Synthesis of a 11C-Isotopologue of the B-Raf-Selective Inhibitor Encorafenib Using In-Loop [11C]CO2 Fixation

The serine/threonine kinase B-Raf is an essential regulator of cellular growth, differentiation, and survival. B-Raf protein expression is elevated throughout melanoma progression, making it an attractive target for noninvasive imaging using positron–emission tomography. Encorafenib is a potent and highly selective inhibitor of B-Raf used in the clinical management of melanoma. In this study, the radiosynthesis of a 11C-isotopologue of encorafenib was developed using an in-loop [11C]CO2 fixation reaction. Optimization of reaction conditions reduced the formation of a radiolabeled side product and improved the isolated yields of [11C]encorafenib (14.5 ± 2.4% radiochemical yield). The process was fully automated using a commercial radiosynthesizer for the production of 6845 ± 888 MBq of [11C]encorafenib in high molar activity (177 ± 5 GBq μmol–1), in high radiochemical purity (99%), and in a formulation suitable for animal injection. An in vitro cellular binding experiment demonstrated saturable binding of the radiotracer to A375 melanoma cells.


INTRODUCTION
Melanoma is an aggressive form of skin cancer, which accounted for approximately 59,782 deaths and 351,880 new patients worldwide in 2015. 1,2 Although localized melanoma is highly curable, patients diagnosed with metastatic disease face a 25% 5-year survival rate. 3 This underscores the need for new strategies for detection, accurate prognosis assessment, and methods to predict response to therapies.
The protein B-Raf (encoded by the gene BRAF) is an oncogenic serine/threonine kinase, which plays a pivotal role in the MAPK/ERK signal transduction pathway, a regulator of cell differentiation, proliferation, and survival. 4 Interestingly, studies have shown that B-Raf levels are significantly increased throughout the progression of melanoma in both wild-type and BRAF-mutated tumors. 5−8 Elevated B-Raf was observed in both primary and metastatic lesions and associated with aggressive tumor features and reduced survival. This hints at a potential prognostic value that B-Raf protein expression may provide.
BRAF is altered in about half of melanomas with V600E being the most common mutation (accounting for approximately 75% of BRAF-mutated melanoma). 9,10 The high incidence rate of BRAF V600E has led to the development of targeted B-Raf therapeutics, and to date, three B-Raf inhibitors (vemurafenib, dabrafenib, and encorafenib) have received FDA approval for the treatment of BRAF V600E melanoma. Properties that distinguish encorafenib from other agents in its class are that it has a similar half-maximal inhibitory concentration (IC 50 ) for both wild-type and V600E B-Raf in biochemical assays (0.47 and 0.35 nM, respectively), and a significantly longer B-Raf dissociation half-life (T 1/2 > 30 h) compared with vemurafenib (0.5 h) and dabrafenib (2 h). 11−13 A positronemitting tomography (PET) imaging agent derived from encorafenib has the potential for quantitative imaging of B-Raf expression in both BRAF V600E and BRAF wt melanoma. The long-dissociation half-life could allow for the development of a tracer with a slow wash-out rate and a high target retention time.
To realize PET imaging of B-Raf expression in melanoma, new strategies are needed to improve tumor-to-background signal ratios and increase the total and specific tumor uptake. A radiotracer derived from encorafenib could offer a path to improve PET imaging of B-Raf expression based on its distinct pharmacological properties. 11,12 In this report, we describe the development and optimization of the radiosynthesis of [ 11 C]encorafenib, constructed using an in-loop [ 11 C]CO 2 fixation reaction. The radiosynthesis, purification, and reformulation were fully automated to enable reproducible and large-scale preparation of [ 11 C]encorafenib in high molar activity. Preliminary in vitro evaluation of the radiotracer was completed using A375 melanoma cells.

