The invention relates to novel amphiphilic chelants to the chelates and salts thereof and particularly to their use as diagnostic image contrast enhancing agents.

It is well accepted in diagnostic imaging modalities, such as magnetic resonance imaging, X-ray imaging, scintigraphy, ultrasound and the like, that the use of contrast agents can lead to improved image contrast and higher diagnostic efficacy.

A large proportion of contrast agents that have been developed for imaging other than of the gut, have been extracellular agents which after injection leave the vascular space and are excreted by the kidneys by glomerular filtration. However in order to obtain diagnostically useful information of other organs it is desirable to develop target specific contrast agents which distribute preferentially to the desired target site and remain there for a time sufficient for image generation to be effected.

Among the primary internal organs, the liver plays a leading role in the processing and metabolising of toxins, particulates and macromolecules as well as being involved in the absorption and digestion of fat. Processed materials are released through the biliary system and finally excreted. The detection of both focal and diffuse liver diseases such as primary and metastatic cancers is thus of great importance and the development of contrast agents for the liver has received much attention (see Schuhmann-Giampieri, Invest. Radiol. 2£:753-761 (1993)) .

To image the liver using contrast agents, three main approaches have been adopted. The first is simply to target the blood passing through the liver using ECF agents and fast imaging procedures or MRI blood pool agents, the second is to target the Kupffer cells of the

reticuloendothelial system in the liver, and the third is to target the hepatocytes, the cells which account for over 90% of the liver. ^■

The present invention is concerned with liver targeting contrast agents.

For MR imaging, paramagnetic metal chelate hepatobiliary agents such as Gd-EOB-DTPA and MnDPDP are under development by Schering and Nycomed Salutar respectively. The paramagnetic MRI imaging agent GdBOPTA has also been proposed for liver imaging by Bracco and arabinogalactan-coated ultrasmall superparamagnetic iron oxide (AG-USPTO) particles have been proposed by Advanced Magnetics.

Besides the normal concerns in relation to toxicity, a requirement for a hepatobiliary contrast agent to function adequately is that liver uptake should occur efficiently and that retention within the hepatobiliary system in a contrast inducing form should be for an adequate period for imaging to be effected.

It has now been found that surprisingly good liver uptake and prolonged hepatobiliary system retention is achieved with novel amphiphilic contrast agents comprising a chelate conjugated to an acid group carrying aryl function.

By way of example, one such chelate Gd-D03A-DOBA (10-p-carboxyphenoxydecyl-l,4, 7, 10- tetraazacyclododecane-1,4, 7-tri-acetic acid) achieves a significantly higher and more prolonged accumulation in the liver than does Gd-EOB-DTPA as may be seen from Figure 2 of the accompanying drawings.

Thus viewed from one aspect the invention provides an amphiphilic compound of formula I

Chf L-Arf AH) _n ) _m (I)

(where Ch is a hydrophilic chelant moiety or a salt or a chelate thereof;

each L is an optionally oxo substituted C ₂ _ ₂₅ -alkylene linker wherein at least one CH ₂ moiety is replaced by a group X ¹ (e.g. L may include a chain sequence, a

X ¹ (CH ₂ CH ₂ X ¹ ) _U (where u is a positive integer) such as

X ¹ CH ₂ CH ₂ X ¹ _f X ¹ CH ₂ CH ₂ X ¹ CH ₂ CH ₂ X ¹ , X ^X CU ₂ CE ₂ X ¹ CE ₂ CH ₂ X ¹ CU ₂ CU ₂ X ¹ , etc) , and wherein L is optionally interrupted by a metabolizable group M but with the provisos that the terminus of L adjacent Ch is CH ₂ and that the terminus of

L adjacent Ar is X ¹ or a CH ₂ group adjacent or separated by one CH ₂ from a group X ¹ (thus for example the L-Ar linkage may be L ¹ -X ¹ -Ar, L ¹ -CH ₂ -Ar, L ¹ -X ¹ CH ₂ -Ar or L ¹ -

X- H ₂ CH. ₂ -Ar , where L ¹ is the residue of L) ; each Ar is an aryl ring optionally substituted by or having fused thereto a further aryl ring; each AH is a protic acid group, preferably an oxyacid, e.g. a carbon, sulphur or phosphorus oxyacid or a salt thereof; each X ¹ is 0, S, NR ¹ or PR ¹ , preferably no more than 3 X ¹ groups being present in L; each R ¹ is hydrogen, alkyl or aryl; m and n are positive integers, m being for example 1 to

4, especially 1 or 2 and n being for example 1, 2 or 3) .

The chelant moiety may be any of the chelants proposed in the literature that tightly binds lanthanides.

The chelant moiety may be an acyclic chelant, in particular an aminopolycarboxylic acid (APCA) chelant or a phosphorus oxyacid analogue thereof, e.g. DTPA, TTHA, PLED and DPDP. However, it is preferred that the chelant be a macrocyclic chelant, e.g. D03A. In particular, the chelant moiety may be any of those proposed in particular in the Patent applications of Schering, Nycomed Imaging, Nycomed Salutar, Bracco, Squibb, Mallinckrodt and Guerbet relating to MR contrast agents and preferably is a group of formula

[X ² ( CR ² ₂ ) _p ] or R ³ ₂ N ( CR ² ₂ ) _p [X ² ( CR ² ₂ ) _p ] _V NR ³ ₂

where each X ² is O, S or NR ³ , preferably each being NR ³ ; each R ² is a bond to a group L, a hydrogen atom or a hydroxyalkyl group, preferably each (CR ² ₂ ) _P moiety containing no more than one non-hydrogen R ² ,- each R ³ is a hydroxyalkyl group, a group CR ⁴ AH, a group

CHAR ⁴ or a bond to a group L, at least two, preferably 3 and particularly preferably all except one R ³ being groups CR ⁴ AH; each R ⁴ is a hydrogen atom or a bond to a group L; each p is 1, 2, 3 or 4, preferably 2; q is 3 to 8, preferably 4; v is 0 to 6, preferably 0, 1, 2 or 3; and at least one R ² , R ³ or R ⁴ is a bond to a group L.

