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Yttrium-90 and Rhenium-188 Radiopharmaceuticals for Radionuclide Therapy

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of <strong>90</strong> Y complexed to DTPA (R f = 1) was carried out using a high per<strong>for</strong>mance<br />

storage phosphor screen (Cyclone, Packard BioScience).<br />

7.2.6. Microbiological tests<br />

For every batch, an aliquot of the product was stored <strong>for</strong> decay. After<br />

complete decay (>3 months), the sample was tested <strong>for</strong> sterility <strong>and</strong> pyrogens.<br />

Sterility was assayed by plating the sample over Petri dishes with growth<br />

medium, <strong>and</strong> the samples were incubated in a thermostatic oven at 35°C <strong>for</strong> 14 d.<br />

After incubation, samples were analysed <strong>for</strong> any growth <strong>and</strong>, in case of positive<br />

results, the number of colony <strong>for</strong>ming units was determined.<br />

For pyrogens, a control limulus amebocyte lysate (LAL) test based on the<br />

kinetic chromogenic method was used. The LAL test was per<strong>for</strong>med using an<br />

Endosafe-PTS spectrophotometer (Charles River Laboratories International Inc.).<br />

Four samples of volume 25 µL were put in a disposable capillary cassette<br />

containing LAL reagent <strong>and</strong> an internal st<strong>and</strong>ard. The cassette was incubated in<br />

the PTS system <strong>and</strong> the time of colour <strong>for</strong>mation measured. Time was internally<br />

correlated to the endotoxin amount <strong>and</strong> the final amount was displayed on the<br />

system. The reference value <strong>for</strong> parenterals was considered to be 17.5 EU/mL<br />

(EU = endotoxin units).<br />

7.2.7. IART protocol<br />

After tumour resection, the surgeon injected directly into the tumour bed,<br />

100 mg of avidin diluted in 20–30 mL of saline. At a mean of 18 ± 3 h after<br />

avidin administration, 20 mg of biotinylated HSA (chase) was administered<br />

intravenously over 5 min to mop up any circulating avidin be<strong>for</strong>e administration<br />

of the radiolabelled biotin. Ten minutes later, 3.7 GBq of <strong>90</strong> Y r-BHD (specific<br />

activity of 4 GBq/mg) was delivered intravenously over 30 min using a dedicated<br />

disposable system.<br />

7.3. RESULTS<br />

7.3.1. Effect of pH on radiolabelling<br />

The synthesis of r-BHD was per<strong>for</strong>med according to the procedure described<br />

by Sabatino et al. [7.10]. The purity of the isolated compound was checked by<br />

reverse phase (RP) HPLC <strong>and</strong> carbon, hydrogen <strong>and</strong> nitrogen (CHN) elemental<br />

analysis. The experiments, aimed at evaluating the effect of pH on RCP values,<br />

were per<strong>for</strong>med with a sodium acetate buffer up to pH5.6. The results in Fig. 7.2<br />

112

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