The present invention relates to examining BZM ((S)-(-)-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide, molecular formula=C15H22N2O3, molecular weight=278.35) solution, more particularly, relates to analyzing a purity of BZM and quantifications of labeled ligand of [123I] IBZM ((S)-(-)-3-iodo-2-hydroxy-6-methoxy-N[(1-ethyl-2-pyrrolidinyl)methyl]benzamide, molecular formula ═C15H21 IN2O3 molecular weight=400.24) and free ligand of BZM.
[123I] IBZM, as shown in
[123I] IBZM is obtained through labeling BZM with I-123 (or 1231). 135˜185 megabecquerels (MBq) of [123I] IBZM is injected into a human body through an intravenous injection. Then, specific to nonspecific equilibrium ratios or coefficients in regions of interest (ROI) are obtained. Therein, for different cases, a specific bonding region can be striatum, caudate nucleus and putamen, or basal ganglia; and, a non-specific bonding region can be cerebellum, frontal cortex, or occipital cortex.
[123I] IBZM SPECT imaging agent is widely applied in studies concerning striatal dopa minergic disease or D2 receptor occupancy, including studies on: Huntington's disease by Scherfler, etc. (NeuroImage, 2005, Vol. 24, pp. 822-831); on dopa mine release following ad ministration of ampheta mine by Abi-Darg ham, etc. (Biol. Psychiatry, 2004, Vol. 55, pp. 1001-1006 European Neuropsychopharmacology, 2003, Vol. 13, pp. 459-468); on obsessive-compulsive disorder (OCD) by Denys, etc. (Biol. Psychiatry, 2004, Vol. 55, pp. 1041-1045); on cognitive performance and fine motor activity by Yang, etc. (Psychiatry Research: Neuroimaging, 2004, Vol. 131, pp. 209-216; Psychiatry Research: Neuroimaging, 2003, Vol. 123, pp 191-197); on Cotard syndrome De Risio, etc. by (Psychiatry Research: Neuroimaging, 2004, Vol. 130, pp 109-112); on prognosis in naive schizophrenic patients by Pérez, etc. (Progress in Neuro-Psychopharmacology & Biological Psychiatry, 2003, Vol. 27, pp. 767-770); and on differences between nonidiopathic parkinsonism (NIPS) disorders and Parkinson's Disease (PD) by Radau, etc. (J. Nucl. Med., 2000, Vol. 41, pp. 220-227).
Besides, [123I] IBZM SPECT imaging agent is used for evaluating clinical curative effects of antipsychotic agents (e.g. olanzapine, clozapine, haloperidol, sertindole, risperidone, quetiapine, etc.) by Frankle, etc. (Psychopharmacology 2004, Vol. 175, pp. 473-480); Tauscher etc. (Psychopharmacology, 1999, Vol. 141, pp. 175-181); Kasper, etc. (Psychopharmacology, 1998, Vol. 136, pp. 367-373); and Küfferle, etc. (Psychopharmacology, 1997, Vol. 133, pp. 323-328). [123I] IBZM is also used on studying extra pyramidal side effects (EPS) and acute psychosis exacerbation by Corripio, etc. (Progress in Neuro-Psychopharmacology & Biological Psychiatry, 2005, Vol. 29, pp. 91-96) and Heinz, etc. (Schizophrenia Research, 1998, Vol. 31, pp. 19-26).
As shown in
Solid phase extraction (SPE) is therefore developed by Leslie, etc. (J. Nucl. Med., 1996, Vol 37, 1589-1591) because I-123 has a short half-life (T1/2=13.2 hrs, gamma energy 159 keV); and, complex processes for samples increase medicine contamination, radioactive material contamination and chemical decomposition and reduce [123I] IBZM activity. Reactants, products and byproducts are all adhered on a SPE device to remove u n reacted I-123 ions through being washed by normal saline. Then [123I] IBZM is eluted by 95% ethanol to be diluted with normal saline for obtaining an injection. This method fast obtains a condensed product and processes labeling automatically for reducing radiation dosage on human body. However, [123I] IBZM is not able to be separated from BZM precursor.
