# Patent

## Title
Radiopharmaceutical and methods of synthesis and use thereof

## Abstract

A novel group of apomorphine derivatives are provided that are well suited as radioimaging agents upon incorporation of radionuclides. Through reaction of D ring sites, the less reactive sites of the apomorphine A ring is modified in ways previously unattainable.

## Background
RELATED APPLICATION
This application claims priority of U.S. Provisional Patent Application Ser. No. 60/521,425 filed Apr. 23, 2004, which is incorporated herein by reference.


FIELD OF THE INVENTION
The present invention in general relates to apomorphic derivatives and in particular to apomorphic derivatives operative as radioimaging agents.
BACKGROUND OF THE INVENTION
Dopamine receptors mediate signals that regulate neuronal function, and thereby have important roles in physiological processes governed by neuronal function. The absence of normal dopamine receptor expression, excessive expression of dopamine receptors or presence of dopamine receptors in abnormal locations can contribute to aberrant physiological processes, leading to disease, degeneration and other abnormal conditions. Accordingly, the amount or distribution of dopamine receptors in a cell, tissue or organ of an individual can be indicative of a variety of neurological disorders, including central nervous system and peripheral nervous system disorders.
Positron emission tomography (PET) is a high resolution, non-invasive imaging technique that utilizes molecules labeled with positron-emitting radioisotopes to visualize and measure rates of biochemical processes in tissues and cells of living subjects. Single-photon emission computed tomography (SPECT) is another radioisotope imaging modality with similar applications. Both are used in medical imaging of patients for diagnosing disease and monitoring treatment. Imaging of this type is typically done with non-specific compounds complexed with an appropriate positron emitting radionuclide. For example, the most commonly used radiotracer is 18F labeled 2-fluoro-2-deoxy-D-glucose (FDG) which is naturally absorbed by cells but cannot be metabolized. When administered, FDG accumulates in cells with a high metabolic rate, a fundamental characteristic of cancer cells. Though PET and SPECT are widely used, few specific radiotracers are readily available as for study of particular biological molecules relevant in medical conditions, such as dopamine receptors.
Owing to the importance of dopamine signaling in neuronal function, considerable effort has been devoted to developing imaging compounds specific for dopamine receptors. (R)-(−)-2-fluoro-N-propylnorapomorphine (1) is recognized as one of the most efficient and most selective D2 dopamine receptor agonists. Considerable effort has previously been devoted to the development of imaging compounds based on apomorphine derivatives (2-23). However, because of the strong ring activation, ring modification is strongly favored in the 2 position of the A ring. Amine, halogen and hydroxyl groups have been placed at this position with an N-n-propyl group and the molecule being otherwise unmodified. An exception to modification of the apomorphine at the 2 position is dibromination at the 8 and 9 positions of the D apomorphine ring (2). In light of the recent appreciation that apomorphine structure around the 1, 2 and 3 positions of the A apomorphine ring has significant effects on the specifics of dopamine receptor interaction, it would be of considerable value to develop a synthetic approach in compounds with a variety of substituents not only at the 1, 2 and 3 positions of the A ring, but also the 8 and 9 positions of the D ring. Thus, there exists a need for apomorphine-based imaging compounds and chemistries for the formation of such compounds so as to enhance neuronal function diagnosis.
SUMMARY OF THE INVENTION
A compound is described having the structural formula:




where R1 is H, C1-C30 alkyl, C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 is H, X, or Sn(C1-C6 alkyl)3; X is F, Cl, Br, or I; R3 is H, X or Sn(C1-C6 alkyl)3; R4, R5 and R6 are each independently H, nitro, amino, hydroxyl, X, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; or Sn(C1-C6 alkyl)3 with the proviso that at least one of R4, R5 and R6 is nitro, amino, hydroxyl, X or Sn(C1-C6 alkyl)3; and when R5 is NH2, OH or X; R4 is H; and R6 is H; then at least one of R2 and R3 is X; R7 and R8 are each independently H, C1-C6 alkyl group, or a C0-C6 alkyl group having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, or a C0-C8 alkyl group having a substituent selected from a group consisting of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine and quaternary amine.
A process for synthesizing an apomorphine derivative includes reacting a compound having the structural formula




