Practical Aspects of 161Tb Production
Abstract
1. Introduction
1.1. Terbium Isotopes for Theranostic Application
1.2. Terbium-161 Across the Time
1.3. Clinical Trials with Terbium-161
1.4. Production of Terbium-161
1.5. Separation and Purification Process
2. 161Tb Preparation Suggestions
2.1. Target Material—Highly Enriched Gd2O3
2.2. Preparation of the Target
2.3. Irradiation in LVR-15 Nuclear Reactor
2.4. Opening of the Ampoule
2.5. Dissolution of the Irradiated Target
2.6. Separation
- Dimensions of separation column, bed volume;
- Flow rate;
- Type of sorbent used for separation, e.g., Dowex 50 W × 8 (H+ form, 200–400 mesh) transferred to NH4+ form (this study)—the details of the method used for transferring to NH4+ form are described in Section 4, Materials and Methods;
- Concentration of α-HIBA solution, usually 0.13 M for 161Tb elution and 0.5 M for Gd elution;
- pH of the α-HIBA solution;
- Mass of the target;
- Amount and type of impurities—the higher the amount (mass) of impurities, the bigger the retardation of elution peaks.
2.7. Purification and Formulation of 161TbCl3
2.8. Quality Control
2.8.1. Radioactivity Measurements
2.8.2. Chemical Purity Measurements
2.8.3. DOTA Labelling
3. Results and Discussion
3.1. Calculation of Neutron Fluxes and Specific Activity of 161Tb
3.2. Target Preparation and Irradiation
3.3. Separation and Purification Process
3.4. Dechelatation and Purification of 161Tb Containing Fractions
3.5. Radiometric Measurements
3.6. Chemical Purity and Specific Activity Determination
3.6.1. ICP-MS Analyses
3.6.2. DOTA Labelling
4. Materials and Methods
4.1. Target Preparation and Irradiation
4.2. Separation and Purification Process
4.3. Radiometric Measurements
4.4. Specific Activity Determination—ICP-MS Analyses, DOTA Labelling
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| [161Tb]Tb-RAD402 | anti-KLK3 monoclonal antibody radiolabelled with the radionuclide 161Tb |
| <LOD | below the limit of detection |
| CT | computing tomography |
| DOTA | 2,2′,2′′,2′′′-(1,4,7,10-Tetraazacyclododecane-1,4,7,10-tetrayl)tetraacetic acid |
| DOTA-LM3 | DOTA-p-Cl-Phe-cyclo(d-Cys-Tyr-d-4-amino-Phe(carbamoyl)-Lys-Thr-Cys)d-Tyr-NH2 |
| DOTATOC | (DOTA0-Phe1-Tyr3) octreotide; Edotreotide |
| DTPA | diethylenetriaminepentaacetic acid |
| EDTMP | Ethylenediamine tetra(methylene phosphonic acid) |
| eFGF1-161Tb | Engineered FGF1-DOTA-Tb [161Tb] for targeting FGFRs |
| FGFRs | fibroblast growth factor receptors |
| EOI | end of irradiation |
| EOS | end of separation |
| ICP-MS | inductively coupled plasma mass spectrometry |
| mAb | molecular antibody |
| PET | Positron emission tomography |
| PSMA | Prostate-specific membrane antigen |
| PSMA-I&T | Prostate-specific membrane antigen for imaging & therapy |
| RLT | radioligand therapy |
| SibuDAB | (S)-ibuprofen-diaminobutyric acid-PSMA |
| SPECT | Single-photon emission computing tomography |
| TAT | targeted alpha therapy |
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| Nuclide | T1/2 | Type of Decay | [MeV] | [MeV] | [keV] (Iγ [%]) | Application |
|---|---|---|---|---|---|---|
| 149Tb | 4.12 h | α (16.7%) EC + β+ (83.3%) | 3.967 (Iα = 16.7%) | 0.730 (Iβ+ = 7.1%) | 165.0 (26.4) 352.2 (29.4) 388.6 (18.4) 652.1 (16.2) | Alpha therapy PET imaging |
| 152Tb | 17.48 h | EC + β+ (100%) | - | 1.140 (Iβ+ = 20.3%) | 271.1 (9.5) 344.3 (63.5) 586.3 (9.2) 778.9 (5.5) | PET imaging |