Quality control of [123I] IBZM nuclear medicine is done through analyzing a radiochemical purity (RCP) for now. And a method for analyzing a RCP of an injection through thin-layer chromatography (TLC) and HPLC is developed by Kung, etc. (J. Labeled Compd. Radiopharm., 1988, Vol. 27, pp. 691-700), where the RCP for analyzing the purity of [123I] IBZM is limited to be not smaller than 95% (NeuroImage, 2005, Vol. 24, pp. 822-831 by Scherfler, etc.; Biol. Psychiatry, 2004, Vol. 55, pp. 1001-1006 by Abi-Dargham, etc.; Psychopharmacology 2004, Vol. 175, pp. 473-480 by Frankle, etc.; Biol. Psychiatry, 2004, Vol. 55, pp. 1041-1045 by Denys, etc.; Schizophrenia Research, 1998, Vol. 31, pp. 19-26 by Heinz, etc.; J. Nuc. Med., 1990, Vol. 31, pp. 573-579 by Kung, etc. J. Nucl. Med., 1989, Vol. 30, pp. 88-92 by Kung, etc.; Nucl. Med. Biol., 1999, Vol. 26, pp. 661-665 by Zea-Ponce, etc. Nucl. Med. Bio., 1988, Vol. 15, pp. 195-201 by Kung, etc.; J. Med. Chem., 1988, Vol. 31, pp. 1039-1043, by Kung, etc.; Nucl. Med. Biol., 1988, Vol. 15, pp. 203-208 by Kung, etc.)
However, only bonded or free ligand (ionic) I-123 activity can be detected by RCP, rather than concentration of nonradioactive materials such as BZM or other impurities. The injection may contain only a tiny sum of BZM or I-123; and Kung, etc. conclude in their study that BZM has a far small bonding to D2/D3 receptor (D2/D3R) than [123I] IBZM in rats (J. Nucl. Med., 1989, Vol. 30, pp. 88-92). But, until now, no clinic test has proven that bonding of BZM and [123I] IBZM to D2/D3R in human body is acted in the same way as in rats. It is quite possible that the competition between BZM and [123I] IBZM bonding to D2/D3R in human body may affect [123I] IBZM SPECT images such as unexpectedly interference, increased background or decreased detectable receptors.
As above, although a few methods for purifying [123I] IBZM through HPLC are developed, no validated method is developed for analyzing purity of labeled BZM; similarly, no effective method is developed for fast analyzing quantification of labeled precursor or free ligand of BZM in the [123I] IBZM injection.
The main purpose of the present invention is to analyzing the purity of free ligand BZM, or of the precursor which used to label as a striatal dopa minergic D2/D3 receptor SPECT imaging agent, for qualifying the purity Another purpose is to obtain quantities of labeled ligand of [123I] IBZM and free ligand of BZM in the striatal dopa minergic D2/D3 receptor SPECT imaging agent, especially those which could interfere with SPECT images, increase background and decrease number of detectable receptors, by multiple reaction monitoring (MRM) of liquid chroma to graph tandem mass spectrometer (LC-MS/MS) for maintaining a stable and qualified intravenous SPECT imaging injection agent.
To achieve the above purposes, the present invention is a method of obtaining a BZM purity, a quantity of [123I] IBZM labeled ligand and a quantity of BZM free ligand, where HPLC is used to analyze a purity of BZM for its specificity, linearity, accuracy, etc.; and an LC-MS/MS having an electrospray ionization (ESI) scan mode and a positive ion scan mode is provided to examine quantities of labeled ligand of [123I] IBZM and free ligand of BZM though MR M for obtaining linearity of MR M transitions for the quantification of nonradioactive IBZM and [123I] IBZM with fragmentation pathways of parent molecules of BZM, non radioactive IBZM and [123I] IBZM.
The present invention will be better understood from the following detailed description of the preferred embodiment according to the present invention, taken in con junction with the accompanying drawings, in which
The following description of the preferred embodiment is provided to understand the features and the structures of the present invention.
Please refer to
(1) a high performance liquid chromatography (HPLC) device, comprising a thermostated column oven and an ultra-violet detector;
(2) a liquid chromatograph tandem mass spectrometer (LC-MS/MS) having an electrospray ionization (ESI);
(3) a Zorbox Eclipse XDB-C18 column, 4.6×50 mm, 1.8 μm (Agilent, USA);
(4) dim ethyl sulfoxide (DMSO) above analytical grade;
(5) ammonium acetate above analytical grade; and
(6) acetonitrile above analytical grade or chromatographic grade.
