Publications by authors named "David Alexoff"

Background: A new β-amyloid (Aβ) targeting radiotracer, [F]D3FSP ([F]P16-129), for diagnosis of Alzheimer's disease (AD) is reported. This radiotracer is a deuterated N-methyl derivative of Amyvid (AV-45, florbetapir f18) which was FDA-approved in 2013. Deuteration may alter a tracer's PK such that imaging performance is improved.

View Article and Find Full Text PDF
Article Synopsis
  • Bisphosphonates are crucial for treating bone tumors by preventing bone loss; this study explores the effectiveness of a new bisphosphonate, [Lu]Lu-P15-073, in radioligand therapy for bone metastases.
  • Ten patients aged 35 to 75 with bone metastases received a single dose of [Lu]Lu-P15-073, showing rapid accumulation in tumors and minimal impact on other organs, while demonstrating safety through blood tests and pain assessments.
  • The results indicate that the treatment was well-tolerated, significantly reduced pain in most patients, and suggests that [Lu]Lu-P15-073 could be a promising option for managing bone metastases.
View Article and Find Full Text PDF
Article Synopsis
  • D6-[F]FP-(+)-DTBZ is a new imaging agent designed for PET scans that helps diagnose Parkinson's disease (PD) by tracking VMAT2 transporters in the brain.
  • In a study, this radioligand demonstrated efficient production, high purity, and distinct uptake in brain regions associated with PD, showing a greater effectiveness compared to its non-deuterated counterpart.
  • The findings suggest that D6-[F]FP-(+)-DTBZ could serve as a safer, more effective tool for monitoring VMAT2 levels in monoamine neurons, potentially improving PD diagnosis.
View Article and Find Full Text PDF

Purpose: Prostate-specific membrane antigen (PSMA) is a promising target for diagnosis and radioligand therapy (RLT) of prostate cancer. Two novel PSMA-targeting radionuclide therapy agents, [Lu]Lu-P17-087, and its albumin binder modified derivative, [Lu]Lu-P17-088, were evaluated in metastatic castration-resistant prostate cancer (mCRPC) patients. The primary endpoint was dosimetry evaluation, the second endpoint was radiation toxicity assessment (CTCAE 5.

View Article and Find Full Text PDF

Bone metastasis in cancer patients is a major disease advancement for various types of cancer. Previously, [Ga]Ga-HBED-CC-bisphosphonate ([Ga]Ga-P15-041) showed excellent bone uptake and efficient detection of bone metastasis in patients. To accommodate different α- or β-emitting metals for radionuclide therapy, a novel DOTA-HBED-CC-bisphosphonate (P15-073, ) was prepared and the corresponding [Ga]Ga- and [Lu]Lu- were successfully synthesized in high yields and purity.

View Article and Find Full Text PDF
Article Synopsis
  • Recent advancements in PSMA-targeted radiopharmaceuticals, specifically [F]AlF-P16-093, have improved PET imaging for prostate cancer, enhancing accuracy in staging the disease.
  • A custom automated synthesis platform produced over 15 GBq of [F]AlF-P16-093, achieving a radiochemical yield of about 52% and high purity.
  • The final product formulation shows stability, with a minimal decline in radiochemical purity when stored correctly, indicating potential for clinical use.
View Article and Find Full Text PDF
Article Synopsis
  • The paper explores the optimization of pharmacokinetic modeling and a simplified method for quantifying [F]AlF-P16-093, a new tracer used in imaging prostate cancer.
  • Dynamic PET/CT scans were conducted on patients to analyze the tracer's effectiveness, assessing three kinetic models and correlating results to develop a simpler quantification approach.
  • Results indicated that a reversible two-compartment model (2T4K) provided the best fit for the tracer, with significant correlations found between the quantification methods and prostate-specific antigen levels.
View Article and Find Full Text PDF

Purpose: This is a first-in-human study to evaluate the radiation dosimetry of a new prostate-specific membrane antigen (PSMA)-targeted radiopharmaceutical, [F]AlF-P16-093, and also initial investigation of its ability to detect PSMA-positive tumors using PET scans in a cohort of prostate cancer (PCa) patients.

Methods: The [F]AlF-P16-093 was automatically synthesized with a GE TRACERlab. A total of 23 patients with histopathologically proven PCa were prospectively enrolled.

