Published October 1, 2021 | Version v1
Miscellaneous Restricted

Interest and prospects of terbium-161 for Targeted Radionuclide Therapy: set-up in Bordeaux

Description

Targeted radionuclide therapy (TRT) of second generation (using somatostatin analogues or PSMA inhibitors radiolabeled with lutetium-177) is getting more and more importance in oncological therapeutic strategies. However, further optimizations are required to improve survival of patients with metastatic cancers. Terbium-161 (161Tb) demonstrates similar chemical properties with lutetium-177, with much higher proportion of low energy electrons emissions (Auger, Intern Conversion, Coster-Kronig), enabling increased dose-deposits in single tumor cells and micrometastases. Considering the rising interest of 161Tb in Europe, this work describes the preliminary steps before the set-up of this radionuclide in Bordeaux, in particular regulatory authorizations for detention and use, exclusion chromatography purification method of 161Tb (first with non-radioactive terbium) and then (radio)labeling. (author)

Abstract (French)

La radiotherapie interne vectorisee (RIV) de deuxieme generation (analogues de la somatostatine ou inhibiteurs du PSMA radiomarques au lutetium-177) prend de plus en plus de place dans les strategies therapeutiques en oncologie. Cependant des optimisations restent necessaires pour ameliorer la survie de ces patients metastatiques. Le terbium-161 (161Tb) presente des proprietes chimiques similaires au lutetium-177, tout en emettant une part plus importante d'electrons de faible energie (Auger, Conversion Interne, Coster-Kronig) responsables d'une meilleure irradiation de cellules tumorales isolees et micrometastases. En raison de l'interet croissant du 161Tb en Europe, ce travail decrit les etapes prealables necessaires a l'implantation de ce radio-isotope innovant a Bordeaux notamment les aspects reglementaires relatifs au regime d'autorisation de detention et utilisation, methodologie de purification du 161Tb par chromatographie d'exclusion (d'abord a l'aide du terbium non radioactif) et realisation de (radio)marquage. (auteur)

Files

Restricted

The record is publicly accessible, but files are restricted to users with access.

Additional details

Additional titles

Original title (French)
Interet et perspectives du Terbium-161 en radiotherapie interne vectorisee: mise en place a Bordeaux
Augmented title (English)
Targeted radionuclide therapy; Theragnostic; Radiopharmacy; Terbium-161; Chromatographic method; Auger emitter

Publishing Information

Imprint Pagination
88 p.
Report number
FRNC-TH--16052

Optional Information

Notes
52 refs.; Available from the INIS Liaison Officer for France, see the INIS website for current contact and E-mail addresses