Solutions are prepared for the present invention as follows:
(1) BZM or IBZM samples are dissolved in a DMSO solution. Thus, a ˜500 ppm BZM or IBZM solution is provided to be examined through HPLC.
(2) BZM samples and IBZM samples are separately dissolved in the DMSO solutions; and then the DMSO solutions are diluted with acetonitrile to a required calibration curve range to be mixed together. Thus, a mixture solution of 2˜45 ppm BZM and ˜500 ppm IBZM is obtained to be examined through HPLC.
(3) DMSO solutions having ˜500 ppm BZM and IBZM separately are obtained to be diluted with acetonitrile to a required concentration range. Thus, ˜100 ppb BZM and IBZM solutions are obtained to be processed through multiple reaction monitoring (MRM) by the LC-MS/MS.
(4) A mixture solution of 2-45 ppm BZM and ˜500 ppm IBZM is obtained to be diluted with acetonitrile to obtain a 5000 times of solution having a required concentration range. Thus, a mixture solution of 0.4-10 ppb BZM and ˜100 ppb IBZM is obtained to be processed through MRM by the LC-MS/MS.
The present invention utilizes HPLC for analyzing the BZM purity; and, on obtaining best conditions for the present invention, non radioactive IBZM ([127I] IBZM) is used to replace radioactive IBZM ([123I] IBZM). Although [127I] IBZM and [123I] IBZM have different molecular weights (mw 404 and mw 400), their chemical characteristics are similar, such as HPLC retention time. Hence, the best HPLC chromatographic conditions for the nonradioactive IBZM ([127I] IBZM) can be applied to the radioactive IBZM ([123I] IBZM).
The BZM purity is analyzed through the following steps:
(a) An HPLC device is obtained.
(b) The HPLC device is used to examine [123I] IBZM and BZM for obtaining their specificity, linearity, accuracy, precision, limit of detection (LOD), limit of quantification (LOQ), robustness, and solution stability.
Concerning essence represented at HPLC chromatographic peaks, a mass spectrometer is used with a Q1 scan to obtain product ion mass of parent molecule. Then the mass spectrometer uses a precursor ion scan and a product ion scan to obtain structures of fragments for affirming the essences of BZM and IBZM. The eluent for HPLC is a mixture solution of a 10 mM pH 7.0 ammonium acetate buffer and acetonitrile to avoid precipitating, crystallizing and ion suppressing. Hence, the mixture solution can be directly injected into the mass spectrometer without changing components of the eluent or reducing its salt concentration
Therein, chromatographic conditions for analyzing the BZM purity include:
(1) a first eluent, a 10 mM pH 7.0 ammonium acetate buffer;
(2) a second eluent, acetonitrile;
(3) a gradient condition of eluting, comprising 10%-95% B (0.5 min), 95% B (0.5˜6.0 min) and 10% B (6.0˜10.0 min);
(4) a temperature at 25° C. for a column;
(5) a flow rate of 0.5 mL/min; and
(6) a detection wavelength at 254 nm.
