Cyanocobalamin (58Co) solution EUROPEAN PHARMACOPOEIA 5.0 01/2005:0270 — as mobile phase at a flow rate of 1.0 ml/min a mixture prepared as follows : mix 26.5 volumes of methanol R and 58 73.5 volumes of a 10 g/l solution of disodium hydrogen CYANOCOBALAMIN ( Co) SOLUTION phosphate R adjusted to pH 3.5 using phosphoric acid R and use within 2 days, Cyanocobalamini (58Co) solutio — a radioactivity detector adjusted for cobalt-58, DEFINITION — as detector a spectrophotometer set at 361 nm, Cyanocobalamin (58Co) solution is a solution of — a loop injector. [58Co]-α-(5,6-dimethylbenzimidazol-1-yl)cobamide cyanide Inject 100 µl of the solution to be examined and record and may contain a stabiliser and an antimicrobial the chromatogram for three times the retention time of preservative. Cobalt-58 is a radioactive isotope of cobalt cyanocobalamin. Determine the peak areas and calculate and may be produced by neutron irradiation of nickel. the percentage of cobalt-58 present as cyanocobalamin. 58 Cyanocobalamin ( Co) may be prepared by the growth of Inject 100 µl of the reference solution and record the 58 suitable micro-organisms on a medium containing ( Co) chromatogram for 30 min. cobaltous ion. The solution contains not less than 90.0 per cent and not more than 110.0 per cent of the declared RADIOACTIVITY cobalt-58 radioactivity at the date stated on the label. Not Measure the radioactivity using suitable counting equipment less than 90 per cent of the cobalt-58 is in the form of by comparison with a standardised cobalt-58 solution or by cyanocobalamin. measurement in an instrument calibrated with the aid of such a solution. CHARACTERS A clear, colourless or slightly pink solution. STORAGE Cobalt-58 has a half-life of 70.8 days and emits beta (β+) Store protected from light at a temperature of 2 °C to 8 °C. radiation and gamma radiation. IDENTIFICATION A. Record the gamma-ray spectrum using a suitable instrument. The spectrum does not differ significantly from that of a standardised cobalt-58 solution. Standardised cobalt-58, cobalt-57 and cobalt-60 solutions are available from laboratories recognised by the competent authority. The most prominent gamma photons of cobalt-58 have energies of 0.511 MeV (annihilation radiation) and 0.811 MeV. B. Examine the chromatograms obtained in the test for radiochemical purity. The principal peak in the radiochromatogram obtained with the solution to be examined has a retention time similar to that of the peak in the chromatogram obtained with the reference solution. TESTS pH (2.2.3). The pH of the solution is 4.0 to 6.0. RADIONUCLIDIC PURITY Record the gamma-ray spectrum using a suitable instrument having adequate resolution and calibrated with the aid of standardised cobalt-58, cobalt-57 and cobalt-60 solutions. The spectrum does not differ significantly from that of the standardised cobalt-58 solution. Determine the relative amounts of cobalt-58, cobalt-57 and cobalt-60 present. Cobalt-57 has a half-life of 271 days and its presence is shown by gamma photons of energy 0.122 MeV. Cobalt-60 has a half-life of 5.27 years and its presence is shown by gamma photons of energies 1.173 MeV and 1.332 MeV. Not more than 1 per cent of the total radioactivity is due to cobalt-60 and not more than 2 per cent of the total radioactivity is due to cobalt-57, cobalt-60 and other radionuclidic impurities. RADIOCHEMICAL PURITY Examine by liquid chromatography (2.2.29). Reference solution. Dissolve 10 mg of cyanocobalamin CRS in the mobile phase and dilute to 100 ml with the mobile phase. Dilute 2 ml of the solution to 100 ml with the mobile phase. Use within 1 h. The chromatographic procedure may be carried out using : — a stainless steel column 0.25 m long and 4 mm in internal diameter packed with octylsilyl silica gel for chromatography R (5 µm), 822 