Particularly preferred macrocyclic skeletons include

especially

Especially preferred as chelant groups Ch are those of formulae

—N N N— _\ R4A I I I AR4

AH AH AH

where R ⁴ and AH are as hereinbefore defined, at least one R ⁴ is a bond to a linker group L, preferably with 3 or 4 R ⁴ groups being hydrogen and each AH being a group C0 ₂ H, S0 ₃ H, P0 ₃ H ₂ or P0 ₂ H, and each Am group is an amide, or a salt or chelate thereof.

Where the aryl group Ar is monocyclic and the linker group L to which it is attached is a chain (CHaJβX ¹ , optionally attached to Ch via a C^CONR ¹ group, then s is preferably at least 6, e.g. 7 to 15, particularly 8 to 12. Alternative preferred linker groups for monocyclic Ar groups include chains interrupted by metabolizable groups M and groups having repeating X ¹ (CH ₂ ) _t units (where t is 1, 2 or 3, preferably 2) .

For bicyclic Ar groups, i.e. groups having an aryl ring bearing a further aryl ring as a substituent or

/28392

- 6 - groups having two fused aryl rings, the chain L is preferably a 2 to 20, particularly 2 to 16 atom chain, terminating at one end with CH ₂ and at the other with a group X ¹ , optionally interrupted by a metabolizable group M, e.g. a (CH ₂ ) _a (M) _b (CH ₂ ) _C X ^X chain where a is 1 to 9, b is 0 or 1, and c is 1 to 10, preferably where a is 1 to 9, b is 0 and c is 1.

Examples of metabolizable groups M with which L may be interrupted include amide, ester, carbamate, acetal, ketal, disulfide, esters of phosphorus and sulfur oxyacids and carbonate.

Thus examples of preferred linker chain structures include

-(CH-^ _d X ¹ - wherein d is 1 to 15 where Ar is bicyclic and 7 to 15 where Ar is monocyclic

-CH ₂ CH ₂ - (X ¹ CH ₂ CH ₂ ) _e - where e is 1 to 6

- (CH ₂ CU ₂ X ^λ ) _h - where h is 2 to 7

- (CH ₂ ) _g CONH(CH ₂ ) _f X ¹ - where f is 1 to 12 and g is 1 to

4

- ( CH ₂ ) _g COONH ( CH ₂ ) _f X ¹ -(CH ₂ ) _g -0(CO)0(CH ₂ ) _f X ¹

- (CH^ _g COO CH^ _f X ¹

- (CH ₂ ) _g NHCO(CH ₂ ) _f X ¹

- ( CH ₂ ) _g NHOCO ( CH ₂ ) _f X ¹ -(CH- _g OCOfCH^ _f X ¹

- ( CH ₂ ) _g OCRΗO ( CH ₂ ) _f X ¹

- ( CH ₂ ) _g OCR ¹ ₂ 0 ( CH ₂ ) _f X ¹ and the analogous groups linked to the chelant Ch by a CHaCON ¹ moieity, ie . -CU ₂ CONR- (CE ₂ ) _d X ^x - -<xmH ₂ - ONR- ii ₂ H ₂ (X ¹ CH ₂ CH ₂ ) _e - , etc.

In the above g is preferably 1 or 2 and f is preferably 1 to 10, e.g. 2 to 5.

Attachment of the linker L via a C^CONR ¹ group (ie. incorporation of an amide M group at a position β to the

28392

- 7 -

Ch group) offers particular advantages. In particular the amide oxygen can take part in complexing metal ions with which Ch is metallated so stabilizing the metal ion binding and leading to greater kinetic and thermodynamic stability.

The aryl groups, both in Ar and in substituents such as R ¹ , are carbocyclic or heterocyclic, in the latter case incorporating one or more heteroatoms selected from 0, N, P and S, each ring preferably having 5 to 7 members but especially preferably each ring being C ₆ carbocyclic.

Preferred bicyclic groups thus include biphenyl and napthalenyl groups, especially 4-biphenyl and 2- napthalenyl groups.

The protic AH groups present on the Ar groups and also on Ch groups are preferably carbon, sulphur or phosphorus oxyacid groups such as COOH, S0 ₃ H, P0 ₃ H ₂ and P0 ₂ H.

For monocyclic Ar groups, e.g. phenyl Ar groups, one AH group is preferably attached at a position remote from the point of attachment to linker L (i.e. the 3 or 4 position for phenyl Ar groups) with a further AH group optionally being attached at another position, e.g. to provide 2, 4, 3, 5 or 3, 4 disubstitution on a phenyl Ar group.

For bicyclic Ar groups, e.g. biphenyl and napthalenyl Ar groups, the AH groups, preferably one, two or three AH groups, may be attached to either or both of the rings.

Where the compounds of the invention are to be used as diagnostic agents, rather than in the preparation of such agents, the chelant moiety is metallated with a diagnostically useful metal ion.

Metal ions for chelation are chosen for their ability to perform their diagnostic or therapeutic role. These roles include but are not limited to enhancing images in MRI, gamma scintigraphic or CT scanning, or X-

- 8 - ray, or delivering cytotoxic agents to kill undesirable cells such as in tumors.

Metals that can be incorporated, through chelation, include transition metal ions, lanthanide ions and other metal ions, including isotopes and radioisotopes thereof, such as, for example, Mg, Ca, Sc, Ti, B, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, Ga, Sr, Y, Zr, Tc, Ru, In, Hf, W, Re, Os, Pb and Bi. Particularly preferred radioisotopes of some of the foregoing include ¹⁵³ Sm, ⁶⁴ Cu, ⁶⁷ Cu, ⁶⁷ Ga, ⁶⁸ Ga, ⁸⁹ Sr, ⁸⁸ Y, ⁹⁰ Y, ^99m Tc, ⁹⁷ Ru, ¹⁰³ Ru, min, ⁱ⁸⁶ Re, ¹⁸⁸ Re, ²⁰³ Pb, ²¹¹ Bi, ²¹² Bi, ²¹³ Bi, and ²¹⁴ Bi. The choice of metal ion for chelation by chelants of the invention will be determined by the desired therapeutic or diagnostic application.

