Radiopharmaceutical kit to prepare Copper-64 labelled porphyrin-lipid nanoparticles for radiotracer imaging studies in cancer patients

Eur J Nucl Med Mol Imaging. 2025 Dec;53(1):663-686. doi: 10.1007/s00259-025-07442-5. Epub 2025 Jul 17.

Abstract

Purpose: PORPHYSOMES (PS) are multifunctional porphyrin-lipid nanoparticles for fluorescence-guided photochemical tumour ablation and immune stimulation. PS can be radiolabelled with Copper-64 (64Cu-PS) to permit tracing of their whole-body distribution and uptake in tumours with nuclear imaging. Herein we characterised the physicochemical and radiochemical properties of PS and 64Cu-PS and evaluated their pharmacology and toxicology in rats and dogs.

Methods: 64Cu-PS labelling procedure was optimised and developed into a "one pot" kit format. The plasma pharmacokinetics (PK), tissue distribution, and single and repeat-dose toxicity of dose escalating PS was evaluated after intravenous injection in healthy Fisher 344 rats and Beagle dogs. Radiation dosimetry from single 64Cu-PS dose was estimated in humans.

Results: Kit prepared 64Cu-PS had high labelling yields and mean specific activities of 18.5 MBq/mg (11.4 GBq/mg max). The plasma PK of PS was linear between doses 0.5-15 mg/kg in both rats and dogs. Tissue distribution was primarily to the liver. The estimated effective dose from 64Cu-PS in humans was 38-47 µSv/MBq. Single doses of 32.6 mg/kg PS did not have detectable toxicities in rats. In dogs, mild transient infusion reactions were observed following single and repeat-doses of PS starting at ≥ 10 mg/kg PS. Doses up to 15 mg/kg PS were tolerated in dogs.

Conclusions: The pharmacology and safety profiles of PS and 64Cu-PS in rats and dogs did not raise concerns regarding their use in humans. Radiolabelled 64Cu-PS will permit accurate imaging-based assessments of nanoparticle PK and tumour uptake in imaging studies in cancer patients.

Keywords: Nanoparticles; Pharmacology; Radiation dosimetry; Radiotracers; Toxicology; Translational studies.

MeSH terms

  • Animals
  • Copper Radioisotopes* / chemistry
  • Dogs
  • Humans
  • Isotope Labeling
  • Lipids* / chemistry
  • Male
  • Nanoparticles* / chemistry
  • Neoplasms* / diagnostic imaging
  • Porphyrins* / chemistry
  • Porphyrins* / pharmacokinetics
  • Radiopharmaceuticals* / chemical synthesis
  • Radiopharmaceuticals* / chemistry
  • Radiopharmaceuticals* / pharmacokinetics
  • Rats
  • Rats, Inbred F344
  • Tissue Distribution

Substances

  • Copper Radioisotopes
  • Porphyrins
  • Radiopharmaceuticals
  • Lipids
  • Copper-64