The present invention relates to in vivo stable ^197(m) Hg compounds according to formula (I) for use in nuclear medical diagnostics and endoradionuclide therapy (theranostics), particularly the treatment of cancer, a method for the production of the ^197(m) Hg compounds comprising the step of radiolabeling of organic precursor compounds with ^197(m) Hg by electrophilic substitution; and the use of the ^197(m) Hg compounds for nuclear medical diagnostics and endoradionuclide therapy (theranostic), particularly the treatment of cancer.

State of the art

There has been a continuing need for effective radioisotopes in nuclear medical diagnostics and endoradionuclide therapy (theranostics).

The interest in the mercury isotope ^197(m) Hg was awakened primarily by the decay characteristics of both nuclear isomers, like convenient half-life ^197m Hg (Ti _/2 = 23.8 h, E _Y 134 keV, 34%) and ¹⁹⁷ Hg (T-i/2 = 64.14 h, E _Y 77 keV, 19%), low energy gamma radiations useful for diagnosis and numerous Auger and conversion electrons with high potential for cancer therapy.

Mercury (Hg) radioisotopes with low specific activity have been used for imaging from the 1950s (Greif et al., 1956, Sodee 1964) until the late 1960s (Matricali, 1969) exemplary for brain scanning and cancer imaging. Greif et al. disclose the use of ¹⁹⁷ Hg labelled Neohydrin® as radionuclide in nuclear medical diagnostics of the kidney (Greif et al. 1956). The ¹⁹⁷ Hg labelled Neohydrin® was produced by n/gamma reaction of enriched ¹⁹⁶ Hg in a reactor, wherein a low specific activity of 1 GB/μιτιοΙ was achieved. Furthermore, the product was contaminated with ²⁰³ Hg.

Alternatively, Walther et al. proved the feasibility of the production of the no carrier added (NCA) radionuclide ^197m Hg from gold at low proton energies in sufficient quantity and quality for imaging and experimental therapeutic purposes (Walther et al. 2015). The production of the no carrier added (NCA) radionuclide ^197m Hg was carried out through proton induced nuclear reactions on gold via the ¹⁹⁷ Au(p,n) ^197(m) Hg reaction in quantities up to about each 100 MBq, wherein Au superseded the expensive enrichment for the target material. For separation of ^197m Hg and ¹⁹⁷ Hg from the predominant part of the target material a liquid-liquid extraction method was applied. Walther et al. discloses a resin based method for the separation of Hg radionuclides from Au targets via di-(2-ethylhexyl)orthophosphoric acid (HDEHP) on an inert support (Walther et al. 2016). Advantageously, the separation method exhibits a higher separation factor, a better handling and the possibility for automation, which significantly improves radiation protection, significantly lower product losses during the separation, and convenient recycling of the gdd target material.

The use of radionuclides in nuclear medical diagnostics and endoradionuclide therapy (theranostics) requires the production of in vivo stable labeling units. For the clinical chelation therapy of mercury poisoning the sulfur-containing chelating agents meso-dimercaptosuccinic acid (DMSA, Chemet®) and dimercaptopropanesulfonic acid (DMPS, Dimaval®) are generally used (George et al. 2004). However, George et al. discloses the instability of the formed Hg chelate complexes with DMSA and DMPS.

Thus, there remains a need for in vivo stable ¹⁹⁷ < ^m) Hg compounds.

Griffith et al. discloses the organometallic mercury compound Chlormerodrin ((3-Carbaoylamino- 2-methoxypropyl)-chloromercury, Neohydrin®), a mercurial diuretic, which was used in the treatment of chronic congestive heart failure (Griffith et al. 1956). Its radiolabeled derivative ²⁰³ Hg- Neohydrin has been used for tumor diagnostics (Mishkin 1966). The organometallic mercury compound Merbromin (2',7'-Dibromo-5'-(hydroxymercurio)fluorescein disodium salt, Mercurochrome®) has been used as antiseptic. Because of its mercury content it is no longer sold in Switzerland, France, Germany and the United States.

US 1 ,672,615 A discloses the antiseptic and antifungal agent Thiomersal (Ethyl(2- mercaptobenzoato-(2-)-0,S) mercurate 1 -sodium, Merthiolate®) or thimerosal, respectively, which has been used as a preservative in vaccines, immunoglobulin preparations, skin test antigens, antivenins, ophthalmic and nasal products and tattoo inks. Furthermore, US 1 ,672,615 A describes a method for the synthesis of water-soluble compounds of alkyl mercuric compounds, which comprises treating a mercuric compound, in which one valence bond is attached to a substituent of other than the sulphur family and the other valence bond is attached to a carbon atom of an alkyl substituent, with an organic compound containing both an acid substituent and a sulfhydryl group directly attached to a carbon atom. The radiolabeled compound Merisoprol acetate ¹⁹⁷ Hg (hydroxy(2-hydroxypropyl) ¹⁹⁷ mercury, Merprane®) or Merisoprol acetate ²⁰³ Hg, respectively, has been used for diagnosis of renal function.

Disadvantages of the disclosed organometallic mercury compounds are the contamination with ²⁰³ Hg and the toxicity because of the high Hg content.

Object of the present invention

The invention has the object of finding organometallic ¹⁹⁷ < ^m) Hg compounds with high purity and high specific activity.

Character of the present invention

The objective of the invention is solved by a ¹⁹⁷ < ^m) Hg compound according to formula (E)

_Ar -l ⁹⁷ < ^m >Hg-Y

(E)

wherein

Ar is unsubstituted or substituted -aryl or -heteroaryl group,

Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted -aryl or -heteroaryl groups. i97 ⁽ m ⁾ |_|g _acC ording to the invention is a radionuclide comprising at least one of the two radioactive, γ-emitting nuclear isomers ¹⁹⁷ Hg in the ground state and ^197m Hg in the excited state, wherein m stands for metastable. The nuclear isomer in the excited state, ^197m Hg, emits during its nuclear isomeric transition with a half-life (T1/2) of 23.8 h, a low-energy gamma radiation (E _Y ) of 134 keV with 34% probability and conversion electrons with energies between 82 keV and 150 keV. The radioactive Hg isotope ¹⁹⁷ Hg exhibits a half-life (T1/2) of 64.14 h, a low-energy gamma radiation (E _Y ) of 77.4 keV with 19% probability and emission of Auger- and conversion electrons.

Preferably, the radionuclide ¹⁹⁷ < ^m >Hg comprises a molar ratio of ^197m Hg to ¹⁹⁷ Hg of 1 :1 to 2:1 .

Advantageously, the contamination of the ¹⁹⁷ < ^m) Hg compound according to formula (I) with other radioactive and non-radioactive Hg isotopes is excluded by the production method according to the invention. Preferably the content of other radioactive Hg isotopes (for example ¹⁹⁴ Hg, ¹⁹⁵ Hg and ²⁰³ Hg) is less than 10 ^"6 % of the ¹⁹⁷ < ^m >Hg content (w/w). Preferably the content of nonradioactive Hg isotopes ( ¹⁹⁶ Hg, ¹⁹⁸ Hg, ¹⁹⁹ Hg, ²⁰⁰ Hg, ²⁰¹ Hg, ²⁰² Hg and ²⁰⁴ Hg) is below the detection limit of inductively coupled plasma mass spectrometry (ICP-MS) of 1 -10 ^"12 (w/w).