RESULTS AND DISCUSSION
Encorafenib could theoretically be labeled with the PET isotopes carbon-11 (t 1/2 = 20.4 min) or fluorine-18 (t 1/2 = 109.8 min). To label the aryl-fluoride with fluorine-18, a radiochemical precursor with a suitable leaving group at the correct aromatic position would be needed and would require a multistep synthetic approach. To label encorafenib with carbon-11, it was hypothesized that a [ 11 C]CO 2 fixation reaction developed by Wilson and co-workers could be used to easily radiolabel the carbonyl of the methylcarbamate fragment. 18 In this reaction, [ 11 C]CO 2 is trapped and reacted with a CO 2 fixation base and a precursor amine to form a 11 Clabeled carbamate ion intermediate. Addition of iodomethane results in alkylation of the carbamate ion to form the methylcarbamate. The required amine precursor 2 to prepare [ 11 C]encorafenib ([ 11 C]1) through this reaction could be synthesized in one step from isotopically unmodified encorafenib ( Figure 2A). Treatment of encorafenib 1 with sodium hydroxide at 85°C allowed for hydrolysis and decarboxylation of the methyl carbonate to form the corresponding primary amine 2, which was then purified by high-performance liquid chromatography (HPLC) and isolated as the trifluoroacetic acid (TFA) salt in good yield (81%). Hydrolysis of the native methyl carbamate offered a time-and cost-efficient strategy to prepare the radiochemical precursor for the synthesis of [ 11 C]encorafenib.
The preparation of 11 C-labeled radiotracers using in-loop [ 11 C]CO 2 fixation is an established synthesis method. 18,19 Use of the loop increases the surface area to maximize the gas− liquid contact and the [ 11 C]CO 2 trapping efficiency in small quantities of reagents and simplifies the production process. In 2018, Dahl and co-workers reported an in-loop [ 11 C]CO 2 fixation apparatus designed as a standalone HPLC injector valve that could be integrated with a commercial radiosynthesizer for the automated production of 11 C-carbonyllabeled carbamates and ureas. 20 To synthesize [ 11 C]encorafenib ([ 11 C]1), a modified version of this procedure was adapted. The Procab and TRACERlab FX2 C chemistry systems were configured in series for the transfer of purified [ 11 C]CO 2 from the molecular sieve column to the loop reactor ( Figure 3). The loop reactor was charged with a dimethylformamide (DMF) solution of 2 and the CO 2 fixation base 2-tert-butylimino-2-diethylamino-1,3-dimethylperhydro-1,3,2-diazaphosphorine (BEMP), enabling formation of the 11 C-carbamate ion intermediate ( Figure 2B). Transfer from the   This offers a simplified process for fully automated production of radiotracers by in-loop [ 11 C]CO 2 fixation/alkylation reactions requiring minor reconfiguration of the radiosynthesizer ( Figure 3). Reaction optimization of [ 11 C]encorafenib production using the automated [ 11 C]CO 2 fixation/alkylation sequence was completed by screening the concentrations of the precursor material 2, the CO 2 fixation agent BEMP, the total reaction volume preloaded in the loop reactor, and the concentration of the iodomethane solution (Table 1). All test reactions were evaluated by measuring the radiochemical yield (RCY) of [ 11 C]encorafenib isolated after purification and reformulation. It was determined that using 23 μmol of BEMP, 44 μmol of the precursor, and increasing the sample volume loaded into the loop reactor to 100 μL (Table 1, entry 7) allowed for a modest improvement of the isolated RCY, reaching 8.7%.
Inspection of the semi-preparative HPLC gamma detector chromatogram ( Figure 4) indicated that a major component of the reaction mixture could be attributed to a radiolabeled sideproduct (t R = 18.9 min), which eluted from the column after the desired product. To identify this compound, fractions containing [ 11 C]encorafenib and the 11 C-labeled side-product were isolated and analyzed by liquid chromatography−mass spectrometry (LC−MS). Nonradioactive encorafenib was detected in the product fraction as the predominant ion ([M + H] + = 540.1 m/z) as expected while the predominant ion in the side-product fraction was found to be 554.1 m/z. This suggested that the side-product could be formed from a second addition of a methyl group during the alkylation reaction through a reaction between [ 11 C]encorafenib and excess iodomethane, likely an amino−alkylation reaction. Decreasing the iodomethane concentration in the alkylation reaction to 2.5% resulted in a lower proportion of the radiolabeled sideproduct formed in the reaction (Figure 4) and improved the yield of [ 11 C]encorafenib (Table 1, entries 7−10). With 1% iodomethane, formation of the side-product was minimized, although production of [ 11 C]encorafenib was also reduced.
