Table 3. Clinical studies with radiolabeled CCK2R targeting peptide derivatives in patients with MTC or other CCK2R expressing tumors.
Peptide derivative | Radionuclide | Radiopeptide | Injected activity (MBq) | Injected peptide amount (µg) | Tumor type | Number of patients | Reference |
---|---|---|---|---|---|---|---|
gastrin-I | iodine-131 | 131I-gastrin-I | 370 | 0.5/kg BW | metastatic MTC | 1 | [34,43] |
[DTPA0]minigastrin | indium-111 | 111In-DTPA-MG | 130-170 | 0.5/kg BW | metastatic MTC occult MTC | 2 1 |
[43,75] |
[DTPA0,DAsp1,Nle 3,6]CCK8 | indium-111 | 111In-DTPA-CCK | 158-211 | 7.2-8.5 1 x 18.7 |
metastatic MTC occult MTC | 2 5 |
[37,76] |
[DTPA0DGlu1minigastrin | indium-111 | 111In-DTPA-MG0 | 185-259 | 5-10 | metastatic MTC occult MTC metastatic carinoid astrocytoma (grade III) | 23 22 1 1 |
[77,78] |
150-200 | 5.5-7.3 | metastatic MTC occult MTC | 22 5 |
[79] | |||
150-200 | 5.5-7.3 | neuroendocrine tumors | 61 | [80] | |||
yttrium-90 | 90Y-DTPA-MG0 | 1110-1850* | Not stated | advanced metastatic MTC | 8 | [77,78,81] | |
[DTPA0,DAsp1,Nle3,6]CCK8 [DOTA0,DGlu1,DesGlu2-6]minigastrin [N4-Gly0,DGlu1]minigastrin |
indium-111 indium-111 technetium-99m |
111In-DOTA-CCK 111In-DOTA-MG11 99mTc-Demogastrin-2 |
216±19 186±34 773±97 |
11.1±0.6 10.8±1.7 9.5±1.5 |
metastatic MTC | 6 | [82] |
[HYNIC0,DGlu1,DesGlu2-6]minigastrin | technetium-99m | 99mTc-HYNIC-MG11 | 500-700 | 7-9 | presurgical MTC postsurgical MTC |
7 23 |
[83,84] |
[DOTA0,DGln1-6]minigastrin | gallium-68 | 68Ga-DOTA-PP-F10 | 347 MBq | ~20 | metastatic MTC | 1 | [58] |
[DOTA0,DGlu1-6]minigastrin | gallium-68 | 68Ga-DOTA-PP-F11 | Not stated | Not stated | presurgical MTC | 1 | [85] |
[DOTA0,DGlu1-6]minigastrin | indium-111 | 111In-DOTA-PP-F11 | 200±20 | 10 or 50 | advanced MTC | 6 | [86] |
[DOTA0,DGlu1-6,Nle11]minigastrin | lutetium-177 | 177Lu-DOTA-PP-F11N | 1000§ | <100 | histologically proven MTC | 16 | [87] |
Up to 4 injections in intervals of 4-6 weeks (MBq/m2);
two injections with/without Gelofusine within 4 weeks