For MRI, the metal ions should be paramagnetic, and preferably non-radioactive, with Dy, Gd, Fe, Mn and Cr being particularly preferred. For X-ray and ultrasound imaging, heavy metal ions, e.g. with atomic numbers of at least 37, preferably at least 50, should be used, again preferably non-radioactive species, with Hf, Ta, Re, Bi, W, Pb, Ba and Mo being especially preferred. Heavy metal cluster ions, e.g. polyoxoanions or partial or full sulphur analog may also be used. For scintigraphy or radiotherapy the metal ions should of course be ions of radioactive isotopes.

However the invention is especially applicable to MR contrast agents and Gd(III) and Dy(III) will generally be the preferred metal ions. Complexes of Gd(III) may be utilized for T _λ or T ₂ ^* imaging whereas complexes of Dy(III) are preferred for T ₂ ^* imaging.

As the aryl groups carry protic acid groups, the compounds of the invention may be in protonated non-salt form or in the form of salts with appropriate counterions. For use as diagnostic contrast agents, the salts will be with physiologically tolerable counterions and in this regard particular mention may be made of the inorganic and organic counteranions well known for their

- 9 - tolerability, namely the alkali and alkaline earth metal ions (e.g. Na) , ammonium, ethanolamine, diethanolamine and meglumine as well as the counterions of tris buffer.

The compounds of the invention may be prepared using conventional chemical techniques by conjugating together aryl, linker and macrocyclic groups and subsequently introducing or deprotecting functional groups which would inhibit the conjugation procedure, e.g. the coordinating side chains on the macrocycle, the metabolizable groups on the linker and the protic acid groups on the aryl function. In general, while the linker can be conjugated to the aryl or macrocycle end groups simultaneously or consecutively in either order, the linker to aryl conjugation is expediently carried out before the linker to macrocycle conjugation. For this purpose, a bifunctional linker molecule is preferably used, optionally with one end group protected during the first conjugation and deprotected before the second.

Metallation of the chelate moiety can be carried out before or during, but preferably after the construction of the chelant-linker-aryl-acid molecule.

Thus viewed from a further aspect the invention provides a process for the preparation of compounds according to the invention said process comprising at least one of the following steps:

(a) metallating a chelant compound of formula I; and (b) deprotecting a compound of formula I in which at least one protic acid or metabolizable group is protected by a protecting group.

Methods of complexing metal ions with chelants are known and are within the level of skill in the art. Each of the metals used can be incorporated into a chelant moiety by one of three general methods: direct incorporation, template synthesis and/or transmetallation.

Direct incorporation is preferred. Generally the

/28392

- 10 - metal is titrated from sub-stoichiometric levels up to full incorporation, thus eliminating the need for dialysis and extensive chromatographic purification. - In this manner significant losses as well as dilution are avoided. Application of the invention to radionuclides with short half-lives may require metallation of the chelant shortly before administration with metallation being followed by simple rapid purification (e.g. gel filtration) to remove excess unbound radionuclide.

The metal ions Fe(III), Cr(III), Mn(II), Hg(II), Pb(II), Bi(III) and the lanthanides can be directly incorporated into the chelants of the invention by the following general procedure. A water-soluble form of the metal, generally an inorganic salt, is dissolved in an appropriate volume of distilled, deionized water. The pH of the solution will be below 7. An aqueous solution containing an equimolar amount of the chelant is added to the metal solution at ambient temperature while stirring. The pH of the mixture is raised slowly by addition of base, typically 0.1 M NaOH, until the donor groups of the polychelant are deprotonated, generally in the pH range of 5 to 9, depending on the chelant moieties. Particular care must be taken with the lanthanide ions to maintain the pH below 8 to avoid precipitation of the metal hydroxide. Metal incorporation into DOTA or D03A derived and related macrocylic chelant moieties will normally be a slow process, as described in the references cited below. Specific examples of the procedure are contained in the following references.

Choppin et al, J. Inorg. Nucl. Chem., 3_3_:127 (1971), Margerum, Rec. Chem. Prog., 2.:237 (1973) and D'Olieslager et al, J. Inorg. Nucl. Chem., 3_5_:4255 (1973) describe direct incorporation of the lanthanides into polyaminopolycarboxylates. Margerstadt, Mag. Res. Med., 1:808 (1986) and WO-A-87/06229 describe incorporation of Gd(III) into DOTA. A method of

28392

- 11 - preparing Bi and Pb complexes of DOTA is described by Kumar et al, J. Chem. Soc. Chem. Commun., 2:145 (1989) . All references mentioned herein are incorporated herein by reference in their entirety.

Direct incorporation of Hf, Zr, W, Hg and Ta can be performed according to well known methods. See, for example, US-A-4176173 (Winchell) .

Transmetallation is useful when the metal ion needs to be reduced to a more appropriate oxidation state for the donor atoms of the chelant moiety to bind. For example, to incorporate ^99m Tc or i8 ⁶ i ⁸ 8 _Rθj t^g _me tal ion must be reduced to Tc(V) or Re(V) by the use of reducing agents such as SnCl ₂ or cysteine by well known methods. This method requires formation of an intermediate complex. A typical example is the reduction of ^99m τc with Sn in the presence of a weakly coordinating ligand such as glucoheptonate prior to complexation with chelants such as DOTA. These methods are well known in the radiopharmaceutical art. ⁶⁷ Cu utilizes tetraamine chelates such as tet A or tet B (see Bhardaredj et al., JACS, JJ1£:1351 (1986)) to stabilize Cu(II) for reaction with stronger-binding chelants.

For step (b) protection and deprotection may be effected using conventional chemical techniques. Appropriate protecting groups for different chemical groups and the ways in which deprotection may be effected are well known. The reader is referred to "Protective groups in organic synthesis" by Greene and "Protective groups in organic chemistry" by McOmie, Plenum, 1973.