View Article and Find Full Text PDF

Prostate-specific membrane antigen (PSMA) is an excellent target for imaging and radionuclide therapy of prostate cancer. Recently, [Lu]Lu-PSMA-617 (Pluvicto) was approved by the FDA for radionuclide therapy. To develop hetero-bivalent agents targeting both PSMA and bone metastasis, [Lu]Lu-P17-079 ([Lu]Lu-1) and [Lu]Lu-P17-081 ([Lu]Lu-2) were prepared.

View Article and Find Full Text PDF

Background: Incontinence and impotence occur following radical prostatectomy due to injury to nerves and sphincter muscle. Preserving nerves and muscle adjacent to prostate cancer risks positive surgical margins. Advanced imaging with MRI has improved cancer localization but limitations exist.

View Article and Find Full Text PDF

Prostate-specific membrane antigen (PSMA) is a promising target for the diagnosis and radionuclide therapy of prostate cancer. This study reports conversion of a previously reported Ga-imaging agent, [Ga]Ga-P16-093, to a Lu-177 radionuclide therapeutic agent. Substitution of the HBED-CC metal chelating group with DOTA(GA) led to P17-087 () and P17-088 ().

View Article and Find Full Text PDF

Purpose: Prostate-specific membrane antigen (PSMA) is a promising molecular target for imaging of prostate adenocarcinoma. Ga-P16-093, a small molecule PSMA ligand, previously showed equivalent diagnostic performance compared to Ga-PSMA-11 PET/CT in a pilot study of prostate cancer patients with biochemical recurrence (BCR). We performed a pilot study for further characterization of Ga-P16-093 including comparison to conventional imaging.

View Article and Find Full Text PDF

[F]AV-45 (florbetapir f18, Amyvid) is an FDA-approved PET imaging agent targeting Aβ plaques in the brain for diagnosis of Alzheimer's disease (AD). Its metabolites led to a high background in the brain and large bone uptake of [F]F, produced from dealkylation of the PEG chain. To slow down the in vivo metabolism, we report the design, synthesis, and evaluation of a highly deuterated derivative, [F]D15FSP, and compared it with -methyl-deuterated [F]D3FSP and nondeuterated [F]AV-45.

View Article and Find Full Text PDF

Prostate-specific membrane antigen (PSMA)-targeted radioligands have played an increasing role in the diagnosis of prostate cancer. [Ga]Ga-P16-093 is a PSMA-targeting agent for positron emission tomography imaging, currently under a Phase 2 clinical trial. In the present study, P16-093 was labeled with F via [F]AlF complex formation, and the biological properties of [F]AlF-P16-093 were evaluated.

View Article and Find Full Text PDF

Prostate-specific membrane antigen (PSMA) is overexpressed in prostate cancer cells and therefore is an attractive target for prostate cancer diagnosis and radionuclide therapy. Recently, published results from clinical studies using a new PSMA-targeting PET imaging agent, [Ga]Ga-PSMA-093 ([Ga]Ga-HBED-CC--carboxymethyl-Tyr-CO-NH-Glu), support the development of this agent for the diagnosis of prostate cancer. In this study, the HBED-CC chelating group in PSMA-093 was replaced by stereoselective ()- or ()-DOTAGA.

View Article and Find Full Text PDF

Gonadal hormones are linked to mechanisms that govern appetitive behavior and its suppression. Estrogens are synthesized from androgens by the enzyme aromatase, highly expressed in the ovaries of reproductive-aged women and in the brains of men and women of all ages. We measured aromatase availability in the amygdala using positron emission tomography (PET) with the aromatase inhibitor [C]vorozole in a sample of 43 adult, normal-weight, overweight, or obese men and women.

View Article and Find Full Text PDF

Introduction: [Ga]Ga-P15-041 ([Ga]Ga-HBED-CC-BP) is a novel bone-seeking PET radiotracer that can be generator-produced. We undertook a Phase 0/I clinical trial to assess its potential for imaging bone metastases in prostate cancer including assessment of radiotracer biodistribution and dosimetry.

Methods: Subjects with prostate cancer and known or suspected osseous metastatic disease were enrolled into one of two arms: dosimetry or dynamic.