01/2005:1325 FLUDEOXYGLUCOSE (18F) INJECTION Fludeoxyglucosi (18F) solutio iniectabilis DEFINITION Fludeoxyglucose (18F) injection is a sterile solution of 2-[18F]fluoro-2-deoxy-D-glucopyranose (2-[18F]fluoro-2-deoxy-D-glucose) for diagnostic use. The injection contains not less than 90.0 per cent and not more than 110.0 per cent of the declared fluorine-18 radioactivity at the date and time stated on the label. Not less than 95 per cent of the radioactivity corresponds to fluorine-18 in the form of 2-[18F]fluoro-2-deoxy-D-glucose and 2-[18F]fluoro-2-deoxy-D-mannose, with the 2-[18F]fluoro-2-deoxy-D-mannose fraction not exceeding 10 per cent of the total radioactivity. Not less than 99.0 per cent of the radioactivity corresponds to fluorine-18. The content of 2-fluoro-2-deoxy-D-glucose is not more than 10 mg per maximum recommended dose of injection. PRODUCTION RADIONUCLIDE PRODUCTION Fluorine-18 is a radioactive isotope of fluorine which may be produced by various nuclear reactions induced by proton irradiation of oxygen-18, deuteron irradiation of neon-20, helium-3 or helium-4 irradiation of oxygen-16. RADIOCHEMICAL SYNTHESIS 2-[18F]Fluoro-2-deoxy-D-glucose may be prepared by various chemical synthetic pathways, which lead to different products in terms of specific radioactivity, by-products and possible impurities. See the information section on general monographs (cover pages) EUROPEAN PHARMACOPOEIA 5.0 Most widely used is the method of phase transfer catalysed nucleophilic substitution of 1,3,4,6-tetra-O-acetyl-2-Otrifluoromethanesulphonyl-β-D-mannopyranose with [18F]fluoride. Generally, [18F]fluoride is adsorbed on an anion-exchange resin and eluted with a solution of potassium carbonate which is then evaporated to dryness. Addition of a phase transfer catalyst such as an aminopolyether in dry acetonitrile may be used to enhance the nucleophilicity of the [18F]fluoride so that it reacts easily with the tetra-acetylated mannosyltriflate at elevated temperature. Hydrolysis under either alkaline or acidic conditions yields 2-[18F]fluoro-2-deoxy-D-glucose. Hydrolysis using hydrochloric acid may lead to the formation of 2-chloro-2-deoxy-D-glucose. Hydrolysis under alkaline conditions may lead to the formation of 2-[18F]fluoro-2-deoxy-D-mannose as a by-product. Variations of the method substitute the aminopolyether by a tetra-alkyl ammonium salt, or use solid phase catalysed nucleophilic substitution on derivatised anion-exchange resin, e.g. derivatised with 4-(4-methylpiperidino)pyridine. Electrophilic pathways for production of 2-[18F]fluoro-2-deoxyD-glucose proceed by the reaction of molecular [18F]fluorine or [18F]acetylhypofluorite with 3,4,6-tri-O-acetyl-D-glucal. [18F]Acetylhypofluorite is obtained by conversion of molecular [18F]fluorine on a solid complex of acetic acid and potassium acetate. The production of molecular [18F]fluorine requires the addition of small amounts of fluorine to the neon target gas, usually from 0.1 per cent to 1 per cent, resulting in the reduction of the specific radioactivity of the end-product. Hydrolysis of the O-acetyl protected [18F]fluorinated sugar yields 2-[18F]fluoro-2-deoxy-D-glucose and usually small amounts of 2-[18F]fluoro-2-deoxy-D-mannose. The preparation can be purified by serial chromatography on combinations of ion-retardation resin, ion-exchange resin, alumina and octadecyl derivatised silica gel. Removal of the phase transfer catalyst can be achieved by different methods, all using combinations of separation cartridges. Production systems and their performance comply with the requirements set by the competent authority. STARTING MATERIALS 1. Target materials Each batch of target material must be tested in special production runs before its use in routine fluorine-18 production and manufacture of the preparation, to ensure that under specified conditions, the target yields fluorine-18 in the desired quantity and quality. 