Preferably the ^197(m) Hg compound according to formula (I) is produced by the no carrier added (NCA) method as described below.

As used herein, the term "aryl group" refers to unsubstituted or substituted, aromatic hydrocarbon groups,. In an embodiment aryl groups are C1 to C18 groups, preferred 5 to 12 groups. In a further embodiment aryl groups are selected from a phenyl group, a tolyl group, a xylyl group and a naphthyl group.

As used herein, the term "heteroaryl group" refers to unsubstituted or substituted, aromatic hydrocarbon groups with at least one heteroatom. Heteroatoms are selected from nitrogen, oxygen, phosphor and sulfur. In an embodiment heteroaryl groups are C1 to C18 groups, preferred 5 to 12 groups. In a further embodiment heteroaryl groups are selected from a furanyl group, pyrrolyl group, thienyl group, oxazolyl group, thiazolyl group, imidazolyl group, pyrazolyl group, pyrimidyl group, pyridazinyl group and indolyl group. In another embodiment heteroaryl groups are selected from 2-Methylbenzfuranyl, 2-Methylbenzothiazyl and 2- Methylthianaphthenyl.

In some embodiments Ar and Y in formula (E) are identical.

In some other embodiments Ar and Y in formula (E) are not identical.

The objective of the invention is particularly solved by a ^197(m) Hg compound according to formula

(I)

n=1 -5

(I)

wherein each X is independently selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl groups and other aryl or heteroaryl groups. According to the invention, ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups.

The phenyl ring in the ^197(m) Hg compound according to the invention is substituted with 1 to 5 X _n , wherein X _n is selected from Xi , X2, X3, X ₄ , X5. Thus, Xi to X5 are independently selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups.

Unsubstituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups according to the invention are hydrocarbon groups without side chains. As used herein, the term "side chains" refers to atoms or atom groups that are attached to a core part of a molecule or the alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ )2), carboxy (-COOR ¹ ), aryl or heteroaryl groups, respectively.

Substituted according to the invention is the replacement of at least one hydrogen atom by an atom or group of atoms on a hydrocarbon compound. The atom or group of atoms is preferably selected from C1 to C15-alkyl, -aryl, -heteroaryl, -alkoxy (-OR ² ), -carbonyl (-COR ² ), -amino (-N(R ² )2 or -NHR ² ), nitro (-NO2), phosphate groups or halogenides, wherein R ² is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups. The carbonyl group can be an aldehyde group (-CHO), a keto group (-COR ² ), a carboxylic acid group (-COOH), carboxylate ester groups (-COOR ¹ ) or an amide (-CON(R ² )2).

In an embodiment X _n comprises between 1 and 50 carbon atoms, preferred between 1 and 25 carbon atoms, especially preferred between 1 and 10 carbon atoms.

In some embodiments X _n is selected from unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups.

In a preferred embodiment X _n or X are selected from substituted amide groups.

As used herein, the term "alkyl group" refers to unbranched or branched, unsubstituted or substituted hydrocarbon groups. In an embodiment alkyl groups are C1 to C10 groups, preferred C1 to C3 groups.

In a further embodiment alkyl groups are selected from a methyl group, an ethyl group, a propyl group, an isopropyl group, a pentyl group and a hexyl group. In a further embodiment X _n comprises at least one heteroatom, preferred two heteroatoms. Heteroatoms are selected from nitrogen, oxygen, phosphor and sulfur.

As used herein, the term "alkoxy group" refers to unbranched or branched, unsubstituted or substituted hydrocarbon groups, wherein at least one oxygen is singular bonded to ¹ , wherein R ¹ is selected from H, unsubstituted or substituted alkyl, -aryl or -heteroaryl groups. In an embodiment alkoxy groups are C1 to C10 groups, preferred 1 to 3 groups.

In a further embodiment alkoxyl groups are selected from a methoxy group, an ethoxy group and a propoxy group.

As used herein, the term "amide group" refers to unbranched or branched, unsubstituted or substituted hydrocarbon groups, wherein at least one amide group is singular bonded to R ¹ .

As used herein, the term "carboxy group" refers to unbranched or branched, unsubstituted or substituted hydrocarbon groups, wherein at least one carboxy group is singular bonded to R ¹ .

In a preferred embodiment the ^197(m) Hg compound according to formula (I) is substituted with 1 to 3 Xn, wherein X _n is selected from Χι, X2 and X3 as described above. In a mostly preferred embodiment the ^197(m) Hg compound according to formula (I) is substituted with one X _n or X, respectively, as shown in formula (Γ

wherein X is selected from H, unsubstituted or substituted alkyl, -alkoxy (-OR ¹ ), -amide (-CON(R ¹ ) ₂ ), -carboxy (-COOR ¹ ), -aryl or -heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl and other aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups.

In a further embodiment the ^197(m) Hg compound according to formula (Γ) is substituted with X in ortho-, meta- or para-position, preferred in para-position as shown in formula (I") wherein X is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl and other aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups.

In a further embodiment Y comprises between 1 and 50, preferred between 1 and 25 carbon atoms, especially preferred between 1 and 10 carbon atoms.

In a further embodiment Y comprises at least one heteroatom, preferred 1 to 6 heteroatoms. Heteroatoms are selected from nitrogen, oxygen, phosphor and sulfur.

Preferably -Y in formula (I), (Γ) or (I") is selected from substituted dithiocarbamates according to formula (II)

wherein R ³ is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ⁴ ), amide (-CON(R ⁴ ) ₂ ), carboxy (-COOR ⁴ ), aryl or heteroaryl groups,

wherein R ⁴ is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups. The two R ³ are selected independently.

In a further embodiment R ³ is selected from unsubstituted or substituted alkyl, alkoxy (-OR ⁴ ), amide (-CON(R ⁴ ) ₂ ), carboxy (-COOR ⁴ ), aryl or heteroaryl groups.

In a preferred embodiment R ³ of the substituted dithiocarbamates is selected from substituted amide (-CON(R ⁴ ) ₂ ) or carboxy (-COOR ⁴ ) groups.

In a further embodiment -Y in formula (I), (Γ) or (I") is selected from substituted thiolates according to formula (III)

-SR ⁵

(IN),

wherein R ⁵ is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ⁶ ), amide (-CON(R ⁶ ) ₂ ), carboxy (-COOR ⁶ ), aryl or heteroaryl groups, wherein R ⁶ is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups.

In a further embodiment R ⁵ of the substituted thiolates is selected from substituted amide (-CON(R ⁶ ) ₂ ) or carboxy (-COOR ⁶ ) groups.

In a further embodiment -Y is selected from unsubstituted or substituted phenyl groups according to formula (IV)

resulting in a compound accordin to formula (IV) wherein R ⁷ is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ⁸ ), amide (-CON(R ⁸ ) ₂ ), carboxy (-COOR ⁸ ), aryl or heteroaryl groups,

wherein R ⁸ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups and

wherein X is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups,

n is 1 to 5.

In a further embodiment R ⁷ of the unsubstituted or substituted phenyl groups is selected from substituted amide (-CON(R ⁸ ) ₂ ) or carboxy (-COOR ⁸ ) groups.

