Page last updated: 2024-12-07

1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid, commonly known as **DOTA**, is a macrocyclic chelating agent with a high affinity for metal ions, especially trivalent lanthanides and actinides.

**Structure and Properties:**

* DOTA has a central 12-membered ring containing four nitrogen atoms and four acetic acid groups attached to each nitrogen.
* It forms stable, octahedral complexes with metal ions.
* The complexation is very strong due to the high denticity (8 donor atoms) and the preorganized structure of DOTA.
* Its high stability makes it useful for a variety of applications.

**Importance in Research:**

DOTA's importance in research stems from its ability to bind and stabilize metal ions, making it a versatile tool in several fields:

1. **Nuclear Medicine and Imaging:**
* DOTA is widely used to chelate radioisotopes for various medical applications, such as:
* **Positron Emission Tomography (PET) imaging:** Radiolabeled DOTA complexes are used as tracers to diagnose and monitor various diseases, including cancer, neurological disorders, and cardiovascular diseases.
* **Magnetic Resonance Imaging (MRI):** Paramagnetic metal ions chelated with DOTA can enhance MRI contrast, allowing for better visualization of specific tissues and organs.
* **Radiotherapy:** DOTA-based complexes can deliver targeted radiation to tumor cells.

2. **Biochemistry and Analytical Chemistry:**
* DOTA can be used to label proteins and other biomolecules with metal ions for analytical purposes, such as:
* **Fluorescence spectroscopy:** Fluorescent metal ions chelated with DOTA can be used to study protein dynamics and interactions.
* **Enzyme assays:** DOTA-labeled substrates can be used to monitor enzymatic activity.
* It's also used in sensor development for metal ion detection.

3. **Nanotechnology and Materials Science:**
* DOTA can be incorporated into nanomaterials to create functional materials with specific properties. For example, it can be used to:
* **Control the assembly of nanoparticles:** DOTA can be used as a linker to assemble nanoparticles into desired structures.
* **Functionalize surfaces:** DOTA-functionalized surfaces can be used to bind specific molecules or cells.

**Advantages of DOTA:**

* **High stability:** DOTA forms very stable complexes with metal ions, preventing the release of radioactive or toxic metal ions.
* **Versatility:** It can be modified to incorporate different functionalities, allowing for targeted delivery and specific applications.
* **Biocompatibility:** DOTA is generally well-tolerated in vivo.

**Overall, DOTA is a highly versatile and valuable tool for research and development in various fields. Its unique properties and ability to bind metal ions have led to significant advancements in medicine, biochemistry, and materials science.**

1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid: structure given in first source [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

DOTA : An azamacrocyle in which four nitrogen atoms at positions 1, 4, 7 and 10 of a twelve-membered ring are each substituted with a carboxymethyl group. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID121841
CHEMBL ID1721515
CHEBI ID61028
SCHEMBL ID18018
MeSH IDM0193869

Synonyms (69)

Synonym
1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid
2-[4,7,10-tris(carboxymethyl)-1,4,7,10-tetrazacyclododec-1-yl]acetic acid
tetraxetan
2,2',2'',2'''-(1,4,7,10-tetraazacyclododecane-1,4,7,10-tetrayl)tetraacetic acid
1,4,7,10-dota
1,4,7,10-tetraazacyclododecane-n,n',n'',n'''-tetraacetic acid
2,2',2',2'''-(1,4,7,10-tetraazacyclododecane-1,4,7,10-tetryl)tetraacetic acid
tetraxetanum
CHEBI:61028 ,
NCI60_028933
dota acid
D06092
tetraxetan (usan)
60239-18-1
MLS001333612 ,
smr000857276
nsc-681107
nsc681107
dota
1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid, >=97.0% (chn)
T1875
NCGC00246979-01
HMS2236N04
CHEMBL1721515
dot-a
tetraxetan [usan:inn]
1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid
1hte449dgz ,
unii-1hte449dgz
FT-0606756
EPITOPE ID:146095
AKOS015854210
nsc 681107
gtpl5538
HMS3373H02
2,2',2'',2'''-(1,4,7,10-tetraazacyclododecane-1,4,7,10-tetryl)tetraacetic acid
tetraxetan [usp-rs]
tetraxetan [inn]
dota [mi]
tetraxetan [usp monograph]
tetraxetan [usan]
SCHEMBL18018
1,4,7,10-tetraazacyclododecane n,n',n,n'-tetraacetic acid
WDLRUFUQRNWCPK-UHFFFAOYSA-N
J-650232
2-[4,7,10-tris(carboxymethyl)-1,4,7,10-tetraazacyclododecan-1-yl]acetic acid
1,4,7,10-tetraazacylododeane-1,4,7,10-tetraacetic acid
2-[4,7,10-tris(2-hydroxy-2-oxoethyl)-1,4,7,10-tetrazacyclododec-1-yl]ethanoic acid
bdbm88700
cid_121841
AC-31772
DTXSID60208984
mfcd00068657
F16414
CS-0046228
3-(dimethyloctadecylammonio)propanesulfonate
1,4,7,10-tetraazacyclododecane-n,n'n'',n'''-tetraacetic acid
AS-19566
BCP13075
Q161515
gadoterate-meglumine
AMY5853
1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic-acid
SY057414
A851290
1,4,7,10-tetraazacyclododecane-n,n',n'',n'''-tetraacetic acid, min. 98% dota
EN300-6503719
Z2681893158
gadobutrol impurity 1

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" Because of observations in therapeutic trials of yttrium-90 (90Y) escape from radioimmunoconjugates and uptake by the skeleton with resultant bone marrow toxicity, the authors attempted to evaluate the importance of this factor by a comparison of the LD50 in healthy mice treated with 90Y that had been chelated with either of two high affinity chelators, methylbenzyldiethylene-triaminepentaacetic acid (MX-DTPA) or bromoacetamidobenzyl-1,4,7,10-tetraazocyclododecane- N,N',N'',N'''-tetraacetic acid (BAD)."( Comparative toxicity studies of yttrium-90 MX-DTPA and 2-IT-BAD conjugated monoclonal antibody (BrE-3).
DeNardo, GL; DeNardo, SJ; Fand, I; Kroger, LA; Kukis, DL; Meares, CF; Miers, LA; Renn, O; Salako, Q; Shen, S, 1994
)
0.29
" The LD50 for 90Y-BrE-3-MX-DTPA was 220."( Comparative toxicity studies of yttrium-90 MX-DTPA and 2-IT-BAD conjugated monoclonal antibody (BrE-3).
DeNardo, GL; DeNardo, SJ; Fand, I; Kroger, LA; Kukis, DL; Meares, CF; Miers, LA; Renn, O; Salako, Q; Shen, S, 1994
)
0.29
"This study reports the adverse events (AEs) observed with patient-tailored administered activity."( Toxicity and Tolerability of
DeBrabandere, S; Khatami, A; Laidley, DT; Reid, RH; Sistani, G; Sutherland, DEK, 2022
)
0.72
"Tailoring the administered activity of 177Lu-DOTATATE to the individual patient with a variety of NETs is both safe and well-tolerated."( Toxicity and Tolerability of
DeBrabandere, S; Khatami, A; Laidley, DT; Reid, RH; Sistani, G; Sutherland, DEK, 2022
)
0.72

