthalenesulfonic acid, 4 toluenesulfonic acid, camphorsulfonic acid, glucoheptonic acid, 4,4'-methylenebis-(3-hydroxy-2-ene-l-carboxylic acid), 3-phenylpropionic acid,
- “Pharmaceutically acceptable acid addition salt” refers to those salts that retain the biological effectiveness of the free bases and that are not biologically or otherwise undesirable, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like, as well as organic acids such as acetic acid, trifluoroacetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid and the like.
- inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like
- organic acids such as acetic acid, trifluoro
- “Pharmaceutically acceptable base addition salts” include those derived from inorganic bases such as sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum salts and the like. Exemplary salts are the ammonium, potassium, sodium, calcium, and magnesium salts. Salts derived from pharmaceutically acceptable organic non-toxic bases include, but are not limited to, salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, such as isopropylamine,
- Exemplary organic bases are isopropylamine, diethylamine,
- Methodabolite refers to the break-down or end product of a compound or its salt produced by metabolism or biotransformation in the animal or human body; for example, biotransformation to a more polar molecule such as by oxidation, reduction, or hydrolysis, or to a conjugate (see Goodman and Gilman, "The Pharmacological Basis of Therapeutics” 8 th Ed., Pergamon Press, Gilman et al. (eds), 1990 for a discussion of biotransformation).
- the metabolite of a compound of the invention or its salt may be the biologically active form of the compound in the body.
- a prodrug may be used such that the biologically active form, a metabolite, is released in vivo.
- a biologically active metabolite is discovered serendipitously, that is, no prodrug design per se was undertaken.
- An assay for activity of a metabolite of a compound of the present invention is known to one of skill in the art in light of the present disclosure.
- the present invention provides a method for generating a compound of Formula I:
- R 1 and R 2 are independently alkoxy or haloalkoxy;
- R 3 is H, F, CI, I or Br; and
- R 4 is F, l8 F, CI, I or Br; the method comprising:
- the coupling reagent can include: ⁇ , ⁇ '- dicyclohexylcarbodiimide (DCC), ⁇ , ⁇ '-diisopropylcarbodiimide (DIC), l-ethyl-3-(3- dimethylaminopropyl)carbodiimide (EDCI), hydroxybenzotriazole (HOBt), l-hydroxy-7- azabenzotriazole (HOAt), benzotriazole-l-yl-oxytripyrrolidinophosphonium hexafluorophosphate (BOP reagent), benzotriazol-l-yl-oxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), l-[bis(dimethylamino)methylene]-lH-l,2,3-triazolo[4,5- b]pyridinium 3-oxid hexafluorophosphate (HATU), 0-(benzotria
- the coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 occurs in the presence of a tertiary amine base.
- the tertiary amine base can include: diisopropylethyl amine (DIPEA), triethyl amine (TEA), N-methyl imidazole, pyridine, 4-(dimethylamino)pyridine (DMAP), 3,4- lutidine, 4-methoxypyridine, N-methylmorpholine (NMO), l,4-diazabicycle[2.2.2]octane (DABCO), and l,8-diazacycloundec-7-ene (DBU), or a combination thereof.
- DIPEA diisopropylethyl amine
- TEA triethyl amine
- N-methyl imidazole pyridine
- DMAP 4-(dimethylamino)pyridine
- DMAP 3,4- lutidine
- the coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 occurs in the presence of an aprotic solvent.
- the aprotic solvent can include: acetonitrile, diethyl ether, diisopropyl ether, 2- methoxyethyl ether, 1,2-dimethoxyethane, tert-butyl methyl ether, tetrahydrofuran, 1,4- dioxane, benzene, toluene, ⁇ , ⁇ , ⁇ -trifluorotoluene, cyclohexane, methylcyclohexane carbon tetrachloride, methylene chloride, ⁇ , ⁇ -dimethylformamide, dimethyl sulfoxide, and N- methyl-2-pyrrolidone or a combination thereof.
- the coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 is performed at temperatures ranging from about 20°C to about 100 °C, for example, from about 25 °C to about 100 °C. In some embodiments, the coupling reaction is performed at ambient temperature, i.e. from about 20°C to about 25 °C. In some embodiments, the coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 is performed at an elevated temperature ranging from about 80 °C to about 90 °C. In other embodiments, the coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 is performed at a temperature of about 85 °C.
- the present invention provides a method for synthesizing a compound of Formula I:
- R and R is independently alkoxy or haloalkoxy;
- R 3 is H, F, CI, I or Br; and
- R 4 is F, 18 F, CI, I or Br; the method comprising:
- the coupling reaction times are shorter than when performing the coupling reaction in the absence of microwave heating.