2. Precursors for organic synthesis It is recommended to test the precursors in production runs before their use for the manufacture of the preparation, to ensure that under specified production conditions, the precursors yield the preparation in the desired quantity and quality. 1,3,4,6-Tetra-O-acetyl-2-O-trifluoromethanesulphonylβ-D-mannopyranose. Examine by infrared absorption spectrophotometry (2.2.24), comparing with the Ph. Eur. reference spectrum of 1,3,4,6-tetra-O-acetyl-2-Otrifluoromethanesulphonyl-β-D-mannopyranose. Melting point (2.2.14) : 119 °C to 122 °C. 3,4,6-Tri-O-acetyl-D-glucal. Examine by infrared absorption spectrophotometry (2.2.24), comparing with the Ph. Eur. reference spectrum of 3,4,6-tri-O-acetyl-D-glucal. Melting point (2.2.14) : 53 °C to 55 °C. CHARACTERS A clear, colourless or slightly yellow solution. General Notices (1) apply to all monographs and other texts Fludeoxyglucose (18F) injection Fluorine-18 has a half-life of 109.8 min and emits positrons with a maximum energy of 0.633 MeV, followed by annihilation gamma radiation of 0.511 MeV. IDENTIFICATION A. Record the gamma-ray spectrum using a suitable instrument. The only gamma photons have an energy of 0.511 MeV ; and depending on the measurement geometry, a sum peak of 1.022 MeV may be observed. B. It complies with the test for radionuclidic purity (see Tests). C. Examine the chromatograms obtained in test (a) for radiochemical purity. The principal peak in the radiochromatogram obtained with the test solution has approximately the same retention time as the principal peak in the chromatogram obtained with reference solution (b). TESTS pH (2.2.3). The pH of the injection is 4.5 to 8.5. Sterility. It complies with the test for sterility prescribed in the monograph on Radiopharmaceutical preparations (0125). The injection may be released for use before completion of the test. Bacterial endotoxins (2.6.14) : less than 175/V IU/ml, V being the maximum recommended dose in millilitres. The injection may be released for use before completion of the test. CHEMICAL PURITY Particular tests for chemical purity may be omitted if the substances mentioned are not used or cannot be formed in the production process (a) 2-Fluoro-2-deoxy-D-glucose and 2-chloro-2-deoxy-Dglucose. Examine by liquid chromatography (2.2.29). Test solution. The preparation to be examined. Reference solution (a). Dissolve 10 mg of glucose R in water R and dilute to 100 ml with the same solvent. Reference solution (b). Dissolve 10 mg of 2-fluoro-2-deoxy-D-glucose R in water R and dilute to V with the same solvent, V being the maximum recommended dose in millilitres. Reference solution (c). Dissolve 1.0 mg of 2-chloro-2-deoxy-D-glucose R in water R and dilute to 2.0 ml with the same solvent. Dilute 1 ml of this solution to V with the same solvent, V being the maximum recommended dose in millilitres. The chromatographic procedure may be carried out using : — a column 0.25 m long and 4.0 mm in internal diameter packed with strongly basic anion-exchange resin for chromatography R (10 µm), — as mobile phase at a flow rate of 1 ml/min 0.1 M sodium hydroxide protected against contamination by carbon dioxide, — a suitable radioactivity detector for radiochemical purity testing, — a detector suitable for carbohydrates in the required concentration range, — a loop injector, maintaining the column at a constant temperature between 20 °C and 30 °C. Equilibrate the column with the mobile phase until a stable baseline is achieved. Inject separately reference solutions (a), (b) and (c). If the validation studies exclude the formation of 2-chloro-2-deoxy-D-glucose inject separately reference 823 Fludeoxyglucose (18F) injection EUROPEAN