Short description: Radioactive diagnostic agent used in PET scan to localize tumors
Copper (64Cu) oxodotreotide
INN: Copper (64Cu) oxodotreotide_oxodotreotide.svg.png) |
| Clinical data |
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| Trade names | Detectnet |
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Routes of administration | Intravenous |
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| Legal status |
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| Identifiers |
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IUPAC name
2-[4-[2-[[(2R)-1-[[(4R,7S,10S,13R,16S,19R)-10-(4-aminobutyl)-4-[[(1S,2R)-1-carboxy-2-hydroxypropyl]carbamoyl]-7-[(1R)-1-hydroxyethyl]-16-[(4-hydroxyphenyl)methyl]-13-(1H-indol-3-ylmethyl)-6,9,12,15,18-pentaoxo-1,2-dithia-5,8,11,14,17-pentazacycloicos-19-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-2-oxoethyl]-10-(carboxylatomethyl)-7-(carboxymethyl)-1,4,7,10-tetrazacyclododec-1-yl]acetate;copper-64(2+)
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| Chemical and physical data |
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| Formula | C65H88CuN14O19S2 |
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| Molar mass | 1497.16 g·mol−1 |
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| 3D model (JSmol) | |
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SMILES
CC(C1C(=O)NC(CSSCC(C(=O)NC(C(=O)NC(C(=O)NC(C(=O)N1)CCCCN)CC2=CNC3=CC=CC=C32)CC4=CC=C(C=C4)O)NC(=O)C(CC5=CC=CC=C5)NC(=O)CN6CCN(CCN(CCN(CC6)CC(=O)[O-])CC(=O)[O-])CC(=O)O)C(=O)NC(C(C)O)C(=O)O)O.[Cu+2]
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InChI
InChI=1S/C65H90N14O19S2.Cu/c1-38(80)56-64(96)73-51(63(95)75-57(39(2)81)65(97)98)37-100-99-36-50(72-59(91)47(28-40-10-4-3-5-11-40)68-52(83)32-76-20-22-77(33-53(84)85)24-26-79(35-55(88)89)27-25-78(23-21-76)34-54(86)87)62(94)70-48(29-41-15-17-43(82)18-16-41)60(92)71-49(30-42-31-67-45-13-7-6-12-44(42)45)61(93)69-46(58(90)74-56)14-8-9-19-66;/h3-7,10-13,15-18,31,38-39,46-51,56-57,67,80-82H,8-9,14,19-30,32-37,66H2,1-2H3,(H,68,83)(H,69,93)(H,70,94)(H,71,92)(H,72,91)(H,73,96)(H,74,90)(H,75,95)(H,84,85)(H,86,87)(H,88,89)(H,97,98);/q;+2/p-2/t38-,39-,46+,47-,48+,49-,50+,51+,56+,57+;/m1./s1/i;1+0 Key:IJRLLVFQGCCPPI-NVGRTJHCSA-L
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Copper (64Cu) oxodotreotide or Copper Cu 64 dotatate, sold under the brand name Detectnet, is a radioactive diagnostic agent indicated for use with positron emission tomography (PET) for localization of somatostatin receptor positive neuroendocrine tumors (NETs) in adults.[2]
Common side effects include nausea, vomiting and flushing.[3]
It was approved for medical use in the United States in September 2020.[2][3]
History
The U.S. Food and Drug Administration (FDA) approved copper 64Cu dotatate based on data from two trials that evaluated 175 adults.[4]
Trial 1 evaluated adults, some of whom had known or suspected NETs and some of whom were healthy volunteers.[4] The trial was conducted at one site in the United States (Houston, TX).[4] Both groups received copper 64Cu dotatate and underwent PET scan imaging.[4]
Trial 2 data came from the literature-reported trial of 112 adults, all of whom had history of NETs and underwent PET scan imaging with copper 64Cu dotatate.[4] The trial was conducted at one site in Denmark.[4] In both trials, copper 64Cu dotatate images were compared to either biopsy results or other images taken by different techniques to detect the sites of a tumor.[4] The images were read as either positive or negative for presence of NETs by three independent image readers who did not know participant clinical information.[4]
See also
References
- ↑ "Detectnet- copper cu 64 dotatate injection, solution". 14 September 2020. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f898c8a7-beb7-4318-a8ea-6f058d69342b.