Thus for example protic acid groups may be protected as ester groups, e.g. COOCH ₃ or COOtBu groups, and deprotected by acid or base hydrolysis.

By way of example the following synthetic scheme may be followed from known starting products to products according to the invention:

Br(CH _: l.NaH/THF w- - COOCH ₃

McOHαrDMF

Br(CH ₂ )vBr 2. Silica gd

(1)

(v-5tolS,e lO)

COOH

tBu0 ₂ C — I I H

_| — N N'-, TFA Base ^{l +} tBuQ ₂ C — ^/ I „ I ^ J — C0 — ₂ tBu

H0 ₂ C— I I (CH ₂ )v

I — N N — I

1— N N — ' H0 ₂ C I I C0 ₂ H

(2)

NaOH

(2) + Gd ₂ 0 ₃ Sodium salt of the GdΩΗ) chelate of (2)

Synthesis of DOBA and analogs

R = COOH

GdOAc) 3 NH3 orTris(M)

©.

R = COO MH

SELECTED EXAMPLES G D03A-DOBA

OH C _Iβ Hι _a Br l.NtH/TΗF

COOMe crDMF

ZSflldgd

COOMe

MH

SYNTHESIS OF GdDOTA-DOBA

cicocH ₂ cι

NEt ₃ /CHCl ₃

NHC(øH ₂ o COOMe dCH ₂ CONHC ₁₀ H ₂ oO COOMe

\ / /

LINKER

/28392

- 14 -

The metal chelateε of the chelants of the invention may be administered to patients for imaging in amounts sufficient to yield the desired contrast with the particular imaging technique. Generally dosages of from 0.001 to 5.0 mmoles of chelated imaging metal ion per kilogram of patient bodyweight are effective to achieve adequate contrast enhancements. For most MRI applications preferred dosages of imaging metal ion will be in the range from 0.001 to 1.2, e.g. 0.02 to 0.5, mmoles/kg bodyweight while for X-ray applications dosages of from 0.5 to 1.5 mmoles/kg are generally effective to achieve X-ray attenuation. Preferred dosages for most X-ray applications are from 0.8 to 1.2 mmoles of the lanthanide or heavy metal/kg bodyweight.

The compounds of the present invention may be formulated with conventional pharmaceutical or veterinary aids, for example stabilizers, antioxidants, osmolality adjusting agents, buffers, pH adjusting agents, etc., and may be in a form suitable for parenteral administration; for example injection or infusion. Thus the compounds of the present invention may be in conventional pharmaceutical administration forms such as solutions, suspensions or dispersions in physiologically acceptable carrier media, for example water for injections.

The compounds according to the invention may therefore be formulated for administration using physiologically acceptable carriers or excipients in a manner fully within the skill of the art. For example, the compounds, optionally with the addition of pharmaceutically acceptable excipients, may be suspended or dissolved in an aqueous medium, with the resulting solution or suspension then being sterilized. Suitable additives include, for example, physiologically biocompatible buffers (as for example, tromethamine hydrochloride), additions (e.g., 0.01 to 10 mole percent) of chelants (such as, for example, DTPA, DTPA-

/28392

- 15 - bisamide or non-complexed chelant of formula I) or calcium chelate complexes (as for example calcium DTPA, CaNaDTPA-BMA, or calcium complexes of compounds of formula I), or, optionally, additions (e.g., 1 to 50 mole percent) of calcium or sodium salts (for example, calcium chloride, calcium ascorbate, calcium gluconate or calcium lactate) .

Parenterally administrable forms, e.g., intravenous solutions, should be sterile and free from physiologically unacceptable agents, and should have low osmolality to minimize irritation or other adverse effects upon administration, and thus the contrast medium should preferably be isotonic or slightly hypertonic. Suitable vehicles include aqueous vehicles customarily used for administering parenteral solutions such as Sodium Chloride Injection, Ringer's Injection, Dextrose Injection, Dextrose and Sodium Chloride Injection, Lactated Ringer's Injection and other solutions such as are described in Remington's Pharmaceutical Sciences, 15th ed., Easton: Mack Publishing Co., pp. 1405-1412 and 1461-1487 (1975) and The National Formulary XIV, 14th ed. Washington: American Pharmaceutical Association (1975) . The solutions can contain preservatives, antimicrobial agents, buffers and antioxidants conventionally used for parenteral solutions, excipients and other additives which are compatible with the chelates and which will not interfere with the manufacture, storage or use of products.

Viewed from a further aspect the invention provides a diagnostic or therapeutic composition comprising a compound of the invention or a salt thereof together with at least one pharmaceutical carrier or excipient.

Viewed from a still further aspect the invention provides the use of a compound according to the invention or a salt thereof for the manufacture of a diagnostic or therapeutic composition.

/28392 ru ⁱ * ^*

- 16 -

Viewed from another aspect the invention provides a method of generating an image of a human or non-human animal, especially mammalian, body which method comprises administering to said body an image enhancing amount of a compound according to the invention or a salt thereof and thereafter generating an image e.g. an MR, X-ray, ultrasound, or scintigraphic image, of at least a part of said body, especially of the hepatobiliary system.

Viewed from a still further aspect the invention provides a method of therapy of the human or animal body said method comprising administering to said body a therapeutically effective amount of a compound according to the invention.

This invention is further illustrated by the following specific but non-limiting examples (in which temperatures are given in degrees Celsius and concentrations as weight percentages unless otherwise specified) and by the accompanying drawings in which:

Figure 1 is a plot of the biodistribution and excretion characteristics of one compound according to the invention, administered to mice,- and

Figure 2 is a comparative plot of the pattern of distribution to the mouse liver of a compound according to the invention and of GdEOB-DTPA, a prior art liver agent.