PHARMACOPOEIA 5.0 solutions (a) and (b). Continue the chromatography for twice the retention time of D-glucose, 2-fluoro-2-deoxy-D-glucose and when required, 2-chloro-2-deoxy-D-glucose respectively. Inject the test solution. The chromatogram obtained with the detector for carbohydrates shows a principal peak corresponding to D-glucose (test solutions from nucleophilic pathways) or 2-fluoro-2-deoxy-D-glucose (test solutions from electrophilic pathways). When the chromatograms are recorded in the prescribed conditions, 2-chloro-2-deoxy-D-glucose elutes after 2-fluoro-2-deoxy-D-glucose, but their corresponding peaks may not be completely resolved. In the chromatogram obtained with the test solution, the areas of the peaks corresponding to 2-fluoro-2-deoxy-D-glucose and 2-chloro-2-deoxy-D-glucose are not greater than the areas of the peaks in the chromatograms obtained with reference solution (b) and/or reference solution (c) (10 mg of 2-fluoro-2-deoxy-D-glucose per V and 0.5 mg of 2-chloro-2-deoxy-D-glucose per V respectively). (b) Aminopolyether. This test is performed only on the bulk solution before addition of sodium chloride by the producer and it is not intended for the final preparation to be injected. Examine by thin-layer chromatography (2.2.27), using a TLC silica gel plate R. Test solution. The preparation to be examined. Reference solution. Dissolve 0.110 g of aminopolyether R in water R and dilute to 10.0 ml with the same solvent. Dilute 0.2 ml of this solution to V with the same solvent, V being the maximum recommended dose in millilitres. Apply separately to the plate 2 µl of the test solution and 2 µl of the reference solution. Develop over a path of about 8 cm using a mixture of 1 volume of ammonia R and 9 volumes of methanol R. Allow the plate to dry in air for 15 min. Expose the plate to iodine vapour for at least 10 min. In the chromatogram obtained with the test solution the spot corresponding to aminopolyether is not more intense than the spot in the chromatogram obtained with the reference solution (2.2 mg per V). (c) Tetra-alkyl ammonium salts. Examine by liquid chromatography (2.2.29). Test solution. The preparation to be examined. Reference solution. Dilute 2.1 ml of 0.1 M tetrabutylammonium hydroxide to 20 ml with water R. Dilute 1 ml of this solution to V with the same solvent, V being the maximum recommended dose in millilitres. The chromatographic procedure may be carried out using : — a column 0.125 m long and 4.0 mm in internal diameter packed with octadecylsilyl silica gel for chromatography R (5 µm), — as mobile phase at a flow rate of 0.6 ml/min a mixture of 25 volumes of a 0.95 g/l solution of toluenesulphonic acid R and 75 volumes of acetonitrile R, — as detector a spectrophotometer set at 254 nm, — a loop injector, maintaining the column at a constant temperature between 20 °C and 30 °C. Equilibrate the column with the mobile phase until a stable baseline is obtained. Inject the reference solution. Continue the chromatography for twice the retention time of tetrabutylammonium ions. Inject the test solution. In the chromatogram obtained with the test solution, the area of the peak corresponding to tetrabutylammonium ions is not greater than the area of the peak in the chromatogram obtained with the reference solution (2.75 mg per V). 