Method and apparatus for preparing Bi-213 for human therapeutic use

Abstract: This invention relates to a method and an apparatus for preparing Bi-213 to be integrated in a radioimmunoconjugate for human therapeutic use. According to the invention the method comprises the sequence of steps as follows: a) an ampoule (5) containing colloid-free actinium-225, obtained from drying an actinium nitrate solution, is loaded into an container (20) provided with radiation panels (21); b) a dissolving medium is poured into the ampoule (5); c) the solution obtained in the ampoule is transferred into a ion exchange column (6); d) an elution medium is circulated through the column (6); e) the eluate containing eluted Bi-213 is pumped towards a vial (10) for quantification and quality control.

Description: The present invention refers to a method and an apparatus for preparing Bi-213 to be integrated into a medicament (radioimmunoconjugate) for a human therapeutic use. The document EP-A-0 585 986 describes such a method and apparatus. Bi-213 is generated by decay of Ac-225. Due to the short half live the therapeutic use of Bi-213 requires either the administration of Bi-213 to a patient in a nuclear material processing plant or the handling of 10 to 50 mCi of Ac-225 in a hospital. Handling of such amounts of Ac-225 without particular protection would cause the radiation exposure limits (2 µSv/h) and finger dose at contact to be exceeded (contact dose is about 15 rem/h), and is not allowed while a 50 mCi generator represents about 10 8 Bq o. Ac-225, whereas only 5·10 3 Bq is allowed to be handled without protection. Document Newsline XP-002084479-The contribution of the European research to the treatment of leukemia, Brussels, 20th February 1997, disloses the transport arrangement in a quartz ampoule in which the AC-225 is fixed as an oxide in colloid-free form and a dissolution, elution and purification procedure which allows the Bi-213 to be extracted at the hospital directly before coupline to the relevant antibody. The present invention therefore proposes a method and an apparatus which allows the preparation of Bi-213 as a medicament in a hospital, thereby respecting all rules for radioprotection and improving the performance of the Bi-213 elution. The method according to the invention is defined in the appended claim 1, and the apparatus for implementing this method is defined in claim 5. The invention will be described hereafter in more detail by means of a preferred embodiment and with reference to the enclosed drawings showing schematically an apparatus according to the invention. The apparatus shown in the drawings consists mainly of a shielded container 20 mounted in a tilt frame 7 (schematically represented by a curved double arrow) which allows the container to be positioned either upright as shown or horizontally. The container 20 can further be shaken by vibration means 4, such as a rotating excenter activated by a motor (not shown). In the container there are provided two volumes which are superimposed if the container is upright and are intended to receive a glass ampoule 5 (upper volume) and a ion exchange column 6 (lower volume) respectively. The volumes communicate with each other via a central channel 25. Both volumes are surrounded by shielding panels 21, made for example from lead in order to prevent radiation from passing through the container walls to the outside. A circulation duct 22 incorporating a peristaltic circulation pump 23 and a valve 8 connect the lower end of the ion exchange column 6 to the upper end of the glass ampoule 5 thus allowing close circulation of a liquid medium through both volumes in the direction indicated by an arrow 26. The valve 8 is a three-way valve with three outlets. One outlet is connected to the glass ampoule 5 in order to insure the closed-loop circulation as stated above. The second outlet is connected to a waste bottle 9 and the third outlet leads to a vial 10 receiving the Bi-213 to be quantified and controlled in a GeLi well counter. Two supply bottles 1 and 2 can be alternatively connected via a further valve 3 to the upper end of the glass ampoule 5. Bottle 1 is intended to supply a dissolving medium such as HCl with a small quantity of organic ion exchange resin whereas bottle 2 is intended to supply an elution medium such as HCl. A further pump 24, preferably of the peristaltic type, insures the quantified transfer of elution medium from the bottle 2 to the glass ampoule 5. The entire system is supervised and controlled by a data processor 12 according to a predetermined sequence of method steps and in accordance with meter means such as a GeLi well detector 11, which measures parameters such as activity and gamma energy spectrum in the vial 10. The data processor 12 is associated to a printer which can edit a certificate stating the quantity and purity of the Bi-213 solution in the vial as obtained by the recorded gamma energy spectrum and the counted Bi-213 activity. The inventive method can be performed by conveniently programming the data processor which automatically controls the tilt mechanism, the valves and the pumps. The apparatus may be integrated in a vented glove box, possibly having lead shielded glass walls (not shown). The apparatus is operated as follows: Colloid-free actinium is obtained in a plant for processing nuclear materials by drying an actinium nitrate solution gained from ultra pure chemicals. The drying temperature is about 95 °C where all organic materials decompose which could have been introduced via purification by a resin ion exchanger. The dried actinium is then conditioned in a glass ampoule 5 and transported to the hospital. At the hospital it is inserted into the container 20. Now, the container is tilted into the horizontal position and the shape of the glass ampoule is such that the (now horizontal) central channel 25 between the glass ampoule 5 and the ion exchange column 6 remains above the liquid level of any fluid injected into the ampoule, as long as the container remains horizontal. The dissolving medium, for example 2 Mol HCl, mixed with a small quantity of resin (e.g. 20 Vol% DOWEX 50WX8 referred to 100 Vol% dissolving medium) penetrates by gravity into the ampoule 5 and dissolves the dried actinium, the dissolution being enhanced by the vibrator means 4. After a predetermined time the shaking is stopped and the tilting mechanism 7 is activated in order to turn the container into the upright position as shown. The dissolved actinium is then absorbed in the ion exchange column 6. For washing an extra amount of dissolving medium is used by opening again the valve 3. The excess solution is pumped by pump 23 through the valve 8 towards the waste bottle 9. Thereafter the valve 3 is opened towards the bottle 2 containing an elution medium such as HCl. Pump 24 transfers a predetermined quantity of the elution medium into the glass ampoule 5. Then pump 23 circulates the elution medium through the glass ampoule 5, the ion exchanger 6 and the valve 8 which now establishes a communication from the pump 23 to the ampoule 5. Due to this closed-loop circulation the predecessors Fr-221 and At-217 in the decay chain from Ac-225 and Bi-213 are steadily eluted and their radiolytical effect on the resin is reduced. Thus the circulation increases the yield of the Bi-213 elution and the performance of the Bi-213 generator as a whole. After a certain elution time, that means if a sufficient quantity of Bi-213 is eluted, the valve 8 opens a communication between pump 23 and the vial 10 and the eluted Bi-213 is pumped to the vial. To meet stringent quality criteria, the purity and quantity of Bi-213 which is later-on to be coupled to a monoclonal antibody or another carrier before being administered as radioimmunoconjugate to a patient, is determined by collecting the eluate in the GeLi well detector 11. The apparatus as described then collects the requested Bi-213 activity, hands out a vial of purified Bi-213 together with a certificate stating its purity and quantity as obtained by the recorded gamma energy spectrum and the counted Bi-213 activity. The-apparatus can be operated in the hospital. Due to its automated operation it does not need manual interventions. Finally the method and apparatus according to the invention supply practically on-line a certified recording of purity and quantity of said isotope. However, the invention is not restricted to the preferred embodiment as described above, especially as concerns the dissolving and the elution media and the structural details of the apparatus.