Pharmacokinetics

ExcerptReferenceRelevance
" This report presents the results of pharmacokinetic and dosimetric studies performed in 24 patients with different tumours."( Three-step radioimmunotherapy with yttrium-90 biotin: dosimetry and pharmacokinetics in cancer patients.
Chinol, M; Cremonesi, M; Ferrari, M; Grana, C; Paganelli, G; Prisco, G; Robertson, C; Stabin, MG; Tosi, G, 1999
)
0.3
"Antibody fragments with optimized pharmacokinetic profiles hold potential for detection and therapy of tumor malignancies."( Radioiodinated versus radiometal-labeled anti-carcinoembryonic antigen single-chain Fv-Fc antibody fragments: optimal pharmacokinetics for therapy.
Colcher, D; Kenanova, V; Longmate, J; Olafsen, T; Raubitschek, AA; Ruel, NH; Shively, JE; Williams, LE; Wu, AM; Yazaki, PJ, 2007
)
0.34
" Development of BB2r-targeted agents, based on the bombesin (BBN) peptide, has largely involved the use of the bifunctional chelate approach in which the linking group serves several key roles including pharmacokinetic modification."( Evaluation of the pharmacokinetic effects of various linking group using the 111In-DOTA-X-BBN(7-14)NH2 structural paradigm in a prostate cancer model.
Figueroa, SD; Garrison, JC; Hoffman, TJ; Naz, F; Rold, TL; Sieckman, GL; Sublett, SV; Volkert, WA, 2008
)
0.35
" Melanoma targeting and pharmacokinetic properties of Ac-GluGlu-CycMSH[DOTA]-111In were determined in B16/F1 melanoma-bearing C57 mice and compared to that of 111In-DOTA-Gly-Glu-c[Lys-Nle-Glu-His-DPhe-Arg-Trp-Gly-Arg-Pro-Val-Asp] (111In-DOTA-GlyGlu-CycMSH; DOTA was coupled to the N-terminus of the peptide)."( Effect of DOTA position on melanoma targeting and pharmacokinetic properties of 111In-labeled lactam bridge-cyclized alpha-melanocyte stimulating hormone peptide.
Gallazzi, F; Guo, H; Miao, Y; Prossnitz, ER; Sklar, LA; Yang, J, 2009
)
0.35
"DOTA position exhibited profound effect on melanoma targeting and pharmacokinetic properties of Ac-GluGlu-CycMSH[DOTA]-111In, providing a new insight into the design of lactam bridge-cyclized peptide for melanoma imaging and therapy."( Effect of DOTA position on melanoma targeting and pharmacokinetic properties of 111In-labeled lactam bridge-cyclized alpha-melanocyte stimulating hormone peptide.
Gallazzi, F; Guo, H; Miao, Y; Prossnitz, ER; Sklar, LA; Yang, J, 2009
)
0.35
"Optimal PET imaging of tumors with radiolabeled engineered antibodies requires, among other parameters, matching blood clearance and tumor uptake with the half-life of the engineered antibody."( Site-specific conjugation of monodispersed DOTA-PEGn to a thiolated diabody reveals the effect of increasing peg size on kidney clearance and tumor uptake with improved 64-copper PET imaging.
Anderson, AL; Bading, JR; Carmichael, J; Colcher, D; Crow, D; Hudson, PJ; Leong, D; Li, L; Poku, E; Raubitschek, AA; Shively, JE; Turatti, F; Wheatcroft, D; Wheatcroft, MP; Yazaki, PJ, 2011
)
0.37
" Clearance values ranged from 8 to 17 ml/day/kg, while beta half-life ranged from 8 to 12 days."( Pharmacokinetics and biodistribution of a human monoclonal antibody to oxidized LDL in cynomolgus monkey using PET imaging.
Bullens, S; Bunting, S; Cherry, SR; Cowan, KJ; Damico-Beyer, LA; Griesemer, C; Kamath, AV; Kukis, DL; Rendig, S; Stenberg, Y; Williams, SP, 2012
)
0.38
"5 scFv antibody fragment, this cognate series of bispecific antibodies were radioiodinated to determine their tumor targeting, biodistribution and pharmacokinetic properties in a mouse xenograft tumor model."( A series of anti-CEA/anti-DOTA bispecific antibody formats evaluated for pre-targeting: comparison of tumor uptake and blood clearance.
Andersen, JT; Channappa, D; Chea, J; Cheung, CW; Colcher, D; Crow, D; Lee, B; Li, L; Orcutt, KD; Poku, E; Raubitschek, A; Sandlie, I; Shively, JE; Wittrup, KD; Yazaki, PJ, 2013
)
0.39
" The blood clearance curve was biphasic, with a distribution half-life of less than 3 min and an elimination half-life of ∼21."( 64Cu-DOTA as a surrogate positron analog of Gd-DOTA for cardiac fibrosis detection with PET: pharmacokinetic study in a rat model of chronic MI.
Bluemke, DA; Davies-Venn, C; Kim, H; Kim, I; Kim, JS; Lee, SJ; Paik, CH; Yang, BY; Yao, Z, 2016
)
0.43
" Both in vitro and in vivo experiments of 18 synthesized PSMA inhibitor variants showed that systematic chemical modification of the linker has a significant impact on the tumor-targeting and pharmacokinetic properties."( Linker Modification Strategies To Control the Prostate-Specific Membrane Antigen (PSMA)-Targeting and Pharmacokinetic Properties of DOTA-Conjugated PSMA Inhibitors.
Bauder-Wüst, U; Benešová, M; Eder, M; Haberkorn, U; Klika, KD; Kopka, K; Mier, W; Schäfer, M, 2016
)
0.43
" A drug with a short half-life in the blood is less available at a target organ."( Novel "Add-On" Molecule Based on Evans Blue Confers Superior Pharmacokinetics and Transforms Drugs to Theranostic Agents.
Chen, H; Chen, X; Jacobson, O; Kiesewetter, DO; Liu, Y; Ma, Y; Niu, G; Weiss, ID; Wu, H, 2017
)
0.46

Compound-Compound Interactions

ExcerptReferenceRelevance
" In these phase I studies, paclitaxel was combined with radioimmunotherapy in patients with metastatic hormone-refractory prostate cancer or advanced breast cancer."( High-dose radioimmunotherapy combined with fixed, low-dose paclitaxel in metastatic prostate and breast cancer by using a MUC-1 monoclonal antibody, m170, linked to indium-111/yttrium-90 via a cathepsin cleavable linker with cyclosporine to prevent human
Chew, HK; DeNardo, GL; Denardo, SJ; Goldstein, DS; Kukis, DL; Lamborn, KR; Lara, PN; Meares, CF; Natarajan, A; O'Donnell, RT; Richman, CM; Shen, S; Tuscano, JM; Wun, T; Yuan, A, 2005
)
0.33
"111In/90Y-m170 targets prostate and breast cancer and can be combined with paclitaxel with toxicity limited to marrow suppression at the dose levels above."( High-dose radioimmunotherapy combined with fixed, low-dose paclitaxel in metastatic prostate and breast cancer by using a MUC-1 monoclonal antibody, m170, linked to indium-111/yttrium-90 via a cathepsin cleavable linker with cyclosporine to prevent human
Chew, HK; DeNardo, GL; Denardo, SJ; Goldstein, DS; Kukis, DL; Lamborn, KR; Lara, PN; Meares, CF; Natarajan, A; O'Donnell, RT; Richman, CM; Shen, S; Tuscano, JM; Wun, T; Yuan, A, 2005
)
0.33