where R1 is H, C1-C30 alkyl, C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 and R3 are each H or X and at least one of R2 and R3 is H; X is F, Cl, Br or I; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups are each independently H, C1-C8 alkyl, or a C0-C8 alkyl group having a substituent selected from a group consisting of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine; R14, R15, and R16 are each independently H, nitro, amino, hydroxyl or X with a halogenating agent imparting a stable halogen isotope to at least one of R2 and R3. Thereafter, at least one of R14, R15 or R16 is replaced with a nitro or X. Alternatively, the stable halogen isotope found at at least one of R12 or R13 is replaced with a halogen radioisotope. The resulting product is amenable to reduction to convert a nitro group so added to an amine. The amine group is also amenable to hydrolysis to form a hydroxyl group. A nitro group, amine group or hydroxyl group is amenable to direct halogenation of the A ring proximal to the directing group.
A process for detecting dopamine receptor quantity or distribution in an individual or cell, tissue or organ of the individual includes administration of an effective amount of a compound of Formula I to the individual. The compound (I) having a radioisotope at least one of R1-R8. A radioisotopic signal is detected associated with the compound. The signal corresponding to the dopamine receptor quantity or distribution. It is appreciated that introduction of a radioisotopically labeled compound (I) in concert with a drug is operative to assess the receptor kinetics of the drug relative to the compound (I).
A method of diagnosing a neurological disorder includes a comparison of the radioisotopic signal associated with administration of the compound according to Formula I relative to an individual having a control amount or distribution of dopamine receptor and a known neurological state.
The use of a compound having the Formula I is also contemplated for the preparation of a radioimaging composition selective for dopamine receptors. A commercial package is further detailed that includes a compound of Formula I as an active ingredient together with instructions for the use thereof as a radioimaging agent.
DETAILED DESCRIPTION OF THE INVENTION
The present invention has utility as therapeutic targeting dopamine receptors. The radiolabeling of an inventive compound affords a PET or SPECT radioimaging agent specific for detecting dopamine receptors in an individual, an organ, a cellular tissue, or an individual cell.
As used herein “individual” is defined to include a mammalian organism specifically including a human and non-humans including chimpanzees, monkeys, cows, dogs, cats, horses, rabbits, hamsters, rats and mice.
A compound (I) optionally is able to selectively bind to one or more subtypes of dopamine receptors, such as a D1, D2, D3, D4, or D5 dopamine receptor. For example, an apomorphine compound of the invention wherein R1 is methyl or n-propyl can have an ability to bind to a D2 dopamine receptor.
As used herein, the term “selectively” means that the compound binds to one or more particular dopamine receptor subtypes in preference to other dopamine receptor subtypes or unrelated molecules.
It is appreciated that a compound (I) also functions as a dopamine receptor agonist or antagonist. A dopamine receptor agonist refers to a molecule that selectively activates or increases normal signal transduction through the dopamine receptor. A dopamine receptor antagonist refers to a compound that selectively inhibits or decreases normal signal transduction through the dopamine receptor. For diagnostic applications, a dopamine receptor agonist of the invention preferably has an EC50, and a dopamine receptor antagonist of the invention preferably has an IC50, of less than about 10−7 M, such as less than 10−8 M, and more preferably less than 10−9 M. However, depending on the stability, selectivity and toxicity of the compound, a dopamine receptor agonist with a higher EC50, or a dopamine receptor antagonist with a higher IC50, can also be useful diagnostically.
A compound of the invention that contains a radioisotopic label can be used in a variety of experimental and diagnostic applications for visualizing dopamine receptors present on a cell, including a subcellular location; a tissue; an organ, or an organism. Such applications include both in vitro and in vivo methods. As an example of an in vitro application, a radioisotopically labeled compound of the invention can be contacted with cultured neurons to assess binding of a dopamine receptor ligand to dopamine receptor-expressing neurons. As an example of an in vivo application, a radioisotopically labeled compound of the invention can be administered to an individual in order to assess the distribution of dopamine receptor-expressing neurons in a tissue. Other exemplary in vivo applications include assessing the level of dopamine receptor-expressing neurons in a particular tissue or organ; assessing occupancy of dopamine receptors in a particular tissue or organ, for example, in the presence of another drug; assessing subcellular localization of dopamine receptors; and assessing the distribution of dopamine receptors or dopamine receptor-expressing neurons in a particular tissue, organ or organism. Such assessments can be used for revealing suitability of a particular therapeutic drug based on dopamine receptor amount or distribution; for providing parameters for optimizing therapeutic effects or minimizing side effects; for validating animal models for human conditions; for determining species differences, and for comparing functional effects of various drugs.
The invention provides a compound having a chemical structure as follows:




where R1 is H, C1-C30 alkyl, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen. nitrogen, or sulfur; R2 is H, X, or Sn(C1-C6 alkyl)3; X is F, Cl, Br, or I; R3 is H, X or Sn(C1-C6 alkyl)3; R4, R5 and R6 are each independently H, nitro, amino, hydroxyl, X, C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; or Sn(C1-C6 alkyl)3 with the proviso that at least one of R4, R5 and R6 is nitro, amino, hydroxyl, X or Sn(C1-C6 alkyl)3; and when R5is NH2, OH or X; R4 is H; and R6 is H; then at least one of R2 and R3 is X; R7 and R6 are each independently H, C1-C6 alkyl group, or a C0-C6 alkyl group having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups are each independently H, C1-C8 alkyl, or a C0-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine and quaternary amine.
It is noted that IUPAC positions correspond with variable R groups used herein as follows:














Variable Group
IUPAC Position









R4
1



R5
2



R6
3



R2
8



R3
9










Preferably, R1 is a C1-C4 alkyl group. More preferably, R1 is a linear alkyl group. Most preferably, R1 is methyl or n-propyl. It is appreciated that a transport or solubility modifying moiety is readily incorporated into R1. Illustrative modifying moieties include amino acids, dipeptides, sulfonates, amines, and carboxyls. It is appreciated that a radiolabel is also optionally incorporated into R1. Optionally, R1 also includes an unsaturated carbon-carbon bond in the form of an alkenyl, alkynyl or aryl. Heteroatom containing groups operative herein as substituents of R1 illustratively include (OCH2CH2)n or (OCH2CH2CH2)n, where n has a value such that there are thirty or less carbon atoms in the alkyl group of R. Similar compounds having alkyl groups containing a nitrogen or sulfur atom are also encompassed by the present invention.
A compound (I) is operative as a radioimaging agent through radioisotope labeling. Considerable modification is possible when a precursor compound has R2 and R3 that are both bromine, both iodine, or mixed with one of R2 or R3 being bromine and the other being iodine. Such a compound (I) is characterized as having a blocked “D ring,” and is suitable starting material for preparing an apomorphine compound having a modified “A ring” or modified A and D rings. Alternatively, A and D rings of a compound (I) are made susceptible to labeling with a halogen isotope; an example of such compound has at least one of R4, R5, or R6 being amine or hydroxyl. In a particular compound, R4 and R6 are both amine, both hydroxyl, or mixed with one of R4 and R6 being amine and the other being hydroxyl. In still another preferred compound amenable to both A and D ring labeling, at least one of R4, R5, or R6 is amine or hydroxyl.
In other embodiments, at least one of R4, R5, or R6 is X. As an example, both R4 and R6 are X in a specific compound. The X is selected from fluorine, chlorine, bromine and iodine. Optionally the halogen is a radioisotope. Halogen isotopes operative herein include 18F, 75Br, 76Br, 77Br, 78Br, 121I, 122I, 123I, 124I, 126I and 128I. Selection of a particular radioisotope for inclusion in a compound of the invention can depend, for example, on the specifics of the PET or SPECT used to detect or monitor the compound in vivo or in vitro.
In further embodiments, R2 and R3 are each independently halogens. For example, R2 and R3 can be each independently bromine or iodine, including compounds where R2 and R3 are both bromine, and where R2 and R3 are iodine. In a particular compound, R2 and R3 are both hydrogen. Additionally, it is appreciated that one of R2 or R3 is readily X while the other is hydrogen.
An inventive compound (I) can be a radiolabeled apomorphine compound containing a detectable moiety, such as a radioisotope. Specific examples of such compounds include those having halogen isotopes at R2, R3, and R4; R2, R3 and R5; R2, R3 and R6; and R2, R3, R4 and R6.
The invention illustratively includes the following compounds. It is appreciated that each instance of 18F in each of the following compounds is readily replaced with another halogen. Exemplary specific inventive compounds illustratively include: (R)-(−)-1-Amino-2,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Amino-3,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,3,8,9-tetra[18F]fluoroapomorphine; (R)-(−)-3-Amino-2,8,9-tri[18F]fluoroapomorphine; (R)-(−)-1-Amino-2,8-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,8-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-3,8-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,3,8-tri[18F]fluoroapomorphine; (R)-(−)-3-Amino-2,8-di[18F]fluoroapomorphine; (R)-(−)-1-Amino-2,9-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,9-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-3,9-di[18F]fluoroapomorphine; (R)-(−)-2-Amino-1,3,9-tri[18F]fluoroapomorphine; (R)-(−)-3-Amino-2,9-di[18F]fluoroapomorphine; (R)-(−)-1-Hydroxy-2,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-3,8,9-tri[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,3,8,9-tetra[18F]fluoroapomorphine; (R)-(−)-3-Hydroxy-2,8,9-tri[18F]fluoroapomorphine; (R)-(−)-1-Hydroxy-2,8-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,8-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-3,8-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,3,8-tri[18F]fluoroapomorphine; (R)-(−)-3-Hydroxy-2,8-di[18F]fluoroapomorphine; (R)-(−)-1-Hydroxy-2,9-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,9-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-3,9-di[18F]fluoroapomorphine; (R)-(−)-2-Hydroxy-1,3,9-tri[18F]fluoroapomorphine; (R)-(−)-3-Hydroxy-2,9-di[18F]fluoroapomorphine; (R)-(−)-1-Amino-2,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-3,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,3,8,9-tetra[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Amino-2,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-1-Amino-2,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-3,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,3,8-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Amino-2,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-1-Amino-2,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-3,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Amino-1,3,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Amino-2,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-1-Hydroxy-2,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-3,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,3,8,9-tetra[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Hydroxy-2,8,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-1-Hydroxy-2,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-3,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,3,8-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Hydroxy-2,8-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-1-Hydroxy-2,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-3,9-di[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-2-Hydroxy-1,3,9-tri[18F]fluoro-N-n-propylnorapomorphine; (R)-(−)-3-Hydroxy-2,9-di[18F]fluoro-N-n-propylnorapomorphine; ((R)-(−)-1-Aminoapomorphine; (R)-(−)-3-Aminoapomorphine; (R)-(−)-1,3-Diaminoapomorphine; (R)-(−)-1-Hydroxyapomorphine; (R)-(−)-3-Hydroxyapomorphine; (R)-(−)-1,3-Diydroxyapomorphine; (R)-(−)-1-Amino-N-n-propylnorapomorphine; (R)-(−)-3-Amino-N-n-propylnorapomorphine; (R)-(−)-1,3-Diamino-N-n-propylnorapomorphine; (R)-(−)-1-Hydroxy-N-n-propylnorapomorphine; (R)-(−)-3-Hydroxy-N-n-propylnorapomorphine; (R)-(−)-1,3-Dihydroxy-N-n-propylnorapomorphine.
The present invention provides a method for detecting dopamine receptors in a cell, tissue, organ or body of an individual. The process involves (a) administering an effective amount of a compound of the invention to the individual, where the compound is radioisotopically labeled in at least one of R1-R8, and (b) detecting radioisotopic signal associated with the compound, wherein the signal corresponds to a dopamine receptor amount or distribution in the individual, or a cell, tissue or organ of the individual. It is appreciated that a signal is collected at regular intervals after administration to measure the kinetics of dopamine receptor association by an inventive compound (I) or alternatively, collected after a single time known to provide suitable receptor association.
A radioisotopically labeled compound (I) is also operative to determine how an unlabeled drug affects selective dopamine receptor binding in a cell, tissue or organ by indicating how dopamine receptor occupancy is modified by the drug. An advantage of this approach is that dopamine receptor binding of a drug candidate is determined when the candidate that is not suitable for imaging, for example, due to low binding affinity, lack of selectivity or lack of a chemical structure that facilitates rapid labeling with a radioisotope. Optionally, a clinically relevant dose of such a drug is administered prior to, concurrent with, or subsequent to the compound (I). Screening of a drug candidate or competitive binding of a drug is assessed relative to compound (I) dopamine receptor occupancy in a cell, tissue, organ or body of an individual. The process involves (a) administering an effective amount of a radiolabeled compound (I) and a drug to an individual, tissue, organ or cell, and (b) detecting a radioisotopic signal associated with the compound (I), where the signal corresponds to a dopamine receptor amount or distribution.
The inventive process involves detecting a radioisotopic signal associated with a compound (I). A variety of methods for qualitatively and quantitatively detecting radioisotopes are known in the art and include, for example, imaging methods such as PET or SPECT (24-26).
In an embodiment, a compound of the invention can bind selectively to one or more dopamine receptor subtypes. To determine whether a drug of interest binds to a dopamine receptor subtype to which a particular compound of the invention binds, a variety of competition assays can be performed. Well known formats for competitive ligand binding assays for drug-ligand interactions include pretreatment and displacement assays, both of which are readily performed using imaging methods such as PET or SPECT.
A pretreatment assay involves determining radioisotopic signals associated with the radioisotopically labeled compound in the absence and presence of drug. If dopamine receptors are blocked by a drug administered prior to administration of the radioisotopically labeled compound, the compound cannot bind to the receptors, resulting in a radioisotopic signal that is reduced or ameliorated compared to the baseline signal.
