Tracers / [212Pb]Pb-212-TCMC-trastuzumab

[212Pb]Pb-212-TCMC-trastuzumab

Also written as Pb-212-TCMC-trastuzumab
Radionuclide
Pb-212 t½ 638.4 min
Modality
Therapy
Production route
Stage
Phase I clinical trial (first-in-human)
Syntheses indexed
5

What it is

Compound class
Radiolabeled monoclonal antibody (TCMC-conjugated anti-HER2 antibody trastuzumab, alpha-particle immunoconjugate)
Target / mechanism
HER2-targeting via trastuzumab antibody delivering alpha-emitting 212Pb PMID 24229395
Clinical application
Intraperitoneal targeted alpha-particle radioimmunotherapy for HER-2-expressing peritoneal carcinomatosis (e.g., ovarian cancer) PMID 25157044
Theranostic pair

Regulatory status

FDA
EMA (centralised)
Other approvals
Brand names

Clinical use

Typical injected activity
Uptake time

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Manual synthesisTCMC26858987
2015 AIMS Med Sci
conjugation of mAbs with the chelator is routinely performed at molar chelate to antibody/peptide ratios of 5–20:1
Manual synthesisSPE92.2% to 99.6%90.2% to 100%TCMC-trastuzumab
Goodwin Biotechnology, Inc.
26230702
2015 Pharmaceuticals (Basel)
TCMC-trastuzumab was then labeled with 212Pb as previously described — Radiolabelling efficiency of the cGMP TCMC-trastuzumab with 212Pb ranged from 92.2% to 99.6%
Manual synthesisSPE82.1% and 83%TCMC-trastuzumab
Goodwin Biotechnology, Inc.
26230702
2015 Pharmaceuticals (Basel)
The 203Pb solution was neutralized and the cGMP TCMC-trastuzumab (100 µg) added, vortexed and incubated at 37 °C for 1 h
TCMC-trastuzumab
Genentech
25157044
2014 J Nucl Med
24229395
2014 Cancer Biother Radiopharm

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Notes

Added at stage 21 from therapy-discovered.xlsx (bulk PubMed search by isotope/therapy-type/known-agent, not individually researched yet) -- 5 articles found. Target/mechanism, clinical application, indications, approval and precursor fields still need per-agent research and are intentionally left empty. Compound class inferred from precursor name (not stated outright) -- PMID 26230702: '1,4,7,10-tetraaza-1,4,7,10-tetra-(2-carbamoylmethyl)-cyclododecane-trastuzumab (212Pb-TCMC-trastuzumab)'. Stage set/updated at stage 23 from PMID 25157044: 'Dose escalation and dosimetry of first-in-human α radioimmunotherapy with 212Pb-TCMC-trastuzumab.'.