8392

- 17 -

Synthesis ~i (Tris H ⁺ )Gd-PQ3A-PQBft

3. Base

A-. Synthesis of methyl p- (bromodecyloxy)benzoate

To a suspension of sodium hydride (150 mg, mineral oil dispersion washed with THF, 5 mmol) in THF (25mL) , a solution of p-hydroxymethylbenzoate (761 mg, 5 mmol) in THF (5 mL) was added at 0°C under nitrogen. The solution was then warmed to ambient temperature. Methanol (5 mL) was added and the solution stirred for 1 hour. A solution of 1,10-dibromodecane (1.5 g,- 5 mmol) in THF (5mL) was added and the mixture was heated at 70°C for 5 hours. The solution was concentrated, redissolved in chloroform, washed with water and dried (Na ₂ S0 ₄ ) . The residue was chromatographed on silica gel and the desired product was eluted with 25% CHC1 ₃ in petroleum ether. Yield: 1.77g (48%) . -K NMR (CDC1 ₃ ) :7.95 (d) , 6.87 (d) , 3.98 (t) , 3.40 (t) , 1.80 (m) , 1.40 (br) , 1.29 (s) . ¹³ C NMR (CDC1 ₃ ) :162.94, 131.55, 114.04, 68.15, 51.84, 34.01, 32.79, 29.39, 29.32, 29.27, 29.08, 28.71, 28.13, 25.94. FABMS: 371.1 (MH+) .

28392

- 18 - ii. Synthesis of 10- (p-methoxycarbonvl- phenyloxydecyl) -1.4.7. lO-tetraazacvclododecane-1.4.7- tri-t-butyl acetate

D03A-tri-t-butyl ester (2.5 g _; 4.14 mmol) in DMF (25 mL) was treated with tetramethyl guanidine (1.0 g; 4.8 mmol) and methyl 10- (p-bromodecyloxy)benzoate (1.6 g,- 4.3 mmol) . After heating at 50°C for 6 hours, the solvent was distilled off under vacuum at 50°C. The residue was dissolved in CHC1 ₃ , washed with water, dried (Na ₂ S0 ₄ ) and concentrated to yield the crude product as a yellow oil (4.0 g) . ² H NMR (CDC1 ₃ ) :7.91 (d) , 7.83 (d) , 3.94 (t) , 3.82 (s) , 3.22 (br) , 2.79 (broad), 2.31 (br) , 1.72 (m) , 1.39 (S), 1.22 (s) . ¹³ C NMR (CDC1 ₃ ) :171.07, 166.77, 131.43, 122.15, 113.93, 80.49, 68.06, 56.56, 56.14,

52.23, 51.96, 51.90, 51.69, 50.68, 47.53, 29.47, 29.41,

29.24, 28.99, 28.12, 27.83, 27.52, 27.02, 25.87.

iϋ. Synthesis of 10-p-methoxy carbonyl-phenyloxydecyl- ^'

1.4.7. lQ-tetraazacyclododecane-1.4.7-tri-acetic acid

The crude product from above (4.0g), was dissolved in dichloromethane (40 mL) and trifluoroacetic acid (40 mL) was added to the solution. After stirring at ambient temperature for 1 hour, the solution was concentrated and the process repeated four more times. After the final treatment, the solution was concentrated and chased with dichloromethane (five times) and water (four times) . The residue was treated with water (100 mL) and allowed to stand overnight when the product separated as a colourless solid. It was filtered and dried in vacuo. Yield: 1.37 g (42%) . *H NMR (DMSO-d ₆ ) : .7.50 (br) , 6.61 (br) , 4.17 (br) , 3.60 (br) , 3.39 (br) , 3.02 (br) , 2.48 (br) , 0.89 (br) . ¹³ C NMR (DMS0-d ₆ ) : 172.82, 171.34, 164.49, 131.36, 114.52, 67.96, 54.35, 52.37, 51.92, 51.02, 49.01, 48.99, 28.94, 26.15, 25.51, 22.13. FABMS: 637.4 (MH+) .

8392

- 19 - iv _{. S} yn _th esis o _{f l} Q-p-car _b Qχyp _h eny _l pχy _d gcyl- ,4,7,3,0- tetraazacγclododecane-1.4.7-tri-acetic acid (DQ3A-DOBA)

The crude product from above (1.37 g) was suspended in mixture of water (20 ml) and methanol (30 mL) and treated with KOH (0.47 g) . After heating at 50°C for 9 hours, the solution was concentrated and the residue was loaded on to AGI X-8 ion exchange resin (100-200 mesh, acetate form) . The product was eluted with a mixture of 1:1 (v/v) ethanol and 2 N ACOH and concentration of the eluate yielded a residue which was suspended in ethanol, filtered and dried under vacuum to obtain a colourless solid. Yield: 0.82 g (61%) . ^ NMR (D ₂ 0) :7.62 (d) , 6.79 (d) , 3.90 (t), 2.86 (br) , 2.19 (br) , 1.56 (t) , 1.07 (br) . FABMS:623.4 (MH+) . Elemental analysis; calculated for C ₃₁ H ₅₀ N ₄ O ₉ .1.25 H ₂ 0:C 57.70%, H 8.20%, N 8.68%; found:C 57.70%, H 7.86%, N 8.57%.

2 . Synthesis of gadolinium co plex of IQ-p- carboxvphenvloxγdecvl-1.4.7.10-tetraazacyclododecane- 1.4.7-tri-acetic acid (GdD03A-DOBA)

To a solution of gadolinium acetate in water (40 mL) , 10-p-carboxyphenyloxydecyl-l,4, 7, 10- tetraazacyclododecane-1, , 7-tri-acetic acid (500 mg, 0.8 mmol) was added. The suspension was treated with 1 M tris buffer (4.3 mL) to aid the complete dissolution of the ligand. The solution was heated at 40°C for 4 hours and stirred at ambient temperature overnight. An aliquot was tested for excess gadolinium with xylenol orange and gadolinium acetate was added in 5 mole % increments until the xylenol orange test was positive. Then the ligand was added in 0.5 mole % increments until the xylenol orange test was negative for excess gadolinium. The product was isolated as the tris salt of the gadolinium complex from the reaction mixture by centrifugation. Yield: 670 mg (89%) . FABMS:778

8392

20 -

(MH+) :778. Elemental analysis; calculated for GdC ₃₅ H ₅₈ N ₅ 0 ₁₂ . 2.5 H ₂ 0:C 44.57%, H 6.73%, N 7.43%, Gd 16.67%; found:C 44.97%, H 6.91%, N 7.80%, H 16.28%.