In a further embodiment the ^197(m) Hg compound according to formula (IV) is substituted with R ⁷ in ortho-, meta- or para-position.

In a further embodiment Y is selected from unsubstituted or substituted phenyl groups according to formula (IV), wherein R ⁷ and X _n are not identically.

In a further embodiment Y is selected from unsubstituted or substituted phenyl groups according to formula (IV), wherein n is 1 and wherein R ⁷ and X are identically resulting in a compound according to formula (V)

wherein X is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups.

In further embodiments the compounds according the invention are selected from compounds according to formula (la), (lb) and (lc):

wherein each X and W are independently selected from H, unsubstituted or substituted alkyl groups, alkoxy groups with formula -OR ¹ , amide groups with formula -CON(R ¹ )2, carboxy groups with formula -COOR ¹ , aryl or heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl and other aryl or heteroaryl groups, wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups,

wherein Z is selected from CH, S, N, and O,

wherein Met is selected from Fe, Cr, Mn, Mo, Ru and Rh

In further preferred embodiments the compounds according the invention are selected from compounds according to formula (la'), (lb') and (lc'):

(la')

(lb')

wherein each X and W are independently selected from H, unsubstituted or substituted alkyl groups, alkoxy groups with formula -OR ¹ , amide groups with formula -CON(R ¹ )2, carboxy groups with formula -COOR ¹ , aryl or heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl and other aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups, wherein Z is selected from CH, S, N, and O,

wherein Met is selected from Fe, Cr, Mn, Mo, Ru and Rh

In some embodiments the resulting ^197(m) Hg-compounds have one of the following formulas:

In further embodiments both ^197(m) Hg-substituents are linked by at least one aliphatic or aromatic spacer molecule as shown in formulas (Ebridge), (la _b ridge), (Ibbridge) or (Icbridge).

wherein each X and W are independently selected from H, unsubstituted or substituted alkyl groups, alkoxy groups with formula -OR ¹ , amide groups with formula -CON(R ¹ )2, carboxy groups with formula -COOR ¹ , aryl or heteroaryl groups,

wherein Y is selected from substituted dithiocarbamates, substituted thiolates, unsubstituted or substituted phenyl and other aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups,

wherein Z is selected from CH, S, N, and O,

wherein Met is selected from Fe, Cr, Mn, Mo, Ru and Rh.

In a preferred embodiment the aliphatic or aromatic spacer molecule is located in ortho-position or meta-position relating to the position of the ^197(m) Hg-moiety, at the aryl or heteroaryl groups of formulas (Ebridge), (labridge), (Ibbridge) ΟΓ (ICbridge).

In a preferred embodiment the phenyl groups of the ^197(m) Hg compound according to the invention are linked by at least one alipha s shown in formula (VI)

wherein X is selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups, wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or -heteroaryl groups.

The aliphatic or aromatic spacer molecule according to the invention is an unsubstituted or substituted C6 to C30-alkyl, -alkoxy (-OR ⁹ ), -amide (-CON(R ⁹ ) ₂ ), -carboxy (-COOR ⁹ ), -aryl or heteroaryl spacer molecule, preferably a C6-alkyl group or a substituted phenyl group.

In an embodiment the ^197(m) Hg compounds according to the invention further comprise at least one amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue and/or aliphatic spacer.

In a further embodiment X _n and/or Y further comprise at least one amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue and/or aliphatic spacer. In an embodiment thealiphatic spacer is selected from polyethylene glycol.

In a further embodiment X _n and/or Y comprise at least one amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue or aliphatic spacer, preferably X _n and/or Y comprise 1 to 3 amino acids, peptides, proteins, antibodies, oligonucleotides, alkaloid residues or aliphatic spacers In a preferred embodiment X _n or Y comprises one amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue or aliphatic spacer.

In an embodiment X _n and/or Y comprises one aliphatic spacer and one amino acid, peptide, protein, antibody, oligonucleotide or alkaloid residue.

Advantageously, the ^197(m) Hg compounds according to the invention exhibit high purity and high specific activity.

As used herein, the term "purity" refers to the amount of ^197(m) Hg compounds according to the invention based on the amount of substance.

As used herein, the term "specific activity" refers to the amount of radioactive decay per time interval (1 decay per second = 1 Becquerel (Bq)) based on the molar amount of substance. The specific activity of the ^197(m) Hg compound according to the invention is based on the molar amount of the ^197(m) Hg compound. The specific activity can be determined for example by inductively coupled plasma mass spectrometry (ICP-MS). In an embodiment the ^197(m) Hg compounds according to the invention have a specific activity of at least 100 GBq/μηΊθΙ based on the molar amount of the ^197(m) Hg compound, preferred 100 to 1 .000 GBq/μηΊθΙ based on the molar amount of the ^197(m) Hg compound.

In an embodiment the ^197(m) Hg compounds of the invention can be used in nuclear medical diagnostics and endoradionuclide therapy (theranostic).

In a further embodiment the ^197(m) Hg compounds of the invention can be used in the treatment of cancer.

In a further embodiment the ^197(m) Hg compounds of the invention can be used for the manufacture of a medicament for endoradionuclide therapy.

In a further embodiment the ^197(m) Hg compounds of the invention can be used for the manufacture of a medicament for the treatment of cancer.

In a further embodiment the ^197(m) Hg compounds of the invention can be used as an active ingredient for the preparation of a pharmaceutical composition.

The present invention further comprises a pharmaceutical composition comprising a ^197(m) Hg compound of the invention.

The present invention further comprises a method for the production of the ^197(m) Hg compounds according to the invention comprising the steps:

a) Provision of an organic precursor compound,

b) Synthesis of no carrier added (NCA) ^197(m) Hg,

c) adiolabeling of the organic precursor compound with the no carrier added (NCA) i97(m ⁾ |_|g by electrophilic substitution.

Advantageously, the method for the production of ^197(m) Hg compounds according to the invention is fast and is carried out under moderate conditions. As used herein, the term "fast" refers to periods of a few minutes to a few hours, preferred 5 min to 2 h. As used herein, the term "moderate conditions" refers to moderate temperatures of 25 to 70°C. Advantageously, compounds with the radioactive Hg isotopes ¹⁹⁷ Hg and ^197m Hg can be synthesized by the method according to the invention and administered to patients for the use in nuclear medical diagnostics and endoradionuclide therapy (theranostic), preferred in the treatment of cancer, before the half-life (T1/2 ( ¹⁹⁷ Hg) = 64.14 h, T _V2 ( ^197m Hg) = 23.8 h) of the radioactive Hg isotopes has passed. Furthermore advantageously, temperature-sensitive molecules, for example peptides, proteins, nucleic acids or antibodies, are preserved under the moderate conditions.

In an embodiment the method for the production of ^197(m) Hg compounds according to the invention is carried out in the order of the steps a), b) and c).

In a further embodiment the method for the production of ^197(m) Hg compounds according to the invention is carried out in the order of the steps b), a) and c).

As used herein, the term "organic precursor compound" refers to a hydrocarbon compound comprising at least one heteroatom.

