Phase I Clinical Trial Using [ 99m Tc]Tc-1-thio-D-glucose for Diagnosis of Lymphoma Patients.

Similar to [ 18 F]-FDG, [ 99m Tc]Tc-1-thio-D-glucose ([ 99m Tc]Tc-TG) also binds to GLUT receptors. The aim of this Phase I study was to evaluate the safety, biodistribution and dosimetry of [ 99m Tc]Tc-TG. Twelve lymphoma patients were injected with 729 ± 102 MBq [ 99m Tc]Tc-TG. Whole-body planar imaging was performed in 10 patients at 2, 4, 6 and 24 h after injection. In all 12 patients, SPECT/CT (at 2 h) and SPECT (at 4 and 6 h) imaging was performed. Vital signs and possible side effects were monitored during imaging and up to 7 days after injection. [ 99m Tc]Tc-TG injections were well-tolerated and no side effects or alterations in blood and urine analyses data were observed. The highest absorbed dose was in the kidneys and urinary bladder wall, followed by the adrenals, prostate, bone marrow, lungs, myocardium, ovaries, uterus, liver and gall bladder wall. [ 99m Tc]Tc-TG SPECT/CT revealed foci of high activity uptake in the lymph nodes of all nine patients with known nodal lesions. Extranodal lesions were detected in all nine cases. In one patient, a lesion in the humerus head, which was not detected by CT, was visualized using [ 99m Tc]Tc-TG. Potentially, [ 99m Tc]Tc-TG can be considered as an additional diagnostic method for imaging GLUT receptors in lymphoma patients.