Bioavailability

ExcerptReferenceRelevance
" First, we examined the impact of the labeling procedure and the presence of the chelate, DOTA, on antibody bioavailability and survival."( Pharmacokinetics and bioactivity of 1,4,7,10-tetra-azacylododecane off',N'',N'''-tetraacetic acid (DOTA)-bismuth-conjugated anti-Tac antibody for alpha-emitter (212Bi) therapy.
Brechbiel, MW; Dobbs, D; Gansow, OA; Junghans, RP; Mirzadeh, S; Raubitschek, AA; Waldmann, TA, 1993
)
0.29
"5%ID/g, presumably because of lower bioavailability due to more rapid clearance."( Comparative evaluation of synthetic anti-HER2 Affibody molecules site-specifically labelled with 111In using N-terminal DOTA, NOTA and NODAGA chelators in mice bearing prostate cancer xenografts.
Altai, M; Braun, A; Garske, U; Karlström, AE; Malmberg, J; Orlova, A; Perols, A; Sandström, M; Tolmachev, V; Varasteh, Z, 2012
)
0.38
" This was further confirmed by the higher blood activity of (64)Cu-NODAGA-mAb7, which corresponds to increased bioavailability afforded by the enhanced in vivo stability of the agent."( Comparison of DOTA and NODAGA as chelators for (64)Cu-labeled immunoconjugates.
Azhdarinia, A; Ghosh, SC; Gore, K; Harvey, BR; Pinkston, KL; Robinson, H; Sevick-Muraca, EM; Wilganowski, N, 2015
)
0.42

Dosage Studied

ExcerptRelevanceReference
" Initiation of recovery (at 14-21 days) showed a dose-response relationship."( Determining maximal tolerable dose of the monoclonal antibody BR96 labeled with 90Y or 177Lu in rats: establishment of a syngeneic tumor model to evaluate means to improve radioimmunotherapy.
Mårtensson, L; Nilsson, R; Ohlsson, T; Senter, P; Sjögren, HO; Strand, SE; Tennvall, J; Wang, Z, 2005
)
0.33
"The aim of this study was to investigate therapeutic efficacy and normal tissue toxicity of single dosage and fractionated targeted alpha therapy (TAT) in mice with HER2-expressing breast and ovarian cancer xenografts using the low dose rate radioimmunoconjugate (227)Th-DOTA-p-benzyl-trastuzumab."( Fractionated therapy of HER2-expressing breast and ovarian cancer xenografts in mice with targeted alpha emitting 227Th-DOTA-p-benzyl-trastuzumab.
Abbas, N; Brevik, EM; Dahle, J; Heyerdahl, H; Mollatt, C, 2012
)
0.38
" Based on that result, a dosing regimen of (177)Lu-PNA-peptide, for radiologic effect, followed by the optimal mass of non-radioactive compound, for antisense effect, was designed."( Comparative biodistributions and dosimetry of [¹⁷⁷Lu]DOTA-anti-bcl-2-PNA-Tyr³-octreotate and [¹⁷⁷Lu]DOTA-Tyr³-octreotate in a mouse model of B-cell lymphoma/leukemia.
Balkin, ER; Jia, F; Lewis, MR; Liu, D; Miller, WH; Ruthengael, VC; Shaffer, SM, 2014
)
0.4
" These results inform future GC imaging studies to optimize biomarker-targeted therapies based on dosage and timing for more clinically relevant imaging."( Pilot study of HER2 targeted 64 Cu-DOTA-tagged PET imaging in gastric cancer patients.
Colcher, DM; Fong, Y; Frankel, P; Hernandez, MC; Kim, J; Mortimer, JE; Park, J; Poku, E; Shively, J; Wong, J; Woo, Y; Yamauchi, D; Yazaki, P, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
chelatorA ligand with two or more separate binding sites that can bind to a single metallic central atom, forming a chelate.
copper chelatorA chelator that is any compound containing a ligand (typically organic) which is able to form a bond to a central copper atom at two or more points.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
azamacrocycleA cyclic macromolecule containing one or more nitrogen atoms in place of carbon either as the divalent group NH for the group CH2 or a single trivalent nitrogen atom for the group CH.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (9)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
ATAD5 protein, partialHomo sapiens (human)Potency31.62280.004110.890331.5287AID504467
apical membrane antigen 1, AMA1Plasmodium falciparum 3D7Potency8.91250.707912.194339.8107AID720542
euchromatic histone-lysine N-methyltransferase 2Homo sapiens (human)Potency2.23870.035520.977089.1251AID504332
chromobox protein homolog 1Homo sapiens (human)Potency100.00000.006026.168889.1251AID540317
DNA polymerase iota isoform a (long)Homo sapiens (human)Potency79.43280.050127.073689.1251AID588590
gemininHomo sapiens (human)Potency1.00000.004611.374133.4983AID624297
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Bioassays (22)

Assay IDTitleYearJournalArticle
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID602336High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Cherry Pick 022010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID602336High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Cherry Pick 022006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID602336High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Cherry Pick 022010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID602325High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Cherry Pick 022010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID602325High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Cherry Pick 022006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID602325High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Cherry Pick 022010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID602327High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Cherry Pick 022010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID602327High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Cherry Pick 022006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID602327High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Cherry Pick 022010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID504812Inverse Agonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID504810Antagonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (738)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's12 (1.63)18.2507
2000's194 (26.29)29.6817
2010's416 (56.37)24.3611
2020's116 (15.72)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 20.80