In an embodiment the organic precursor compound is an organotin precursor compound, a boron precursor compound or a silicon precursor compound according to formulas (E _pre c), (I rec), (la _pre c),

(I b prec) Or (I C prec)

Ar M( ) _|

wherein Ar is unsubstituted or substituted -aryl or -heteroaryl group,

wherein each X and each W are independently selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups, wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups,

Z is selected from CH, S, N, and O,

M is Sn, B or Si;

wherein Met is selected from Fe, Cr, Mn, Mo, Ru and Rh,

R ¹⁰ is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups, preferred C1 to C5-alkyl groups;

i is 2 or 3.

In a preferred embodiment the organic precursor compound is an organotin precursor compound, a boron precursor compound or a silicon precursor compound, wherein n and o are 1 , according to formulas (l _pr ec ), (la _pr ec ), (lb _pr ec ), or (lc _pr ec )

Oprec) ( ^{l a} prec )

wherein each X and each W are independently selected from H, unsubstituted or substituted alkyl, alkoxy (-OR ¹ ), amide (-CON(R ¹ ) ₂ ), carboxy (-COOR ¹ ), aryl or heteroaryl groups,

wherein R ¹ is selected from H, unsubstituted or substituted C1 to C15-alkyl, succinimidyl, -aryl or

-heteroaryl groups,

Z is selected from CH, S, N, and O,

M is Sn, B or Si,

wherein Met is selected from Fe, Cr, Mn, Mo, Ru and Rh,

R ¹⁰ is selected from H, unsubstituted or substituted C1 to C15-alkyl, -aryl or -heteroaryl groups, preferred C1 to C5-alkyl groups;

i is 2 or 3. In an embodiment the organic precursor compound according to formulas (l _r ec ), (la _pr ec ), (lb _pr ec ), or (lcprec ) is substituted with X in ortho-, meta- or para-position, compared to substituent M( ¹⁰ )i.

In a preferred embodiment the organic precursor compound is a tin precursor compound, especially preferred a trialkyl-tin precursor compound. Trialkyl-tin precursor compounds are selected from tri-n-butyl-tin precursor compounds or trimethyl-tin precursor compounds (according to the following formulas):

In a further embodiment the organic precursor compound is synthesized by catalytic reaction of the halogen compound. In a preferred embodiment the organic precursor compound is synthesized by catalytic reaction of the halogen compound with an alkyl-tin compound, an alkyl- boron compound or an alkyl-silicon compound.

In a further embodiment the synthesis of NCA ^197(m) Hg according to step b) is carried out by irradiation of gold (Au) with a cyclotron. As used herein, the term "no carrier added (NCA)" refers to preparation of a radioactive isotope without the addition of stable isotopes of the element in question.

In a further embodiment the NCA ¹⁹⁷ < ^m >Hg synthesised according to step b) is NCA ^197(m) HgCI ₂ .

In a further embodiment the synthesis of NCA ^197(m) Hg according to step b) is followed by purification of the NCA ^197(m) Hg by liquid-liquid extraction or solid-phase extraction.

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out by addition of NCA ^197(m) HgCl2 to the organic precursor compound. In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out by addition of the NCA ^197(m) Hg to the organic precursor compound in a molar ratio of 1 :10 to 1 :1.000 (n/n).

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out at a pH value between pH 1.0 and 7.0.

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out at a pH value between pH 6.0 and 7.0 to form symmetric ^197(m) Hg compounds.

As used herein, the term "symmetric ^197(m) Hg compounds" refers to ^197(m) Hg compounds, wherein i97(m ⁾ |_|g exhibits two identical binding partners. Symmetric ^197(m) Hg compounds are ^197(m) Hg compounds according to formula (V) and (VI).

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out at a pH value between pH 1.0 and 5.0 to form asymmetric ^197(m) Hg compounds.

As used herein, the term "asymmetric ^197(m) Hg compounds" refers to ^197(m) Hg compounds, wherein i97(m ⁾ |_|g exhibits two different binding partners. Asymmetric ^197(m) Hg compounds are ^197(m) Hg compounds of the invention, except ^197(m) Hg compounds according to formula (V) and (VI).

In a further embodiment the formed asymmetric ^197(m) Hg compounds are added to dithiocarbamate ligands to form ^197(m) Hg compounds according to formula (II).

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is carried out by addition of dimethyl sulfoxide (DMSO). Advantageously, DMSO increases the solubility of the organic precursor compound.

In a further embodiment the radiolabeling of the organic precursor compound according to step c) is followed by reaction of activated ester groups by ester hydrolysis, reaction with amino groups or reaction with hydroxyl groups of an amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue and/or aliphatic spacer.

As used herein, the term "activated ester groups" refers to /V-hydroxysuccinimide (NHS) or tetrafluorophenyl (TFP) ester groups. In a further embodiment ester hydrolysis is carried out with sodium hydroxide solution.

In a further embodiment reaction of activated ester groups with amino groups of an amino acid, peptide, protein, antibody, oligonucleotide, alkaloid residue and/or aliphatic spacer is carried out at a pH value between pH 8.0 and 9.0.

The present invention further comprises an organic precursor compound according to formulas (Eprec), (la _P rec), (Ibprec) or (ICprec) for the use in the production of the ¹⁹⁷ < ^m >Hg compounds according to the invention.

The present invention further comprises an organic precursor compound according to formulas (Eprec), (la _P rec), (Ibprec) or (ICprec) for the use in the method according to the invention.

The present invention further comprises a method for nuclear medical diagnostics and endoradionuclide therapy (theranostics) with the ^197(m) Hg compounds according to the invention.

The method for nuclear medical diagnostics and endoradionuclide therapy (theranostics) includes administering to a subject in need thereof, a pharmaceutical composition containing a therapeutically effective amount of ^197(m) Hg compounds according to the invention.

In an embodiment the method for treatment further comprises a nuclear medical diagnostic of the therapeutic efficacy of the ^197(m) Hg compounds according to the invention.

A pharmaceutical composition containing the ^197(m) Hg compounds according to the invention typically contains a pharmaceutically acceptable carrier, such as saline. The dose of the ^197(m) Hg compounds according to the invention is preferably 1 GBq to 5 GBq. The subject may be a mammal, such as a human.

The dose of 1 GBq to 5 GBq of the ^197(m) Hg compounds according to the invention with preferably a specific activity of at least 100 GBq/μηΊθΙ based on the amount of mercury refers to a dose of 10 nmol to 50 nmol of mercury or 2 μg to 10 μg of mercury, respectively. Mostly preferred the i97(m ⁾ |_|g compounds according to the invention has a maximal specific activity of 1,000 GBq/μηΊθΙ, which refers to a dose of 1 nmol to 5 nmol of mercury or 0.2 μg to 1 μg of mercury, respectively. Advantageously, these doses of mercury are in the same order of magnitude as the estimated daily Hg intake of the European and North American general population or clearly below and therefore do not lead to toxic concentrations in patients (Clarkson and Magos 2006). Although the invention describes various dosages, it will be understood by one skilled in the art that the specific dose level and frequency of dosage for any particular subject in need of treatment may be varied and will depend upon a variety of factors. These factors include the metabolic stability of the ^197(m) Hg compounds according to the invention and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the host undergoing therapy. Generally, however, dosage will approximate that which is typical for known methods of administration of the specific compound. Thus, a typical dosage of the ^197(m) Hg compounds according to the invention will be about 5 to 50 MBq/kg.