- the coupling reaction is performed with applied microwave radiation at power levels ranging from about 10 watts to about 50 watts.
- the coupling reaction is performed using microwave radiation heating wherein the amount of microwave radiation ranges between about 10 watts to about 20 watts. The times necessary for the exemplified coupling reactions comprising a compound of Formula 8 and a compound of Formula 9, may vary with the identities of the reactants, the solvent system and the chosen temperature.
- the coupling reagent can include: ⁇ , ⁇ '- dicyclohexylcarbodiimide (DCC), ⁇ , ⁇ '-diisopropylcarbodiimide (DIC), l-ethyl-3-(3- dimethylaminopropyl)carbodiimide (EDO), hydroxybenzotriazole (HOBt), l-hydroxy-7- azabenzotriazole (HOAt), benzotriazole-l-yl-oxytripyrrolidinophosphonium hexafluorophosphate (BOP reagent), benzotriazol-l-yl-oxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), l-[bis(dimethylamino)methylene]-lH-l,2,3-triazolo[4,5- b]pyridinium 3-oxid hexafluorophosphate (HATU), 0-(benzotria
- the coupling reaction of a compound of Formula 8 and a compound of Formula 9 in the presence of microwave heating further comprises the addition of a tertiary amine base.
- the tertiary amine base can include:
- DIPEA diisopropylethyl amine
- TEA triethyl amine
- N-methyl imidazole pyridine
- D AP 4- (dimethylamino)pyridine
- D AP 3,4-lutidine
- 4-methoxypyridine N-methylmorpholine (NMO)
- NMO N-methylmorpholine
- DABCO l,4-diazabicycle[2.2.2]octane
- DBU l,8-diazacycloundec-7-ene
- the coupling reaction of a compound of Formula 8 and a compound of Formula 9 in the presence of microwave heating further comprises the addition of an aprotic solvent.
- the aprotic solvent can include: acetonitrile, diethyl ether, diisopropyl ether, 2-methoxyethyl ether, 1,2-dimethoxyethane, tert-butyl methyl ether, tetrahydrofuran, 1,4-dioxane, benzene, toluene, ⁇ , ⁇ , ⁇ -trifluorotolune, cyclohexane, methylcyclohexane carbon tetrachloride, methylene chloride, N,N-dimethylformamide, dimethyl sulfoxide, and N-methyl-2-pyrrolidone, or a combination thereof.
- the coupling reaction of a compound of Formula 8 and a compound of Formula 9 is heated to a temperature ranging from about 25°C to about 100°C, or from about 80°C to about 90°C, or about 85°C using microwave radiation.
- the times necessary for the exemplified coupling reactions comprising a compound of Formula 8 and a compound of Formula 9, may vary with the identities of the reactants, the solvent system and the chosen temperature.
- Another aspect of the present invention is directed to a method for generating a compound of Formula I:
- R and R is independently alkoxy or haloalkoxy;
- R 3 is H, F, CI, I or Br; and
- R 4 is F, 18 F, CI, I or Br; comprising:
- the chlorinating or brominating agent can include: thionyl chloride, thionyl bromide, oxalyl chloride, phosphorus pentachloride and phosphorus trichloride. In some embodiments, the chlorinating agent is oxalyl chloride.
- the base can include: potassium carbonate, sodium carbonate, sodium bicarbonate, triethyl amine (TEA), diisopropylethyl amine (DIPEA), pyridine, 4-(dimethylamino)pyridine (D AP), and N-methylmorpholine (NMO), or a combination thereof.
- the base is potassium carbonate.
- the above reactions can be performed at temperatures ranging from about 20°C to about 40°C. In some embodiments, each reaction is performed at ambient temperature. The times necessary for the above exemplified reactions may vary with the identities of the reactants, the solvent system and the chosen temperature.
- the present invention provides a method for generating the compound of Formula 9a, wherein R 4 is l8 F, the method comprising:
- the fluorinating reagent is [ I8 F] bound to a cryptand.
- a suitable cryptand is 1, 10-diaza-4,7, 13, 16,21, 24-hexaoxa- 1,10- diazabicyclo[8.8.8]hexacosane (Kryptofix® 2.2.2. or Kryptofix 2.2.2 or Kryptofix 222).
- the fluorinating reagent is Kryptofix 2.2.2 K 18 [F].
- the fluorination reaction occurs in the presence of a polar aprotic solvent.
- the polar aprotic solvent can include: N,N- dimethylformamide, dimethyl sulfoxide, acetonitrile, N-methyl-2-pyrrolidone,
- the compound of Formula 9a is purified by passing through a series of columns packed with adsorbents and/or ion exchange resins.