A displacement assay involves determining a baseline radioisotopic signal associated with a radioisotopically labeled compound, and then adding a relatively large amount of unlabeled drug to the dopamine receptors. If the administered drug binds to the same receptors, the radioisotopically labeled compound is displaced, at least in part, from dopamine receptors due to competition for dopamine receptor binding sites. An inventive displacement assay process for detecting dopamine receptors involves administering a compound (I) prior to administration of a drug. An inventive pretreatment assay process for detecting dopamine receptors involves administering a compound (I) after administration of a drug.
The present invention provides a method for diagnosing a neurological disorder. The invention involves (a) administering an effective amount of a compound (I) to an individual having or suspected of having a neurological disorder, wherein the compound is radioisotopically labeled on at least one of R1-R8; (b) detecting a radioisotopic signal associated with the compound (I), where the signal corresponds to a dopamine receptor amount or distribution, and (c) comparing the amount or distribution of dopamine receptor present with a control signal for a known neurological state.
A disorder that can be diagnosed using a method of the invention is one in which the amount or distribution of dopamine receptors correlates with the presence or absence of the disorder. A variety of physiological systems involve dopamine receptor activity that can affect neurological and non-neurological functions of an individual. Exemplary central nervous system disorders involving dopamine receptor activity include schizophrenia, depression, Parkinson's disease, Huntington's chorea, Alzheimer's disease, tardive dyskinesia, phobia disorder, addiction, anxiety disorder, epilepsy, attention deficit disorder and obsessive-compulsive disorder. Exemplary peripheral nervous system disorders involving dopamine receptor activity include gastric and duodenal ulceration and disorders of gastrointestinal motility, gastric mucosal blood flow and gastric acid secretion, and erectile dysfunction. These and other dopamine receptor-related disorders are well known to those skilled in the art. Therefore, the skilled clinician will be able to select an individual appropriate for receiving a diagnostic or prognostic method of the invention.
The invention provides a method for determining a course of treatment for an individual having a neurological disorder. The method involves (a) administering an effective amount of a compound (I) to an individual undergoing medical treatment for the neurological disorder, wherein the compound (I) is radioisotopically labeled on at least one of R1-R8; (b) detecting a radioisotopic signal associated with the compound (I), where the signal corresponds to a dopamine receptor amount or distribution; (c) comparing the amount or distribution of dopamine receptor present in the individual with a control signal indicative of the effectiveness of the medical treatment.
The dosage for an inventive composition is an effective amount of active agent and varies depending upon known factors such as the pharmacodynamic characteristics of the particular active ingredient and its mode and route of administration; age, sex, health and weight of the recipient; nature and extent of symptoms; kind of concurrent treatment, frequency of treatment and the effect desired. A typical dosage of active agent is from 1 to 400 milligrams per kilogram of body weight.
Dosage forms suitable for internal administration contain from about 1.0 to about 500 milligrams of active ingredient per unit. In these pharmaceutical compositions, the active ingredient is typically present from 0.05-95% by weight based on the total weight of the dose.
Administration may be by any means suitable for the condition to be treated and may include, for example, oral administration. For example, oral administration is optionally accomplished using solid dosage forms such as capsules, tablets and powders, or in liquid dosage forms such as elixirs, syrups, emulsions and suspensions. The inventive composition is, for example, parenterally administered by injection, rapid infusion, nasopharyngeal adsorption, or dermoabsorption. The inventive composition also is optionally administered intramuscularly, intravenously, intrathecally or as a suppository.
Gelatin capsules may contain inventive composition and powdered carriers such as lactose, sucrose, mannitol, starch, cellulose derivatives, magnesium stearate, stearic acid, and the like. Similar diluents can be used to make compressed tablets. Both tablets and capsules can be manufactured as sustained release products to provide for continuous release of medication over a period of hours. Compressed tablets can be sugar coated or film coated to mask any unpleasant taste and protect the tablet from the atmosphere, or enteric coated for selective disintegration in the gastrointestinal tract.
Liquid dosage forms for oral administration optionally contain coloring and flavoring to increase patient acceptance.
In general, water, a suitable oil, saline, aqueous dextrose, and related sugar solutions and glycols are suitable carriers for parenteral solutions. Solutions for parenteral administration may contain suitable stabilizing agents and, if necessary, buffer substances. Antioxidizing agents such as sodium bisulfate, sodium sulfite or ascorbic acid either alone or combined are suitable stabilizing agents. Citric acid and its salts and sodium EDTA are also operative herein as stabilizing agents. In addition, parenteral solutions optionally contain preservatives such as benzalkonium chloride, methyl- or propyl-paraben and chlorobutanol. Suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, 20th edition are operative herein.
Additionally, standard pharmaceutical methods can be employed to control the duration of action. These illustratively include control release preparations and can include appropriate macromolecules, for example polymers, polyesters, polyaminoacids, polyvinylpyrrolidone, ethylenevinylacetate, methyl cellulose, carboxymethyl cellulose or protamine sulfate. The concentration of macromolecules as well as the methods of incorporation can be adjusted in order to control release. Additionally, the inventive composition can be incorporated into particles of polymeric materials such as polyesters, polyaminoacids, hydrogels, poly (lactic acid) or ethylenevinylacetate copolymers. In addition to being incorporated, the inventive composition optionally is also used to trap the compound in microcapsules.
Suitable exemplary dosage forms for administration of the inventive composition follow.
Capsules are prepared by filling standard two-piece hard gelatin capsulates each with 100 milligram of powdered active ingredient, 175 milligrams of lactose, 24 milligrams of talc and 6 milligrams magnesium stearate.
A soft gelatin capsule includes mixture of active ingredient in soybean oil is prepared and injected by means of a positive displacement pump into gelatin to form soft gelatin capsules containing 100 milligrams of the active ingredient. The capsules are then washed and dried.
Tablets are prepared by conventional procedures so that the dosage unit is 100 milligrams of active ingredient. 0.2 milligrams of colloidal silicon dioxide, 5 milligrams of magnesium stearate, 275 milligrams of microcrystalline cellulose, 11 milligrams of cornstarch and 98.8 milligrams of lactose. Appropriate coatings may be applied to increase palatability or to delay absorption.
A parenteral inventive composition suitable for administration by injection is prepared by stirring 1.5% by weight of active ingredients in 10% by volume propylene glycol and water. The solution is made isotonic with sodium chloride and sterilized.
An aqueous suspension of an inventive composition is prepared for oral administration so that each 5 milliliters contain 100 milligrams of finely divided active ingredient, 200 milligrams of sodium carboxymethyl cellulose, 5 milligrams of sodium benzoate, 1.0 grams of sorbitol solution U.S.P. and 0.025 milligrams of vanillin.
As an encapsulated particulate, active particles of an inventive composition are prepared from a polymer using a coacervation method, with a particle size is between about 5 nm and 750 microns, more preferably between about 10 nm and 500 microns and most preferably between about 50 nm and 800 nm. An inventive composition is complexed to the particles using various methods known to those skilled in the art.
A general method for preparation of such particles is detailed in U.S. Ser. No. 2003/0181367 A1.
The term “effective amount” when used in reference to a compound of the invention means that amount necessary or sufficient to render detectable a cell, tissue or organ that expresses a dopamine receptor. The effective amount varies depending on considerations illustratively including the targeted cell, tissue or organ, the particular compound being administered, the type of individual treated, including considerations of weight, sex, and age. Those skilled in the art can empirically determine the effective amount of a particular compound alone or in conjunction with another agent that allows detection of a selected cell, organ or tissue.
Targeted modification of (R)-(−)-apomorphine
A starting compound has the structural formula