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index20.80 (24.57)
Research Supply Index6.70 (2.92)
Research Growth Index5.85 (4.65)
Search Engine Demand Index23.28 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (20.80)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials16 (2.02%)5.53%
Reviews24 (3.03%)6.00%
Case Studies22 (2.78%)4.05%
Observational0 (0.00%)0.25%
Other730 (92.17%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (30)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicentre, Open-Label Phase I/II Study to Evaluate the Safety, Tolerability, Biodistribution and Anti Tumour Activity of 177LU-OPS201 With Companion Imaging 68Ga OPS202 PET/CT in Previously Treated Subjects With Locally Advanced or Metastatic Cancers [NCT03773133]Phase 1/Phase 29 participants (Actual)Interventional2019-05-14Terminated(stopped due to High number of screen failures)
Phase I/II Study of Increasing Doses of Lutetium-177 Labeled Chimeric Monoclonal Antibody cG250 (177^Lu-DOTA-cG250) in Patients With Advanced Renal Cancer [NCT00142415]Phase 1/Phase 226 participants (Actual)Interventional2005-02-28Completed
Yttrium-90 DOTA-TOC Intra-arterial (IA) Peptide Receptor Radionuclide Therapy (PRRT) for Neuroendocrine Tumor [NCT03197012]Early Phase 110 participants (Actual)Interventional2017-07-01Completed
Theranostics of Radiolabeled Somatostatin Antagonists 68Ga-DOTA-JR11 and 177Lu-DOTA-JR11 in Patients With Neuroendocrine Tumors [NCT02609737]20 participants (Actual)Interventional2015-11-13Completed
Utility of Gallium-68-DOTA-Octreotate PET/CT in the Characterization of Pediatric Neuroendocrine Tumors [NCT04040088]Early Phase 120 participants (Anticipated)Interventional2019-09-23Recruiting
Phase I/II Study of Veltuzumab Combined With 90Y-Epratuzumab Tetraxetan in Patients With Relapsed/Refractory, Aggressive Non- Hodgkin's Lymphoma [NCT01101581]Phase 1/Phase 20 participants (Actual)Interventional2010-05-31Withdrawn(stopped due to No subjects enrolled)
Randomized Phase II Study Evaluating the Efficacy of 90Yttrium-epratuzumab Tetraxetan Radioimmunotherapy in Adults With CD22+ Relapsed/Refractory B-ALL [NCT02844530]Phase 20 participants (Actual)InterventionalWithdrawn
A Phase Ib Dose Finding Study Assessing Safety and Activity of [177Lu]Lu-DOTA-TATE in Newly Diagnosed Extensive Stage Small Cell Lung Cancer (ES-SCLC) in Combination With Carboplatin, Etoposide and Tislelizumab in Induction and With Tislelizumab in Mainte [NCT05142696]Phase 139 participants (Anticipated)Interventional2022-07-13Recruiting
An International, Prospective, Open-label, Multi-center, Randomized Phase III Study Comparing Lutetium (177Lu) Vipivotide Tetraxetan (AAA617) Versus Observation to Delay Castration or Disease Recurrence in Adult Male Patients With Prostate-specific Membra [NCT05939414]Phase 3450 participants (Anticipated)Interventional2024-03-29Not yet recruiting
PET Detection of CCR2 in Human Atherosclerosis [NCT04537403]Phase 1100 participants (Anticipated)Interventional2020-10-01Recruiting
A Phase 1, Open Label, Randomized Study to Assess Pharmacokinetics, Biodistribution and Radiation Dosimetry of Lutetium (177Lu) Lilotomab Satetraxetan (Betalutin®) Radioimmunotherapy in Patients With Relapsed Non-Hodgkin Lymphoma [NCT02657447]Phase 10 participants (Actual)Interventional2017-12-19Withdrawn(stopped due to Study is no longer relevant)
Targeted Molecular Probe for Abdominal Aortic Aneurysm Imaging and Therapy [NCT04592991]Early Phase 11 participants (Actual)Interventional2020-10-07Terminated(stopped due to We were only able to enroll 1 subject so we had no way to compare a control or other study groups and develop any kind of results. This study is essentially the same study as NCT04586452, which we would like to place focus and effort on that study.)
Phase II Study Of Lutetium-177 Labeled Chimeric Monoclonal Antibody Girentuximab (177Lu-DOTA-girentuximab) in Patients With Advanced Renal Cell Cancer [NCT02002312]Phase 214 participants (Actual)Interventional2011-08-31Completed
Phase I/II Study of Combination Veltuzumab (Anti-CD20) and Fractionated 90Y- Epratuzumab (Anti-CD22) Radioimmunotherapy in Patients With Follicular Lymphoma [NCT01147393]Phase 1/Phase 24 participants (Actual)Interventional2010-10-31Terminated(stopped due to closed to enrollment due to slow patient accrual)
Vorinostat to Augment Response to Lutetium-PSMA-617 in the Treatment of Patients With PSMA-Low Metastatic Castration-Resistant Prostate Cancer [NCT06145633]Phase 215 participants (Anticipated)Interventional2024-04-01Not yet recruiting
A Pilot Study of 68Ga-Dotatate PET CT for Radiation Treatment Response Assessment in Meningiomas [NCT03953131]Phase 113 participants (Actual)Interventional2019-01-10Completed
Head-to-head Comparison of 68Ga-DOTA-TATE and 68Ga-DOTA-JR11 PET/CT in Patients With Tumor-induced Osteomalacia [NCT04689893]Phase 150 participants (Anticipated)Interventional2020-03-15Recruiting
An International, Multicenter, Open-label Study to Evaluate Safety, Tolerability, Biodistribution, Dosimetry and Preliminary Efficacy of 177Lu-OPS201 for the Therapy of Somatostatin Receptor-positive Neuroendocrine Tumors (NETs) [NCT02592707]Phase 1/Phase 240 participants (Actual)Interventional2017-03-06Terminated(stopped due to Terminated (Due to small number of ongoing patients. Patients ongoing at time of termination could choose to join study D-FR-01072-004 for long term follow-up.)
An Open-Label, Non-Randomized, Dose Escalation, Single-Center, Investigator-Initiated Trial to Determine the Safety, Dosimetry, and Preliminary Effectiveness of 177Lu-DOTA-EB-FAPI in Metastatic Radioactive Iodine Refractory Thyroid Cancer Patients With Pr [NCT05410821]Phase 120 participants (Anticipated)Interventional2022-06-15Recruiting
Comparison of Positron Nuclide Labeled DOTA-FAPI PET and FDG PET Study in Colocrectal Cancer [NCT04750772]60 participants (Anticipated)Interventional2019-10-16Recruiting
Treatment of a Long-lasting Radiolabeled Somatostatin Analogue 177Lu-DOTA-EB-TATE in Patients With Advanced Metastatic Neuroendocrine Tumors [NCT03478358]Phase 160 participants (Anticipated)Interventional2017-04-30Recruiting
A Phase Ib Dose Finding Study Assessing Safety and Activity of [177Lu]Lu-DOTA-TATE in Newly Diagnosed Glioblastoma in Combination With Radiotherapy With or Without Temozolomide and in Recurrent Glioblastoma as Single Agent [NCT05109728]Phase 160 participants (Anticipated)Interventional2022-05-10Recruiting
A Ph Ib Study of Fractionated 90Y-hPAM4 Plus Gemcitabine in Pancreatic Cancer Patients Receiving at Least 2 Prior Therapies. [NCT01510561]Phase 10 participants (Actual)Interventional2012-03-31Withdrawn(stopped due to no subjects enrolled)
First-in-human Study of the Theranostic Pair [68Ga]Ga DOTA-5G and [177Lu]Lu DOTA-ABM-5G in Pancreatic Cancer [NCT04665947]Early Phase 130 participants (Anticipated)Interventional2020-12-18Recruiting
A Phase I Study of Actinium-225 Labeled Humanized Anti-CEA M5A Antibody in Patients With CEA Producing Advanced or Metastatic Cancers [NCT05204147]Phase 120 participants (Anticipated)Interventional2022-06-02Recruiting
Evaluation of Pretargeted Anti-CD20 Radioimmunotherapy Combined With BEAM Chemotherapy and Autologous Stem Cell Transplantation for High-Risk B-Cell Malignancies [NCT02483000]Phase 13 participants (Actual)Interventional2017-02-01Terminated(stopped due to Closed early due to lack of funding)
Phase 1 Trial of 111Indium/225Actinium-DOTA-Daratumumab in Patients With Relapsed/Refractory Multiple Myeloma [NCT05363111]Phase 115 participants (Anticipated)Interventional2022-11-22Recruiting
Phase I Study of Escalating Doses of 90Y-DOTA-Anti-CD25 Monoclonal Antibody Added to the Conditioning Regimen of Fludarabine, Melphalan, and Organ Sparing Total Marrow and Lymphoid Irradiation (TMLI) as Conditioning for Allogeneic Hematopoietic Cell Trans [NCT05139004]Phase 112 participants (Anticipated)Interventional2022-07-19Recruiting
Phase 2 Study of ONC-392 Plus Lutetium Lu 177 Vipivotide Tetraxetan in Men With Metastatic Castration-Resistant Prostate Cancer (mCRPC) Who Progressed on Androgen Receptor Targeting Agents (ARTA) [NCT05682443]Phase 1/Phase 2144 participants (Anticipated)Interventional2023-12-06Recruiting
Treatment of Recurrent or Progressive Meningiomas With the Radiolabelled Somatostatin Antagonist 177Lu-Satoreotide (PROMENADE-Study) [NCT04997317]Early Phase 118 participants (Anticipated)Interventional2021-04-21Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00142415 (4) [back to overview]Number of Subjects With Best Overall Tumor Response
NCT00142415 (4) [back to overview]Number of Subjects With Dose-limiting Toxicity (DLT) During Cycle 1
NCT00142415 (4) [back to overview]Number of Subjects With Treatment-emergent Adverse Events
NCT00142415 (4) [back to overview]Radiation Absorbed Doses by Organ for 177-Lu-cG250
NCT02483000 (3) [back to overview]Overall Survival
NCT02483000 (3) [back to overview]Dosimetry of Yttrium Y 90 DOTA-biotin
NCT02483000 (3) [back to overview]Incidence of Toxicity, Defined According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
NCT02592707 (30) [back to overview]Ae (0-48h) of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Apparent Total Plasma Clearance of IPN01072 (Total CL) in Cycle 1
NCT02592707 (30) [back to overview]Apparent Volume of Distribution During Terminal Phase (Vz) of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]AUC From Time Zero to Infinity (AUCinf) of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]AUC of 177Lu-IPN01072 in Blood in Cycle 1
NCT02592707 (30) [back to overview]Cumulative Amount of Lu-177 Radioactivity Excreted Into the Urine (0 to 48 Hours) [Ae (0-48h)] in Cycle 1
NCT02592707 (30) [back to overview]Disease Control Rate (DCR)
NCT02592707 (30) [back to overview]Fraction of IPN01072 Excreted Into the Urine (Fe) in Cycle 1
NCT02592707 (30) [back to overview]Maximal Uptake (%) of 177Lu-IPN01072 in Blood in Cycle 1
NCT02592707 (30) [back to overview]Maximum Observed Plasma Concentration (Cmax) of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Number of Participants With Dose Limiting Toxicities (DLT)
NCT02592707 (30) [back to overview]Overall Response Rate (ORR)
NCT02592707 (30) [back to overview]Progression Free Survival (PFS)
NCT02592707 (30) [back to overview]T1/2 of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Area Under the Concentration Time Curve (AUC) of 177Lu-IPN01072 in Discernible Organs in Cycle 1
NCT02592707 (30) [back to overview]Change From Baseline in QLQ Gastro-intestinal. Neuroendocrine Tumour (GI.NET)21 at EOCT Visit
NCT02592707 (30) [back to overview]Change From Baseline in Quality of Life (QoL) Questionnaire (QLQ)-C30 at EOCT Visit
NCT02592707 (30) [back to overview]Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3
NCT02592707 (30) [back to overview]Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3
NCT02592707 (30) [back to overview]Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3
NCT02592707 (30) [back to overview]Highest Absorbed Dose of 177LU-IPN01072 to Each Discernible Organ in Cycle 1
NCT02592707 (30) [back to overview]Highest Absorbed Dose of 177LU-IPN01072 to Each Discernible Organ in Cycle 1
NCT02592707 (30) [back to overview]Maximum Uptake (%) of 177Lu-IPN01072 at Target Lesions and Discernible Organs in Cycle 1
NCT02592707 (30) [back to overview]Maximum Uptake (%) of 177Lu-IPN01072 at Target Lesions and Discernible Organs in Cycle 1
NCT02592707 (30) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
NCT02592707 (30) [back to overview]Specific Absorbed Dose Per Organ and Lesions of 177Lu-IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Specific Absorbed Dose Per Organ and Lesions of 177Lu-IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Time to Reach Maximum Plasma Concentration (Tmax) of IPN01072 in Cycle 1
NCT02592707 (30) [back to overview]Area Under the Concentration Time Curve (AUC) of 177Lu-IPN01072 in Discernible Organs in Cycle 1
NCT02592707 (30) [back to overview]Terminal Half-Life (T1/2) of Radioactivity Concentrations of the Radiopharmaceutical in Blood in Cycle 1

