@article{Sammartano_Migliari_Scarlattei_Baldari_Ruffini_2020, title={Synthesis, validation and quality controls of [68Ga]-DOTA-Pentixafor for PET imaging of chemokine receptor CXCR4 expression: Synthesis and CQ of [68Ga]-DOTA-Pentixafor}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/9106}, DOI={10.23750/abm.v91i4.9106}, abstractNote={&amp;lt;p&amp;gt;&amp;lt;em&amp;gt;&amp;lt;strong&amp;gt;Background.&amp;lt;/strong&amp;gt;&amp;lt;/em&amp;gt; Chemokine receptor-4 (CXCR4) is involved in tumor growth and progression in several types of human cancer.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;Recently, [&amp;lt;sup&amp;gt;68&amp;lt;/sup&amp;gt;Ga]-DOTA-Pentixafor has been assessed as an excellent imaging probe targeting CXCR4-expression using positron emission tomography (PET).&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;Here we report on the entire production cycle of [&amp;lt;sup&amp;gt;68&amp;lt;/sup&amp;gt;Ga]-DOTA-Pentixafor, including quality control development and process validation.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;&amp;lt;em&amp;gt;Methods.&amp;lt;/em&amp;gt;&amp;lt;/strong&amp;gt; Synthesis of [&amp;lt;sup&amp;gt;68&amp;lt;/sup&amp;gt;Ga]-DOTA-Pentixafor was validated &amp;lt;em&amp;gt;via &amp;lt;/em&amp;gt;three independent and consecutive production runs using an automated synthesis system. All validation runs must pass the pre-set quality control (QC) limits. Validation was performed for established QC tests to ensure that methods were reproducible and reliable in routine use. Germanium-68 breakthrough was determined for each sample&amp;lt;sub&amp;gt;. &amp;lt;/sub&amp;gt;Production yield was calculated for each synthesis to assess the performance and efficiency of the radiolabeling process. The quality of the final product&amp;lt;em&amp;gt; was &amp;lt;/em&amp;gt;determined by ITLC and HPLC methods after each synthesis.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;&amp;lt;em&amp;gt;Results&amp;lt;/em&amp;gt;&amp;lt;/strong&amp;gt;&amp;lt;strong&amp;gt;&amp;lt;em&amp;gt;.&amp;lt;/em&amp;gt;&amp;lt;/strong&amp;gt; The average ITLC‐measured radiochemical purity was above 98.5% and HPLC‐measured radiochemical purity was 99.86%, 99,83% and 100% in the three validation runs. Germanium breakthrough was 4.8*10-5%, 4.9*10-5% and 4.7*10-5% of total activity, far below the recommended level of 0.001%. Residual ethanol resulted 5.22%, 5.58% and 5.32%V/V; spot of HEPES impurity was not more intense than spot of reference solution (200µg/V). Endotoxin level resulted &amp;amp;lt;17.5EU/ml. &amp;lt;em&amp;gt;pH&amp;lt;/em&amp;gt; of the final product was 7 in all samples.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Conclusion: &amp;lt;/strong&amp;gt;[&amp;lt;sup&amp;gt;68&amp;lt;/sup&amp;gt;Ga]-DOTA-Pentixafor fit requirements of the pre-set quality parameters of purity, efficacy and safety in the batches considered for this study&amp;amp;nbsp; and fulfilled all the acceptance criteria for injectable radiopharmaceutical products. The results demonstrated a batch-to-batch reproducibility providing high radiochemical purity.&amp;lt;/p&amp;gt;}, number={4}, journal={Acta Biomedica Atenei Parmensis}, author={Sammartano, Antonino and Migliari, Silvia and Scarlattei, Maura and Baldari, Giorgio and Ruffini, Livia}, year={2020}, month={Jul.}, pages={e2020097} }