As shown in
According to guidance documented by International Conference on Harmonization (ICH), results for confirming the method of analyzing the BZM purity include specificity, linearity, accuracy, precision, LOD, LOQ, robustness and solution stability, as shown in the followings:
(1) On specificity test, a forced degradation is used. 0.63 mg BZM is dissolved in 1.2 mL 3% H2O2 aqueous solution (oxidant) to react for 24 hours As shown in
(2) For linearity test, a DMSO solution having 500 ppm BZM is obtained at first. 1˜10 μL sample is injected for five times. Then all chromatographic peaks obtained through HPLC are calculated for obtaining an average of peak areas, a standard deviation (SD) of peak areas and a relative standard deviation (RSD) of peak areas. Then, weights (microgram, μg) of the samples are used for chromatographic peaks to obtain an average of peak areas (milliabsorbance unit, mAU) for figuring out linear least square regression equations and linear correlation coefficients. As shown in
(3) Precision tests comprise an intra-day precision (i.e. repeatability) test and an inter-day precision (i.e. reproducibility) test:
(4) The accuracy test is done through a recovery test. A BZM having a nominal concentration is spiked in DMSO to be analyzed by HPLC. Experimental concentration is obtained through Interpolation and recovery rate is calculated (=experimental concentration/nominal concentration×100%). As shown in
(5) For LOD/LOQ test, three-times noise (signal-to-noise (S/N) ratio=3/1) and ten-times noise (S/N ratio=10/1) are used for calculation. The main impurity 12 is shown around 3.852 min. Yet, the minor impurities 13, 14 (in
(6) The robustness test uses different HPLC columns (the same brand and type but different batch), different analyzers, and the same ammonium acetate buffer (the first eluent) with different pH values (pH 6.5, 7.0 and 7.5), as shown in
(7) For the solution stability test, a sum of BZM solution is put under a room temperature to be processed with HPLC analysis for three days, as shown in
Nevertheless, the present invention uses LC-MS/MS MRM to analyze quantities of the labeled ligand ([123I] IBZM) and the free ligand (BZM). Although [127] IBZM and [123] IBZM has different molecular weights (404 and 400), their chemical characteristics are similar, such as HPLC retention times, fragmentation pathways of parent molecules and working parameters for MR M transition. Hence, the present invention replaces reference material of [123I] IBZM with non radioactive IBZM (i.e. [1271] IBZM) to obtain best conditions for HPLC and LC-MS/MS MRM. Then the best analytical parameters obtained for the nonradioactive IBZM are applied for analyzing results of LC-MS/MS MRM of [123I] IBZM.
Quantities of the labeled ligand and the free ligand are analyzed through the following steps:
(a) An LC-MS/MS is obtained, which has an electrospray ionization (ESI) scan mode and a positive ion scan mode.
(b) Quantities of [123I] IBZM and BZM are obtained through multiple reaction monitoring (MRM) by the LC-MS/MS.
(c) Fragmentation pathways of parent molecules of BZM, non radioactive IBZM and radioactive IBZM ([123I] IBZM) are obtained.
(d) A linearity for quantification of MRM transition of the BZM is obtained.
(e) A linearity for quantification of MRM transition of the nonradioactive IBZM is obtained.
(f) A linearity for quantification of MRM transition of the [123I] IBZM is obtained.
Firstly, a syringe pump is used to directly inject BZM or nonradioactive IBZM into the mass spectrometer at a flow rate of 10 μL/min for a Q1 scan, a precursor ion scan and a product ion scan. And, a declustering potential (DP), an entrance potential (EP), a collision energy (C), a collision cell exit potential (CXP) are obtained. The best result is shown in
Through the Q1 scan, BZM (as shown in
For affirming the reproducibility of the above fragmentation ions and for affirming that the fragmentation ions can be applied in analyzing the qualification of the MRM transitions, HPLC is used as a sample introduction tool for obtaining linearity of BZM MR M transitions, where linearity of BZM MRM transitions include m/z 279→m/z 151, m/z 279 m/z 136, m/z 279→m/z 129, m/z 279 m/z 112, m/z 279→m/z 108; nd linearity of nonradioactive IBZM MRM transitions include m/z 405→m/z 276, m/z 405→m/z 262, m/z 405→m/z 234, m/z 405→m/z 150, m/z 405→m/z 129, m/z 405 →m/z 112, m/z 405→m/z 107.
As shown in
Through the precursor ion scan and the product ion scan of BZM and nonradioactive IBZM, fragmentation pathways of parent molecules of BZM and non radioactive IBZM are obtained, as shown in
Because chemical behaviors of [123I] IBZM and [127I] IBZM are very similar,
To sum up, the present invention is a method of obtaining a BZM purity, a quantity of [123I] IBZM labeled ligand and a quantity of BZM free ligand, where HPLC is used to analyze a purity of BZM precursor of a striatal dopaminergic D2/D3 receptor SPECT imaging agent; and an LC-MS/MS is used to examine quantities of labeled ligand of [123I] IBZM and free ligand of BZM in the striatal dopaminergic D2/D3 receptor SPECT imaging agent.
The preferred embodiment herein disclosed is not intended to unnecessarily limit the scope of the invention. Therefore, simple modifications or variations belonging to the equivalent of the scope of the claims and the instructions disclosed herein for a patent are all within the scope of the present invention.