General Information of This Drug
Drug ID DRG00052
Drug Name Copper-64
Synonyms
Copper-64; Copper, isotope of mass 64; Copper Cu-64; 13981-25-4; 2MK2L64N0S; UNII-2MK2L64N0S; 64Cu radioisotope; Copper, Cu-64; (~64~Cu)Copper; DTXSID10930607; Q27254977
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Target(s) Human Deoxyribonucleic acid (hDNA)  Target Info 
Structure
Formula
Cu
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 63.929
Lipid-water partition coefficient (xlogp) Not Available
Hydrogen Bond Donor Count (hbonddonor) 0
Hydrogen Bond Acceptor Count (hbondacc) 0
Rotatable Bond Count (rotbonds) 0
PubChem CID
105141
Canonical smiles
[Cu]
InChI
InChI=1S/Cu/i1+0
InChIKey
RYGMFSIKBFXOCR-IGMARMGPSA-N
IUPAC Name
copper-64
Each Peptide-drug Conjugate Related to This Drug
Full Information of The Activity Data of The PDC(s) Related to This Drug
Copper dotatate Cu-64 [Approved]
Identified from the Human Clinical Data
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Neuroendocrine neoplasms
Efficacy Data PET75% overall specificities 92%
Evaluation Method PET/CT
Patients Enrolled
38 patients with NEN.
Administration Dosage 142 MBq
MOA of PDC
Somatostatin analogues radiolabeled with the radioisotope 68Ga, e.g. [68Ga]Ga-DOTATATE and [68Ga]Ga-DOTATOC, are currently the predominately used tracers for PET imaging of patients with NEN. However, the 64Cu-labeled SSR targeting somatostatin analogue [64Cu]Cu-DOTATATE is emerging as an alternative to 68Ga-labeled radiotracers. Although 64Cu has a lower branching ratio for + decay than 68Ga (18% vs 89%), 64Cu has the advantage of a longer half-life (12.7 h vs 68 min) and shorter positron range (0.7 mm vs 3.5 mm) where the latter at least in theory should lead to better spatial resolution. The effective whole-body dose is 6.3 mSv for a 200 MBq injection of [64Cu]Cu-DOTATATE or 4.7 mSv for the United States Food and Drug Administration (FDA) recommended dose of 148 MBq.

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Description
The median [64Cu]Cu-DOTATATE activity dose could be reduced from 191 to 142 MBq without decline in diagnostic image quality (P = 0.62), diagnostic lesion confidence (P = 1.0), or number of lesions detected in major organs or regions (P = 0.19-0.71). Sensitivity and specificity for detection of liver disease were 100% (26/26 patients) and 100% (12/12), respectively, for both PET75% and PET50%. Overall sensitivity for detection of NEN was 100% (26/26) for both PET75% and PET50%, and overall specificities were 92% (11/12) and 100% (12/12) for PET75 and PET50, respectively. Following dose-blinded post hoc review, the PET75% specificity was adjusted to 100% (12/12).

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Experiment 2 Reporting the Activity Data of This PDC [1]
Indication Neuroendocrine neoplasms
Efficacy Data PET75% overall sensitivity 100%
Evaluation Method PET/CT
Patients Enrolled
38 patients with NEN.
Administration Dosage 142 MBq
MOA of PDC
Somatostatin analogues radiolabeled with the radioisotope 68Ga, e.g. [68Ga]Ga-DOTATATE and [68Ga]Ga-DOTATOC, are currently the predominately used tracers for PET imaging of patients with NEN. However, the 64Cu-labeled SSR targeting somatostatin analogue [64Cu]Cu-DOTATATE is emerging as an alternative to 68Ga-labeled radiotracers. Although 64Cu has a lower branching ratio for + decay than 68Ga (18% vs 89%), 64Cu has the advantage of a longer half-life (12.7 h vs 68 min) and shorter positron range (0.7 mm vs 3.5 mm) where the latter at least in theory should lead to better spatial resolution. The effective whole-body dose is 6.3 mSv for a 200 MBq injection of [64Cu]Cu-DOTATATE or 4.7 mSv for the United States Food and Drug Administration (FDA) recommended dose of 148 MBq.

   Click to Show/Hide
Description
The median [64Cu]Cu-DOTATATE activity dose could be reduced from 191 to 142 MBq without decline in diagnostic image quality (P = 0.62), diagnostic lesion confidence (P = 1.0), or number of lesions detected in major organs or regions (P = 0.19-0.71). Sensitivity and specificity for detection of liver disease were 100% (26/26 patients) and 100% (12/12), respectively, for both PET75% and PET50%. Overall sensitivity for detection of NEN was 100% (26/26) for both PET75% and PET50%, and overall specificities were 92% (11/12) and 100% (12/12) for PET75 and PET50, respectively. Following dose-blinded post hoc review, the PET75% specificity was adjusted to 100% (12/12).