It was then hypothesized that formation of the side-product by the continued reaction of [ 11 C]encorafenib with excess iodomethane could be occurring in the V-vial after the loop was flushed with acetonitrile. To investigate this, water (1 mL)

ACS Omega
http://pubs.acs.org/journal/acsodf Article was placed in the V-vial to quench the reaction immediately after the loop was flushed. With this method, a comparable RCY of [ 11 C]encorafenib (15.5%) and proportion of the sideproduct were observed using the optimized reaction conditions. This indicated that both the radiotracer and the radiolabeled side-product are formed in the loop.
With the optimized reaction conditions, three consecutive production runs were completed to evaluate the capacity of the process to run at a larger scale, the reproducibility of the process, and the radiochemical stability of the final product. Starting from 144 GBq of [ 11 C]CO 2 at end-of-bombardment, 6,845 ± 888 MBq of [ 11 C]encorafenib was produced at the end-of-synthesis (14.5 ± 2.4% isolated RCY, n = 3) in 30−35 min. The trapping efficiency of [ 11 C]CO 2 in the loop was 70%. Typical semi-preparative and analytical HPLC chromatograms are shown in Figure 5. The molar activity was 177 ± 5 GBq μmol −1 at the end-of-synthesis (n = 3) as determined by analytical HPLC. The pH was consistently measured to be 5.0, and gas chromatography analysis for residual solvents showed that acetonitrile was between 4 and 15 ppm. The radiochemical purity ranged from 98.9 to 99.3%, and no decomposition was detected in analyses of the product 1 h after production at room temperature. Throughout development and validation testing, the method was found to be robust and reliable. This demonstrates that the developed process for [ 11 C]encorafenib is reproducible and enables the preparation of a stable formulation of [ 11 C]encorafenib suitable for in vitro and in vivo studies.
Preliminary evaluation of [ 11 C]encorafenib was completed using an in vitro cellular binding experiment with A375 cells, a human melanoma cell line that expresses V600E-mutated B-Raf and is sensitive to treatment with encorafenib in vitro (EC 50 = 4 nM). 11,21 Following incubation with [ 11 C]encorafenib, the cells were washed and transferred for analysis with a gamma counter. The [ 11 C]encorafenib cellular binding was 0.83 ± 0.03% ID/mg protein. When the radiotracer was incubated in the presence of an excess amount of nonradioactive encorafenib (5 μM), binding was reduced by 49% to 0.41 ± 0.04% ID/mg protein (P = 0.0004). This provides evidence for saturable binding of [ 11  3. CONCLUSIONS [ 11 C]Encorafenib was successfully synthesized using in-loop [ 11 C]CO 2 fixation to label the carbonyl of the methyl carbamate. A simplified procedure was developed to enable [ 11 C]CO 2 fixation labeling, purification, and reformulation using a commercially available radiosynthesizer. Optimization studies identified reaction conditions to improve the [ 11 C]encorafenib RCY by reducing the formation of a radiolabeled side-product. Automation of the radiosynthesis process allows for reproducible production of [ 11 C]encorafenib in high purity, high molar activity, and with sufficient yield to support in vitro studies. A preliminary in vitro assay demonstrated saturable binding of [ 11 C]encorafenib to A375 melanoma cells, encouraging further investigations of this radiotracer.

METHODS
4.1. Materials. All commercially available materials were used without further purification unless otherwise noted. Encorafenib 1 was purchased from MedChemExpress. 1 H and 13 C NMR spectra were acquired with a Bruker AVANCE III HD 600 MHz spectrometer. Spectral data are reported in parts per million using the residual solvent as a reference. Highresolution mass spectrometry was performed by direct injection electrospray ionization (ESI) in positive-ion mode using a Q-Exactive Plus Orbitrap mass spectrometer (HRMS). LC−MS (ESI) was performed using a Waters Acquity Arc UHPLC with an Acquity QDa mass detector in positive-ion mode.