824 (d) Solid phase derivatisation agent 4-(4-methylpiperidino)pyridine. Examine by ultraviolet spectrophotometry (2.2.25). Test solution. The preparation to be examined. Reference solution. Dissolve 20 mg of 4-(4methylpiperidino)pyridine R in water R and dilute to 100.0 ml with the same solvent. Dilute 0.1 ml of this solution to V with the same solvent, V being the maximum recommended dose in millilitres. Measure the absorbance of the test solution and the reference solution at the maximum of 263 nm. The absorbance of the test solution is not greater than that of the reference solution (0.02 mg per V). (e) Residual solvents (2.4.24). The concentration of acetonitrile does not exceed 4.1 mg per V, V being the maximum recommended dose in millilitres. The injection may be released for use before completion of the test. RADIONUCLIDIC PURITY Record the gamma-ray spectrum using a suitable instrument. The half-life is between 105 min and 115 min. The injection may be released for use before completion of the test. RADIOCHEMICAL PURITY A. Examine by liquid chromatography (2.2.29) as described in test (a) for chemical purity. When the chromatograms obtained with the radioactivity detector are recorded in the prescribed conditions, the principal peak in the chromatogram obtained with the test solution has the same retention time as the peak obtained with reference solution (b) using the carbohydrate detector. The retention times of 2-[18F]fluoro-2-deoxy-D-mannose and [18F]fluoride are approximately 90 per cent and approximately 50 per cent of that of 2-[18F]fluoro-2-deoxy-D-glucose respectively. Other peaks in the chromatogram may be due to partially acetylated 2-[18F]fluoro-2-deoxy-D-glucose derivatives. Calculate the percentage content of [18F]fluorinated substances from the areas of the peaks in the chromatogram obtained with the test solution. The sum of the percentages of radioactivity corresponding to 2-[18F]fluoro-2-deoxy-D-glucose and 2-[18F]fluoro-2-deoxy-D-mannose is not less than 95 per cent of the total radioactivity with the 2-[18F]fluoro-2-deoxy-D-mannose fraction not exceeding 10 per cent of the total radioactivity. The method may underestimate or miss unhydrolysed or partially hydrolysed 2-[18F]fluoro-2-deoxytetra-acetyl-Dglucose, since these intermediate reaction products may further hydrolyse to the desired end-product under the chromatographic conditions. B. Examine by thin-layer chromatography (2.2.27) using a TLC silica gel plate R. Test solution. The preparation to be examined. Apply 2 µl to 10 µl to the plate. Develop over a path of 8 cm using a mixture of 5 volumes of water R and 95 volumes of acetonitrile R. Allow the plate to dry in air for 15 min. Determine the distribution of radioactivity using a suitable detector. Not less than 95 per cent of the total radioactivity is found in the spot corresponding to 2-fluoro-2-deoxy-D-glucose (Rf about 0.45). Possible contaminants are [18F]fluoride (Rf 0.0) ; partially acetylated 2-[18F]fluoro-2-deoxy-D-glucose derivatives (Rf about 0.8-0.95). See the information section on general monographs (cover pages) EUROPEAN PHARMACOPOEIA 5.0 Flumazenil (N-[11C]methyl) injection Synthesis of [5-methyl-11C]flumazenil The most widely used method to obtain [5-methyl11 C]flumazenil is the N-alkylation of demethylflumazenil with iodo[11C]methane in alkaline conditions in a solvent such as dimethylformamide or acetone. The resulting [5-methyl-11C]flumazenil can be purified by semi-preparative liquid chromatography. For example, a column packed with LABELLING octadecylsilyl silica gel for chromatography eluted with a The accompanying information specifies the particular mixture of ethanol and water is suitable. synthetic pathway of production. The label on the actual PRECURSOR FOR SYNTHESIS container states the maximum recommended dose in Demethylflumazenil millilitres. Melting point (2.2.14) : 286 °C to 289 °C. 01/2005:1917 Infrared absorption spectrophotometry (2.2.24). Comparison : Ph. Eur. reference spectrum of demethylflumazenil. FLUMAZENIL (N-[11C]METHYL) RADIOACTIVITY Measure the radioactivity using suitable counting equipment by comparison with a standardised fluorine-18 solution or using an instrument calibrated with the aid of such a solution. Standardised fluorine-18 solutions are available from laboratories recognised by