-0-. ¹⁵³ Gd-labeling and formulation of 10-p- carboxyphenγloxydecyl-1.4.7.10-tetraazacyclododecane- 1.4.7-tri-acetic acid ( ¹⁵³ GriD0 A-DOBA)

Radiolabeling of the ligand (97 mg) was carried out using ¹⁵³ GdCl ₃ and 400 mole % of tris. After the incorporation of the label (as shown by TLC, HPLC) stoichiometric amount of the cold carrier (i.e. GdCl ₃ ) was added to complete the complexation which had to be carried out at a pH of 5.47 to avoid the formation of a gel-like precipitate. The formulation (10 mM) was completed after making the necessary osmolality and pH adjustments. The final formulation was assayed for purity (TLC 99.8%, HPLC 99.6%), excess Gd (negative xylenol orange test) and specific activity (6.3 μCi/mL) .

The biodistribution study was performed in male Swiss- Webster mice (weighing 25-27g) by injecting the labeled material at a dose of 0.1 mmol/kg and measuring the radioactivity in blood, liver, spleen, heart, kidneys, gut content, gut and carcass at time points 3 min, 9 min, 15 min, 1 hour, 4 hours and 24 hours, using two mice at each time point. Urine and faeces were also collected at 4 and 24 hours and counted for radioactivity.

8392

21

Example 2

Synthesis of DTPA-bis (10-p-carboxγphenvloxvdecvlamide) and its gadolinium complex

,.C ₁₀ H _1β NH ₂

NaOH

COOMe

Synthesis of methyl 10- (p-aminodecγloxy)benzoate

Methyl 10- (p-bromodecyloxy)benzoate (1.6g; 4.3 mmol) is dissolved in acetonitrile and treated with sodium azide (0.65g; 10 mmol). The solution is refluxed for 4 hours under nitrogen, filtered and concentrated. The crude azide is purified by column chromatography on silica gel. The crude product is dissolved in ethanol (10 mL) and treated with 10% Pd on carbon (10 weight %) and hydrogenated using a Paar hydrogenator at a hydrogen pressure of 50 psi. The solution is then filtered through celite and concentrated. The crude product is

/28392

- 22 - purified by column chromatography on silica gel.

ii. Synthesis of sodium 10- (p-aminodecvloxv)benzoate

The product obtained from above (1.0 g; 3.3 mmol) is dissolved in methanol (5 mL) and treated with sodium hydroxide (1 M, 10 mL) . The solution is refluxed for 2 hours and concentrated. The residue is treated with DTPA-bis (anhydride) (0.59 g; 1.65 mmol) and stirred at ambient temperature overnight. The desired product is isolated by ion exchange chromatography on AG1 X-8 ion exchange resin.

iii. Synthesis of gadolinium DTPA-bis (10-p-

Cfl∑rbpxyphenylpxydecyλcimide)

The ligand obtained from above (1.0 g; 1.03 mmol) is treated with gadolinium acetate (0.34 g,- 1.03 mmol) and the mixture is stirred at ambient temperature for 2 hours. The gadolinium titer is monitored by xylenol orange test. After completion of metal incorporation, the solution is concentrated and chased with water to remove acetic acid formed in the reaction and the product is dried under vacuum.

Example 3

GdD03A-DOBA biodistribution and excretion

A formulation of ¹⁵³ Gd-labelled D03A-DOBA (prepared as the sodium salt analogously to Example 1 using ¹⁵³ Gd ₂ O ₃ ) was injected into male Swiss-Webster mice. Two mice per time point were euthanized and the organs were counted for radioactivity. The biodistribution and excretion data determined for this compound are set out in Table I.

TABLE I

GdD03A-DOBA biodistribution and excretion

* numerical values in colums 2 to 9 are % of injected dose,

From Table I it is clear that even at 3 minutes pos -injection there is rapid uptake of the labelled material to the extent of 30% into the liver. This amount increases to 54, 58 and 58% over a period of 9, 15 and 60 minutes and then decreases to 35 and 5% over 4 and 24 hours respectively. This indicates that the compound has an extremely favourable liver profile with high uptake which remains over an hour thus providing a favourable imaging window. The uptake of the material in gut and gut content increases with time (i.e. from 3 minutes to four hours) and the material is virtually cleared in 24 hours indicating typical biliary clearance which is further substantiated by the recover of the activity (57% of the injected dose) in the feces, 24 hours post injection. Uptake in the kidneys is relatively low, and the renal clearance is 13% after 4 hours (urine + cage wash) and 6% after 24 hours (urine + cage wash) . The distribution and clearance data is presented in graphical form in Figure 1.

Example 4

Gd D03A-DOBA and Gd EOB-DTPA - Comparison of liver uptake and clearance

Using injections into male Swiss-Webster mice and animal tissue sampling as in Example 2, comparative results were generated for Gd-EOB-DTPA using ¹⁵³ Gd labelled material for biodistribution. Figure 2 presents the liver uptake profiles of Gd-D03A-D0BA and Gd-EOB-DTPA. It is clear from this Figure that Gd D03A-DOBA accumulates to a higher extent (58%) and persists longer thus providing a better imaging window. The uptake of Gd-EOB-DTPA in liver is less (<40%) and it clears relatively rapidly.

28392

- 25 -

Example 5

Synthesis of GdDOTA-DOBA

(i) Synthesis oi methyl pXlQ-bro odecyloxy) benzoate

A mixture of 1,10-dibromodecane (18.01g, 60 mmol), methyl p-hydroxy benzoate (9.12g, 60 mmol) and K ₂ C0 ₃ (8.28g, 60 mmol) in acetone (90 mL) was stirred at reflux for 20 hours. The white solid was filtered off and washed with acetone. The filtrate and washings were combined and concentrated to a white solid from which the desired product was isolated by column chromatography on silica gel using hexane/chloroform solvent gradient for elution (10.8g, 48.4%) . ¹ H NMR (CDC1 ₃ , δ) : 7.95 (d) , 6.88 (d) , 3.98 (t) , 3.85 (s) , 3.39 (t) , 1.80 (m) , 1.52 (m) , 1.42 (m) and 1.29 (m) . FABMS: 371 (MH+) .