A GE Healthcare Process Cabinet (Procab) was used to purify [ 11 C]CO 2 from the target gas using a column packed   Encorafenib 1 (20 mg, 0.037 mmol) was dissolved in 10% NaOH (aq) (1 mL), CH 3 OH (1 mL), and tetrahydrofuran (1 mL) in a round-bottom flask equipped with a magnetic stir bar. The solution was heated to 85°C for 12 h. The crude mixture was concentrated, dissolved in 10% CH 3 11 C nuclear reaction using a GE Healthcare PETtrace 800 cyclotron. The target gas (N 2 + 1% O 2 ) was used to transfer the contents of the irradiated target to the Procab, where [ 11 C]CO 2 was captured on a column containing molecular sieves (4 Å, 80/100 mesh). The column was flushed and heated to 350°C to transfer the [ 11 C]CO 2 to the TRACERlab FX2 C radiosynthesizer. The [ 11 C]CO 2 was transferred to the sample loop, which contained the radiochemical precursor 2 and BEMP in DMF. A radioactivity detector proximal to the loop reactor was used to monitor the gas transfer. A solution of 1−10% (v/v) CH 3 I in CH 3 CN (300 μL) was added followed by CH 3 CN (500 μL) and H 2 O + 0.1% TFA (2 mL). The reaction mixture was loaded into the sample loop using helium gas and the TRACERlab FX2 C fluid detector and was injected onto the semi-preparative HPLC (flow rate: 7.5 mL min −1 ; 32% CH 3 CN/H 2 O + 0.1% TFA). The fraction containing [ 11 C]encorafenib was collected into a vessel containing water (20 mL), and helium was used to transfer the solution through a preconditioned Sep-Pak C18 plus short cartridge. The cartridge was washed with water (15 mL), and [ 11 C]encorafenib was eluted into a vial with ethanol (1 mL), followed by 0.9% saline (9 mL). Helium gas was used to pass the solution through a filter (0.2 μm) into a final product vial. An aliquot of the final product was analyzed by analytical radio HPLC (flow rate: 1.0 mL min −1 ; 5% CH 3 CN/ H 2 O + 0.01% HCO 2 H from 0 to 1 min, 5 to 95% CH 3 CN/ H 2 O + 0.01% HCO 2 H from 1 to 10 min, 95% CH 3 CN/H 2 O + 0.01% HCO 2 H from 10 to 12 min) to determine the radiochemical and chemical purity. The chemical identity was confirmed using analytical HPLC by a coinjection of [ 11 C]encorafenib with 1. The molar activity was measured by comparing the analytical HPLC UV (220 nm) response of the final product with a standard curve of 1. The trapping efficiency of [ 11 C]CO 2 in the loop was determined by measuring the activity captured by the ascarite trap connected to the waste ports.
4.4. Cell Uptake Assay. A375 cells were plated at a density of 50,000 cells/well on 6-well cell culture plates and were grown to 80−90% confluence. The cells were washed with DPBS, and fresh media were added to each well. For the control group, a solution (1 mL) of [ 11 C]encorafenib (2 nM) in media was added (n = 3). For the blocked group, a solution (1 mL) of [ 11 C]encorafenib (2 nM) and nonradioactive encorafenib (5 μM) in media was added (n = 3). After incubation for 45 min at 37°C, the media were removed, and the cells were washed with DPBS (3 × 2 mL), lysed with 0.1 M NaOH + 1% sodium dodecyl sulfate (0.6 mL), transferred to tubes, and measured with a γ-counter along with standards of [ 11 C]encorafenib prepared by serial dilution. The amount of protein in each sample was quantified using the micro BCA protein assay kit. The percent of the injected dose per milligram of protein (%ID/mg) was calculated from the decaycorrected counts and results from the BCA assay. Results are presented as mean ± standard deviation, and a two-tailed t-test was used to compare the control and blocked groups. P < 0.05 was considered significant.