Choline C-11
Choline C-11 was the first PET tracer approved in the United States, in 2012, to find where prostate cancer has come back when PSA rises after treatment; PSMA tracers have now largely replaced it.
Overview
The FDA approved Choline C 11 Injection in September 2012, produced at the Mayo Clinic, for PET imaging of patients with suspected prostate cancer recurrence and non-informative bone scan, CT or MRI, the first approval of a PET agent for prostate cancer. Its 20-minute half-life means it must be made on site with a cyclotron, which confined it to a few centres. From 2020 the PSMA-targeted tracers gallium-68 PSMA-11 and piflufolastat F-18, with higher sensitivity at low PSA and longer half-lives, took over most recurrence imaging, and fluciclovine F-18 offered a distributable amino-acid alternative.
Carbon-11-labelled choline is taken up by cells with high phosphatidylcholine synthesis, including prostate cancer, and imaged by PET within minutes because of the isotope's 20-minute half-life.
1.Choline C-11 slips into a pocket on its target.
Approvals
| Region | Year | Indication |
|---|---|---|
| US | 2012 | PET imaging of suspected prostate cancer recurrence with non-informative conventional imaging |
Trials
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Latest papers
topQuery for this drug: (TITLE:"Choline C-11" OR ABSTRACT:"Choline C-11" OR TITLE:"Choline C 11 Injection" OR ABSTRACT:"Choline C 11 Injection" OR TITLE:"[11C]choline" OR ABSTRACT:"[11C]choline") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Choline C-11, not a curated reading list.
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