RENAL IMAGING AGENT
20170281803 · 2017-10-05
Assignee
Inventors
Cpc classification
C07B2200/05
CHEMISTRY; METALLURGY
A61K51/0453
HUMAN NECESSITIES
A61K51/00
HUMAN NECESSITIES
International classification
Abstract
The present invention provides a renal imaging agent comprising a nitroimidazole-type compound or a salt thereof. The renal imaging agent according to the present invention can be used in positron emission tomography.
Claims
1. A renal imaging agent comprising a nitroimidazole-based compound represented by the general formula (1) shown below, or a salt thereof. ##STR00006## wherein R.sub.1 is hydrogen or a hydroxymethyl group, and A is any one of the groups (I) to (IV) shown below: ##STR00007## wherein R.sub.2 is hydrogen or a hydroxy group, R.sub.3 is hydrogen or a hydroxymethyl group, R.sub.4 is a hydroxy group or a hydroxymethyl group, k is 0 or 1, m is 0 or 1, n is 0, 1 or 2, and X is radioactive fluorine; ##STR00008## wherein n is 0, 1 or 2, p is 1 or 2, q is 0, 1 or 2, and X is a radioactive fluorine; ##STR00009## wherein n is 0, 1 or 2, and X is a radioactive fluorine; and ##STR00010## wherein n is 0, 1 or 2, and X is a radioactive fluorine.
2. The renal imaging agent according to claim 1, wherein the nitroimidazole-based compound is 2-[.sup.18F]fluoromethyl-2-((2-nitro-1H-imidazol-1-yl)methyl)-1,3-propanediol; 2-[.sup.18F]fluoromethyl-2-((4-hydroxymethyl-2-nitro-1H-imidazol-1-yl)methyl)-1,3-propanediol; 2-[.sup.18F]fluoromethyl-2-(2-(2-nitro-1H-imidazol-1-yl)ethyl)-1,3-propanediol; 1-[.sup.18F]fluoro-3-(2-nitro-1H-imidazol-1-yl)-2-propanol; 1-[.sup.18F]fluoro-4-(2-nitro-1H-imidazol-1-yl)-2,3-butanediol; 3-[.sup.18F]fluoro-2-((2-nitro-1H-imidazol-1-yl)methoxy)-1-propanol; N-(2-[.sup.18F]fluoroethyl)-2-nitro-1H-imidazole-1-acetamide; 2-nitro-N-(2,2,3,3,3-[.sup.18F]pentafluoropropyl)-1H-imidazole-1-acetamide; (3-[.sup.18F]fluoro-2-(4-((2-nitro-1H-imidazol-1-yl)methyl)-1H-1,2,3-triazol-1-yl)-1-propanol; or 1-(5-deoxy-5-[.sup.18F]fluoro-α-D-arabinofuranosyl)-2-nitro-1H-imidazole.
3. The renal imaging agent according to claim 1, wherein the nitroimidazole-based compound is a compound having a log P at 25° C. lower than a log P of 1-[.sup.18F]fluoro-3-(2-nitro-1H-imidazol-1-yl)-2-propanol.
4. The renal imaging agent according to claim 1, which is used for positron emission tomography.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0025] The foregoing object and other objects, features and advantages will become more apparent from the preferred embodiments described below, as well as the following accompanying drawings.
[0026]
[0027]
[0028]
[0029]
DESCRIPTION OF EMBODIMENTS
[0030] In the present invention, the “radioactive fluorine” refers to a radioactive isotope of fluorine, i.e., fluorine-18 (.sup.18F).
[0031] In the present invention, the “salt” may be any pharmaceutically acceptable salt, and includes, for example, those derived from inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, and phosphoric acid; or those derived from organic salts such as acetic acid, trifluoroacetic acid, maleic acid, succinic acid, mandelic acid, fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid, pyranosidyl acids (such as glucuronic acid and galacturonic acid), α-hydroxy acids (such as citric acid and tartaric acid), amino acids (such as aspartic acid and glutamic acid), aromatic acids (such as benzoic acid and cinnamic acid), and sulfonic acids (such as p-toluenesulfonic acid and ethanesulfonic acid).