Number of Subjects With Best Overall Tumor Response

Tumor responses were evaluated using computed tomography and categorized according to RECIST v1.0 at baseline and at the end of every cycle (every 12 weeks) or after recovery from toxicity. Per RECIST v1.0 for target lesions and assessed by MRI: Complete Response (CR): Disappearance of all target lesions [no evidence of disease]; Partial Response (PR): ≥ 30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD): ≥ 20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD): small changes that do not meet above criteria. (NCT00142415)
Timeframe: Up to 9 months

,,,,,
Interventionparticipants (Number)
Cycle 1: Stable DiseaseCycle 1: Progressive DiseaseCycle 2: Partial ResponseCycle 2: Stable DiseaseCycle 2: Progressive DiseaseCycle 3: Stable DiseaseCycle 3: Progressive Disease
Cohort 1, 30 mCi/m^2 177-Lu-DOTA-cG2502101110
Cohort 2, 40 mCi/m^2 177-Lu-DOTA-cG2502101101
Cohort 3, 50 mCi/m^2 177-Lu-DOTA-cG2505112010
Cohort 4, 60 mCi/m^2 177-Lu-DOTA-cG2502101100
Cohort 5, 70 mCi/m^2 177-Lu-DOTA-cG2502000000
Cohort 6, 65 mCi/m^2 177-Lu-DOTA-cG2506002110

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Number of Subjects With Dose-limiting Toxicity (DLT) During Cycle 1

Subjects were monitored for AEs for ≥ 8 weeks after the last infusion of 177-Lu-DOTA-cG250 before dose escalation could be implemented. Toxicity was graded in accordance with the NCI CTCAE version 3.0. DLT was defined as the following treatment-related events: ≥ Grade 3 non-hematologic toxicity; ≥ Grade 4 hematologic toxicity (platelets < 25 × 10^9/L or leukocytes < 1.0 × 10^9/L) that persisted for > 4 weeks except anemia; thrombocytopenia < 10 × 10^9/L; clinically relevant myelotoxicity that required hospitalization and/or blood product transfusion (e.g., uncontrolled bleeding, infections that had to be treated clinically). (NCT00142415)
Timeframe: 12 weeks