The pharmaceutical compositions and formulations containing the ^197(m) Hg compounds according to the invention can be administered systemically. As used herein, "systemic administration" or "administered systemically" refers to compositions or formulations that are introduced into the blood stream of a subject, and travel throughout the body of the subject to reach the part of the subject's body in need of treatment at an effective dose before being degraded by metabolism and excreted. Systemic administration of compositions or formulations can be achieved by intravenously injection.

Pharmaceutical compositions containing the ^197(m) Hg compounds according to the invention are prepared for administration and/or storage by mixing the ^197(m) Hg compounds according to the invention, after achieving the desired degree of purity, with pharmaceutically and/or physiologically acceptable carriers, auxiliary substances or stabilizers (Remington's Pharmaceutical Sciences) in the form of a lyophilisate or aqueous solutions. The term "pharmaceutically acceptable" or "physiologically acceptable," when used in reference to a carrier, is meant that the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.

In general, the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation. Acceptable carriers, auxiliary substances or stabilizers are not toxic for the recipient at the dosages and concentrations employed; they include buffers such as phosphate, citrate, tris or sodium acetate and other organic acids; antioxidants such as ascorbic acid; low molecular weight polypeptides (less than approximately 10 residues), proteins such as serum albumin, gelatin or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine, leucine or lysine; monosaccharides, disaccharides and other carbohydrates, for example glucose, sucrose, mannose, lactose, citrate, trehalose, maltodextrin or dextrin; chelating agents such as EDTA; sugar alcohols such as mannitol or sorbitol; salt- forming counter-ions such as sodium, and/or non-ionic surface-active substances such as Tween, Pluronics or polyethylene glycol (PEG).

Such pharmaceutical compositions may further contain one or more diluents, fillers, binders, and other excipients, depending on the administration mode and dosage form contemplated. Examples of therapeutically inert inorganic or organic carriers known to those skilled in the art include, but are not limited to, lactose, corn starch or derivatives thereof, talc, vegetable oils, waxes, fats, polyols such as polyethylene glycol, water, saccharose, alcohols, glycerin and the like. Various preservatives, emulsifiers, dispersants, flavorants, wetting agents, antioxidants, sweeteners, colorants, stabilizers, salts, buffers and the like can also be added, as required to assist in the stabilization of the formulation or to assist in increasing bioavailability of the active ingredient(s). The ^197(m) Hg compounds according to the invention can be administered alone, or in various combinations, and in combination with other therapeutic agents. The ^197(m) Hg compounds used in the invention are normally stored in solution.

In a further embodiment the recently described embodiments can be combined. Figures and Examples

The present invention will now be further explained by the following non-limiting figures and examples.

Fig. 1 shows the fractionated elution of ¹⁹⁷ < ^m >Hg mercury chloride in 6 M HCI and ¹⁹⁸ Au+ ¹⁹⁶ Au containing chloroauric acid in 0.1 M HCI.

Fig. 2 shows (A) adiochromatogram of Phenyl- ^197(m) Hg-dithiocarbamate and (B) UV- chromatogram of non-radioactive Phenyl-Hg-dithiocarbamate (reference).

General synthetic techniques

All Chemicals were used without further purification and in the highest degree of purity.

Sodium hydroxide in suprapur quality was purchased from Merck (Darmstadt, Germany). Methyl isobutyl ketone (MIBK) was purchased from Sigma-Aldrich (St. Louis, USA). The routine activity measurement was performed with an Isomed 2000 from MED (Nuklear-Medizintechnik Dresden GmbH, Dresden, Germany) calibrated by γ-ray spectroscopy measurements after decaying ^197m Hg. ICP-MS measurements were carried out on an ELAN 9000 (PerkinElmer SCI EX, Waltham, USA).

Gamma-ray spectroscopy

For γ-ray spectroscopy measurements a reverse electrode HPGe detector (CANBERRA GR2018, 19.6% rel. efficiency) in a low-background Pb shielding was used with the sample at 10 cm distance from the detector end cap. It was operated with the software InterWinner version 7.1. The system was calibrated using a mixed standard solution (57Co, 85Sr, 88Y, 60Co, 109Cd, 1 13Sn, 137Cs, 139Ce, 203Hg, 241 Am) with a volume of 0.38 mL in the tip of a 1.5 mL Eppendorf vial. The energy depending detector efficiency was calculated from these calibration points using the algorithms of the spectroscopy software. The samples were measured in similar geometry, but smaller volume of 1 - 10 μΙ in the tip of a 1 .5 mL Eppendorf vial thus, no further corrections were necessary with except of decay correction. Pile-up effects were observed, especially at higher activities. Nevertheless, no corrections are made, because the effects are less than the simple standard deviation and thus negligible. For the determination of Hg-activities only the v- ray lines > 100 keV have been used, in particular for the isomer 197mHg only the lines ~ 134 keV and ~ 165 keV of the isomeric transition and for the isomer 197Hg only the lines - 191 keV and ~ 269 keV are discussed in the activity calculation.

NMR and IR spectroscopy

¹ H and ¹³ C NMR spectra were recorded with a Varian lnova-400 spectrometer. The chemical shifts were reported relative to the standard tetramethylsilane (TMS). IR spectra were measured with a Fisher Scientific Nicolet iS5 FTIR spectrometer.

Thin layer chromatography (TLC)

Thin layer chromatography was performed using RP18 plates (Merck), developed in a 1 :1 mixture H ₂ 0 with 0.1 % trifluoroacetic acid (TFA) (A) and CH ₃ CN with 0.1 % TFA (B) and analyzed with a Raytest Linearanalyser RITA.

Radio-TLC is the detection of radioactive species separated by TLC with radiation detector to determine the radiochemical purity or to quantify the radioactive species.

The radiochemical yield is the yield of the radionuclide and was calculated by the specific activity of the ^197(m) Hg compound divided by the specific activity of the no carrier added (NCA) ^197(m) Hg. High-performance liquid chromatography (HPLC) measurements

Radiochemical purity was determined by radio-HPLC. All HPLC runs are performed under the same conditions with the same HPLC-equipment. Column: Zorbax C18 column with inner diameter of 8 mm. Mobile phase: H ₂ 0 with 0.1 % TFA (A) and CH ₃ CN with 0.1 % TFA (B). Flow rate: 3 mL/min. HPLC gradient of B phase: in 0 to 20 min from 45% to 80%, in 20 to 25 min from 80% to 100%.

Mass spectrometry (electrospray ionization (ESI)-MS, Matrix-assisted laser desorption/ ionization (MALDI)-MS)

For mass spectrometry a QuadroLC by Micromass with electrospray ionisation (ESI) mode and a Bruker MALDI-TOF MS instrument (MALDI) were used.