the competent authority. INJECTION Flumazenil (N-[11C]methyl) solutio iniectabilis DEFINITION Sterile solution of ethyl 8-fluoro-5-[11C]methyl-6-oxo-5,6dihydro-4H-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate which may contain a stabiliser such as ascorbic acid. Content : 90 per cent to 110 per cent of the declared carbon-11 radioactivity at the date and time stated on the label. Content of flumazenil : maximum 50 µg in the maximum recommended dose in millilitres. CHARACTERS Appearance : clear, colourless solution. Half-life and nature of radiation of carbon-11 : see Table of physical characteristics of radionuclides (5.7). IDENTIFICATION A. Gamma-ray spectrometry. Results : the only gamma photons have an energy of 0.511 MeV and, depending on the measurement geometry, a sum peak of 1.022 MeV may be observed. B. It complies with test B for radionuclidic purity (see Tests). C. Examine the chromatograms obtained in the test for radiochemical purity. Results : the principal peak in the radiochromatogram obtained with the test solution is similar in retention time to the principal peak in the chromatogram obtained with reference solution (a). TESTS pH (2.2.3) : 6.0 to 8.0. Sterility. It complies with the test for sterility prescribed in the monograph on Radiopharmaceutical preparations (0125). The injection may be released for use PRODUCTION before completion of the test. RADIONUCLIDE PRODUCTION Bacterial endotoxins (2.6.14) : less than 175/V IU/ml, V Carbon-11 is a radioactive isotope of carbon which is most being the maximum recommended dose in millilitres. The commonly produced by proton irradiation of nitrogen. injection may be released for use before completion of the Depending on the addition of either trace amounts of oxygen test. or small amounts of hydrogen, the radioactivity is obtained Flumazenil and impurity A. Liquid chromatography (2.2.29). as [11C]carbon dioxide or [11C]methane, respectively. Test solution. The preparation to be examined. RADIOCHEMICAL SYNTHESIS 11 Reference solution (a). Dissolve 2.5 mg of flumazenil R in [5-Methyl- C]flumazenil may be prepared by 5 ml of methanol R. N-alkylation of ethyl 8-fluoro-6-oxo-5,6-dihydro-4Himidazo[1,5-a][1,4]benzodiazepine-3-carboxylate Reference solution (b). Dissolve 2.5 mg of (demethylflumazenil) with iodo[11C]methane or [11C]methyl demethylflumazenil R in 50 ml of methanol R. trifluoromethanesulphonate. Reference solution (c). To 0.1 ml of reference solution (a) add 0.1 ml of reference solution (b) and dilute to V with a Synthesis of iodo[11C]methane Iodo[11C]methane may be produced from [11C]carbon dioxide 0.9 g/l solution of sodium chloride R, V being the maximum recommended dose in millilitres. or from [11C]methane. The most frequently used method is Reference solution (d). Dilute 0.1 ml of reference solution (a) reduction of [11C]carbon dioxide with lithium aluminium to 50 ml with methanol R. Dilute 1.0 ml of this solution to V hydride. The [11C]methanolate formed is reacted with with a 0.9 g/l solution of sodium chloride R, V being the hydriodic acid. Alternatively [11C]methane, either obtained directly in the target or by on-line processes from [11C]carbon maximum recommended dose in millilitres. dioxide, is reacted with iodine. Column : — size : l = 0.15 m, Ø = 3.9 mm, Synthesis of [11C]methyl trifluoromethanesulphonate 11 [ C]methyl trifluoromethanesulphonate may be — stationary phase : spherical octadecylsilyl silica gel for prepared from iodo[11C]methane using a solid support chromatography R (5 µm) with a specific surface area of such as graphitised carbon, impregnated with silver 440 m2/g, a pore size of 100 nm and a carbon loading of trifluoromethanesulphonate. 19 per cent, General Notices (1) apply to all monographs and other texts 825
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