[0032] In the present invention, the “nitroimidazole-based compound” refers to one represented by the general formula (1) shown above, and includes, for example, the followings:
[0033] 2-[.sup.18F]fluoromethyl-2-((2-nitro-1H-imidazol-1-yl)methyl]-1,3-propanediol (.sup.18F-HIC101: a compound wherein A is a group represented by (I), R.sub.1 and R.sub.2 are hydrogen, R.sub.3 and R.sub.4 are hydroxymethyl groups, k is 0, m is 0, and n is 1);
[0034] 2-[.sup.18F]fluoromethyl-2-((4-hydroxymethyl-2-nitro-1H-imidazol-1-yl)methyl)-1,3-propanediol (a compound wherein A is a group represented by (I), R.sub.1, R.sub.3, and R.sub.4 are hydroxymethyl groups, R.sub.2 is hydrogen, k is 0, m is 0, and n is 1);
[0035] 2-[.sup.18F]fluoromethyl-2-(2-(2-nitro-1H-imidazol-1-yl)ethyl)-1,3-propanediol (a compound wherein A is a group represented by (I), R.sub.1 and R.sub.2 are hydrogen, R.sub.3 and R.sub.4 are hydroxymethyl groups, k is 0, m is 0, and n is 2);
[0036] 1-[.sup.18F]fluoro-3-(2-nitro-1H-imidazol-1-yl)-2-propanol (.sup.18F-FMISO: a compound wherein A is a group represented by (I), R.sub.1, R.sub.2, and R.sub.3 are hydrogen, R.sub.4 is a hydroxy group, k is 0, m is 0, and n is 1);
[0037] 1-[.sup.18F]fluoro-4-(2-nitro-1H-imidazol-1-yl)-2,3-butanediol (.sup.18F-FETNIM: a compound wherein A is a group represented by (I), R.sub.1 and R.sub.3 are hydrogen, R.sub.2 and R.sub.4 are hydroxy groups, k is 0, and m and n are 1);
[0038] 3-[.sup.18F]fluoro-2-((2-nitro-1H-imidazol-1-yl)methoxy)-1-propanol (.sup.18F-FRP-170: a compound wherein A is a group represented by (I), R.sub.1, R.sub.2, and R.sub.3 are hydrogen, R.sub.4 is a hydroxymethyl group, k is 1, m is 0, and n is 1);
[0039] N-(2-[.sup.18F]fluoroethyl)-2-nitro-1H-imidazole-1-acetamide (.sup.18F-FETA: a compound wherein A is a group represented by (II), R.sub.1 is hydrogen, n is 1, p is 2, and q is 0);
[0040] 2-nitro-N-(2,2,3,3,3-[.sup.18F]pentafluoropropyl)-1H-imidazole-1-acetamide (.sup.18F-EF5: a compound wherein A is a group represented by (II), R.sub.1 is hydrogen, n is 1, p is 1, and q is 2);
[0041] (3-[.sup.18F]fluoro-2-(4-((2-nitro-1H-imidazol-1-yl)methyl)-1H-1,2,3-triazol-1-yl)-1-propanol (.sup.18F-HX4: a compound wherein A is a group represented by (III), R.sub.1 is hydrogen, and n is 1); or
[0042] 1-(5-deoxy-5-[.sup.18F]fluoro-α-D-arabinofuranosyl)-2-nitro-1H-imidazole (.sup.18F-FAZA: a compound wherein A is a group represented by (IV), R.sub.1 is hydrogen, and n is 0).
[0043] In (I) to (IV), * (asterisk) represents a bonding site.
[0044] From the standpoint of increasing the uptake in a renal lesion, a nitroimidazole-based compound having lipophilicity lower than that of .sup.18F-FMISO is preferred, and specifically, a nitroimidazole-based compound having an octanol/water partition coefficient (log P) at 25° C. lower than the log P of .sup.18F-FMISO. A nitroimidazole-based compound having a log P of −0.4 or less is more preferred, and a nitroimidazole-based compound having a log P in the range from −2 to −0.6 is even more preferred. In the structure of the nitroimidazole-based compound, R.sub.1 is preferably hydrogen in the general formula (1).