where R1 is H, C1-C30 alkyl, C1-C30 alkyl having a substituent selected from the group consisting of: C6-C18 aryl, or a heteroatom containing where the heteroatom is oxygen, nitrogen, or sulfur; R12 and R13 are each H or X and at least one of R12 and R13 is H; X is F, Cl, Br or I; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, and a C0-C8 alkyl group having a substituent selected from a group consisting of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine and quaternary amine; R14, R15, and R16 are each independently H, nitro, amino, hydroxyl and X.
A particularly preferred starting compound II has R12-R16 all being hydrogen and corresponds to (R)-(−)-apomorphine.
The two phenyl rings (A and D) of the general structure II above differ markedly in chemical activation. It has been demonstrated for (R)-(−)-apomorphine (R1=methyl) that the D phenyl ring R12 and R13 positions can be specifically brominated under mild conditions (2). This exclusive activation allows other similar halogenations including the selective fluorination, bromination and iodination of the D ring R12 and/or R13 positions of general structure II for any R1 group by standard methods using elemental fluorine, bromine and iodine respectively. The activation of the D ring allows the preparation of PET and SPECT ligands labeled in the R12 and/or R13 positions with such isotopes as 18F, 76Br, 123I or 124I.
18F inventive compounds I are directly labeled in the D ring R2 and/or R3 positions with this isotope using 18F2 (27, 28) or by means of Xe18F2 (29). Aromatic bromides (30) and iodides (31) are transformed into aromatic trialkyl tin (stannyl) derivatives via palladium catalysts. As a result a stannyl group or groups replace D ring R12 and/or R13 of general structure II. Such D ring stannyl derivatives of general structure I represent precursors to D ring R2 and/or R3 position 18F analogues of inventive compound I using 18F2 (32). Alternatively, 18F analogs of general structure I are obtained by 18F exchange with stable isotope 19F, R2 and/or R3 groups (33).
Bromine radiolabeled compound I is directly labeled in the D ring R12 or R13 positions of structure II (34). Alternatively, the stannyl analogs represent a precursor for 76Br introduction at R2 and/or R3 (30). It is appreciated that 75Br and 77Br are also introduced in this way and likewise operative in PET and SPECT. In principle, these procedures should also be capable of labeling the D ring R2 and/or R3 positions of general structure I with any other useful PET or SPECT isotope of Bromine including 75Br and 77Br.
For 123I or 124I, general structure II is directly labeled in the D ring R12 and/or R13 positions with either isotope by analogy with the method of DeVos and co-workers (35). Alternatively, utilizing the stannyl analogues of general structure I, 123I and 124I are introduced into the D ring R2 and/or R3 according to the methods of John and co-workers (36) and Koziorowski and co-workers (37) respectively.
It is appreciated that the use of excess halogenation reagent, more than an equivalent per equivalent per D ring hydrogen of general structures I or II, promotes labeling in both the R2 and R3, and R12 and R13 positions, respectively. Use of an equivalent or less of halogenation reagent relative to D ring hydrogen produce a mixture of R2 and R3 substituted halogen analogs. All D ring 8 and 9 position mono- and di-substituted halogen analogs so produced are resolved by standard HPLC procedures.
In order to modify the A ring of structure II, the more active D ring is first halogenated as detailed above. With precursor sites R12 and R13 of structure II blocked with halogens, X, the resulting compound is amenable to direct halogenation with isoptically natural dihalogen gases or isotopically enriched gases to produce a mixture of A ring mono-, di- and tri-halo compounds at R4, R5, and R6 (38). Specifically, addition of 18F to the A ring creates compounds well suited as PET and SPECT imaging agents. The resulting compounds are optionally catalytically hydrogenated to preferentially remove the D ring halogens to produce various A ring mono-, di- and tri-halo compounds at R4, R5, and R6 with the substitution pattern in the A ring as any possible combination of A ring positional isomers and lacking a halogen in the D ring. The A ring isotopically-unenriched halogenated compounds of formula I also serve as precursors to the corresponding radioisotope analogues by means of exchange (33). While isotopically enriched analogues of formula I would be valuable as a mixture, resolution from one another is exacted by standard HPLC purification procedures.
Upon halogenating the D ring of general structure I various activated A ring amino, hydroxyl and combinations thereof are formed with such moieties at R4 and/or R5 and/or R6 by means of the following sequence: following the halogenation of R12 and R13 of structure II, the A ring is directly nitrated (39). The stoichiometry and experimental details of these nitrations are manipulated to provide a mixture of various A ring mono- and di-substituted nitro analogs of structure I with the nitro substitution pattern in the A ring as any possible combination of R4, R5, and R6 positional isomers. Due to the ring deactivating effect of the nitro groups, trinitro substitution on the A ring of these intermediates is rarely observed. The A ring mono- or di-substituted nitro analogs are then selectively reduced with stannous chloride (40) or some other nitroselective reducing reagent to yield various A ring mono- and di-substituted amine analogs with the amine substitution pattern in the A ring as any possible combination of R4, R5, and R6 positional isomers. These mono- and di-substituted amine analogs are optionally converted to the corresponding intermediate A ring mono and di-substituted hydroxyl analogues by nitrosation/hydrolysis (39). In the case of a di-amino or di-hydroxyl compound of structure I, it is appreciated that protecting groups are readily employed to allow for the subsequent reaction of the non-protected group. Selective protection occurs through control of protecting group stoichiometry relative to the number of protectable moieties per compound of structure I. In this way, an A ring having a multiple non-hydrogen moieties is produced. As detailed above, isomers are resolved by standard HPLC purification procedures.