- the adsorbents can include: silica gel, neutral alumina, basic alumina, octadecyl carbon chain (C18)-bonded silica column, C8-bonded silica, cyano-bonded silica, phenyl-bonded silica, or a combination thereof.
- the ion exchange resin can include acidic or cation-exchange resins, for example, cation ion- exchange resins containing sulphonate anions.
- the crude reaction mixture containing the compound of Formula 9a is further purified by passing the crude reaction mixture through three Sep-Pak cartridges connected in a series.
- the crude reaction mixture is passed through a basic alumina Sep-Pak cartridge to remove unreacted fluorinating reagent (for example, K[ 18 F]F.
- the resultant eluate is passed through a SCX Sep-Pak cartridge to remove unreacted trimethylanilinium salt (18).
- the enriched eluate containing the compound of Formula 9a is passed through a C-l 8 Sep-Pak cartridge to remove the reaction solvent (for example, dimethyl sulfoxide).
- the C-18 Sep-Pak cartridge is subsequently washed with 0.1N hydrochloric acid to remove any residual cryptand (for example, Kryptofix®).
- the final purification of the compound of Formula 9a is accomplished by eluting the compound of Formula 9a though the C-18 Sep- Pak cartridge with methanol.
- the reduction of the nitro group of the compound of Formula 22 is performed in the presence of a metal catalyst, an acid, and hydrogen.
- the metal catalyst is derived from palladium, platinum, rhodium, or nickel.
- the metal catalyst is palladium black.
- the acid is mineral acid. More particularly, the mineral acid is phosphorus acid.
- the reduction of the nitro group of the compound of Formula 22 is performed at temperatures ranging from about 25°C to about 80°C. In some embodiments, the reduction of the nitro group of the compound of Formula 22 is performed at 60°C.
- the present invention provides a method for generating a compound of Formula la, or a pharmaceutically acceptable salt thereof:
- R 4 is F or 18 F; the method comprising:
- the present invention provides a method for generating a compound of Formula la, or a pharmaceutically acceptable salt thereof:
- R 4 is F or l8 F; the method comprising:
- X is chloro or bromo
- the compound of Formula 2 wherein R 1 and R 2 are as defined above can be converted to a compound of Formula 3, wherein LG represents a leaving group.
- leaving groups include halo groups (e.g., CI, Br, or F) that can be added by halogenating agents such as SOCl 2 , S02CI 2 , COCI 2 , PCI5, POCI3, and the like.
- halo groups e.g., CI, Br, or F
- SOCl 2 e.g., S02CI 2 , COCI 2 , PCI5, POCI3, and the like.
- suitable reaction conditions in Scheme 1 can include the use of suitable solvents.
- Non-limiting example of suitable solvents that can be used during the halogenation of the compound of Formula 2 include a polar, aprotic solvent, such as CH3CN, DMF, and the like, or mixtures thereof.
- the chlorination can be carried out using POCI 3 in acetonitrile, COCI 2 in DMF, or SOCI 2 in DMF.
- the addition of the chlorination agent is advantageously carried out at a temperature ranging from about 60°C to about 90°C.
- the addition of the chlorination agent can be carried out at a temperature ranging from about 70°C to about 85°C.
- the addition of the chlorination agent can be carried out at a temperature ranging from about 74°C to about 80°C.
- the product can then be collected by filtration and purified using standard techniques.
- a compound of Formula 3 wherein R 1 and R 2 are as defined above is reacted with a substituted 4-aminophenol 4 wherein R 3 is defined above, to generate a compound of Formula 5.
- a non-limiting example of a leaving group (LG) includes a halo group such as CI, Br, or F.
- Various compounds of Formula 4 are commercially available, such as 2-fluoro-4-aminophenol and 4-aminophenol. Also, the skilled artisan would be able to make any variation of a compound of Formula 4 using commercially available starting materials and by using known techniques to modify these commercially available starting materials to yield various compounds within the scope of a compound of Formula 4.
- the Scheme 2 reaction in this embodiment is advantageously carried out under suitable reaction conditions.
- suitable reaction conditions include using suitable solvents such as polar solvents.
- suitable solvents such as polar solvents.
- suitable solvents such as polar solvents.
- suitable solvents such as polar solvents.
- polar solvents that can be used include tetrahydrofuran (THF), dimethylacetamide (DMA), dimethylsulfoxide (DMSO), dimethylformamide (DMF), ethyl acetate, N-methyl pyrrohdone (NMP), propylene carbonate, and the like, or mixtures thereof.
- the polar solvent is dimethylacetamide (DMA).
- the polar solvent is dimethylsulfoxide (DMSO).
- the polar solvent is dimethylformamide (DMF).