(ii) Synthesis of methyl p- Q-N-phthalimidodecy o y) - benzoate

A mixture of methyl p- (10-bromodecyloxy)benzoate (10.44g, 28.12 mmol) and potassium phthalimide (5.47g, 29.53 mmol) in anhydrous DMF (175 mL) was stirred at 60°C for 14 hours under nitrogen. The solvent was removed under vacuum and the residue was dissolved in CHC1 ₃ and washed with water (4x15 mL) . The aqueous washings were combined and back-extracted once with CHC1 ₃ (100 mL) . The combined organic layers were dried with MgS0 ₄ and the solution was concentrated to yield the crude product which was purified by chromatography on silica gel using hexane/chloroform solvent gradient for elution (11.8g, 96%). -H NMR (CDC1 ₃ , δ) : 7.95 (d) , 7.81 (m) , 7.68 (m) , 6.86 (d) , 3.97(t), 3.85 (s) , 3.64 (t) , 1.76 (m) , 1.65 (m) , 1.54 (m) , 1.42 (m) , 1.29 (m) . FABMS: 438 (MH+) .

28392 P rC^Tx/ ⁱ GwB9 ^y 5/00833

- 26 - (iii) Synthesis of methyl p- (10-aminodecyloxy)benzoate

Methyl p- (10-N-phthalimidodecyloxy)benzoate (8.52g, 19.48 mmol) was dissolved in methanol (75 mL) at 65C. Hydrazine monohydrate (1 mL, 20.62 mmol) was added and the solution refluxed under nitrogen for 22 hours. The solution was cooled to ambient temperature and the precipitate was filtered. The solution was concentrated and the residue was combined with the precipitate and treated with chloroform (500 mL) . The solution was washed with water and the washings back extracted with chloroform (2x100 mL) . The combined organic layer was dried over MgS0 ₄ and concentrated to yield the product

(5.62g, 97%) . ^X H NMR (CDC1 ₃ , δ) : 7.95 (d) , 6.88 (d) , 3.97 (t) , 3.86 (s) , 2.64 (t) , 1.78 (m) , 1.53 (m) , 1.43

(m) , 1.28 (m) .

(iv) Synthesis of methvl-p- (10-chloroacetamidodecyloxy) - benzoate

The crude product from (iii) above (5.62g, 18.84 mmol) and triethylamine (2.6 mL, 18.7 mmol) were dissolved in chloroform (90 mL) and cooled in an ice bath. A solution of chloroacetyl chloride (1.5 mL) in chloroform (40 mL) was added dropwise with stirring. After the completion of the addition, the solution was stirred in the ice bath for 15 minutes and warmed to ambient temperature and stirred for 20 hours. The solution was washed with water (4x80 mL) . Drying (MgS0 ) and concentration yielded the product (6.71g, 93%) which was used without further purification. ~E NMR (CDC1 ₃ , δ) : 7.95 (d) , 6.87 (d) , 6.54 s, br) , 4.01 (d) , 3.96 (t) , 3.86 (s), 3.28 (q) , 1.76 (m) , 1.55 (m) , 1.45 (m) , 1.29 (m) . ¹³ C NMR (CDC1 ₃ , δ) : 130.71, 130.66, 121.52, 113.23, 75.37, 67.33, 50.95, 41.85, 39.04, 28.56, 28.53, 28.47, 28.43, 28.33, 28.25, 25.94, 25.11.

28392

- 27

(v) Synthesis of 10- (p-methoxycarbonyl- phenγloxydecγlcarbamoγlmethyl) -1.4.7.10- tetraazacvclododecane-1.4.7-tri-t-butγl acetate

D03A-tri-t-butyl ester (9.31g, 15.63 mmol) and triethylamine were dissolved in DMF (90 mL) and the chloroacetamide from (iv) above (6.0g, 15.63 mmol) was added to the solution which was heated at 60°C under nitrogen for 19 hours. The solvent was removed under vacuum and the residue taken up in chloroform (200 mL) . The solution was washed with water (3x100 mL) , dried over MgS0 ₄ and concentrated to yield the crude product (10.97g) as an oil.

(D03A = 1,4,7-Triscarboxymethyl-l,4, 7,10- tetraazacyclododecane) .

Examples 6-i4

Using the following reaction scheme, analogs of D03A- D0BA (the compound of Example I) were prepared

- 28 -

COOCH ₃ 1. NaH THF methanol or DMF

Rll . (CH2X ¹¹ )pCH ₂ CH ₂ R ¹¹ + (T */— OH

2. Silica gel

3. Base

⁽ where R ¹¹ is halogen, eg . Br; X ¹¹ is CH ₂ or O; and p is a positive integer) .

The synthesis of the compounds of Examples 6 to 14 was straightforward and reproducible in all cases.

Example No -L-Ar(AH) _n Short Name

(CH ₂ ) ₁₀ O-m-carboxyphenyl D03A-DOmBA

(CH ₂ ) ₁₀ o-o-carboxyphenyl D03A-D0oBA

(CH ₂ ) ₁₀ -0-3, 5-bis carboxy- D03A-D0IA phenyl

(CH ₂ ) ₆ -0-p-carboxyphenyl D03A-HOBA

10 (CH ₂ ) ₈ -0-p-carboxyphenyl D03A-OOBA

11 (CH ₂ ) ₂ 0(CH ₂ ) ₇ -0-p-carboxy- D03A-2 (0 ³ ' ¹¹ )BA phenyl

12 (CH ₂ ) ₇ 0(CH ₂ ) ₂ -0-p-carboxy- D03A-2 (0 ^8«11 )BA phenyl

13 (CH ₂ CH ₂ 0) ₄ p-carboxyphenyl D03A-4(O)BA

14 (CH ₂ CH ₂ 0) ₄ 3,5 bis carboxy- D03A-4 (0) IPA phenyl

The linker groups for the compounds of Examples 11 to 14 were synthesized using the following schemes.