View Article and Find Full Text PDF

Positron emission tomography (PET) imaging using Ga-labeled bisphosphonates to target bone metastasis could be a valuable tool in cancer diagnosis and monitoring therapeutic treatment. A Ga labeled ligand, ,-bis[2-hydroxy-5-(carboxyethyl)benzyl]ethylenediamine-,-diacetic acid (HBED-CC) containing one bisphosphonate group (HBED-CC-BP, ) was prepared and evaluated. The new ligand, , reacted rapidly to form [Ga]Ga-, via complexing with [Ga]GaCl eluted from a commercially available Ge/Ga generator (in a sodium acetate buffer at pH 4, reaching >95% labeling yield at room temperature in 5 min).

View Article and Find Full Text PDF

Introduction: Since the approval of three F labeled β-amyloid-targeting PET imaging agents, Amyvid (florbetapir f18, AV-45), Neuraceq (florbetaben f18, AV-1) and Vizamyl (flutemetamol f18, F-PIB), they have increasingly been employed to assist differential diagnosis of Alzheimer's disease in patients with dementia. Also, they are frequently used in selecting patients participating drug trials aiming to reduce β-amyloid (Aβ) plaques in the brain. The first approved tracer in this class was [F]AV-45, which is metabolized rapidly in blood and some of its N-demethylated metabolites cross the blood brain barrier and resulted in lowering the image contrast.

View Article and Find Full Text PDF

Radioligand therapy (RLT) using prostate-specific membrane antigen (PSMA) targeting ligands is an attractive option for the treatment of Prostate cancer (PCa) and its metastases. We report herein a series of radioiodinated glutamate-urea-lysine-phenylalanine derivatives as new PSMA ligands in which l-tyrosine and l-glutamic acid moieties were added to increase hydrophilicity concomitant with improvement of in vivo targeting properties. Compounds 8, 15, 19a/19b and 23a/23b were synthesized and radiolabeled with I by iododestannylation.

View Article and Find Full Text PDF

Purpose: This study was undertaken to evaluate radiation dosimetry for the prostate-specific membrane antigen targeted [Ga]Ga-P16-093 radiopharmaceutical, and to initially assess agent performance in positron emission tomography (PET) detection of the site of disease in prostate cancer patients presenting with biochemical recurrence.

Procedures: Under IND 133,222 and an IRB-approved research protocol, we evaluated the biodistribution and pharmacokinetics of [Ga]Ga-P16-093 with serial PET imaging following intravenous administration to ten prostate cancer patients with biochemical recurrence. The recruited subjects were all patients in whom a recent [Ga]Ga-PSMA-11 PET/X-ray computed tomography (CT) exam had been independently performed under IND 131,806 to assist in decision-making with regard to their clinical care.

View Article and Find Full Text PDF

The development of a convenient and rapid method to synthesize radiolabeled, enantiomerically pure amino acids (AAs) as potential positron emission tomography (PET) imaging agents for mapping various biochemical transformations in living organisms remains a challenge. This is especially true for the synthesis of carbon-11-labeled AAs given the short half-life of carbon-11 ( C, t =20.4 min).

View Article and Find Full Text PDF

A rapid, mild radiosynthesis of freebase [C]nicotine was developed by the methylation of freebase nornicotine with [C]methyl triflate in acetone (5min, 45°C). A basic (pH 10.5-11.

View Article and Find Full Text PDF
Article Synopsis
  • - The western corn rootworm (WCR) is a major pest affecting maize, and breeding for tolerance is a potential solution, but current methods lack sufficient understanding and tools for assessment.
  • - Researchers developed advanced techniques like positron emission tomography and radiometabolite flux analysis to study how maize adapts to WCR attacks, revealing specific changes in root growth and auxin biosynthesis.
  • - The study found that WCR attacks lead to an increase in certain amino acids and a significant shift in auxin production, suggesting that monitoring these changes could help in breeding corn that is more resilient to this pest.
View Article and Find Full Text PDF

Background: Although important aspects of whole-plant carbon allocation in crop plants (e.g., to grain) occur late in development when the plants are large, techniques to study carbon transport and allocation processes have not been adapted for large plants.

View Article and Find Full Text PDF