- the polar solvent is ethyl acetate. In another embodiment, the polar solvent is N- methyl pyrrohdone (NMP). In another embodiment, the polar solvent is propylene carbonate. In another embodiment, the solvent is a mixture of solvents, such as a mixture comprising THF and DMA.
- the reactant compounds of Formulas 3 and 4 can be added together at a temperature ranging from about 10°C to about 30°C, or alternatively, from about 15°C to about 28°C, or alternatively, from about 20°C to about 25 °C.
- the mixture is then heated to a temperature ranging from about 80°C to about 125°C, or alternatively, from about 95°C to about 110°C, or alternatively, from about 100°C to about 105°C, and the selected temperature is maintained until the reaction is complete.
- Suitable reaction conditions in Scheme 2 include the use of a suitable base, such as a metal hydroxide or a non-nucleophilic base.
- metal hydroxides include sodium hydroxide or potassium hydroxide.
- non-nucleophilic bases that can be used include lithium diisopropylamide, lithium tetramethylpiperidide, and alkali metal alkoxides such as sodium tert-butoxide, potassium tert-butoxide, sodium-pentoxide, and the like, or mixtures thereof.
- the base is sodium tert-butoxide or sodium tert-pentoxide.
- the base is sodium tert- pentoxide.
- the sodium tert-pentoxide is commercially available as 35 weight percent solution of base in tetrahydrofuran, or as a 95 weight percent solid reagent.
- the sodium tert-pentoxide is a 95 weight percent solid.
- the amount of molar equivalents of amino phenol that are used exceeds the molar equivalents of base that are used. In one embodiment, 1.1 to 2 molar equivalents of amino phenol are used relative to the molar equivalents of base that are used.
- the reaction mixture can be cooled to a temperature ranging from about 10°C to about 25 °C.
- Precooled water can be charged at a rate to maintain a temperature that ranges from about 5°C to about 35°C.
- the precooled water can be charged at a rate to maintain a temperature that ranges from about 10°C to about 25°C.
- the precooled water can be at a temperature ranging from about 0°C to about 10°C.
- the precooled water can be at a temperature ranging from about 2°C to about 7°C.
- the precipitate can be collected by filtration under standard conditions and purified by standard purification techniques.
- Suitable coupling reagents include: ⁇ , ⁇ '-dicyclohexylcarbodiimide (DCC), ⁇ , ⁇ '- diisopropylcarbodiimide (DIC), l-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDCI), hydroxybenzotriazole (HOBt), l-hydroxy-7-azabenzotriazole (HO At), benzotriazole-l-yl- oxytripyrrolidinophosphonium hexafluorophosphate (BOP reagent) benzotriazol-l-yl- oxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), 1-
- HATU hexafluorophosphate
- TBTU 0-(benzotriazol- 1 -yl)-N,N,N'N'-tetramethyluronium tetrafluoroborate
- HBTU N,N,N',N'-tetramethyl-0-(lH-benzotriazol-l-yl)uranium hexafluorophosphate
- TOTU 0-[(ethoxycarbonyl)cyanomethylenamino]-N,N,N',N'- tetramethyluronium tetrafluoroborate
- TOTU 0-cyano-2-ethoxy-2- oxoethylidenaminooxy)dimethylamino-morpholino-carbenium hexafluorophosphate
- COMPU hexafluorophosphate
- Suitable reaction solvents include, but are not limited to aprotic solvents.
- Suitable examples of aprotic solvents useful in the reaction shown in Scheme 3 can include: acetonitrile, diethyl ether, diisopropyl ether, 2-methoxyethyl ether, 1 ,2-dimethoxyethane, tert-butyl methyl ether, tetrahydrofuran (THF), 1,4-dioxane, benzene, toluene, ⁇ , ⁇ , ⁇ -trifluorotolune, cyclohexane, methylcyclohexane carbon tetrachloride, methylene chloride (DCM), ⁇ , ⁇ -dimethylformamide (DMF), dimethyl sulfoxide (DMSO), N-methyl-2-pyrrolidone (NMP) or a combination thereof.
- DCM methylene chloride
- DMF ⁇ , ⁇ -dimethylformamide
- the times necessary for the exemplified coupling reactions comprising a compound of Formula 5 and a compound of Formula 6, may vary with the identities of the reactants, the solvent system and the chosen temperature. Exemplary reaction times can range from about 2 hours to about 10 hours. In some embodiments, the reaction time is about 5 hours. The reaction can be performed at temperatures ranging from about 20 °C to about 30 °C.
- the ester compound of Formula 7 wherein R 1 and R 2 are as defined above is saponified in the presence of an alkaline or an alkaline earth metal hydroxide to generate an acid compound of Formula 8.
