Jacobson, Orit, Bechor, Yossi, Icar, Avi, Novak, Nurit, Birman, Atalia, Marom, Hanit, Fadeeva, Ludmila, Golan, Elizabeth, Leibovitch, Ilan, Gutman, Mordechai, Even-Sapir, Einat, Chisin, Roland, Gozin, Michael, and Mishani, Eyal
Abstract: Approximately 80–90% of prostate cancers are androgen dependent at initial diagnosis. The androgen receptor (AR) is present in most advanced prostate cancer specimens and is believed to have a critical role in its development. Today, treatment of prostate cancer is done by inhibition of AR using antiandrogens such as flutamide (pro-drug of hydroxyflutamide), nilutamide, and bicalutamide. However, there is currently no noninvasive imaging modalities to detect, guide, and monitor specific treatment of AR-positive prostate cancer. (R)-3-Bromo-N-(4-fluoro-3-(trifluoromethyl)phenyl)-2-hydroxy-2-methyl-propanamide [ 18 F]-1 and N-(4-fluoro-3-(trifluoromethyl)phenyl)-2-hydroxy-2-methylpropanamide [ 18 F]-2, derivatives of hydroxyflutamide, were synthesized as a fluorine-containing imaging agent candidates. A three-step fluorine-18 radiosynthesis route was developed, and the compounds were successfully labeled with a 10±3% decay corrected radiochemical yield, 95% radiochemical purity, and a specific activity of 1500±200Ci/mmol end of bombardment (n =10). These labeled biprobes not only may enable for the future quantitative molecular imaging of AR-positive prostate cancer using positron emission tomography but may also allow for image-guided treatment of prostate cancer. [Copyright &y& Elsevier]