[0045] In the nitroimidazole-based compounds represented by the general formula (1) wherein A is (I), R.sub.2 in (I) is preferably hydrogen from the standpoint of increasing the uptake in a renal lesion. R.sub.4 is preferably a hydroxymethyl group; m is preferably 0; and n is preferably 1. More preferably, R.sub.3 is a hydroxymethyl group, and k is 0. These nitroimidazole-based compounds can be synthesized based on WO2013/042668; “Production and Quality Control of Radioactive Agents for PET—Handbook of Synthesis and Clinical Use” (edited by PET Chemistry Workshop)—4th edition (revised version in 2011); J. Nucl. Med, 2001, 42, pp. 1397-1404; Annals of Nuclear Medicine, 2007, 21, pp. 101-107; and other known information.
[0046] In the nitroimidazole-based compounds represented by the general formula (1) wherein A is (II), n is preferably 1 from the standpoint of increasing the uptake in a renal lesion. Furthermore, when p is 2, q is preferably 0, and when p is 1, q is preferably 2. These nitroimidazole-based compounds can be synthesized based on, for example, British Journal of Cancer, 2004, 90, pp. 2232-2242; Applied Radiation and Isotopes, 2001, 54, pp. 73-80; and other known information.
[0047] In the nitroimidazole-based compounds represented by the general formula (1) wherein A is (III), n is preferably 1 from the standpoint of increasing the uptake in a renal lesion. These nitroimidazole-based compounds can be synthesized based on WO2008/124651 and other known information.
[0048] In the nitroimidazole-based compounds represented by the general formula (1) wherein A is (IV), n is preferably 0 from the standpoint of increasing the uptake in a renal lesion. These nitroimidazole-based compounds can be synthesized based on “Production and Quality Control of Radioactive Agents for PET—Handbook of Synthesis and Clinical Use” (edited by PET Chemistry Workshop)—4th edition (revised version in 2011); and other known information.
[0049] The renal imaging agent according to the present invention can be defined as a formulation containing the nitroimidazole-based compound represented by the general formula (1) shown above or a salt thereof in a form suitable for administration into living body. The renal imaging agent according to the present invention is preferably in a form that is to be administered parenterally, i.e., by injection, and is more preferably an aqueous solution. Such a composition may contain additional components such as a pH adjuster, a pharmaceutically acceptable solubilizer, a stabilizer, or an antioxidant, as required.
[0050] When the renal imaging agent according to the present invention is introduced into living body, the nitroimidazole-based compound represented by the general formula (1) shown above accumulates in hypoxic renal tissue. This allows radiation to be detected non-invasively from the outside of the living body by using positron emission tomography (PET), thereby enabling the spread or degree of the renal lesion to be imaged. Thus, with regard to various kidney diseases, the renal imaging agent of the present invention can provide renal function information that cannot be obtained by the conventional examination methods, so as to realize early detection, early treatment, prognosis and prediction, and therapeutic effect assessment of renal diseases.
[0051] For example, in the case of CKD, the timing of dialysis initiation can be deferred by quantifying the uptake of radioactivity in the renal cortex using the renal imaging agent according to the present invention, thereby appropriately understanding the degree of progression of fibrillization and optimizing the drug therapy. Furthermore, because information on renal function and ischemia can be obtained with the renal imaging agent of the present invention, the use thereof with kidney biopsy in a complementary manner allows more accurate understanding of pathology of CKD as well as prognosis and prediction of CKD.
[0052] Furthermore, during drug therapy with anticancer agents or the like, renal dysfunction can be detected earlier than a change in blood or urine, by monitoring renal function using the renal imaging agent according to the present invention. Thus, irreversible drug-induced nephropathy can be avoided by stopping the drug administration or changing the drug.
EXAMPLES
[0053] Hereinafter, the present invention will be explained in more detail by describing working examples; however, the present invention is not limited to the contents of these examples.