,,,,,
Interventionparticipants (Number)
Any DLTGrade 4 ThrombocytopeniaGrade 4 LeukopeniaGrade 4 NeutropeniaGrade 3 EpistaxisGrade 3 FatigueGrade 3 Hematoma
Cohort 1, 30 mCi/m^2 177-Lu-DOTA-cG2500000000
Cohort 2, 40 mCi/m^2 177-Lu-DOTA-cG2500000000
Cohort 3, 50 mCi/m^2 177-Lu-DOTA-cG2501101000
Cohort 4, 60 mCi/m^2 177-Lu-DOTA-cG2500000000
Cohort 5, 70 mCi/m^2 177-Lu-DOTA-cG2502220111
Cohort 6, 65 mCi/m^2 177-Lu-DOTA-cG2501101000

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Number of Subjects With Treatment-emergent Adverse Events

Toxicity was graded in accordance with the NCI CTCAE version 3.0. Treatment-emergent adverse events (TEAEs) were reported based on clinical laboratory tests, physical examinations, and vital signs from pre-treatment through 4 weeks after the last dose of study treatment. (NCT00142415)
Timeframe: Up to 1 year

,,,,,
Interventionparticipants (Number)
Any TEAEMaximum Grade 3 TEAEMaximum Grade 4 TEAETreatment-related TEAESAEDeathTEAE Leading to Discontinuation
Cohort 1, 30 mCi/m^2 177-Lu-DOTA-cG2503002000
Cohort 2, 40 mCi/m^2 177-Lu-DOTA-cG2503013200
Cohort 3, 50 mCi/m^2 177-Lu-DOTA-cG2506116110
Cohort 4, 60 mCi/m^2 177-Lu-DOTA-cG2503003000
Cohort 5, 70 mCi/m^2 177-Lu-DOTA-cG2502022100
Cohort 6, 65 mCi/m^2 177-Lu-DOTA-cG2506326200

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Radiation Absorbed Doses by Organ for 177-Lu-cG250

After each 177-Lu-cG250 administration, 3 whole-body scintigrams were acquired (directly after injection and 2-4 days and 5-7 days post-injection) and blood samples were drawn at 5, 30, 60, and 120 min, 2-4 days, and 5-7 days post-infusion. Estimated radiation absorbed doses were calculated according to the Medical Internal Radiation Dose scheme, which permits estimation of the factors required to calculate dose to one organ attributable to a source in another organ. (NCT00142415)
Timeframe: 12 weeks

InterventionmGy/MBq (Mean)
Whole BodyLiverHeart WallRed Marrow (Image-based)Red Marrow (Blood-based)KidneyLungsTestesMetastases
Dosimetry Evaluable Analysis Set0.241.260.760.440.351.300.491.905.72

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Overall Survival

Overall survival will be estimated. (NCT02483000)
Timeframe: Up to 4 years

InterventionParticipants (Count of Participants)
Treatment (PRIT)2

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Dosimetry of Yttrium Y 90 DOTA-biotin

Assessed using OLINDA dosimetry software. The estimated dose to normal organs and tumor sites will be described based on the tumor to normal organ ratios derived from dosimetry estimates coupled with the absorbed dose to normal organs based on the administered activity of yttrium Y 90 DOTA-biotin. (NCT02483000)
Timeframe: Up to 7 days after infusion

InterventioncGy/mCi (Median)
LiverSpleenLungsKidneysBone MarrowBrain
Treatment (PRIT)2.53.730.22911.43.750.229

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Incidence of Toxicity, Defined According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0

Descriptive statistics on the number and percent toxicities will be calculated. (NCT02483000)
Timeframe: Up to 30 days after transplant

InterventionParticipants (Count of Participants)
Serious Adverse EventsOther (Not Including Serious) Adverse Events
Treatment (PRIT)22

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Ae (0-48h) of IPN01072 in Cycle 1

Urine was collected during the first 48 hours post infusion to determine the renal excretion of 177Lu-IPN01072 at Cycle 1 for Part B only. (NCT02592707)
Timeframe: 0 to 4 hours, 4 to 24 hours, 24 to 48 hours in Cycle 1 of Part B

Interventionmcg (Mean)
Part B: All Participants141

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Apparent Total Plasma Clearance of IPN01072 (Total CL) in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

InterventionL/h (Mean)
Part B: All Participants9.58

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Apparent Volume of Distribution During Terminal Phase (Vz) of IPN01072 in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

InterventionLiter (Mean)
Part B: All Participants68.7

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AUC From Time Zero to Infinity (AUCinf) of IPN01072 in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

Interventionng*hour (h)/mL (Mean)
Part B: All Participants45.8

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AUC of 177Lu-IPN01072 in Blood in Cycle 1

The AUC of 177Lu-IPN01072 radioactivity in blood were computed for each administration of 177Lu-IPN01072. (NCT02592707)
Timeframe: Pre-infusion (Baseline), 5 and 30 minutes, 1, 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

InterventionMBq*hour/L (Median)
Part A: 177Lu-IPN01072 4.5 GBq623
Part B Cohort 1: 177Lu-IPN01072 6 GBq901
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq690
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq720
All Participants726

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Cumulative Amount of Lu-177 Radioactivity Excreted Into the Urine (0 to 48 Hours) [Ae (0-48h)] in Cycle 1

Urine was collected during the first 48 hours post infusion to determine the renal excretion of 177Lu-IPN01072 at Cycle 1 only. (NCT02592707)
Timeframe: 0 to 6 hours, 6 to 24 hours, 24 to 48 hours post-infusion in Cycle 1 of Part A; 0 to 4 hours, 4 to 24 hours, 24 to 48 hours in Cycle 1 of Part B.

InterventionMbq (Median)
Part A: 177Lu-IPN01072 4.5 GBq2586
Part B Cohort 1: 177Lu-IPN01072 6 GBq3106
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq2640
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq2621
All Participants2787

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Disease Control Rate (DCR)

The DCR was defined as the percentage of participants who achieved a CR, a PR or a stable disease (SD) as BOR according to Investigator assessment RECIST version 1.1 criteria. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. (NCT02592707)
Timeframe: From the start of the first study medication (Cycle 1 Day 1) up to 2 years after the EOCT/death or lost to follow-up, maximum of 59 months.

Interventionpercentage of participants (Number)
Part A: 177Lu-IPN01072 4.5 GBq93.3
Part B Cohort 1: 177Lu-IPN01072 6 GBq100.0
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq100.0
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq90.0
All Participants95.0

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Fraction of IPN01072 Excreted Into the Urine (Fe) in Cycle 1

Urine was collected during the first 48 hours post infusion to determine the renal excretion of 177Lu-IPN01072 at Cycle 1 for Part B only. (NCT02592707)
Timeframe: 0 to 4 hours, 4 to 24 hours, 24 to 48 hours in Cycle 1 in Part B

Interventionpercentage of drug excreted into urine (Mean)
Part B: All Participants52.9

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Maximal Uptake (%) of 177Lu-IPN01072 in Blood in Cycle 1

177Lu-IPN01072 uptake in blood was evaluated on site/locally using a gamma counter calibrated for 177Lu-IPN01072 according to the dosimetry operational manual. (NCT02592707)
Timeframe: Pre-infusion (Baseline), 5 and 30 minutes, 1, 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

Interventionpercentage/liter (L) (Median)
Part A: 177Lu-IPN01072 4.5 GBq3.66
Part B Cohort 1: 177Lu-IPN01072 6 GBq2.98
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq2.77
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq3.32
All Participants3.03

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Maximum Observed Plasma Concentration (Cmax) of IPN01072 in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

Interventionnanogram (ng)/milliliter (mL) (Mean)
Part B: All Participants10.7

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Number of Participants With Dose Limiting Toxicities (DLT)

DLTs were defined as study medication-related AEs with a severity of Grade 3 or higher are considered DLT, with the exception of hair loss, lymphopenia, nonfebrile neutropenia lasting <4 weeks and thrombocytopenia lasting <4 weeks. (NCT02592707)
Timeframe: From the start of the first study medication (Cycle 1 Day 1) up to EOCT, maximum of 16 weeks.

