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Peer-reviewedCC BYEJNMMI radiopharmacy and chemistry

Automated radiosynthesis and biodistribution of [¹⁸F]fluoroflutamide.

4 affiliations
  1. 1Division of Nuclear Medicine, Department of Radiology, University of Michigan Medical School, Ann Arbor, MI, 48109, USA.
  2. 2Division of Nuclear Medicine, Department of Radiology, University of Michigan Medical School, Ann Arbor, MI, 48109, USA. [email protected].
  3. 3The Interdepartmental Program in Medicinal Chemistry, University of Michigan, Ann Arbor, MI, 48109, USA. [email protected].
  4. 4Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. [email protected].

Abstract

Background

The androgen receptor (AR) is upregulated in multiple cancers, such as salivary gland cancer, glioblastoma, triple-negative breast cancer, and, most commonly, prostate cancer. Imaging expression of the AR using a radiolabeled AR antagonist would enable non-invasive clinical staging and assessment of tumor heterogeneity via positron emission tomography (PET), complementing the findings of a [⁶⁸Ga]PSMA-11 scan. Previous efforts described the radiolabeling of enzalutamide with fluorine-18 but were limited by low molar activity. In this study, we showcase an efficient, reproducible automated synthesis of [¹⁸F]fluoroflutamide via zinc-mediated radiofluorination and assess its biodistribution in preclinical models of prostate cancer.Results

From 1.87 Ci (69.19 GBq) of [¹⁸F]fluoride, [¹⁸F]fluoroflutamide was isolated with a non-decay-corrected radiochemical yield of 3.46 ± 1.30% (n = 4) and a radiochemical purity of > 99% in an average 79 min from end-of-beam using a bromoamide precursor. The average Am was 1.57 Ci/µmol (or 58.23 GBq/µmol) at the end of synthesis, and the radiochemical purity after 4 h was > 97%, indicating negligible radiolysis. A biodistribution and imaging study was performed using nude athymic mice with 22Rv1 human prostate cancer xenografts. From the results of this study, we observed a 'mass effect' in which carrier-added mice displayed an increased uptake of the tracer across most organs.Conclusions

Herein, we report the optimized automated radiosynthesis of [¹⁸F]fluoroflutamide with high purity and sufficient yield for preclinical evaluation of AR-targeted imaging in mouse models of prostate cancer. The lack of uptake in androgen receptor-rich tissues and xenografts suggests impaired in vivo target engagement. While α-tertiary fluorination may attenuate CYP1A2-mediated oxidation to the higher-affinity 2-hydroxyflutamide metabolite, the observed signal is also consistent with reduced intrinsic AR affinity and/or altered pharmacokinetics of the fluorinated analog.

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BibTeX
@article{kaup2026automated,
  title = {{Automated radiosynthesis and biodistribution of [¹⁸F]fluoroflutamide.}},
  author = {Gina Kaup and Jason Anthony Witek and Shelbie Jaylene Cingoranelli and Jenelle Stauff and David Raffel and Allen Frederick Brooks and Peter James Henry Scott and Jay Samuel Wright},
  journal = {EJNMMI radiopharmacy and chemistry},
  year = {2026},
  month = jul,
  doi = {10.1186/s41181-026-00453-z},
  url = {https://europepmc.org/article/MED/42894110},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Automated radiosynthesis and biodistribution of [¹⁸F]fluoroflutamide.
AU  - Gina Kaup
AU  - Jason Anthony Witek
AU  - Shelbie Jaylene Cingoranelli
AU  - Jenelle Stauff
AU  - David Raffel
AU  - Allen Frederick Brooks
AU  - Peter James Henry Scott
AU  - Jay Samuel Wright
PY  - 2026
DA  - 2026/07/01
JO  - EJNMMI radiopharmacy and chemistry
DO  - 10.1186/s41181-026-00453-z
UR  - https://europepmc.org/article/MED/42894110
AB  - Background  The androgen receptor (AR) is upregulated in multiple cancers, such as salivary gland cancer, glioblastoma, triple-negative breast cancer, and, most commonly, prostate cancer. Imaging expression of the AR using a radiolabeled AR antagonist would enable non-invasive clinical staging and assessment of tumor heterogeneity via positron emission tomography (PET), complementing the findings of a [⁶⁸Ga]PSMA-11 scan. Previous efforts described the radiolabeling of enzalutamide with fluorine-18 but were limited by low molar activity. In this study, we showcase an efficient, reproducible automated synthesis of [¹⁸F]fluoroflutamide via zinc-mediated radiofluorination and assess its biodistribution in preclinical models of prostate cancer.Results  From 1.87 Ci (69.19 GBq) of [¹⁸F]fluoride, [¹⁸F]fluoroflutamide was isolated with a non-decay-corrected radiochemical yield of 3.46 ± 1.30% (n = 4) and a radiochemical purity of > 99% in an average 79 min from end-of-beam using a bromoamide precursor. The average Am was 1.57 Ci/µmol (or 58.23 GBq/µmol) at the end of synthesis, and the radiochemical purity after 4 h was > 97%, indicating negligible radiolysis. A biodistribution and imaging study was performed using nude athymic mice with 22Rv1 human prostate cancer xenografts. From the results of this study, we observed a 'mass effect' in which carrier-added mice displayed an increased uptake of the tracer across most organs.Conclusions  Herein, we report the optimized automated radiosynthesis of [¹⁸F]fluoroflutamide with high purity and sufficient yield for preclinical evaluation of AR-targeted imaging in mouse models of prostate cancer. The lack of uptake in androgen receptor-rich tissues and xenografts suggests impaired in vivo target engagement. While α-tertiary fluorination may attenuate CYP1A2-mediated oxidation to the higher-affinity 2-hydroxyflutamide metabolite, the observed signal is also consistent with reduced intrinsic AR affinity and/or altered pharmacokinetics of the fluorinated analog.
SN  - 2365-421X
ER  -