- alkaline or alkaline metal hydroxides can include: sodium hydroxide, lithium hydroxide, caesium hydroxide, and potassium hydroxide.
- Suitable solvents can include methanol, ethanol, isopropanol, isopropanol, water or a combination thereof.
- the times necessary for the exemplified saponification reaction comprising a compound of Formula 7 may vary with the identities of the reactants, the solvent system and the chosen temperature. Exemplary reaction times can range from about 5 hours to about 32 hours. In some embodiments, the reaction time is about 24 hours.
- the reaction can be performed at temperatures ranging from about 20 °C to about
- Suitable coupling reagents include: ⁇ , ⁇ '- dicyclohexylcarbodiimide (DCC), ⁇ , ⁇ '-diisopropylcarbodiimide (DIC), l-ethyl-3-(3- dimethylaminopropyl)carbodiimide (EDCI), hydroxybenzotriazole (HOBt), l-hydroxy-7- azabenzotriazole (HO At), benzotriazole- 1 - l-oxytripyrrolidinophosphonium
- hexafluorophosphate (BOP reagent) benzotriazol-l-y l-oxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), l-[bis(dimethylamino)methylene]-lH-l,2,3-triazolo[4,5- b]pyridinium 3-oxid hexafluorophosphate (HATU), 0-(benzotriazol-l-yl)-N,N,N'N'- tetramethyluronium tetrafluoroborate (TBTU), N,N,N',N'-tetramethyl-0-(lH-benzotriazol-l- yl)uranium hexafluorophosphate (HBTU), 0-[(ethoxycarbonyI)cyanomethylenamino]- ⁇ , ⁇ , ⁇ ', ⁇ '-tetramethyluronium tetrafluoroborate (TOTU), (l-cyano
- Suitable solvents for the use in the coupling reaction of Scheme 5 can include, but are not limited to aprotic solvents.
- aprotic solvents include: acetonitrile, diethyl ether, diisopropyl ether, 2-methoxy ethyl ether, 1,2-dimethoxyethane, tert-butyl methyl ether, tetrahydrofuran (THF), 1,4-dioxane, benzene, toluene, ⁇ , ⁇ , ⁇ -trifluorotolune, cyclohexane, methylcyclohexane carbon tetrachloride, methylene chloride (DCM), N,N- dimethylformamide (DMF), dimethyl sulfoxide (DMSO), N-methyl-2-pyrrolidone (NMP) or a combination thereof.
- the coupling reaction of Scheme 5 can be assisted by heating the reactants using microwave radiation ranging from about 10 watts to about 50 watts.
- the coupling reaction of Scheme 5 can proceed in the presence of a base, for example:
- DIPEA diisopropylethyl amine
- TEA triethyl amine
- N-methyl imidazole pyridine, N,N- dimethylamino-4-pyridine (DMAP), 3,4-lutidine, 4-methoxypyridine (NMO), 1,4- diazabicycle[2.2.2]octane(DABCO), l,8-diazabicyloundec-7-ene (DBU) or a combination thereof.
- the coupling reaction of Scheme 5 can be heated to a desired temperature varying from about 25 °C to about 100 °C. In some embodiments, the coupling reaction of Scheme 5 can be heated to the desired temperature using microwave radiation. In some embodiments, the coupling reaction when heated to a temperature ranging from about 25 °C to about 100 °C using microwave radiation results in shorter reaction times compared to the coupling reaction without microwave heating.
- the reaction times necessary for the exemplified coupling reaction comprising a compound of Formula 8 and a compound of Formula 9 may vary with the identities of the reactants, the solvent system and the chosen temperature.
- the reactants of the coupling reaction of Scheme 5 can be heated using about 10 watts to about 20 watts of microwave radiation to reach the desired temperature of from about 25 °C to about 100 °C, which provides a higher yield of the desired product.
- Suitable solvents for the reaction include diethyl ether, diisopropyl ether, 2-methoxyethyl ether, 1,2-dimethoxyethane, tert-butyl methyl ether, tetrahydrofuran (THF), 1,4-dioxane, benzene, toluene, ⁇ , ⁇ , ⁇ -trifluorotolune, cyclohexane,
- reaction times necessary for the exemplified halogenation reaction of Scheme 6 comprising a compound of Formula 8 may vary with the identities of the reactants, the solvent system and the chosen temperature. In some embodiments, the reaction of Scheme 6 may proceed at a desired temperature ranging from about 20 °C to about 25 °C.
- Suitable bases for use in the reaction of Scheme 7 can include potassium carbonate, sodium carbonate, sodium bicarbonate, triethyl amine (TEA), diisopropyl ethyl amine (DIPEA), pyridine, N,N-dimethylamino-4-pyridine (DMAP) or N-methylmorpholine (NMO).