1. Synthesis of an organic precursor compound

N ¹ ,N ³ -bis(3-iodobenzyl)isophthalamide

3-iodobenzylamine hydrochloride salt (4 g, 14.84 mmol) was dissolved in chloroform (100 ml) in a 250 ml round-bottomed flask. To this was added triethylamine (10.3 ml, 0.074 mol) followed by isophthaloyl chloride (1 .51 g, 7.42 mmol). The flask was fitted with a CaC drying tube and the colourless solution was left to stir at room temperature overnight. The reaction was monitored by TLC using 19:1 dichloromethane (DCM)/methanol (MeOH). The reaction mixture was washed with 3:1 water/saturated NaHC0 ₃ ( _aq .) (3 x 50 ml), then with 0.1 M HCI _(a q.) (3 x 50 ml), then with deionized water (2 x 30 ml). The product is mostly insoluble in chloroform and precipitates during the aqueous washes, thus further dilution with chloroform helps separation. The product was purified by simple recrystallization of cooling the chloroform. Impurities dissolved in the solvent were decanted. This process was repeated to increase yield. The product was washed lightly with cold chloroform and after drying left a white powder (1.02 g, 92% yield). ¹ H NMR (400 MHz, CDCb) δ (ppm): 8.23 (s, 1 H), 7.92 (dd, J = 7.8, 1 .6 Hz, 2H), 7.64 (s, 2H), 7.59 (d, J = 7.9 Hz, 2H), 7.48 (t, J = 7.8 Hz, 1 H), 7.28 (s, 1 H), 7.04 (d, J = 7.8 Hz, 2H), 6.84 (d, J = 5.3 Hz, 2H), 4.52 (d, J = 5.8 Hz, 4H),

¹³ C NMR (101 MHz, CDCb) δ (ppm): 166.57, 140.37, 136.93, 134.52, 130.64, 130.40, 129.27, 127.32, 125.67, 94.78, 43.61.

N ¹ ,N ³ -bis(3-(trimethylstannyl)benzyl)isophthalamide

N ¹ ,N ³ -bis(3-iodobenzyl)isophthalamide (0.97 g, 1.63 mmol) was dissolved in 1 ,4-dioxane (20 ml) in a 50 ml 3-necked round-bottomed flask. A glass bubbler allowed argon to bubble through the solution with a coiled water condenser attached to the top along with a bubble counter to monitor argon flow. A catalytic amount of tetrakis(triphenylphosphine)palladium(0) (20.4 mg, 16.3 μηηοΙ) orange crystals were added forming a clear pale yellow solution. This was followed by an excess of hexamethylditin (3.16 ml, 15.26 mmol). Rinsing of sample phials and addition funnel brought the total solvent volume to 30 ml. The reaction mixture was heated by an oil bath (125 °C) and stirred for 8 h. The reaction was monitored by TLC using 1 :1 ethanol (EtOH)/n-hexane. The reaction mixture turned a dark orange with a cloudy precipitate. This was filtered to remove most of the brown precipitate. The solvent was removed by evaporation and the product purified by flash column chromatography using EtOH/n-hexane. Drying yielded a white powder (0.164 g, 15% yield).

¹ H NMR (400 MHz, d ₆ -DMSO) δ (ppm): 9.1 1 (broad t, 2H), 8.38 (s, 1 H), 8.01 (dd, J = 7.8, 1.6 Hz, 2H), 7.58 (t, J = 7.8 Hz, 1 H), 7.53 - 7.22 (m, 8H), 4.47 (d, J = 5.9 Hz, 4H), 0.25 (s, 18H),

1 ³ C NMR (101 MHz, CDCb) <5 (ppm): 166.41 , 143.39, 137.31 , 135.72, 135.46, 134.92, 130.12, 129.18, 128.61 , 128.22, 125.51 , 44.68, -9.35. 2. Production of no-carrier-added ^197(m) Hg

The irradiations were performed at a Cyclone 18/9 cyclotron (IBA, Louvain la Neuve, Belgium, 18 MeV protons) located at Dresden- ossendorf. A 1 .0 mm aluminum foil (high purity aluminum, 99.999%) from Goodfellow (Huntingdon, England) was used as vacuum window. As target material massive high purity gold disks (23 mm diameter, 2 mm thickness, N5 purity 99.999%) were purchased from ESPI (Ashland, USA). Alternative gold targets consisted of a gold foil (12.5 x 12.5 mm, 0.25 mm thickness, 99.99+%) or a small gold disk (10 mm diameter, 0.125 mm thickness, 99.99+%, Pt content: 45± 5 ppm quantified per ICP-MS) between an aluminum disk (22 mm diameter, 1 mm thickness, 99.0%, hard) and an aluminum lid (23 mm diameter, 99.0%, hard) purchased from Goodfellow (Huntingdon, England). Hydrochloric acid (30%) and nitric acid (65%) were purchased from Roth (Karlsruhe, Germany) in Rotipuran® Ultra quality. Deionized waterwith >18 MQcm resistivity was prepared by a Milli-Q® system (Millipore, Molsheim, France). LN resin was purchased from Triskem International (Bruz, France). The gold target was irradiated for 120 min with a 25 μΑ current of 10 MeV protons resulting in 200 MBq of ^197(m) Hg. The irradiated gold foil was dissolved in 700 μΙ of aqua regia (freshly prepared 1 h before EOB from 525 μΙ 30% HCI + 175 μΙ 65% HNO3) at room temperature. The gold disk was completely dissolved after 50 to 60 min. The column preparation was carried out directly before use by loading 3.6 g LN resin slurried with 10 ml of 6 M HCI onto the column and rinsing with additional 30 ml of 6 M HCI. After dilution of the 700 μΙ product solution with 300 μΙ 6 M HCI, this mixture was loaded onto the column and eluted with 6 M HCI in 1 ml aliquots.

Fig. 1 shows the fractionated elution of ¹⁹⁷ < ^m) Hg mercury chloride in 6 M HCI (two major fractions 7+8 and two minor fractions 9+10) and ¹⁹⁸ Au+ ¹⁹⁶ Au containing chloroauric acid in 0.1 M HCI (fractions 13-22).

3. Radiolabeling of the organic precursor compound with the no carrier added (NCA) ^197(m) Hg by electrophilic substitution

General synthetic procedure for synthesis of dipheny ^at mercury compounds (reference) - based on Sn-precursors:

A solution of one equivalent mercury (ll)-chloride was added to a solution of two equivalents tin- precursor in acetonitrile. The immediately starting precipitation of the product was completed by addition of ice cooled diethyl ether after 2 h mixing at room temperature. Centrifugation followed by washing the residue with cold diethyl ether results in a colorless microcrystalline product. Bis(4-(N-succinimidyl)benzoate)mercury (II) (reference)

A solution of one equivalent mercury (ll)-chloride (5.5 mg, 20 μη"ΐοΙ) ίη 1 .5 ml acetonitrile was added to a solution of two equivalents tin-precursor N-succinimidyl-4-(tri-n-butylstannyl)benzoate (21 mg, 41 μηηοΙ) in 1.5 ml acetonitrile. The immediately starting precipitation of the product was completed by addition of ice cooled diethyl ether after 2 h mixing at room temperature. Centrifugation followed by washing the residue with cold diethyl ether results in a colorless microcrystalline product.

Chemical Formula: C22Hi6HgN208,

Molecular Weight: 636,97 g/mol,

¹ H-NMR (400 MHz, DMSO-D ₆ ) δ (ppm): 2.89 (s, 8H); 7.77 (d, 4H); 7.99 (d, 4H),

¹³ C-NMR (100 MHz, DMSO-D ₆ ) δ (ppm): 25.5 (CH ₂ ); 123.5 (C); 128.8 (CH); 137.8 (CH); 161 .9

(C); 162.0 (C); 170.3 (C), yield: 7 mg (15.4 μηιοΙ; 77%),

ESI ⁺ m/z: 637 [M] ⁺ ; 539 [M-NHS] ⁺ .

