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Targeted Theranostics

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Targeted Theranostics

 

Radiopharmaceuticals

Radiopharmaceuticals are specialised drugs containing radioactive isotopes used for both diagnosing and treating various diseases, particularly cancers, by targeting specific cells within the body.

Radiolabelled peptides have shown increasing utility in the diagnosis and treatment of cancer. The tumour-targeting peptide can be combined with radionuclides including 68Ga for imaging (diagnostics) or 177Lu / 225 Ac / 212Pb for therapy (therapeutics). Many of these peptides can be used for either approach leading to the concept of theranostics.  ​

Almac has intimate knowledge of all the required steps to progress a peptide radiopharmaceutical from initial concept to your first in human testing, and through your entire clinical journey. We have ongoing programs from Phase 0 through to Process Validation, and supported a commercial radiopharmaceutical launch in 2023.​

Peptides offer unique advantages as vectors for theranostics applications:

  1. Tumours often overexpress peptide receptors in comparison to healthy tissue.​
  2. Tumour peptide uptake is rapid compared to antibodies and they are often internalised upon binding to their receptor leading to high concentrations of radionuclide at the target site. ​
  3. Unlike traditional drugs cellular internalisation is not an absolute requirement of the targeting molecule;  a non-internalising antagonist can exert its effect for imaging or therapy whilst bound on the outside of the cell. ​
  4. Unbound peptides are readily cleared through the kidneys, leading to better image quality (contrast) and lower off-target toxicity in therapy, compared to antibodies.​
  5. Peptides are routinely synthesised using automated solid phase peptide synthesis and they can tolerate the harsh conditions required for radiolabelling (low pH; high temperature).
  6. Peptides can be modified to incorporate unnatural amino acids, cyclization, PEGylation etc. to prolong half-life in vivo.
  7. Crucially, a large choice of metal chelators can be incorporated at virtually any position in the peptide structure to fine-tune binding activity, PK distribution, and clearance profile; and to accommodate different radiometals for different cancer diseases goals. 
PET-CT (Positron Emission Tomography–Computed Tomography) scan of a patient, dosed with a pre-clinical radiopharmaceutical drug-candidate that localizes to metastasized tumor (shown in red) and demonstrates minimal uptake to kidneys or other critical organs.

Analytical Support

Almac’s ICP-MS team can support radiopharmaceutical development throughout the discovery and clinical journey. We have over 40 man-years of experience in developing trace metal analysis methods with sensitivities down to sub-ppb levels.

Almac can support your GMP development program and early discovery efforts alike. Indeed, in the lead-selection stage, metal biodistribution studies can benefit greatly from a focused ICP-MS method to analyse your tissue (in-vivo) or cell (in-vitro) extracts. Biodistribution studies of cold-metal analogues of your lead molecules in the preclinical stage is a more cost-effective approach and typically faster (time sensitive) using Almac’s ICP-MS team, versus using the radioactive version of your lead compound(s).

Our dedicated team of experts is here to accompany you throughout this journey, as a standalone service or as an integrated program with our chemistry teams.

Why Almac?

The Almac peptide team has been providing peptide synthesis solutions for clients since 1994, with over 500 man-years of experience in peptide manufacture, analytics and technical project leadership from our UK sites in Craigavon, Northern Ireland and Edinburgh, Scotland. The highly regulated nature of our business means that our sites are licensed appropriately for peptide manufacturing activities and audited by regulatory authorities from the UK (MHRA) and US (FDA).  

Almac’s custom synthesis team excels in peptide and peptide-conjugate production to support your R&D efforts from mg to g scale. Our experts have worked on tens of thousands of structures and can tackle your requirements for bespoke peptides to support drug discovery, lead optimisation, route scouting, as well as analytical and process development efforts through impurities and standards synthesis.

Our unique high-throughput small-scale cGMP peptide facility offers milligrams to grams of your selected candidate peptide for rapid access to Phase 0 & I within short timeframes. This approach is a fast and cost-effective solution for first-in-human applications, particularly for small trials or low-volume areas such as imaging.

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