| 155Tb | 5.32 d | EC (100%) | - | - | 86.55 (32.0) 105.3 (25.1) 180.1 (7.5) 262.3 (5.3) | SPECT imaging |
| 161Tb | 6.95 d | β− (100%) | - | 0.154 (Iβ− = 101%) | 25.6 (23.2) 48.9 (17.0) 74.6 (10.2) | Beta/Auger therapy SPECT imaging |
| Clinical Trial ID | Title | Conditions | Intervention/Treatment; Drug: | Study Type | Phase | Enrollment |
|---|---|---|---|---|---|---|
| NCT04833517 | REALITY Study: Analysis of a Prospective REgistry to Assess Outcome and Toxicity of Targeted RadionucLide TherapY in Patients With mCRPC in Clinical Routine | Prostate Cancer Metastatic; Castration-resistant Prostatic Cancer; Advanced Prostate Carcinoma | [177Lu]Lu-PSMA RLT; [225Ac]Ac-PSMA RLT; Tandem [177Lu]Lu-PSMA/[225Ac]Ac-PSMA RLT; [223Ra]RaCl2; [153Sm]Sm-EDTMP; [90Y]Y-microspheres; [161Tb]Tb-PSMA RLT | Obs. [PR] | 500 (est.) | |
| NCT05521412 | VIOLET Study: EValuation of radIOLigand Treatment in mEn With Metastatic Castration-resistant Prostate Cancer With [161Tb]Tb-PSMA-I&T | Prostate Cancer; Metastatic Castration-resistant Prostate Cancer | [161Tb]Tb-PSMA-I&T | Int. | Phase 1 Phase 2 | 30 (actual) |
| NCT05359146 | Beta Plus Study: Combined Beta-Plus Auger Electron Therapy Using a Novel Somatostatin Receptor Subtype 2 Antagonist Labelled With 161Terbium (161Tb-DOTA-LM3) | Neuroendocrine Neoplasias (NENs); Gastroenteropancreatic Neuroendocrine Tumour (GEP-NET) | [161Tb]Tb-DOTA-LM3; [177Lu]Lu-DOTATOC | Int. | Early Phase 1 | 16 (est.) |
| NCT06343038 | Targeted Radionuclide Therapy in Metastatic Prostate Cancer Using a New PSMA Ligand Radiolabelled With Terbium-161 (161Tb-SibuDAB)—Dose Identification/Escalation Phase Ia/b Study | Castration-resistant Prostate Cancer | [161Tb]Tb-SibuDAB; [177Lu]Lu-PSMA-I&T | Int. | Phase 1 | 25 (est.) |
| NCT06827080 | Study on the Safety, Tolerability, and Preliminary Efficacy of 161Tb-NYM032 in Patients with Metastatic Castration-Resistant Prostate Cancer | Metastatic Castration-resistant Prostate Cancer, MCRPC Cancer | [161Tb]Tb-NYM032 | Int. | Phase 1 Phase 2 | 15 (est.) |
| NCT07208240 | TbeforePROST Trial: Tb-PSMA-I&T Radionuclide Before Radical Prostatectomy in Patients With Locally Advanced Prostate Cancer | High Risk Prostate Cancer | Tb-PSMA-I&T (Tb-PSMA) | Int. | Phase 1 Phase 2 | 20 (est.) |
| NCT07259213 | RAD402: A Study of Terbium-161 (161Tb)-RAD402 in Participants With CRPC | Castration-resistant Prostate Cancer | [161Tb]Tb-RAD402 | Int. | Phase 1 Phase 2 | 73 (est.) |
| Resin | Form | Particle Size | Eluent | Ref. |
|---|---|---|---|---|
| BioRad Aminex A6 | NH4+ | 17.5 μm | 161Tb: 0.13 M α-HIBA (pH 4.5) Gd: 0.5 M α-HIBA | [8] |
| Sykam macroporous cation exchange | NH4+ | 12–22 μm | 161Tb: 0.13 M α-HIBA (pH 4.5) Gd: 0.175 M α-HIBA | [22] |
| BioRad AG 50 W × 8 | H+ | 200–400 mesh (dry), 63–150 µm (wet bead size) | 161Tb: 0.07 M α-HIBA (pH 4.75) Gd: 6.0 M HNO3 | [24] |
| Separation Step | Eluent—c(HNO3) | Purification/Concentration Step—Resin and Eluent | Ref. |
|---|---|---|---|
| LN resin | Gd: 0.8 N, 161Tb: 3.0 N | none | [23] |
| LN2 resin | Gradient elution: 0.25 M, 0.45 M, 1.0 M | DGA resin, 0.05 M HCl | [25] |
| TK212 resin (1st column) TK211 resin (2nd column) | Gd: 0.2 M, 161Tb and 161Dy: 0.5 M rest of Gd: 0.5 M, 161Tb: 0.75 M | TK221, 0.05 M HCl | [26] |
| Fresh (as Purchased) | Recycled | |
|---|---|---|