General synthetic procedure for synthesis of radiolabeled diphenyl-mercury species

- based on Sn-precursors

The ¹⁹⁷ < ^m >Hg chloride stock solution in 0.2 M HCI is adjusted to pH 6 by adding 100 μΙ 0.2 M 2-(N- morpholino)ethanesulfonic acid (MES) buffer and 5-10 μΙ 1 M NaOH. A solution of 1-10 μg trialkyltin precursor in 50-100 μΙ dimethyl sulfoxide (DMSO) is added to this buffered i97(m ⁾ |_|g Q ioride solution and mixed at 50°C for 1 h. The completion of the reaction is confirmed by TLC control (acetonitrile (ACN)/H ₂ 0 90:10 (v/v) with 0.1 vol-% trifluoroacetic acid (TFA), instant thin layer chromatography medium (iTLC)-silica gel (SG) and RP18 material). 97(m ⁾ |_|gj Bis(4-(N-succinimidyl)benzoate)mercurv(ll)

The ¹⁹⁷ < ^m >Hg chloride solution in 0.2 M HCI is adjusted to pH 6 by adding 100 μΙ 0.2 M 2-(N- morpholino)ethanesulfonic acid (MES) buffer and 5-10 μ1 1 M NaOH. A solution of 10 μg (20 nmol) N-succinimidyl-4-(tri-n-butylstannyl)benzoate in 100 μΙ DMSO is added to 1 10 μΙ of this buffered i97(m) _{H g ch} | _0ride solution (45 MBq [ ^197(m) Hg] mercury) and mixed at 50°C for 1 h. The completion of the reaction is confirmed by TLC control (ACN/H2O 90:10 (v/v) with 0.1 vol-% trifluoroacetic acid (TFA), instant thin layer chromatography medium (iTLC)-silica gel (SG) and P18 material). Radiochemical yield (TLC): > 95 %,

Radiochemical purity (TLC): > 95 %

Radio-TLC: R _f = 0.45 (ACN/H2O 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18).

General synthetic procedure for synthesis of diaryl/heteroary ^at mercurv compounds (HPLC reference) - based on B-precursors

(see ref. Partyka et al., J. Orpanometallic Chemistry):

A mixture of one equivalent mercury (ll)-acetate (5 μηηοΙ), ten equivalents boronic acid (50 μηηοΙ) and ten equivalents cesium carbonate (50 μηηοΙ) in 1 ml propane-2-ol was tempered at 50 °C for 20 h. After cooling and drying the mixture by rotary evaporation the product was extracted from the residue with toluene or THF purified by HPLC and identified by mass spectrometry.

Di(thiophen-2-yl)mercury

A solution of one equivalent mercury (ll)-acetate (1 .6 mg, 5 μη"ΐοΙ)ίη 0.5 ml propan-2-ol was added to a solution of ten equivalents 2-thienylboronic acid (6.4 mg, 50 μηηοΙ) and cesium carbonate (16 mg, 50 μηηοΙ) in 1 .0 ml propan-2-ol and mixed at 50 °C for 20 h.

Chemical Formula: C8H6HgS2,

Molecular Weight: 366.85 g/mol,

ESI ⁺ m/z: 369 [M] ⁺ .

Bis(5-carboxythiophen-2-yl)mercurv

A solution of one equivalent mercury (ll)-acetate (1 .6 mg, 5 μη"ΐοΙ)ίη 0.5 ml propan-2-ol was added to a solution of ten equivalents 5-(Dihydroxyboryl)-2-thiophenecarboxylic acid (8.5 mg, 50 μηηοΙ) and cesium carbonate (16 mg, 50 μηηοΙ) in 1.0 ml propan-2-ol and mixed at 50 °C for 20 h. Chemical Formula: CioH6Hg04S2,

Molecular Weight: 454.86 g/mol,

ESI ⁺ m/z: 457 [M] ⁺ .

Di(ferrocenyl)mercury

A solution of one equivalent mercury (ll)-acetate (1.6 mg, 5 μη"ΐοΙ)ίη 0.5 ml propan-2-ol was added to a solution of ten equivalents ferroceneboronic acid (1 1.5 mg, 50 μηηοΙ) and cesium carbonate (16 mg, 50 μηιοΙ) in 1.0 ml propan-2-ol and mixed at 50 °C for 20 h.

Chemical Formula: C2oHi8Fe2Hg,

Molecular Weight: 570.64 g/mol,

ESI ⁺ m/z: 573 [M] ⁺ .

Bis(5-carboxypyridin-3-yl)mercurv

A solution of one equivalent mercury (ll)-acetate (1.6 mg, 5 μη"ΐοΙ)ίη 0.5 ml propan-2-ol was added to a solution of ten equivalents 5-(dihydroxyboryl)-3-pyridinecarboxylic acid (8.3 mg, 50 μηηοΙ) and cesium carbonate (16 mg, 50 μηηοΙ) in 1.0 ml propan-2-ol and mixed at 50 °C for 20 h.

Chemical Formula: Ci2H8HgN204,

Molecular Weight: 444.02 g/mol,

ESI ⁺ m/z: 447 [M] ⁺ . 5-Carboxythiophen-2-yl)(phenyl)mercurv

A solution of one equivalent phenylmercury acetate (1.7 mg, 5 μη"ΐοΙ) ίη 0.5 ml propan-2-ol was added to a solution of ten equivalents 5-(dihydroxyboryl)-2-thiophenecarboxylic acid (8.5 mg, 50 μηηοΙ) and cesium carbonate (16 mg, 50 μηηοΙ) in 1.0 ml propan-2-ol and mixed at 50 °C for 20 h. Chemical Formula: CnHeHgC^S,

Molecular Weight: 404.83 g/mol,

ESI ⁺ m/z: 407 [M] ⁺ .

General synthetic procedure for synthesis of radiolabeled diaryl/heteroaryl mercury species

- based on B-precursors

A solution of 10-100 μg aryl boronic acid precursor in 50-100 μΙ ethanol is added to the intended amount ^197(m) Hg acetate solution in 0.2 M sodium acetate. The pH of the mixture is then adjusted to pH 8 by adding 100 μΙ 0.2 M 2-[4-(2-hydroxyethyl)piperazin-1 -yl]ethanesulfonic acid (HEPES) buffer and shaken at 50°C for 1 h. The completion of the reaction is confirmed by TLC control (acetonitrile (ACN)/H ₂ 0 90:10 (v/v) with 0.1 vol-% trifluoroacetic acid (TFA), instant thin layer chromatography medium (iTLC)-silica gel (SG) and RP18 material).

Di(thiophen-2-yl)mercury

Radiochemical yield (TLC): > 95 %,

Radio-TLC: R _f = 0.2 (ACN/H ₂ 0 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18). -carboxythiophen-2-yl)mercurv

Radiochemical yield (TLC): > 95 %,

Radio-TLC: R _f = 0.9 (ACN/H ₂ 0 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18). Di(ferrocenyl)mercurv

Radiochemical yield (TLC): > 95 %,

Radio-TLC: R _f = 0.1 (ACN/H ₂ 0 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18).