SynthαbαftfceliπteferD03Λ-2(0 «. ^U )BA TBDMS-α taHnUDM

HOCH2CH2ON1 ^• tta » ^■ HO'

HOCH2CH2OH

K2CO3/MBU

TlO

RjCOOC' - ^ ^→κ

Synfliesis of the linker for D03A-2(0 ³ . ^π )BA

CH2CI2

H3COOC-

\ — — - ^/ — — Br Synthesis of linker for D03A-4(0)BA

OH

COOCHj

Synthesis of linker far Dθ3A- (0)IPA

Example 15

ro uc physicochgmical characteristics

Elemental analysis

Quantitative elemental analysis was performed on the ligands and complexes. Satisfactory agreement between the observed values for carbon, hydrogen and nitrogen and the corresponding values calculated on the basis of molecules containing associated water (approximately 0- 3) was observed.

Mass spectroscopy

Satisfactory fast atom bombardment mass spectra were obtained for the complexes and ligands. The m/e values for the parent ion MH+ agreed well with those calculated. The gadolinium isotopic distribution pattern was indicative of the presence of one gadolinium ion in the complexes.

NMR spectroscopy

The ligands were characterised by one dimensional ¹ H and ¹³ C NMR spectroscopy. The results were consistent with the structure of the ligands.

Appearance

The metal chelates were isolated as fine white or off- white powders.

Thermal stability

The thermal stability of GdD03A-DOIA as the ammonium salt was examined by means of thermogravimetric analysis. The curve suggests that loss of surface

28392

- 32 - associated and bound water (6.9 weight %) occurred over the range of 25-175°C and loss of ammonia (9.3 weight %) occurred over the range of 175-325°C. Above 350°C general decomposition of the complex took place.

Partition coefficients

The partition coefficients for the distribution of the gadolinium chelates in n-butanol/tris buffer (pH 7.4) phases were measured by the minimal sample method. After shaking to effect partitioning and phase separation, the concentration of the chelate in each phase was indirectly determined by measuring Gd concentration by ICP/AES. The logP values are given in Table II below.

TABLE II

Partition coefficients for the distribution of Gd chelates in n-butanol/tris buffer (pH 7.4) phases

/28392

33

Seranorm (S)

Relaxivity

Longitudinal (r _α ) and transverse (r ₂ ) molar relaxivities were derived from the relaxation time data (T- _L or T ₂ ) of water protons at various concentrations of the chelates at 20 MHz and 37°C. These measurements were carried out both in water and Seronorm (an in vitro matrix model used to simulate in vivo conditions) .

Example 16

Biolo ica characterisation

Biodistribution. Elimination and Whole Body

Autoradiography (Mice)

The distribution of the gadolinium complexes in selected tissues and organs at various time points was evaluated after the intravenous administration of 153 Gd-labeled compounds in young male Swiss-Webster mice. The radiolabeled formulations were made at a concentration of either 10 or 5 mM Gd (depending on the solubility of the chelates) and administered intravenously at a dosage of 0.1 mmol/kg body weight. Groups of two mice were sacrificed at 3, 9, 15 and 60 minutes and 24 hours post

injection. Radioactivity was measured in blood, liver, heart, spleen, lungs, brain, kidneys and other organs of interest. In addition, urine and feces were collected at 2, 4 and 24 hours. In the case of D03A-DOBA and EOB- DTPA additional time points (30 minutes, 2 hours, 2 days and 7 days) were considered for extended distribution profile. Based on the radioactivity measured, the tissue distribution was expressed as the percent of the administered dose remaining in each tissue. The biodistribution in liver and kidneys and the elimination in urine and feces for the gadolinium complexes are listed in Table III below. The uptake increased steadily during 9 and 15 minutes (42.85-78.56%), and slowly decreased over 60 minutes. However, even at 60 minutes there is considerable level of the injected dose remaining in the liver. The liver clearance occurred gradully over 4 hours. After 24 hours, only a small amount (0.89-6.69% I.D.) remained in the liver. As compared to GdEOB-DTPA, the compounds listed below had much higher liver uptake, with a substantially high proportion of the injected dose remaining in the liver between 0-60 minutes (i.e. giving a longer imaging window) .

28392

- 35 - TABLE I I I

Biodistribution and Elimination of Gd complexes

The high liver uptake of the compounds listed above was reflected in the low kidney uptake and retention. Correspondingly a lower amount of the activity was recovered in the urine. The amount recovered in the faeces is high, indicating the clearance by hepatobiliary route. This is also supported by the

uptake in the gut and gut contents over 4 hours. Thus these compounds were taken up predominantly by liver and cleared by the hepatobiliary route with the kidney uptake and renal clearance being the secondary route.

The whole body autoradiography (WBA) was performed in two male Swiss-Webster mice that received a single i.v. administration of 10 mL/kg (equivalent to 63 μci/kg) of ¹⁵³ GdD03A-DOBA (specific concentration: 6.3 μci/mL) . Four hours and 7 days post injection each mouse was euthanized and frozen. Equivalent freeze-dried sections from each mouse were exposed on X-ray films, with 14C standards co-exposed to serve as visual comparison.

The WBA study showed a strong uptake of the label in liver, gall bladder and fecal matter at 4 hours while the stomach contents showed no uptake. For the kidneys, the collecting ducts exhibited high levels of activity while the level was low in the cortex. At 7 days radioactivity was visible at reduced levels in the liver and periosteal regions of the bone. The liver showed highest retention of the radioactivity at 7 days as compared to other tissues such as the kidneys, gall bladder and intestines. No specific uptake was seen in brain parenchyma. Excretion of the material through the bile in to the gut and feces was evident with the kidneys appearing as the second route of excretion. These results are in agreement with the biodistribution studies, and suggest specific hepatocellular rather than RES uptake by the liver. The rapid blood clearance of the complex is also demonstrated.