An inventive compound of structure I containing amino and or hydroxyl groups is converted to PET and SPECT radioligands labeled with 18F in the unsubstituted positions of the A ring. The amino and/or hydroxyl containing A ring compound is directly labeled in the unsubstituted A ring positions with 18F2 (27, 28) or by means of Xe18F2 (29). Alternatively, the amino and/or hydroxyl containing A ring compound is fluorinated in the unsubstituted A ring positions and these fluoro analogs serve as I precursors to 18F analogs by 18F exchange (33). After 18F has been introduced into the A ring, R2 and/or R3 halogens are optionally catalytically hydrogenated to preferentially remove the D ring halogens to produce various A ring amino or hydroxyl 18F analogs with any possible combination of 18F, amine or hydroxyl at R4, R5, and R6 in the A ring positions. It is appreciated that the use of excess fluorination reagent promotes multiple radioisotope ring labeling, while use of an equivalent or less of fluorination reagent tends to produce a mixture of various mono substituted 18F analogs. Such mixtures are resolved to pure isomers by appropriate standard HPLC purification procedures.
It is appreciated that repetition of the above nitration, after modifying the A ring represents a method by which a nitro group is added to the D ring at R2 or R3. A subsequent catalytic hydrogenation reaction, as detailed converts the R2 or R3 nitro to an amine group. As detailed above, the amine is optionally converted to a hydroxyl group. A hydrogen remaining at R2 or R3 is optionally halogenated with an isotopically unenriched or radioisotope to re-insert a halogen on the D ring.
A protecting group for a hydroxyl function also may prove useful in the practice of the present invention. Examples of hydroxyl protecting groups illustratively include tetrahydropyranyl, 2-methoxyprop-2-yl, 1-ethoxyeth-1-yl, methoxymethyl, β-methoxyethoxymethyl, methylthiomethyl, t-butyl, t-amyl, trityl, 4-methoxytrityl, 4,4′-dimethoxytrityl, 4,4′,4′′-trimethoxytrityl, benzyl, allyl, trimethylsilyl, (t-butyl)dimethylsilyl, 2,2,2-trichloroethoxycarbonyl, and the like.
Further examples of hydroxy-protecting groups are described by C. B. Reese and E. Haslam, “Protective Groups in Organic Chemistry,” J. G. W. McOmie, Ed., Plenum Press, New York, N.Y., 1973, Chapters 3 and 4, respectively, and T. W. Greene and P. G. M. Wuts, “Protective Groups in Organic Synthesis,” Second Edition, John Wiley and Sons, New York, N.Y., 1991, Chapters 2 and 3. A preferred hydroxy-protecting group is the tert-butyl group.
A protecting group for the amino function can be an acyl group, such as an acyl of an aliphatic, aromatic or araliphatic carboxylic acid, especially lower alkanoyl such as acetyl or propionyl, or aryl such as benzoyl, or formyl or an acyl of a carbonic acid half-ester, such as benzyloxycarbonyl or fluorenylmethyloxycarbonyl (Fmoc). Examples of amino-protecting groups illustratively include the formyl (“For”) group, the trityl group, the phthalimido group, the trichloroacetyl group, the trifluoroacetyl group, the chloroacetyl, bromoacetyl, and iodoacetyl groups, urethane-type protecting groups, such as t-butoxycarbonyl (“t-Boc”), 2-(4-biphenylyl)propyl-2-oxycarbonyl (“Bpoc”), 2-phenylpropyl-2-oxycarbonyl (“Poc”), 2-(4-xenyl)isopropoxycarbonyl, 1,1-diphenylethyl-1-oxycarbonyl, 1,1-diphenylpropyl-1-oxycarbonyl, 2-(3,5-dimethoxyphenyl)propyl-2-oxycarbonyl (“Ddz”), 2-(p-toluyl)propyl-2-oxycarbonyl, cyclopentanyloxycarbonyl, 1-methylcyclopentanyloxycarbonyl, cyclohexanyloxycarbonyl, 1-methyl-cyclohexanyloxycarbonyl, 2-methylcyclohexanyl-oxycarbonyl, 2-(4-toluylsulfonyl)ethoxycarbonyl, 2-(methylsulfonyl)ethoxycarbonyl, 2-(triphenylphosphino)-ethoxycarbonyl, 9-fluorenylmethoxycarbonyl (“Fmoc”), 2-(trimethylsilyl)ethoxycarbonyl, allyloxycarbonyl, 1-(trimethylsilylmethyl)prop-1-enyloxycarbonyl, 5-benzisoxalylmethoxycarbonyl, 4-acetoxybenzyl-oxycarbonyl, 2,2,2-trichloroethoxycarbonyl, 2-ethynyl-2-propoxycarbonyl, cyclopropylmethoxycarbonyl, isobomyloxycarbonyl, 1-piperidyloxycarbonyl, benzyloxycarbonyl (“Cbz”), 4-phenylbenzyloxycarbonyl, 2-methylbenzyloxycarbonyl, α-2,4,5,-tetramethylbenzyl-oxycarbonyl (“Tmz”), 4-methoxybenzyloxycarbonyl, 4-fluorobenzyloxycarbonyl, 4-chlorobenzyloxycarbonyl, 3-chlorobenzyloxycarbonyl, 2-chlorobenzyloxycarbonyl, 2,4-dichlorobenzyloxycarbonyl, 4-bromobenzyloxycarbonyl, 3-bromobenzyloxycarbonyl, 4-nitrobenzyloxycarbonyl, 4-cyanobenzyloxycarbonyl, 4-(decyloxy)benzyloxycarbonyl and the like; the benzoylmethylsulfonyl group, the 2,2,5,7,8-pentamethylchroman-6-sulfonyl group (“PMC”), the dithiasuccinoyl (“Dts”) group, the 2-(nitro)phenyl-sulfenyl group (“Nps”), the diphenylphosphine oxide group, and like amino-protecting groups. The species of amino-protecting group employed is not critical so long as the derivatized amino group is stable to the conditions of the subsequent reaction(s) and can be removed at the appropriate point without disrupting the remainder of the molecule. Preferred amino-protecting groups are Boc, Cbz and Fmoc. Further examples of amino-protecting groups embraced by the above term are well known in organic synthesis and the peptide art and are described by, for example, T. W. Greene and P. G. M. Wuts, “Protective Groups in Organic Synthesis,” 2nd ed., John Wiley and Sons, New York, N.Y., 1991, Chapter 7; M. Bodanzsky, “Principles of Peptide Synthesis,” 1st and 2nd revised Ed., Springer-Verlag, New York, N.Y., 1984 and 1993; and J. M. Stewart and J. D. Young, “Solid Phase Peptide Synthesis,” 2nd Ed., Pierce Chemical Co., Rockford, Ill., 1984; E. Atherton and R. C. Shephard, “Solid Phase Peptide Synthesis—A Practical Approach” IRL Press, Oxford, England (1989).
The cleavage of such an acyl residue serving as protecting group for an amino function can be performed by known methods, such as solvolysis exemplified by alcoholysis. Moreover it can be brought about by hydrolysis in acidic or basic medium. The alcoholytic cleavage of an acyl residue can be effected, such as in presence of a basic reagent and/or at elevated temperature, e.g. from 50° C. to 120° C. with a lower alkanol such as n-butanol or ethanol. A base is used such as an alkali metal alcoholate, such as sodium or potassium ethoxide or an alkali metal hydroxide, such as sodium or potassium hydroxide.
Other aminoprotecting groups, such as lower alkoxy-carbonyl-groups e.g. t-butoxycarbonyl, are cleaved under mild acidic conditions, such as by treatment with trifluoroacetic acid. Another group, cleavable under especially mild conditions is an ethoxycarbonyl group carrying in the β-position a silyl group substituted with three hydrocarbon residues, such as triphenylsilyl, dimethyl-butylsilyl or especially trimethylsilyl. These are cleaved by reaction with fluoride ions, especially fluoride salts of quaternary ammonium bases, such as tetraethylammonium fluoride.
In order to more fully demonstrate the advantages arising from the present invention, the following examples are set forth. It is to be understood that the following is by way of example only and not intended as a limitation on the scope of the invention.