Bis(5-carboxypyridin-3-yl)mercurv

Radiochemical yield (TLC): > 95 %,

Radio-TLC: R _f = 0.9 (ACN/H ₂ 0 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18).

(5-carboxythiophen-2-yl)(phenyl)mercurv

This heteroleptic diaryl mercury compound is accessible in a two-step procedure (analogous to the asymmetric phenylmercury dithiocarbamate derivatives (see next section):

Step 1 : Synthesis of ^197(m) Hg phenylmercury chloride

The ¹⁹⁷ < ^m >Hg chloride stock solution in 0.2 M HCI is diluted by adding 100 μΙ water and 100 μΙ ethanol to improve the solubility of the tin precursor and the lipophilic intermediate. A solution of 10 μg trimethylstannyl benzene precursor in 50 μΙ dimethyl sulfoxide (DMSO) is added to this acidic ^197(m) Hg chloride solution and mixed at 50°C for 1 h. The completion of the reaction is confirmed by TLC control (acetonitrile (ACNyhbO 90:10 (v/v) with 0.1 vol-% trifluoroacetic acid (TFA), instant thin layer chromatography medium (iTLC)-silica gel (SG) and RP18 material). Step 2: Reaction of the ^197(m) Hg phenylmercury chloride with the aryl boronic acid

A solution of 50 μg 5-carboxy-2-thienylboronic acid in 50 μΙ ethanol is added together with 100 μΙ 0.2 M sodium acetate to the ^197(m) Hg phenylmercury chloride. The pH of the mixture is then adjusted to pH 8 by adding 100 μΙ 0.2 M 2-[4-(2-hydroxyethyl)piperazin-1 -yl]ethanesulfonic acid (HEPES) buffer and shaken at 50°C for 1 h. The completion of the reaction is confirmed by TLC control (acetonitrile (ACN)/H ₂ 0 90:10 (v/v) with 0.1 vol-% trifluoroacetic acid (TFA), instant thin layer chromatography medium (iTLC)-silica gel (SG) and RP18 material).

Radiochemical yield (TLC): > 60 %,

Radio-TLC: R _f = 0.45 (ACN/H ₂ 0 90:10 (v/v) with 1 vol-% trifluoroacetic acid (TFA, RP-18).

Synthesis of asymmetric radiolabeled aryl-mercury-dithiocarbamate derivatives: ri97 ⁽ m ⁾ _Hq1 (Diethylcarbamothioyl)thio)(4-((2-(2-methyl-5-nitro-1 H-imidazol-1 -yl)ethyl)benzoyl- amidoVmercury (II)

1 ^97(m) Hg-CI derivatives

2 μg of the tin precursor /V-(2-(2-methyl-5-nitro-1 H-imidazol-1 -yl)ethyl)-4- (tributylstannyl)benzamide (K08-15) dissolved in 20 μΙ DMSO was added into 50 μΙ 0.1 M HCI solution containing 45.5 MBq [ ^197(m) Hg]HgCl2. The reaction mixture was shaken overnight at25 °C (> 12 h). Acidic environment is needed to avoid the formation of symmetric diphenyl mercury species. Excess of organotin precursors were decomposed slowly in acid environment. 1 ^97(m) Hg-dithiocarbamate derivatives

The pH of the phenyl mercury chloride derivatives (step 1 ) was adjusted to pH 6, adding about 200 μΙ 0.2 M MES buffer (pH 6.0 to 6.2) and about 10 μΙ 0.2 M NaOH, before the dithiocarbamate ligand is added. Then 20 μg dithiocarbamate (cw04) containing 50 μΙ 0.2 M MES buffer (pH 6.0 to 6.2) were added into mixture quickly. Then, the reaction mixture was shaken at 50°C for 60 min.

Radiochemical purity was determined by radio-HPLC (see Fig. 2). The non-radioactive reference substance of dithiocarbamate arylmercury derivative was used to confirm the labeling product either. Fig. 2 shows a) Radiochromatogram of Pheny ^97(m) Hg-dithiocarbamate and b) UV- chromatogram of non-radioactive Phenyl-Hg-dithiocarbamate (reference).

4. Ester hydrolysis

-carboxyphenyl)mercurv(ll) (reference)

NaCH3COO

To a solution of 23 mg (36 μηηοΙ) Bis(4-(N-succinimidyl)benzoate)mercury(ll) in 2 ml dimethylformamide (DMF) 2.88 μΙ 2.5 N NaOH (72 μηιοΙ) and 1 ml water were added. After mixing 2 h at 50°C the completion of the reaction was confirmed by TLC control (DCM/MeOH 50:1 (v/v), DC silica gel 60 F254). The pH was adjusted to pH 3 by addition of acetic acid then the solvent was removed by rotary evaporation and residue redissolved in 2 ml DMF. The product was precipitated by addition of 20 ml cold diethyl ether, filtrated and dried under vacuum, resulting in a white solid.

Chemical Formula: Ci ₄ HioHg0 ₄ ,

Molecular Weight: 442,82 g/mol,

¹ H-NMR (400 MHz, DMSO-D ₆ , AcOH-D ₄ ) δ (ppm): 7.52 (d, 4H); 7.83 (d, 4H),

¹³ C-NMR (100 MHz, DMSO-D ₆ , AcOH-D ₄ ) δ (ppm): 129.6 (CH); 131.0 (C); 137.7 (CH); 161.6 (C);

168.4 (C), yield: 15.3 mg (34 μπιοΙ; 94%),

ESI ⁺ m/z: 443 [Hg-M] ⁺ . 1 ^97(m) Hg] Bis(4-carboxyphenyl)mercurv (II)

The solution of [ ^197(m) Hg] Bis(4-(N-succinimidyl)benzoate)mercury (II) is adjusted to pH 9 by adding 10 μΙ 1 M NaOH and mixed for 1 h at 50°C. The completion of the reaction is confirmed by TLC control (ACN/H ₂ 0 90:10 (v/v) with 0.1 vol-% TFA, ITLC-SG and P18 material). Finally, the pH is adjusted to pH 6-7 by addition of 10 μΙ 1 M HCI.

Radiochemical yield (TLC): > 95 %,

Radiochemical purity (TLC): > 95 %

Radio-TLC: R _f = 0.6 (ACN/H2O 90:10 (v/v) with 0.1 vol-% TFA, RP-18).

5. Synthesis of the [ ^197(m) Hg] Bis(4-carboxyphenyl)mercury (M)-mAb Cetuximab 225) conjugate by prelabeling with the labeled active ester

The solution of [ ^197(m) Hg] Bis(4-(N-succinimidyl)benzoate)mercury (II) is added to a solution of 1 mg size-exclusion chromatography (SEC) purified C225 antibody in HEPES buffer at pH 8. After mixing the pH is adjusted to pH 8.5. After 1 h at 37°C the progress of the reaction is confirmed by TLC control. (ACN/H2O 90:10 (v/v) with 0.1 vol-% TFA, ITLC-SG and RP18 material). Unreacted active ester residues were quenched by adding 10 μΙ 1 M tris(hydroxymethyl)aminomethane (TRIS) solution and separated using a PD10 desalting column.

Radiochemical yield (TLC): > 50-70 %,

Radiochemical purity (TLC): > 95 %,

Radio-TLC: R _f = 0 (ACN/H2O 90:10 (v/v) with 0.1 vol-% TFA, RP-18).

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