- ↑ 2.0 2.1 "FDA approval letter". 3 September 2020. https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2020/213227Orig1s000ltr.pdf.
This article incorporates text from this source, which is in the public domain.
- ↑ 3.0 3.1 "RadioMedix and Curium Announce FDA Approval of Detectnet (copper Cu 64 dotatate injection) in the U.S." (Press release). Curium. 8 September 2020. Retrieved 9 September 2020 – via GlobeNewswire.
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 "Drug Trials Snapshots: Detectnet". 3 September 2020. https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trials-snapshots-detectnet.
This article incorporates text from this source, which is in the public domain.
External links
- "copper Cu 64 dotatate injection safety data sheet". Curium US LLC. 15 March 2020. https://www.curiumpharma.com/wp-content/uploads/2020/08/SDS-US-copper-Cu-64-dotatate-injection_.pdf.
Diagnostic radiopharmaceuticals (ATC: V09) |
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| Central nervous system |
- 99mTc (Exametazime)
- 123I (Ioflupane
- Iofetamine
- Iomazenil)
- 18F (Florbetapir, Flutemetamol)
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| Skeletal system | |
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| Renal |
- 123I (Sodium iodohippurate)
- 64Cu (Cu-ETS2)
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| Gastrointestinal/Hepatic | |
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| Respiratory system |
- 133Xe
- 81mKr
- 99mTc (99mTc-MAA)
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| Cardiovascular system |
- 99mTc (Sestamibi
- Tetrofosmin)
- 111In (Imciromab)
- 82Rb (Rubidium chloride)
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| Inflammation/infection |
- 99mTc (Exametazime
- Sulesomab
- Tilmanocept)
- 111In
- 67Ga
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| Tumor |
- 99mTc (Arcitumomab
- Votumumab
- Hynic-octreotide)
- 111In (Capromab pendetide
- Satumomab pendetide)
- 125I (Minretumomab)
- 123I / 131I (Iobenguane)
- 18F (Fluciclovine
- Fludeoxyglucose
- Fluoroethyltyrosine
- Sodium fluoride)
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| Adrenal cortex |
- 123I
- 125I / 131I (Iodocholesterol)
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Radionuclides (including tracers) | | positron (PET list) |
- 11C ([11C]ME@HAPTHI
- 25B-NBOMe (Cimbi-36)
- Acetate
- Choline
- Carfentanil
- DASB
- DTBZ
- Flumazenil
- Methionine
- N-Methylspiperone
- Pittsburgh compound B
- Raclopride
- Verapamil)
- 13N (Ammonia)
- 15O (Water)
- 18F (Altanserin
- Desmethoxyfallypride
- FMISO
- Fallypride
- Florbetaben
- Florbetapir
- Flubatine
- Fluciclovine
- Fludeoxyglucose (18F) (FDG)-glucose analogue
- Flumazenil
- Fluorocholine
- Fluorodeoxysorbitol (FDS)
- Fluorodopa
- Fluorothymidine F-18
- Fluspidine
- Flutemetamol
- MPPF
- Mefway
- Nifene
- N-Methylspiperone
- FET
- Setoperone)
- 64Cu
- 68Ga
- 82Rb (Rubidium chloride)
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| gamma ray/photon (SPECT/scintigraphy) |
- 51Cr
- 57Co
- 67Ga
- 75Se
- 81mKr
- 99mTc
- 111In
- 123I
- 125I
- 131I
- 133Xe
- 153Sm
- 201Tl
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 | Original source: https://en.wikipedia.org/wiki/Copper (64Cu) oxodotreotide. Read more |