[0054] The compounds used in the present examples are defined as follows. Both compounds were synthesized in accordance with the method described in WO2013/042668.
[0055] F-HIC101: 2-[.sup.18F]fluoromethyl-2-((2-nitro-1H-imidazol-1-yl)methyl)-1,3-propanediol (compound 1 in the EXAMPLES of WO2013/042668)
[0056] F-FMISO: 1-[.sup.18F]fluoro-3-(2-nitro-1H-imidazol-1-yl)-2-propanol (.sup.18F-fluoromisonidazole)
Example 1: Preparation of CKD Model Animals [1]
[0057] Adriamycin (from Wako Pure Chemical Industries, Ltd., 7.5 mg/kg) was administered to 13 Lewis rats (male, 8-week-old, available from Japan SLC, Inc.) via the tail vein, and urinary protein was measured in accordance with the Bradford method on day 13 after the administration, for 11 cases excluding two dead cases. Of these, four cases having a high urinary protein level were selected as CKD model animals, and used in the below-described examples on day 14 after the administration of adriamycin. Table 1 shows the conditions of the four cases.
[0058] As healthy models, four cases prepared by administering an equivalent amount of physiological saline instead of adriamycin were used.
[0059] The amount of FABP-4 in the urine of each model was measured using an ELISA kit (from R&D Systems) which quantifies L-FABP present in murine or rat samples by sandwich method. Measurement of urinary creatinine was also performed using a kit (from Cayman Chemical) which utilizes Jaffe reaction, in order to correct the influence of concentration and dilution of urinary components due to living activity.
TABLE-US-00001 TABLE 1 .sup.18F-FMISO-Treated .sup.18F-HIC101-Treated Group Group Healthy CKD Model Healthy CKD Model Model Group Group Model Group Group Body 268 ± 11.3 203 ± 8.25* 261 ± 9.19 210 ± 13.5* Weight (g) Urinary 0.07 ± 0.01 3.61 ± 1.06* 0.01 ± 0.01 5.72 ± 2.88* Protein (g/ Cr mmol) L-FABP 0.04 ± 0.01 1.05 ± 0.27* 0.04 ± 0.04 1.24 ± 0.77* (μg/Cr mmol) *p < 0.05 (CKD Models vs. Healthy Models)
[0060] Table 1 shows the mean±standard deviation for each of the four cases. In the CKD model groups, there was no significant difference in urinary protein level and L-FABP level between the .sup.18F-FMISO-treated group and the F-HIC101-treated group.
Example 2: PET Imaging [1]
[0061] .sup.18F-HIC101 (radiochemical purity: 84.2%) was administered to the four CKD models prepared in Example 1 at 18.6±0.9 MBq/rat and to four healthy models at 17.0±2.7 MBq/rat, and after 80 minutes from the administration, static imaging was performed using a PET system for animals (eXplore Vista from GE). The collection conditions were 10 minutes at an energy window of 250 to 700 keV. The collected data were reconstructed and imaged using the 3D-OSEM method. From the images, the average of maximum values of SUV (standardized uptake value) of the kidneys (the region of interest (ROI) was set excluding the renal pelvis) and the average value of SUV of normal tissue in each slice were measured. Based on these values, the lesion-to-normal tissue ratio and the normal kidney-to-normal tissue ratio were used for evaluation. Student's t-test was used for statistical analysis of the measured results. The results are shown in