EXAMPLE 1
(R)-(−)-8,9-dibromoapomorohine hydroiodide precursor
The title compound is prepared according to Filer et al. (2). The synthesis included dissolution of 100 milligrams of (R)-(−)-apomorphine hydrochloride in 30 milliliters of trifluoroacetic acid. 30 microliters of bromine in 7 milliliters of trifluoroacetic acid, representing 2 mols of bromine per mol of (R)-(−)-apomorphine, is added dropwise over 20 minutes at room temperature to yield a crystalline precipitate. Filtering and washing with cold trifluoroacetic acid yielded an off-white solid corresponding to the title compound.
EXAMPLE 2
(R)-(−)-8,9-diiodoapomorphine precursor
The procedure of Example 1 is repeated except an equivalent stoichiometric amount of iodine is substituted for bromine. A solid product corresponding to the title compound is obtained.
EXAMPLE 3
(R)-(−)-8,9-difluoroapomorphine precursor
0.68 millimoles of xenon difluoride was added to 0.33 millimoles of (R)-(−)-apomorphine hydrochloride in 50 ml of dichloromethane. The solution is heated to 40° Celsius for one hour to yield the title compound.
EXAMPLE 4
(R)-(−)-8,9-di(trimethylstannyl) apomorphine
The dibromoapomorphine produced in Example 1 is refluxed with a stoichiometric amount of hexamethyl ditin and tetrakis (triphenylphosphine) palladium in dioxane to obtain the title compound in about 50% yield.
EXAMPLE 5
(R)-(−)-8,9-di[18F]fluoroapomorphine
The compound having trimethyl tin at the 8 and 9 positions of (R)-(−)-apomorphine produced according to Example 4 is introduced into 5 milliliters of chloroform in an amount of 100 micromoles. 0.5 milliliters of concentrated HCl is added. [18F]F2 is bubbled into the reaction mixture with stirring for 10 minutes. The reaction is quenched with sodium sulfite and loaded onto a C-18 SEP-pack, washed with water and eluted with ethanol further purified by HPLC (30). The title compound was obtained with a radiochemical yield of 40%.
EXAMPLE 6
Synthesis of mono-, di- and tri- fluoro-8,9-dibromoapomorphines
200 micromoles of a dibromoapomorphine as produced in Example 1 is dissolved in 10 milliliters of trifluoroacetic acid through which fluorine is bubbled at room temperature for 20 minutes. The resulting reaction mixture is resolved with HPLC (30) to obtain the (R)-(−)-1,2,3-trifluoro-8,9 dibromoapomorphine; (R)-(−)-2-fluoro-8,9 dibromoapomorphine; and 3 isomers of (R)-(−)-difluoro-8,9 dibromoapomorphine.
EXAMPLE 7
Synthesis of (R)-(−)-1,2,3 trifluoroapomorphine
The trifluoro dibromoapomorphine produced according to Example 6 is reduced with hydrogen in 10 milliliters of ethanol using 30 milligrams of 10% palladium/carbon at room temperature in the dark for 2 hours with stirring (2) to yield the title compound.
EXAMPLE 8
Synthesis of (R)-(−)-1,3 dinitro-8,9 dibromo apomorphine
(R)-(−)-8,9-dibromo apomorphine as made in Example 1 is dissolved in 30 milliliters of sulfuric acid with cooling. 20 milliliters of concentrated nitric acid is added dropwise with stirring to maintain the temperature below 5° Celsius. The reaction mixture is stirred at room temperature for 16 hours and poured onto ice. The resulting solution is neutralized with aqueous ammonia and extracted with chloroform. The chloroform extract is dried over sodium sulfate and evaporated under vacuum to yield a mixture of nitrated apomorphines.
EXAMPLE 9
Synthesis of (R)-(−)-1,3-diamino apomorphine
The product obtained from the procedure of Example 8 is dissolved in approximately 200 milliliters ethanol and subjected to catalytic hydrogenation at 60 pounds per square inch in room temperature for 20 hours in the presence of 10% palladium on charcoal (1 gram). The resulting solution is filtered and evaporated under vacuum to yield the title compound.
EXAMPLE 10
Synthesis of (R)-(−)-1-amino-3-hydroxy-8,9-dibromoapomorphine
20 micromoles of (R)-(−)-1,3-diamino 8,9-dibromoapomorphine is reacted with an equivalent amount of fluorenylmethyloxycarbonyl chloride in the presence of 60 micromols of pyridine in dichloromethane at room temperature for 1 hour. A mix of protected groups on the 1 and 3 positions of apomorphine is noted. The resulting partially protected apomorphine is dissolved in a mixture of concentrated sulfuric acid (10 ml) and ice (30 grams). An aqueous solution of sodium nitrite is added dropwise over 30 minutes while the temperature is maintained about 0° Celsius for 8 hours. Urea is added thereafter and filtered. The solution is slowly added to 200 milliliters of 2 molar sulfuric acid and thereafter cooled and extracted with chloroform. The extract is washed with 10% sodium hydroxide to yield a mixture of (R)-(−)-1-amino-3-hydroxy-8,9 dibromoapomorphine and (R)-(−)-1-hydroxy-3-amino-8,9 dibromoapomorphine.
EXAMPLE 11
Synthesis of (R)-(−)-1-amino-2-[85Br]bromo-3-hydroxyl-8,9 difluoroapomorphine
10 micromols of (R)-(−)-1-amino-3-hydroxyl-8,9 difluoroapomorphine is reacted with n-butoxycarbonyl ether in a mixture of dry triethylamine and dimethylformamide at room temperature (41). 1-Boc-3-hydroxyl-8,9 fluoroapomorphine is an intermediate that in turn is reacted with [76Br] ammonium bromide in the presence of peracetic acid, acetic acid and a mixture of methanol in water at room temperature to afford the title product after reaction with trifluoroacetic acid to deprotect the 1 position amine.
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Patent documents and publications mentioned in the specification are indicative of the levels of those skilled in the art to which the invention pertains. These documents and publications are incorporated herein by reference to the same extent as if each individual document or publication was specifically and individually incorporated herein by reference.
Although specific embodiments have been illustrated and described herein, it will be appreciated by those skilled in the art that any arrangement which is determined to achieve the same purpose may be substituted for the specific embodiments shown. This application is intended to cover any adaptations or variations of the present invention.