| Preparation of the target before irradiation | Oxide form—“ready to use”; Better prediction of the outcome | Needs to be processed before use—possible target material loss and contamination |
| Handling during target preparation | Easier—non-radioactive material | Appropriate handling required—radioactive material with long-live products |
| Stable impurities | More stable impurities * | Less stable impurities and higher specific activity of 161Tb (gradual 158Gd burning, previous separations); possible presence of carbides (from α-HIBA residues) |
| Radioactive impurities | None | Long-live radioactive isotopes (153Gd) and possibly radioactive impurities (152Eu, 154Eu) |
| Specific activity of the final 161Tb product [MBq/μg (of Tb)] | 300–1100 | 4000–4100 |
| Availability | Currently limited amount available | Self-sufficient source when repeatedly recycled (with regards to gradual loss of the material) |
| Gd2O3 | Gd(NO3)3 · 6 H2O | |
|---|---|---|
| Preparation time | Short—only sealing of the appropriate amount of material in quartz ampoule | Long—converting from oxide, sealing of the appropriate amount of material in quartz ampoule, higher risk of target contamination |
| Ampoule filling issues | Electrostatic repulsion of Gd2O3 | Hygroscopic material |
| Scalability | High | Low |
| Risk of ampoule failure and target loss | Low | High |
| Processing of the irradiated target | More complicated—need to use concentrated acids, evaporation, redissolution, heating; risk of contamination of the surrounding area and the dissolved target | Significantly easier than oxide target—dissolution in less concentrated acid without heating |
| Controlled Cutting | Crushing | |
|---|---|---|
| Use when the target material | remains on the bottom of the ampoule | is already spread throughout the ampoule, or the inner diameter is too narrow |
| Target handling | Manual operation | Automated and remote controlled operation |
| Volume of the dissolved target * | Smaller (0.5–1 mL) | Larger (2–5 mL) |
| Energy | Neutron Flux (n.cm−2.s−1) | |||
|---|---|---|---|---|
| H5/2 | H5/3 | H6/2 | H6/3 | |
| <0.5 eV | 6.97 × 10+13 | 7.03 × 10+13 | 6.68 × 10+13 | 5.83 × 10+13 |
| 0.5 eV–0.1 MeV | 4.24 × 10+13 | 3.83 × 10+13 | 3.71 × 10+13 | 3.59 × 10+13 |
| 0.1–20 MeV | 3.36 × 10+13 | 3.02 × 10+13 | 3.47 × 10+13 | 3.36 × 10+13 |
| >1.0 MeV | 1.59 × 10+13 | 1.44 × 10+13 | 1.72 × 10+13 | 1.67 × 10+13 |
| Total | 1.46 × 10+14 | 1.39 × 10+14 | 1.39 × 10+14 | 1.28 × 10+14 |
| Target | Target Mass [mg] | Mass 160Gd [mg] | Form | Target Condition | Irradiation Time [h] | Position | Reactor Power [MW] | AEOI DT [GBq] |
|---|---|---|---|---|---|---|---|---|
| 1_1 | 46.4 | 39.6 | oxide | fresh | 145.50 | H5/3 | 9.40 | 5.6 |
| 1_2 | 106.4 | 36.8 | nitrate | fresh | 6.4 | |||
| 2_1 | 141.1 | 48.8 | nitrate | fresh | 162.90 | H5/3 | 9.26 | 7.9 |
| 2_2 | 119.7 | 41.4 | nitrate | fresh | 6.0 | |||
| 3_1 | 43.4 | 15.0 | nitrate | recycled | 59.20 | H5/3 | 9.70 | 1.3 |
| 3_2 | 55.9 | 47.7 | oxide | recycled | 3.2 | |||
| 4_1 | 144.0 | 49.8 | nitrate | recycled | 222.70 | H6/3 | 9.69 | 11.0 |
| 4_2 | 76.0 | 26.3 | nitrate | recycled | 3.1 | |||
| 5_1 | 12.5 | 10.7 | oxide | fresh | 196.98 | H5/2 | 9.68 | 11.1 |
| 5_2 | 12.5 | 10.7 | oxide | fresh | ||||
| 5_3 | 12.5 | 10.7 | oxide | fresh | ||||
| 5_4 | 12.5 | 10.7 | oxide | fresh | ||||
| 6_1 | 12.5 | 10.7 | oxide | fresh | 266.08 | H6/2 | 9.67 | 11.7 |