InterventionParticipants (Count of Participants)
Part A: 177Lu-IPN01072 4.5 GBq3
Part B Cohort 1: 177Lu-IPN01072 6 GBq0
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq2
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq1
All Participants6

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Overall Response Rate (ORR)

The ORR was defined as the percentage of participants who achieved a complete response (CR) or a partial response (PR) as best overall response (BOR) according centralized to response evaluation criteria in solid tumours (RECIST) version 1.1 from investigator assessment. Participants with no tumour assessment after the start of study treatment were not evaluated. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT02592707)
Timeframe: From the start of the first study medication (Cycle 1 Day 1) up to 2 years after the EOCT/death or lost to follow-up, maximum of 59 months.

Interventionpercentage of participants (Number)
Part A: 177Lu-IPN01072 4.5 GBq40.0
Part B Cohort 1: 177Lu-IPN01072 6 GBq16.7
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq22.2
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq40.0
All Participants32.5

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Progression Free Survival (PFS)

The PFS was defined as the time from start of study treatment until occurrence of tumour progression or death, according to Investigator assessment RECIST version 1.1. Estimation of the median was based on the Kaplan-Meier method. (NCT02592707)
Timeframe: From the start of the first study medication (Cycle 1 Day 1) up to 2 years after the EOCT/death or lost to follow-up, maximum of 59 months.

Interventionmonths (Median)
Part A: 177Lu-IPN01072 4.5 GBq29.7
Part B Cohort 1: 177Lu-IPN01072 6 GBq21.2
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq25.1
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq11.1
All Participants28.1

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T1/2 of IPN01072 in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

Interventionhours (Mean)
Part B: All Participants6.09

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Area Under the Concentration Time Curve (AUC) of 177Lu-IPN01072 in Discernible Organs in Cycle 1

The AUC of 177Lu-IPN01072 radioactivity in discernible organs were computed for each administration of 177Lu-IPN01072. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,,
InterventionMBq*hour (Median)
Bone marrow (Image-based)Kidney (left + right)LiverSpleen
All Participants1758239111337772
Part A: 177Lu-IPN01072 4.5 GBq174959667456701
Part B Cohort 1: 177Lu-IPN01072 6 GBq3528966179187949

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Change From Baseline in QLQ Gastro-intestinal. Neuroendocrine Tumour (GI.NET)21 at EOCT Visit

The GI.NET21 module was intended for use among participants with gastrointestinal related (GI.- related) neuroendocrine tumours, who vary in disease stage and treatments. The module comprises 21 questions, consisting of 5 scales (endocrine symptoms, G.I. symptoms, treatment related symptom, social function, disease related worries) and 4 single items that assessed muscle /bone pain symptom, sexual function, information/communication function, and body image. Each question was quoted from 1 (not at all) to 4 (very much). Each scale in the questionnaire was scored from 0 to 100. A higher value was equivalent to worse or more problems. Baseline was defined as the last non-missing measurement collected prior to the first dose of study drug (Day 1). (NCT02592707)
Timeframe: Baseline (Day 1) and EOCT visit (30 months)

,,,,
Interventionscore on a scale (Mean)
Endocrine symptomsG. I. symptomsTreatment related symptomSocial functionDisease related worries
All Participants-2.98-3.335.28-16.67-7.06
Part A: 177Lu-IPN01072 4.5 GBq-5.12-3.585.62-19.67-8.98
Part B Cohort 1: 177Lu-IPN01072 6 GBq11.10-6.70-6.70-22.30-22.20
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq-0.002.509.01-4.153.46
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq-5.55-13.30-0.30-30.53-18.05

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Change From Baseline in Quality of Life (QoL) Questionnaire (QLQ)-C30 at EOCT Visit

The European Organisation for Research and Treatment of Cancer (EORTC) score questionnaire (QLQ-C30) was used for QoL evaluation. Each scale in the questionnaire were scored (0 to 100) according to the EORTC recommendations in the EORTC QLQ-C30 scoring manual. The scale included a global health status, where high score for the global health status represents a high QoL. The functional scales consisted of physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, where a higher value reflects a better level of function. Nine symptoms scales included nausea and vomiting, pain, fatigue, dyspnoea, insomnia, appetite loss, constipation, diarrhoea and financial difficulties, where a higher value reflects worse symptoms. Baseline was defined as the last non-missing measurement collected prior to the first dose of study drug (Day 1). (NCT02592707)
Timeframe: Baseline (Day 1) and EOCT visit (30 months)

,,,,
Interventionscore on a scale (Mean)
Global Health StatusPhysical functioningRole functioningEmotional functioningCognitive functioningSocial functioning
All Participants3.840.263.855.123.208.97
Part A: 177Lu-IPN01072 4.5 GBq1.27-2.053.8511.526.4115.38
Part B Cohort 1: 177Lu-IPN01072 6 GBq16.700.000.00-25.000.000.00
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq-6.24-0.82-0.01-4.16-6.26-2.09
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq29.1510.0012.5010.4312.5012.50

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Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3

The cumulative absorbed dose to the discernible organs (i.e., organs showing uptake) was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycles 1 and 3

,
InterventionGray (Median)
Cycle 1: Bone marrow (image-based)Cycle 1: Kidney (left + right)Cycle 1: SpleenCycle 3: Bone marrow (image-based)Cycle 3: Kidney (left + right)Cycle 3: Spleen
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq0.3753.254.001.098.919.21
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq0.2853.553.550.84010.18.08

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Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3

The cumulative absorbed dose to the discernible organs (i.e., organs showing uptake) was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycles 1 and 3

InterventionGray (Median)
Cycle 1: Bone marrow (image-based)Cycle 1: Kidney (left + right)Cycle 1: LiverCycle 1: SpleenCycle 3: Bone marrow (image-based)Cycle 3: Kidney (left + right)Cycle 3: Spleen
Part B Cohort 1: 177Lu-IPN01072 6 GBq0.7153.850.8104.351.489.417.58

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Cumulative Absorbed Organ Doses of 177Lu-IPN01072 in Cycles 1 and 3

The cumulative absorbed dose to the discernible organs (i.e., organs showing uptake) was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycles 1 and 3

,
InterventionGray (Median)
Cycle 1: Bone marrow (image-based)Cycle 1: Kidney (left + right)Cycle 1: LiverCycle 1: SpleenCycle 3: Bone marrow (image-based)Cycle 3: Kidney (left + right)Cycle 3: LiverCycle 3: Spleen
All Participants0.4003.730.7653.451.1010.82.088.32
Part A: 177Lu-IPN01072 4.5 GBq0.3194.310.7202.881.1112.32.086.93

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Highest Absorbed Dose of 177LU-IPN01072 to Each Discernible Organ in Cycle 1