- Suitable solvents include water, ethanol, isopropanol, dimethyl sulfoxide or a combination thereof.
- reaction times necessary for the exemplified coupling reaction of Scheme 7 comprising a compound of Formula 8a and a compound of Formula 9 may vary with the identities of the reactants, the solvent system and the chosen temperature. In some embodiments, the reaction of Scheme 7 may proceed at a desired temperature ranging from about 20 °C to about 25 °C.
- [ ,8 F]-Fluoride was purchased from P.E.T. Net ® Pharmaceuticals. Inc. All reagents were obtained from Aldrich Chemical Company or Lancaster ® and were either ACS grade or of the highest quality material commercially available.
- Zorbax CI 8 analytical, semi- preparative HPLC columns, 25 mm (0.45 ⁇ ) nylon syringe filters (Pall P.N. 4438T), Merck LiChrolut ® SCX (P.N. 48219-242), and Merck LiChrolut ® EN cartridges (P.N. 48219-232 200 mg) were obtained from VWR Inc. Basic alumina light (Waters P.N. WAT023555, 280 mg), C18-plus (Waters P.N. WAT 020515, 360 mg), and QMA light (Waters P.N.
- WAT023525, 130 mg were obtained from Waters.
- Microvials (5 ml) were obtained from Kontes.
- the microwave heating model RI 520A was obtained from Resonance Instruments Inc. (Skokie, IL).
- Mass spectra were obtained with a Finnigan TSQ or a Finnigan LCQ mass spectrometer. Proton NMR spectra were recorded on a Jeol EC+ 500 MHz NMR.
- a reactor was charged sequentially with 6,7-dimethoxy-quinoline-4-ol (47.0 kg) and acetonitrile (318.8 kg). The resulting mixture was heated to approximately 60 °C, and phosphorus oxychloride (POCl 3 , 130.6 kg) was added. After the addition of POCl 3 , the temperature of the reaction mixture was raised to approximately 77 °C. The reaction was deemed complete (approximately 13 hours) when less than 3% of the starting material remained (in-process high-performance liquid chromatography [HPLC] analysis).
- HPLC high-performance liquid chromatography
- the reaction mixture was cooled to approximately 2 - 7 °C and then quenched into a chilled solution of dichloromethane (DCM, 482.8 kg), 26 % NH 4 OH (251.3 kg), and water (900 L).
- DCM dichloromethane
- the resulting mixture was warmed to approximately 20 - 25 °C, and phases were separated.
- the organic phase was filtered through a bed of AW hyflo super-eel NF (Celite; 5.4 kg) and the filter bed was washed with DCM (118.9 kg).
- the combined organic phase was washed with brine (282.9 kg) and mixed with water (120 L). The phases were separated and the organic phase was concentrated by vacuum distillation with the removal of solvent
- Example 5 Preparation of l-14-f6,7-dimethoxy-quinolin-4-yloxy)- phenylcarbamoyll-cyclopropanecarboxylic acid (15).
- Method A Cabozantinib (1) was obtained via a microwave-assisted reaction with 4- fluoroaniline, HATU, DIPEA, and l-(4-(6,7-dimethoxyquinolin-4- yloxy)phenylcarbamoyl)cyclopropanecarboxylic acid (15) in 80% isolated yields.
- microwave powers of greater than 50W led to vigorous refluxing of these solutions; therefore, powers of 10-50 W were investigated. It was determined that using lower wattages of 10-20 W, allowed the reaction temperature to reach 85°C over a 20 minute period.
- Method B To a solution of l-(4-(6,7-dimethoxyquinolin-4- yloxy)phenylcarbamoyl)cyclopropanecarboxylic acid (15, 123 mg, 0.30 mmol), 4- fluoroaniline (40 mg, 0.36 mmol), DIPEA (234 mg, 1.81 mmol) and DMF (3 mL) was added (benzotriazol-l-yloxy)tripyrrolidinophosphonium hexafluorophosphate (PyBOP, 470 mg, 0.90 mmol) with stirring at 25°C. The resulting solution was stirred at 25 °C for 1 h.
- N,N-dimethyl-4-nitroaniline (17, 0.7 g, 4.0 mmol) and benzene (10 mL) were added to a nitrogen-purged flask equipped with a stir bar.
- methyl trifluoromethanesulfonate 0.7 mL, 6.1 mmol
- the reaction was then heated to 40 °C for a 24-hour period.
- the ⁇ , ⁇ , ⁇ - trimethyl-4-nitrobenzenaminium trifluoromethanesulfonate (18, 1.0 g, 3.0 mmol, 75 % yield) precipitated from solution as an orange solid.