TABLE-US-00002 TABLE 2 CKD Model Healthy Model Group Group Renal Tissue SUV Maximum Right 5.17 ± 0.70* 1.42 ± 0.43 Value Left 5.25 ± 0.55* 1.37 ± 0.28 Normal Tissue SUV Average 0.46 ± 0.04.sup.$ 0.37 ± 0.06 Value Renal Tissue (Lesion or Normal)- Right 11.33 ± 1.57* 3.77 ± 0.66 to-Normal Tissue Ratio Left 11.59 ± 1.88* 3.69 ± 0.37 (Mean ± Standard Deviation), *p < 0.001, .sup.$p = 0.045, n = 4, student's t-test
[0062]
Example 3: Experiment of In Vivo Distribution [1]
[0063] After the completion of the PET imaging in Example 2, these rats were placed under anesthesia until 100 minutes after the administration, and were sacrificed by exsanguination. Then, the left and right kidneys, blood, brain, lung, heart, liver, spleen, stomach, small intestine, large intestine, adrenal gland, muscles, bones, fat around the kidneys, urine, and the remaining whole body were extracted, and weights and amounts of radioactivity were measured. Student's t-test was used for statistical analysis of the results. The results are shown in
TABLE-US-00003 TABLE 3 CKD Healthy CKD Healthy Model Model Model Model Kidney 2.60 ± 0.58* 1.01 ± 0.24 Liver 0.34 ± 0.05* 0.23 ± 0.06 (Right) Kidney 2.11 ± 0.44* 1.17 ± 0.61 Small 0.25 ± 0.82 4.50 ± 0.70 (Left) Intestine Blood 0.16 ± 0.04* 0.08 ± 0.03 Large 3.17 ± 0.08 0.32 ± 0.44 Intestine Heart 0.18 ± 0.04* 0.09 ± 0.03 Muscles 0.26 ± 0.04 0.09 ± 0.03 Lung 0.18 ± 0.05* 0.08 ± 0.03 Urine 29.9 ± 14.9 34.4 ± 23.3 (% ID) Mean ± Standard Deviation, *p < 0.05, n = 4 student's t-test
[0064] In
Example 4: Evaluation of Localization of Uptake within the Kidneys
[0065] The renal tissue obtained in Example 3 was divided into halves after the measurement of the amounts of radioactivity, one of the halves was embedded in O.C.T. Compound (from Sakura Fineteck Japan) to prepare fresh frozen sections (thickness: 10 μm) using a cryostat (model: CM3050 from Leica), and autoradiography was performed using these frozen sections. These renal tissue sections were exposed to an imaging plate for 8 to 10 hours, and then imaged using a bio-imaging analyzer (model: BAS-2500 from Fujifilm Corporation).
[0066] Then, immunohistochemistry (LSAB method) was performed using the same section after the radioactive decay. After the fixation and activation treatment of the renal tissue section, anti-rat HIF-la mouse monoclonal antibody (available from GeneTex, 100-fold dilution) used as the primary antibody and anti-mouse IgG antibody (available from DAKO) used as the secondary antibody were reacted with the renal tissue section. Then, using HRP-labeled streptavidin (from DAKO) that reacts with the secondary antibody, the HRP activity was detected by the color reaction with DAB (3,3′-diaminobenzidine) as the substrate to identify the sites of expression of HIF-la in the renal tissue section. Using, as a negative control, a proximate section which is a consecutively sectioned single thin sheet, the same experiment as that described above was performed following the same procedure except that the primary antibody was not used for the reaction. As a result, it was confirmed that there was no non-specific reaction to the renal tissue section due to components other than the primary antibody. Using a microscope system (model: BZ-9000 from KEYENCE), the whole of the specimen image obtained by the immunohistochemical staining was acquired. The image was subjected to image processing in which DAB-positive sites were extracted from the image using ImageJ, and then pseudo-colored.