The absorbed dose to the discernible organs (i.e., organs showing uptake) was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. The organs considered for 177LU-IPN01072 image-based dosimetry assessment included: liver, bone marrow, kidney (left + right), and spleen. Highest absorbed dose of 177Lu-IPN01072 was calculated as described in the Dosimetry calculation procedure manual. Maximum value observed for each discernible organs across participants has been reported. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 and 144 to 168 hours post infusion in Cycle 1

,
InterventionGray (Number)
Bone marrow (image-based assay)Kidney (left + right)Spleen
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq0.505.865.90
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq0.695.074.09

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Highest Absorbed Dose of 177LU-IPN01072 to Each Discernible Organ in Cycle 1

The absorbed dose to the discernible organs (i.e., organs showing uptake) was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. The organs considered for 177LU-IPN01072 image-based dosimetry assessment included: liver, bone marrow, kidney (left + right), and spleen. Highest absorbed dose of 177Lu-IPN01072 was calculated as described in the Dosimetry calculation procedure manual. Maximum value observed for each discernible organs across participants has been reported. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 and 144 to 168 hours post infusion in Cycle 1

,,
InterventionGray (Number)
Bone marrow (image-based assay)Kidney (left + right)LiverSpleen
All Participants3.598.551.268.07
Part A: 177Lu-IPN01072 4.5 GBq0.978.551.268.07
Part B Cohort 1: 177Lu-IPN01072 6 GBq3.594.870.816.00

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Maximum Uptake (%) of 177Lu-IPN01072 at Target Lesions and Discernible Organs in Cycle 1

177Lu-IPN01072 uptake in organs and lesions was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. Uptake activity for organs of interest (i.e., body, bone marrow, kidney [left + right], healthy liver, and spleen) was determined. The maximal uptake in lesions was calculated for each lesion as: maximal activity divided injected activity*100. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,
Interventionpercentage of injected drug activity (Median)
Bone marrow (image-based)Kidney (left + right)SpleenAll lesions
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq0.02501.601.781.18
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq0.02191.671.791.43

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Maximum Uptake (%) of 177Lu-IPN01072 at Target Lesions and Discernible Organs in Cycle 1

177Lu-IPN01072 uptake in organs and lesions was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. Uptake activity for organs of interest (i.e., body, bone marrow, kidney [left + right], healthy liver, and spleen) was determined. The maximal uptake in lesions was calculated for each lesion as: maximal activity divided injected activity*100. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,,
Interventionpercentage of injected drug activity (Median)
Bone marrow (image-based)LiverKidney (left + right)SpleenAll lesions
Part B Cohort 1: 177Lu-IPN01072 6 GBq0.04204.311.761.272.36
All Participants0.03802.631.761.670.932
Part A: 177Lu-IPN01072 4.5 GBq0.04691.521.961.500.651

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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs

AE is defined as any untoward medical occurrence in a subject or clinical trial subject administered a medicinal product, which did not necessarily have a causal relationship with this treatment. A serious AE (SAE) was classified as any untoward medical occurrence that at any dose results in death; AE was life threatening; required inpatient hospitalization or prolonged existing hospitalization; resulted in persistent or significant disability/ incapacity; was a congenital anomaly/birth defect; was an important medical event that may not result in death. TEAEs are defined as AEs that developed or worsened after start of treatment. (NCT02592707)
Timeframe: From the start of the first study medication (Cycle 1 Day 1) up to 6 months after the last dose of study medication, maximum of 33 months

,,,,
InterventionParticipants (Count of Participants)
TEAEsSerious TEAEs
All Participants408
Part A: 177Lu-IPN01072 4.5 GBq152
Part B Cohort 1: 177Lu-IPN01072 6 GBq61
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq92
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq103

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Specific Absorbed Dose Per Organ and Lesions of 177Lu-IPN01072 in Cycle 1

The specific absorbed dose was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. Data are presented for all lesions, regardless of their anatomical localization. The organs considered for 177Lu-IPN01072 image-based dosimetry assessment included: liver, bone marrow, kidney (left + right), and spleen. The specific absorbed dose to the lesions was the absorbed dose by the lesion (unit: Gray) divided by the injected radioactivity (unit: GBq) for each lesion selected for dosimetry evaluation. The specific absorbed dose for a given organ was the absorbed dose by this organ (unit: Gray) divided by the injected radioactivity (unit: GBq). (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,
InterventionGray/GBq (Median)
LesionsBone marrow (image-based)Kidney (left + right)Spleen
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq6.820.08500.8800.985
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq13.50.06500.7650.805

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Specific Absorbed Dose Per Organ and Lesions of 177Lu-IPN01072 in Cycle 1

The specific absorbed dose was evaluated centrally, using nuclear medicine images, as part of the dosimetry workflow. Data are presented for all lesions, regardless of their anatomical localization. The organs considered for 177Lu-IPN01072 image-based dosimetry assessment included: liver, bone marrow, kidney (left + right), and spleen. The specific absorbed dose to the lesions was the absorbed dose by the lesion (unit: Gray) divided by the injected radioactivity (unit: GBq) for each lesion selected for dosimetry evaluation. The specific absorbed dose for a given organ was the absorbed dose by this organ (unit: Gray) divided by the injected radioactivity (unit: GBq). (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,,
InterventionGray/GBq (Median)
LesionsBone marrow (image-based)Kidney (left + right)LiverSpleen
All Participants5.000.09000.8790.1790.840
Part A: 177Lu-IPN01072 4.5 GBq2.560.07961.050.1860.769
Part B Cohort 1: 177Lu-IPN01072 6 GBq3.900.1350.7200.1700.945

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Time to Reach Maximum Plasma Concentration (Tmax) of IPN01072 in Cycle 1

The PK sampling was performed from Day 1 to Day 3 post infusion done at Cycle 1 for Part B only. (NCT02592707)
Timeframe: Pre-infusion (Baseline) and 5 minutes, 30 minutes, 60 minutes, 4 hours, 6 hours, 8 hours, 24 hours, 48 hours after the end of the infusion in Cycle 1

Interventionhours (Median)
Part B: All Participants0.083

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Area Under the Concentration Time Curve (AUC) of 177Lu-IPN01072 in Discernible Organs in Cycle 1

The AUC of 177Lu-IPN01072 radioactivity in discernible organs were computed for each administration of 177Lu-IPN01072. (NCT02592707)
Timeframe: 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

,
InterventionMBq*hour (Median)
Bone marrow (Image-based)Kidney (left + right)Spleen
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq13862397727
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq15775788179

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Terminal Half-Life (T1/2) of Radioactivity Concentrations of the Radiopharmaceutical in Blood in Cycle 1

The terminal half-life was defined as the largest half-life of the decay curve of blood activity. (NCT02592707)
Timeframe: Pre-infusion (Baseline), 5 and 30 minutes, 1, 4, 24, 48, 72 to 96 hours, 144 to 168 hours post infusion in Cycle 1

Interventionhours (Median)
Part A: 177Lu-IPN01072 4.5 GBq68.3
Part B Cohort 1: 177Lu-IPN01072 6 GBq109
Part B Cohort 3: 177Lu-IPN01072 4.5 GBq123
Part B Cohort 6: 177Lu-IPN01072 4.5 GBq145
All Participants127

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