- the aqueous [ I8 F]-Fluoride solution (1.0 mL, 18.5GBq/ 500 mCi) was purchased from P.E.T. Net ® Pharmaceuticals in West Point PA and shipped to the site. The average delivery time at the end of bombardment was 80 minutes, and once delivered, was transferred to our remote controlled synthesis apparatus and delivered to a Sep-Pak light QMA [The Sep- Pak light QMA cartridge was pre-conditioned sequentially with 5mL of 0.5 M potassium bicarbonate, 5 mL of deionized water, and 5 mL of MeCN before use].
- the aqueous [ 18 F]- fluoride was released from the QMA Sep-Pak by the sequential addition of potassium carbonate ( 15 mg/mL; 0.1 mL) followed by a mixture of potassium carbonate ( 30 mg/ml, 0.1 mL), 4,7, 13, 16,21, 24-hexaoxa- 1, 10- diazabicyclo[8.8.8]hexacosane (Kryptofix® 2.2.2., 15 mg, 0.04 mmol) and 1.2 mL of MeCN. The solvent was evaporated under a gentle stream of nitrogen at 90 °C and vacuum.
- the reaction mixture is passed through a SCX Sep-Pak cartridge to remove unreacted trimethylanilinium salt (18).
- the compound is passed through C-18 Sep-Pak cartridge (Waters ⁇ . ⁇ . WAT 020515, 360 mg) that was pre-conditioned with 10 mL ethanol & 10 mL DI water to remove the reaction solvent (for example, dimethyl sulfoxide).
- the [ 18 F]-l,4-fluoronitrobenzene (22a) was retained onto C-18 Plus Sep-Pak.
- Residual Kryptofix 2.2.2 was rinsed from the C- 18 Plus Sep-Pak by an addition of 10 mL of 0.1 ⁇ HC1.
- [ 18 F]-l,4-fluoronitrobenzene was eluted from this Sep-Pak via the addition of 2 mL of anhydrous methanol.
- the schematic diagram showing the various steps of purification of [ l8 F]-l,4-fluoronitrobenzene is shown in FIG. 1.
- the eluted methanol solution containing [ 18 F]-l,4-fluoronitrobenzene was transferred into a sealed 5 mL microvial that contained palladium black (11.0 mg, 0.1 mmol), phosphorous acid (0.10 g, 1.3 mmol) and conical stir bar.
- the UV was monitored at 254 nM and the flow rate was 1 mL/min, generating a back pressure of 1100 PSL
- the specific activity using this method was measured against a 6 point calibration curve and determined to be 42.2 +/- 10 GBq/ ⁇ (1.14 +/- 0.2 Ci/ ⁇ ).
- Example 1 1 The coupling reaction as described in Example 1 1 was conducted by varying microwave heating at various wattages and solvents. The results are shown in Table 1. A significant amount of precursor decomposition was noticed when the reactions conducted at powers above 20 W. An increase in the isolated amount of [ l8 F]-Cabozantinib lb was seen using DMF as the reaction solvent and decreased when DMSO, THF, or a mixture of
- Rodent imaging experiments were performed on a dedicated small animal microPET F120TM scanner (Siemens Preclinical Solutions, Knoxville, TN). Both static and dynamic PET imaging studies were conducted on athymic BALB/C mice (Harlan) and stereotactically implanted U87 tumor cells. The mice were administered about 6.4-7.4 MBq (0.17-0.2 mCi) of [ 18 F]-Cabozantinib via the tail vein. The mice were anesthetized (2% isofluorane in 0 2 at a flow rate of 1 mL/min) during tracer injection and throughout the imaging period. After injection, each mouse was laid in the microPET scanner.
- PET data were reconstructed using an OSEM 2D algorithm into a 128x128x95 image matrix (resulting in final voxel dimensions of 0.79x0.79x0.8 mm). Dead time, decay correction, attenuation correction, and normalization were applied to all PET data. Data were analyzed by manually drawing standardized volumes of interest using the Siemens ASIPro VM software package version 6.6.
- [ ,0 F]-Cabozantinib (SUV mean 0.19) uptake in the brain of these control animals.
- MRI confirmed the location of these tumors.
- visualization of the tumor could be observed with this tracer.
- FIG. 3 depicts Positron Emission Tomography (PET) images of mice injected with PET
- Frame B shows PET image of mice with stereotactically implanted U87 tumor cells. Images are summed frames over 15-45 post injection of a 6.3 MBq (0.17 mCi) of [ 18 F]-Cabozantinib.
- a tumorbrain ratio which is the ratio of the amount of [ 18 F]-Cabozantinib in the tumor compared to the amount of [ 18 F]-Cabozantinib in the brain in non-tumor regions, of 2.6 to 2.8 was measured for U87 stereotactically implanted tumor cells.
