Antia Laboratories Inc.
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Synthesis and Biological Evaluation of [
18
F]Bicalutamide, 4-[
76
Br]Bromobicalutamide, and
4-[
76
Br]Bromo-thiobicalutamide as Non-Steroidal Androgens for Prostate Cancer Imaging
Ephraim E. Parent,
²
Carmen S. Dence,
‡
Carl Jenks,
‡
Terry L. Sharp,
‡
Michael J. Welch,
‡
and John A. Katzenellenbogen*
,²
Department of Chemistry, UniVersity of Illinois, 600 South Mathews AVenue, Urbana, Illinois 61801, and Washington UniVersity School of
Medicine, Saint Louis, Missouri 63110
ReceiVed July 19, 2006
Androgen receptors (AR) are overexpressed in most primary and metastatic prostate cancers. To develop a
nonsteroidal AR-mediated imaging agent, we synthesized and radiolabeled several analogs of the potent
antiandrogen bicalutamide: [
18
F]bicalutamide, 4-[
76
Br]bromobicalutamide, and [
76
Br]bromo-thiobicalutamide.
Two of these analogs, 4-[
76
Br]bromobicalutamide and [
76
Br]bromo-thiobicalutamide, were found to have a
substantially increased affinity for the androgen receptor (AR) compared to that of bicalutamide. The synthesis
of [
18
F]bicalutamide utilized a pseudocarrier approach to effect addition of a carbanion generated from
tracer-level amounts of a radiolabeled precursor to an unlabeled carbonyl precursor. 4-[
76
Br]Bromobicaluta-
mide and [
76
Br]bromo-thiobicalutamide were labeled through electrophilic bromination of a tributylstannane
precursor. The former could be prepared in high specific activity, and its tissue distribution was tested in
vivo. Androgen target tissue uptake was evident in castrated adult male rats; however, in DES-treated,
AR-positive, tumor-bearing male mice, tumor uptake was low.
Introduction
Prostate cancer is the second leading cause of cancer death
in men in the United States,
1
and it has been directly linked to
the androgen receptor (AR)
a
in most cases. Androgen ablation
monotherapy, surgical or chemical castration with nonsteroidal
antiandrogens such as flutamide (1) and bicalutamide (2), is
the principal initial treatment for progressive prostate cancer
and results in the regression of most androgen-dependent
tumors.
2
Many men eventually fail androgen ablation therapy,
however, and die of recurrent androgen-independent prostate
cancer (AIPC).
In our efforts to develop agents for the in vivo imaging of
androgen receptor (AR) in prostate cancers by positron emission
tomography (PET), we and others have prepared steroidal
3-5
and nonsteroidal
6,7
AR ligands labeled with fluorine-18. Several
of these
18
F-labeled steroidal androgens show tissue distribution
in chemically castrated rats that is consistent with their uptake
by an AR-dependent process, namely, selective target tissue
(prostate) accumulation that is effectively blocked by coadmin-
istration of a blocking dose of unlabeled androgen.
3,5
One of
the agents we have developed, 16-[
18
F]fluoro-5R-dihydrotes-
tosterone (FDHT), has proved to be an effective agent for PET
imaging of AR-positive prostate tumors in humans.
8,9
Despite androgen deprivation therapy, most patients will
experience disease progression to AIPC,
10
a stage at which only
a small fraction of tumors respond to secondary hormonal
therapies, including treatment with nonsteroidal antiandrogens.
11
In fact, at this stage treatment with an antiandrogen often leads
to increased tumor growth.
12-14
Although the cause of this
antiandrogen activation is not known, it is believed to be due
to changes in the androgen signaling cascade.
15
Therefore, PET
imaging agents that are close structural analogs of the nonste-
roidal antiandrogen compounds used in second-line hormone
therapy, namely, flutamide and bicalutamide, might be particu-
larly useful because failure of these agents generally presages
the onset of unmanageable disease. The development of effective
PET imaging agents based on such nonsteroidal androgens,
however, has proved to be a challenge.
16-18
The nonsteroidal antiandrogen bicalutamide is the leading
antiandrogen used for the treatment of prostate cancer. Non-
steroidal antiandrogens, such as flutamide and bicalutamide, are
often referred to as “pure antiandrogens” because they bind
exclusively to the AR and, therefore, are devoid of antigona-
dotropic, antiestrogenic, and progestational effects (Figure 1).
19
Bicalutamide is a racemic mixture,
20,21
with the R enantiomer
having 30-fold higher binding affinity than the S isomer.
22
In
this study, we describe the syntheses of
18
F and
76
Br-labeled
androgen receptor ligands based on the bicalutamide core:
[
18
F]bicalutamide, 4-[
76
Br]bromobicalutamide, and [
76
Br]bromo-
thiobicalutamide, the last being based on thiobicalutamide, a
bicalutamide analog reported to have improved AR binding
affinity.
23
We determined the AR binding affinity of these
compounds and related analogs, and we determined the meta-
bolic stability and tissue biodistribution of 4-[
76
Br]bromobi-
calutamide in rats and tumor-bearing mice.
Results
Chemistry. Linear Synthesis of Bicalutamide (1). Our first
attempt to develop a synthesis of bicalutamide suitable for
radiolabeling involved a linear synthetic route, shown in Scheme
1. 4-Cyano-3-trifluoromethyl-aniline (5) was condensed with
pyruvic acid chloride
24
to produce ketoamide 6 in 27% yield.
21
The keto moiety of 6 was attacked by the anion of amine 12,
25
which was formed using either lithium diisopropyl amide (LDA)
or n-BuLi, to afford anilide 7 in 30%. Anilide 7 was protected
with acetyl chloride to give the corresponding ester (8),
26
and
then N-methylated with methyl trifluoromethanesulfonate
27,28
to form the ammonium salt 9 in 53% and 66% yields,
respectively.
* Corresponding author. Phone: 217-333-6310. E-mail: jkatzene@uiuc.edu.
²
University of Illinois.
‡
Washington University School of Medicine.
a
Abbreviations: AR, androgen receptor; AIPC, androgen-independent
prostate cancer; PET, positron emission tomography; FDHT, 16-[
18
F]-
fluoro-5R-dihydrotestosterone; LDA, lithium diisopropyl amide; TBAF,
tetrabutylammonium fluoride; RBA, relative binding affinity; DHT, dihy-
drotestosterone.
1028 J. Med. Chem. 2007, 50, 1028-1040
10.1021/jm060847r CCC: $37.00 © 2007 American Chemical Society
Published on Web 01/20/2007