[0067] The results are shown in
Example 5: PET Imaging [2]
[0068] .sup.18F-FMISO (radiochemical purity: 96% or more) was administered to the four CKD models prepared in Example 1 at 18.7±1.1 MBq/rat and to four healthy models at 19.5±0.69 MBq/rat, and after 80 minutes from the administration, static imaging was performed using a PET system for animals (eXplore Vista from GE). One case each from each of the groups was placed under anesthesia again after the PET imaging, and imaging was performed after 180 minutes from the administration. The collection conditions were 10 minutes at an energy window of 250 to 700 keV, and the collected data were reconstructed and imaged using the 3D-OSEM method. From the images, the average of maximum values of SUV of the kidneys (the region of interest (ROI) was set excluding the renal pelvis) and the average value of SUV of normal tissue in each slice were measured. Based on these values, the lesion-to-normal tissue ratio and the normal kidney-to-normal tissue ratio were used for evaluation. Student's t-test was used for statistical analysis of the measured results. The results are shown in
TABLE-US-00004 TABLE 4 After 180 min from After 80 min from Administration Administration CKD Healthy CKD Healthy Model Model Model Model Renal Tissue Right 2.51 1.63 2.08 ± 0.22* 1.68 ± 0.14 SUV Maximum Left 2.77 1.67 1.97 ± 0.15* 1.74 ± 0.08 Value Normal Tissue 0.87 0.72 0.94 ± 0.11 0.89 ± 0.03 SUV Average Value Renal Tissue Right 2.87 2.26 2.22 ± 0.10* 1.89 ± 0.13 (lesion or normal)- Left 3.17 2.31 2.11 ± 0.14 1.95 ± 0.05 to-Normal Tissue Ratio (Mean ± Standard Deviation), *p < 0.05 (CKD Models vs. Healthy Models)
[0069] As a result of analysis of the PET images after 80 minutes from the administration, the SUV maximum value of renal tissue (excluding the renal pelvis) in the CKD models was found to be significantly higher than that in the healthy models (p<0.05 for both left and right kidneys); however, a significant difference was not observed in the lesion-to-normal tissue ratio in the left kidney (right: p<0.01, left: p=0.08).
[0070] A comparison of the PET images after 180 minutes from the administration with the PET images after 80 minutes from the administration showed a tendency toward a higher uptake in the renal cortex than in the renal pelvis. It was visually confirmed that there was no difference in background between the CKD models and healthy models, and this was the same as that after 80 minutes from the administration. Results of the ROI analysis showed a tendency for the SUV maximum value to increase more than that after 80 minutes from the administration, and for the lesion-to-normal tissue ratio to also increase.
[0071]
Example 6: Experiment of In Vivo Distribution [2]
[0072] Three cases from each of the groups that underwent the PET imaging after 80 minutes from the administration in Example 5, as well as one case from each of the groups that had not undergone PET imaging, were placed under anesthesia until 100 minutes after the administration, and were sacrificed by exsanguination. Then, the left and right kidneys, blood, brain, lung, heart, liver, spleen, stomach, small intestine, large intestine, adrenal gland, muscles, bones, fat around the kidneys, urine, and the remaining whole body were extracted, and weights and amounts of radioactivity were measured. Student's t-test was used for statistical analysis of the results. The results are shown in Table 5.
TABLE-US-00005 TABLE 5 CKD Healthy CKD Healthy Model Model Model Model Kidney 1.09 ± 0.29 0.55 ± 0.03 Liver 0.89 ± 0.28 0.50 ± 0.04 (Right) Kidney 1.08 ± 0.28 0.53 ± 0.03 Small 1.54 ± 0.67 0.74 ± 0.11 (Left) Intestine Blood 0.44 ± 0.02 0.30 ± 0.02 Large 1.14 ± 0.10 1.52 ± 0.15 Intestine Heart 0.53 ± 0.01 0.34 ± 0.02 Muscles 0.47 ± 0.02 0.30 ± 0.02 Lung 0.48 ± 0.02 0.31 ± 0.02 Urine 2.60 ± 2.16 9.50 ± 1.75 (% ID) Mean ± Standard Deviation
[0073] The foregoing results confirmed that both .sup.18F-HIC101 and .sup.18F-FMISO are uptaken into the renal tissue excluding the renal pelvis in the CKD models significantly, compared with the healthy models. Furthermore, from the comparison of their uptake in the CKD models, the uptake of .sup.18F-HIC101 was confirmed to be higher than the uptake of .sup.18F-FMISO. These results indicate that imidazole-based compounds, in particular, .sup.18F-HIC101, are useful as renal imaging agents.
[0074] This application claims a priority from the Japanese Patent Application No. 2014-195802 filed on Sep. 25, 2014, the disclosure of which is incorporated herein in its entirety.