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Record W2008811567 · doi:10.1136/bmj.39072.485556.db

Outrage over death sentences in Libyan AIDS trial

2007· article· en· W2008811567 on OpenAlexaboutno aff
P. Moszynski

Bibliographic record

VenueBMJ · 2007
Typearticle
Languageen
FieldMedicine
TopicPharmacological Effects and Toxicity Studies
Canadian institutionsnot available
Fundersnot available
KeywordsOutrageComputer scienceMedicineWorld Wide WebData sciencePolitical scienceLaw

Abstract

fetched live from OpenAlex

<b>638</b> <h3><b>Objectives:</b></h3> Carbon-11 labeled Pittsburg compound B ([<sup>11</sup>C]PiB) is one of the most used β-amyloid-specific PET radiotracers<sup>1</sup>. Recently, in our institution, cGMP production of [<sup>11</sup>C]PiB was requested for human use. As the first human use C-11 tracer at our facility, considerable efforts were focused on the development of efficient and reliable methods for the preparation of [¹¹C]CO<sub>2</sub>, [¹¹C]MeI and [¹¹C]MeOTf, as well as the radiosynthesis and quality control of [¹¹C]PiB for human use. <h3><b>Methods:</b></h3> [¹¹C]CO<sub>2</sub> was produced with a TR-24 cyclotron (Advanced Cyclotron System, Vancouver, Canada) by irradiating of target gas: N<sub>2</sub> containing 0.5% O<sub>2</sub>. Then on an automatic MeI-Plus synthesis module (Synthra, Hamburger, Germany), [<sup>11</sup>C]CO<sub>2</sub> was converted to [<sup>11</sup>C]CH<sub>4</sub>, [¹¹C]MeI and [¹¹C]MeOTf sequentially via gas-phase conversion pathway. On the same module, [<sup>11</sup>C]MeOTf was used for <i>N</i>-methylation of the precursor 6-OH-BTA-0 in 2-butanone in a glass reactor<sup>2</sup>. The labeling completed in one minute at 50 °C. [<sup>11</sup>C]PiB was purified by HPLC and formulated as a final sterile 10% ethanol/saline solution. The final dose was subject to quality control protocols prior to release for human administration. Quality control included HPLC to determine chemical purity, radiochemical purity, PiB identity and specific molarity, GC to quantify residual solvent levels, bacterial endotoxin test, radionuclidic purity, decay half-life, pH, appearance and post-release sterility test. <h3><b>Results:</b></h3> By irradiating C-11 target for 35 minutes using a beam current of 35 μA, 1.2-1.4 Ci of [¹¹C]CO<sub>2</sub> were produced. From which, 950-1050 mCi of [¹¹C]MeI, and 600-800 mCi of [¹¹C]MeOTf were produced respectively, in 12 min from the time of the end of bombardment (EOB). [¹¹C]PiB batches (n=60) were synthesized by directly<i></i>[¹¹C]MeOTf<i> N</i>-[¹¹C]methylation of 6-OH-BTA-0. Good radiochemical yields (40.2 ± 12.3% referred to [¹¹C]CO<sub>2</sub>, decay corrected to EOB) and specific molarities (19.4 ± 5.6 Ci/µmol at EOS) were obtained for [¹¹C]PiB; the total synthesis time was 43-45 min from EOB. Specific molarity was high after optimization; however, with high specific molarity (&gt; 8 Ci/µmol at EOS), under the reverse phase HPLC purification conditions, 0.1% ascorbic acid was needed in the mobile phase to suppress the radiolysis of [¹¹C]PiB occurred on the HPLC column. Only when the QC results met the pre-set criteria, the final dose was released. <h3><b>Conclusions:</b></h3> A reliable fully automated process reported here allowed us to produce high specific molarity [¹¹C]MeOTf, and synthesize [¹¹C]PiB with good radiochemical yields (~40% decay corrected to EOB) and high specific molarities (15-25 Ci/µmol at EOS). To our knowledge, this is the first report on PiB production for human use with the Synthra module, and the specific molarities achieved are among the highest ones reported using the [¹¹C]CO<sub>2</sub> method<sup>3</sup>. 60-80 mCi of [<sup>11</sup>C]PiB was produced in 43 minutes, providing [<sup>11</sup>C]PiB with high chemical and radiochemical purity. The radiolysis during HPLC purification was suppressed by adding ascorbic acid to the mobile phase. Human studies are being performed with [¹¹C]PiB under an approved IND at our institution. <b>Acknowledgments: </b>We want to thank Dr. Suzanne E. Lapi for constructive discussions and the UAB Cyclotron facility (Jason Rider, Jean P. Appiah and Brian Brooks) for expert provision of carbon-11 and performing routine QC.<b> References:</b> [1] Mathis, C.A., et al., <i>J. Med. Chem.</i><b> 2003</b>.46,2740-2754. [2] Coliva, C.A., et al., <i>Appl. Radiat .Isot.</i>, <b>2015</b>, 105, 66-71. [3] Editor, Hsieh, C.H., <b>2012</b>, Positron Emission Tomography Current Clinical and Research Aspects, London, IntechOpen.<b></b><i></i><sub></sub><sup></sup>

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.166
Threshold uncertainty score0.199

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.062
GPT teacher head0.413
Teacher spread0.351 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2007
Admission routes1
Has abstractyes

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