## Claims

1. A compound having the structural formula:



where R1 is H, C1-C30 alkyl, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 is H, X, or Sn(C1-C6 alkyl)3; X is F, Cl, Br, or I; R3 is H, X or Sn(C1-C6 alkyl)3; R4, R5 and R6 are each independently H, nitro, amino, hydroxyl, X, or C1-C30 alkyl having a substituent of C6-C18 aryl; or Sn(C1-C6 alkyl)3 with the proviso that at least one of R4, R5 and R6 is nitro, amino, hydroxyl, X or Sn(C1-C6 alkyl)3; and when R5 is NH2, OH or X; R4 is H; and R6 is H; then at least one of R2 and R3 is X; R7 and R8 are each independently H, C1-C6 alkyl group, a C1-C6 alkyl group having a substituent of C6-C18 aryl; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, or a C1-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine; wherein at least one of R2-R6 is X and wherein X in at least one occurrence is a radioisotope.

2. The compound of claim 1, wherein at least one of R4, R5, or R6 is amine or hydroxyl.

3. A compound having the structural formula:



where R1 is, C1-C30 alkyl, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 is H, X, or Sn(C1-C6 alkyl)3; X is F, Cl, Br, or I; R3is H, X or Sn(C1-C6 alkyl)3; R4 and R6 are both amine or hydroxyl, R5 is H, nitro, amino, hydroxyl, X, or C1-C30 alkyl having a substituent of C6-C18 aryl or Sn(C1-C6 alkyl)3; R7 and R8 are each independently H, C1-C6 alkyl group, a C1-C6 alkyl group having a substituent of C6-C18 aryl; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, or a C1-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine.

4. The compound of claim 1, wherein at least one of R4, R5, or R6 is X.

5. A compound having the structural formula:



where R1 is H, C1-C30 alkyl, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 is H, X, or Sn(C1-C6 alkyl)3; X is F, Cl, Br, or I; R3 is H, X or Sn(C1-C6 alkyl)3; both R4 and R6 are X; R5 is nitro, amino, hydroxyl, X or Sn(C1-C6 alkyl)3; R7 and R8 are each independently H, C1-C6 alkyl group, a C1-C6 alkyl group having a substituent of C6-C18 aryl; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, or a C1-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine.

6. The compound of claim 1, wherein X in each occurrence is F.

7. The compound of claim 1, wherein X in each occurrence is 18F.

8. The compound of claim 1, wherein R1 is methyl.

9. The compound of claim 1, wherein R1 is n-propyl.

10. A compound having the structural formula:



where R1 is H, C1-C30 alkyl, or C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R2 is X; X is F, Cl, Br, or I; R3 is X; R4, R5 and R6 are each independently nitro, amino, hydroxyl, X, or C1-CC30 alkyl having a substituent of C6-C18 aryl; or Sn(C1-C6 alkyl)3; R7 and R8 are each independently H, C1-C6 alkyl group, a C1-C6 alkyl group having a substituent of C6-C18 aryl; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups each independently selected from H, C1-C8 alkyl, or a C1-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine.

11. The compound of claim 10, wherein R2and R3 are each independently bromine or iodine.

12. The compound of claim 11, wherein both R2 and R3 are bromine.

13. The compound of claim 11, wherein both R2 and R3 are iodine.

14. The compound of claim 1, wherein both R2 and R3 are hydrogen.

15. The compound of claim 10, wherein X is a radioisotope.

16. The compound of claim 15, wherein X is 18F.

17. A process of synthesizing an apomorphine derivative comprising:
reacting a compound having the structural formula:




where R1 is H, C1-C30 alkyl, C1-C30 alkyl having a substituent of C6-C18 aryl, or a heteroatom containing group where the heteroatom is oxygen, nitrogen, or sulfur; R12 and R13 are each H or X and at least one of R12 and R13 is H; X is F, Cl, Br or I; R7 and R8 are each independently H, C1-C6 alkyl group, a C1-C6 alkyl group having a substituent of C6-C8 aryl; where R7 and R8 are optionally fused to form a ring structure, the ring structure optionally having a heteroatom therein and optionally having pendent groups therefrom, the pendent groups are each independently H, C1-C8 alkyl, or a C1-C8 alkyl group having a substituent of hydroxyl, amine, sulfonate, thiol, carboxyl, substituted amine or quaternary amine; R14, R15, and R16 are each independently H, nitro, amino, hydroxyl or X;
with a halogenating agent imparting a stable halogen isotope to at least one of R12 and R13; and
replacing at least one of R14, R15, or R16 with a halogen radioisotope.

18. The process of claim 17 wherein R14, R15, and R16 are all hydrogen prior to replacement.

19. The process of claim 17 wherein at least one of R14, R15, or R16 is a nitro group.

20. The process of claim 19 further comprising reducing said nitro group to an amine group.

21. The process of claim 20 further comprising the step of hydrolyzing said amine group to a hydroxyl group to form an A ring hydroxylated apomorphine derivative.

22. The process of claim 17 further comprising: hydrogenating said stable halogen isotope to a hydrogen.

23. The process of claim 21 further comprising halogenating said A ring hydroxylated apomorphine derivative proximal to said hydroxyl group.

24. The process of claim 17 wherein the replacement of at least one of R14, R15, or R16 with X occurs where X has a lower atomic weight than said stable halogen isotope.

25. The process of claim 24 wherein said X replacing R14, R15, or R16 is a radioisotope.

26. The process of claim 17 wherein replacement of said stable halogen isotope comprises: forming a trialkyl stannous compound and reacting said trialkyl stannous with a compound containing said halogen isotope.

27. A commercial package comprising a compound of Formula I according to claim 1 as an active ingredient together with instructions for the use thereof as a radioimaging agent.