Claims: A method for preparing Bi-213 to be integrated in a radioimmunoconjugate for human therapeutic use, comprising the sequence of method steps as follows: a) an ampoule (5) containing colloid-free actinium-225, obtained from drying and heating an actinium nitrate solution, is loaded into a container (20) provided with radiation panels (21); b) a dissolving medium is poured into the ampoule (5); c) the solution obtained in the ampoule is transferred into a ion exchange column (6); d) an elution medium is circulated continuously through the column (6); e) at regular intervals the eluate containing eluted Bi-213 is pumped towards a vial (10) for quantification and quality control. A method according to claim 1, characterized in that the container (20) is shaken during the dissolving phase in step b). A method according to claim 1 or 2, characterized in that the dissolving medium is HCl mixed with a small quantity of ion exchange resin. A method according to any one of the preceding claims, characterized in that the elution medium is HCl. An apparatus for implementing the method according to any one of the preceding claims, characterized in that it comprises a container (20) in which, protected by radiation shielding panels (21), a first volume intended to receive a transport ampoule (5) and a second volume intended to receive a ion exchange column (6) are arranged in serial communication, that the container is mounted on a tilt frame (7) allowing to tilt the container from a first, horizontal position for dissolution in which the first volume is located next to the second volume, into a second, vertical position in which the transport ampoule (5) is above the exchange column (6) for elution, that a circulation duct (22) including a circulation pump (23) is provided to connect the ends of the two volumes which are remote from their interconnection channel (25), that supply bottles (1, 2) containing the dissolving medium and the elution medium respectively are connected via a valve (3) to the transport ampoule (5), that a further pump (24) insures the quantified transfer of elution medium from the bottle (2) to the ampoule (5) and that means (12) are provided to control the tilt mechanism (7), the valves (3, 8) and the pumps (23, 24) and the GeLi well counter (11) according to a predetermined sequence.

Inventors: APOSTOLIDIS CHRISTOS, BRANDALISE BRUNO, JANSSENS WILLEM, KOCH LOTHAR, MOLINET ROGER, VAN GEEL JACQUES, APOSTOLIDIS, CHRISTOS, BRANDALISE, BRUNO, JANSSENS, WILLEM, KOCH, LOTHAR, MOLINET, ROGER, VAN GEEL, JACQUES
Applicants: EUROP ECONOMIC COMMUNITY, EUROPEAN COMMUNITY
Application year: 1998
Main classification: G21G4
IPC codes: G21G4