| 6_2 | 12.5 | 10.7 | oxide | fresh | ||||
| 6_3 | 12.5 | 10.7 | oxide | fresh | ||||
| 6_4 | 12.5 | 10.7 | oxide | fresh | ||||
| 7_1 | 48.5 | 41.4 | oxide | recycled | 287.90 | H5/2 | 9.70 | 11.8 |
| 8_1 | 98.3 | 84.0 | oxide | fresh | 286.40 | H5/3 | 9.67 | 21.8 |
| 8_2 | 49.8 | 42.5 | oxide | recycled | 12.0 | |||
| 9_1 | 59.5 | 50.8 | oxide | fresh | 239.00 | H5/2 | 9.69 | 15.3 |
| 10_1 | 65.0 | 55.5 | oxide | recycled | 240.00 | H5/2 | 9.69 | 10.7 |
| 11_1 | 98.3 | 84.0 | oxide | recycled | 314.00 | H5/2 | 9.68 | 23.7 |
| 12_1 | 49.0 | 41.9 | oxide | fresh | 421.52 | H5/2 | 9.68 | 15.8 |
| Target | AEOI [GBq] | Y [%] | Am [MBq/μg] | 160Gd Content [μg/GBq] |
|---|---|---|---|---|
| 6_(1–4) | 11.2 | 99.5 | 1200 | 192.67 |
| 7_1 | 9.9 | 93.7 | 4200 | 0.0076 |
| 8_1 | 22.1 | 90.5 | 4100 | 0.8568 |
| 8_2 | 11.4 | 89.8 | 4000 | 0.0727 |
| 9_1 | 14.7 | 86.8 | 500 | 0.0081 |
| 10_1 | 10.4 | 85.7 | 4100 | 0.0012 |
| 11_1 | 13.6 | 88.7 | 4000 | 0.0491 |
| 12_1 | 15.8 | 88.6 | 400 | 0.0127 |
| Target | 159Tb | Gd | Cr | Ni | Cu | Zn | Nd | Sm | Eu | Er | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| c (μg/mL) | 6_(1–4) | 1.219 | 974.975 | 0.170 | <LOD | <LOD | 0.786 | 0.099 | 0.029 | 0.032 | 0.025 |
| 7_1 | 0.018 | 0.026 | 0.609 | <LOD | <LOD | <LOD | 0.031 | 0.007 | 0.002 | 0.010 | |
| 8_1 | 0.603 | 160.409 | 0.229 | <LOD | <LOD | <LOD | 0.037 | 0.015 | 0.016 | <LOD | |
| 8_2 | 0.118 | 0.663 | 0.138 | <LOD | <LOD | <LOD | 0.062 | 0.044 | 0.012 | 0.032 | |
| 9_1 | 10.285 | 16.115 | 130.684 | 43.450 | 5788.145 | 14.028 | 1.613 | 7.405 | 2.127 | 5.806 | |
| 10_1 | 0.135 | 0.081 | 0.091 | <LOD | 37.025 | <LOD | <LOD | <LOD | 0.038 | 0.034 | |
| 11_1 | 0.161 | 0.551 | <LOD | <LOD | 40.623 | <LOD | <LOD | <LOD | 0.019 | 0.011 | |
| 12_1 | 88.268 | 12.668 | 104.547 | 28.825 | 4310.207 | 17.642 | 1.291 | 1.481 | 1.276 | 3.313 | |
| Isotope | 152Gd | 154Gd | 155Gd | 156Gd | 157Gd | 158Gd | 160Gd |
|---|---|---|---|---|---|---|---|
| Content (%) | <0.001 | 0.01 | 0.18 | 0.36 | 0.25 | 1 | 98.2 ± 0.1 |
| Element | Content (%) | Element | Content (%) | Element | Content (%) |
|---|---|---|---|---|---|
| K | <0.005 | Si | <0.005 | Nd | <0.0001 |
| Na | <0.002 | Cr | <0.0005 | Sm | 0.0013 |
| Ca | <0.005 | Ni | <0.0001 | Eu | <0.0001 |
| Mg | <0.0003 | Cu | <0.0001 | Tb | <0.0002 |
| Fe | <0.005 | Pb | 0.0013 | Dy | <0.0001 |
| Al | <0.0003 | Sb | <0.0001 | Er | <0.0001 |
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Skálová, M.; Janská, T.; Štíbr, M.; Vlk, M.; Šoltés, J.; Vinš, M.; Hassfjell, S.; Muller, J.; Kozempel, J. Practical Aspects of 161Tb Production. Pharmaceuticals 2026, 19, 619. https://doi.org/10.3390/ph19040619
Skálová M, Janská T, Štíbr M, Vlk M, Šoltés J, Vinš M, Hassfjell S, Muller J, Kozempel J. Practical Aspects of 161Tb Production. Pharmaceuticals. 2026; 19(4):619. https://doi.org/10.3390/ph19040619
Chicago/Turabian StyleSkálová, Marie, Tereza Janská, Matěj Štíbr, Martin Vlk, Jaroslav Šoltés, Miroslav Vinš, Sindre Hassfjell, Jiri Muller, and Ján Kozempel. 2026. "Practical Aspects of 161Tb Production" Pharmaceuticals 19, no. 4: 619. https://doi.org/10.3390/ph19040619
APA StyleSkálová, M., Janská, T., Štíbr, M., Vlk, M., Šoltés, J., Vinš, M., Hassfjell, S., Muller, J., & Kozempel, J. (2026). Practical Aspects of 161Tb Production. Pharmaceuticals, 19(4), 619. https://doi.org/10.3390/ph19040619