- Frame C shows MRI image of the same stereotatically implanted U87 tumor bearing mouse as shown in Frame B.
- Frame D shows PET image in the same animal, in the same view as MRI (Frame C) to confirm tumor location and PET tracer uptake in the tumor region.
- Example 16 Stereotactic intracranial surgical procedures.
- mice All animal procedures were done in accordance with established policy and protocols.
- Athymic BALB/C mice (Harlan) were anesthetized (2% isofluorane in 0 2 at a flow rate of 1 L/min) and positioned in a stereotaxic atlas prior to surgery.
- a midline cranial incision was made and bregma located. From bregma, the coordinates 2 mm lateral x 2 mm posterior were used, and a small bore hole was made with a dental drill.
- Using a Hamilton syringe (30 g) inserted to a depth of 3 mm 2.5xl0 5 U87 cells (ATCC) in 10 ⁇ of RPMI were injected over a 3 minute period.
- ATCC 2.5xl0 5 U87 cells
- Bone wax (Ethicon) was used to seal the burr hole followed by Veterinary Tissue Adhesive (3M) to close the incision. Mice were recovered from anesthesia, observed for any signs of pains or distress, and if necessary, provided appropriate veterinary care. After 7 days, mice were initiated on imaging protocols to monitor disease progression
- Example 18 In vivo metabolism of f ' 8 Fl-Cabozantinib (lb)
- [ 18 F]-Cabozantinib was extracted in the plasma samples taken from mice with no significant differences in metabolism of this tracer in tumored or wild type mice. 10 of methanol extract of mouse plasma was co-spotted with non-radioactive reference compound onto and across the TLC plates, which were blow-dried with warm air and developed in TLC chamber. The TLC solution used in this study is 8% methanol in dichloromethane which gave a R f -0.55. After the development was completed, the TLC plate was placed onto the radio-TLC scanner (Bioscan AR2000), which scanned the TLC plate for 15 minutes. The peak areas were calculated to give the metabolite profile of [ l 8 F]-Cabozantinib.
- FIG. 5 depicts biodistribution analysis of [ 18 F]-Cabozantinib in mice.
- the highest tracer uptake was found in the liver (14.4 ⁇ 3.1 %ID/g), followed by the kidneys (14.2 ⁇ 3.0 %ID/g), heart (12.9 ⁇ 3.2 %lD/g), bladder (7.1 ⁇ 6.5 %ID/g), small intestines (7.0 ⁇ 2.4 %ID/g), lungs (6.5 ⁇ 1.1 %ID/g, stomach (5.2 ⁇ 1.7 %ID/g), spleen (4.7 ⁇ 1.2 %ID/g), large intestines (4.7 ⁇ 2.1 %ID/g), femur (2.9 ⁇ 1.0 %ID/g ) muscles (4.4 ⁇ 1.1 %ID/g), blood (1.8 ⁇ 0.2 %ID/g), and brain (0.9 ⁇ 0.2 %ID/g).
- the highest tracer uptake was found in the liver (14.0 ⁇ 1.9 %ID/g), followed by the kidneys (11.7 ⁇ 1.5 %ID/g), small intestines (10.7 ⁇ 1.1 %ID/g), heart (9.5 ⁇ 1.5 %ID/g), stomach (8.4 ⁇ 1.5 %ID/g), lungs (4.9 ⁇ 0.8 %ID/g, bladder (4.3 ⁇ 1.2 %ID/g), large intestines (4.6 ⁇ 0.9 %ID/g), muscles (4.2 ⁇ 0.3 %ID/g), spleen (3.6 ⁇ 0.6 %ID/g), blood (2.2 ⁇ 0.3 %ID/g), femur (1.8 ⁇ 0.8 %ID/g ) and brain (0.9 ⁇ 0.1 %ID/g).
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EP3174854A1 (en) | 2017-06-07 |
EA033834B1 (en) | 2019-11-29 |
US20220194902A1 (en) | 2022-06-23 |
CN106715397B (en) | 2021-07-23 |
CA2956810C (en) | 2022-10-04 |
JP2017523195A (en) | 2017-08-17 |
JP2020186261A (en) | 2020-11-19 |
JP6789923B2 (en) | 2020-11-25 |
ES2929888T3 (en) | 2022-12-02 |
US20170217896A1 (en) | 2017-08-03 |
EP3174854B1 (en) | 2022-08-24 |
MA40386A (en) | 2016-02-04 |
EA201790286A1 (en) | 2017-06-30 |
CA2956810A1 (en) | 2016-02-04 |
CN106715397A (en) | 2017-05-24 |
US11124481B2 (en) | 2021-09-21 |
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