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Experiment 3 Reporting the Activity Data of This PDC [1]
Indication Neuroendocrine neoplasms
Efficacy Data PET50% overall specificities 100%
Evaluation Method PET/CT
Patients Enrolled
38 patients with NEN.
Administration Dosage 142 MBq
MOA of PDC
Somatostatin analogues radiolabeled with the radioisotope 68Ga, e.g. [68Ga]Ga-DOTATATE and [68Ga]Ga-DOTATOC, are currently the predominately used tracers for PET imaging of patients with NEN. However, the 64Cu-labeled SSR targeting somatostatin analogue [64Cu]Cu-DOTATATE is emerging as an alternative to 68Ga-labeled radiotracers. Although 64Cu has a lower branching ratio for + decay than 68Ga (18% vs 89%), 64Cu has the advantage of a longer half-life (12.7 h vs 68 min) and shorter positron range (0.7 mm vs 3.5 mm) where the latter at least in theory should lead to better spatial resolution. The effective whole-body dose is 6.3 mSv for a 200 MBq injection of [64Cu]Cu-DOTATATE or 4.7 mSv for the United States Food and Drug Administration (FDA) recommended dose of 148 MBq.

   Click to Show/Hide
Description
The median [64Cu]Cu-DOTATATE activity dose could be reduced from 191 to 142 MBq without decline in diagnostic image quality (P = 0.62), diagnostic lesion confidence (P = 1.0), or number of lesions detected in major organs or regions (P = 0.19-0.71). Sensitivity and specificity for detection of liver disease were 100% (26/26 patients) and 100% (12/12), respectively, for both PET75% and PET50%. Overall sensitivity for detection of NEN was 100% (26/26) for both PET75% and PET50%, and overall specificities were 92% (11/12) and 100% (12/12) for PET75 and PET50, respectively. Following dose-blinded post hoc review, the PET75% specificity was adjusted to 100% (12/12).

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Experiment 4 Reporting the Activity Data of This PDC [1]
Indication Neuroendocrine neoplasms
Efficacy Data PET50% overall sensitivity 100%
Evaluation Method PET/CT
Patients Enrolled
38 patients with NEN.
Administration Dosage 142 MBq
MOA of PDC
Somatostatin analogues radiolabeled with the radioisotope 68Ga, e.g. [68Ga]Ga-DOTATATE and [68Ga]Ga-DOTATOC, are currently the predominately used tracers for PET imaging of patients with NEN. However, the 64Cu-labeled SSR targeting somatostatin analogue [64Cu]Cu-DOTATATE is emerging as an alternative to 68Ga-labeled radiotracers. Although 64Cu has a lower branching ratio for + decay than 68Ga (18% vs 89%), 64Cu has the advantage of a longer half-life (12.7 h vs 68 min) and shorter positron range (0.7 mm vs 3.5 mm) where the latter at least in theory should lead to better spatial resolution. The effective whole-body dose is 6.3 mSv for a 200 MBq injection of [64Cu]Cu-DOTATATE or 4.7 mSv for the United States Food and Drug Administration (FDA) recommended dose of 148 MBq.

   Click to Show/Hide
Description
The median [64Cu]Cu-DOTATATE activity dose could be reduced from 191 to 142 MBq without decline in diagnostic image quality (P = 0.62), diagnostic lesion confidence (P = 1.0), or number of lesions detected in major organs or regions (P = 0.19-0.71). Sensitivity and specificity for detection of liver disease were 100% (26/26 patients) and 100% (12/12), respectively, for both PET75% and PET50%. Overall sensitivity for detection of NEN was 100% (26/26) for both PET75% and PET50%, and overall specificities were 92% (11/12) and 100% (12/12) for PET75 and PET50, respectively. Following dose-blinded post hoc review, the PET75% specificity was adjusted to 100% (12/12).

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64Cu-NODAGA-E[c(RGDyK)]2 [Investigative]
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [2]
Indication Glioblastoma
Efficacy Data Radiochemical purity 92%-99%
In Vivo Model Nude mice bearing either human glioblastoma (U87MG)/human neuroendocrine (H727) xenograft tumors.
References
Ref 1 Activity Dose Reduction in (64)Cu-DOTATATE PET in Patients with Neuroendocrine Neoplasms: Impact on Image Quality and Lesion Detection Ability. Mol Imaging Biol. 2022 Aug;24(4):600-611. doi: 10.1007/s11307-022-01706-4. Epub 2022 Feb 15.
Ref 2 Comparison of two new angiogenesis PET tracers 68Ga-NODAGA-E[c(RGDyK)]2 and (64)Cu-NODAGA-E[c(RGDyK)]2; in vivo imaging studies in human xenograft tumors. Nucl Med Biol. 2014 Mar;41(3):259-67. doi: 10.1016/j.nucmedbio.2013.12.003. Epub 2013 Dec 12.