Preparation of dimeric contrast agents

Abstract

The present invention relates to a dimeric contrast agent for use in magnetic resonance imaging (MRI), in particular [μ-[1-[bis[2-(hydroxy-κO)-3-[4,7,10-tris[(carboxy-κO)methyl]-1,4,7,10-tetraazacyclododecan-1-yl-κN], comprising a preparation process carried out in one pot without isolation of the intermediates obtained. 1 ,κN 4 ,κN 7 ,κN 10 ]propyl]amino]-1-deoxy-D-glucitrate(6-)]digadolinium complex.

Description

[Technical field]

[0001] FIELD OF THEINVENTION The present invention relates to the preparation of contrast agents for use in magnetic resonance imaging (MRI). In particular, the present invention relates to dimeric contrast agents, in particular [μ-[1-[bis[2-(hydroxy-κO)-3-[4,7,10-tris[(carboxy-κO)methyl]-1,4,7,10-tetraazacyclododecan-1-yl-κN 1 ,κN 4 ,κN 7 ,κN 10 This paper presents a novel method for the preparation of the ]propyl]amino]-1-deoxy-D-glucitrate(6-)]digadolinium complex. [Background technology]

[0002] technical level Magnetic resonance imaging (MRI) is a well-known imaging technique that is being used in clinical diagnosis for an increasing number of indications.

[0003] The advancement of medical MRI has been driven by the development of a class of compounds called MRI contrast agents, which act by dramatically altering the proton relaxation rates of nearby water in the tissues / organs / fluids in which they are distributed, adding relevant physiological information to the impressive anatomical resolution available in non-contrast MRI images.

[0004] Contrast agents used in MRI imaging techniques typically contain paramagnetic metal ions complexed with cyclic or acyclic chelating ligands, more typically polyaminopolycarboxylic acid chelators. The most important class of MRI contrast agents is represented by Gd(III) chelates, which are currently used in about one-third of clinical trials. Indeed, Gd(III) has high paramagnetism with seven unpaired electrons and long electronic relaxation times, making it an excellent candidate as a relaxation agent.

[0005] WO2017098044 (of the same applicant as the present application) discloses a compound of the formula: [ka] This invention discloses a dimeric paramagnetic complex represented by the formula:

[0006] Among many specific compounds, the present application relates to a compound of formula [ka] The present invention discloses a digadolinium complex of the 1-[bis[2-hydroxy-3-[4,7,10-tris(carboxymethyl)-1,4,7,10-tetraazacyclododecan-1-yl]propyl]amino]-1-deoxy-D-glucitol ligand, represented by the formula:

[0007] The complex compounds exhibit interesting properties, especially in terms of relaxivity and tolerability, making them suitable for in vivo imaging performed at lower doses of the paramagnetic complex than commercially available contrast agents.

[0008] The above international application further discloses a process for the preparation of the compounds as shown in general scheme 1 below. [ka]

[0009] The main steps of the disclosed synthesis are as follows: a) Preparation and isolation of DO3A tri-tert-butyl ester (compound 1A) essentially as disclosed in Org. Synth. 2008, 85, 10; b) intermediate 2 was prepared by alkylating D-glucamine with epichlorohydrin (molar ratio 1:4.95) in MeOH at 50° C. for 26 hours and evaporating the crude reaction to isolate the condensation product; c) DO3A tri-tert-butyl ester was alkylated with intermediate 2 in DMSO and Et3N, and the crude residue was evaporated and purified on Amberlite XAD® 1600 to give the protected ligand 3; d) deprotection of ligand 3 with TFA acid and TIPS in dichloromethane, evaporation of the crude reaction mixture and purification of the residue on Amberlite XE 750; e) Ligand 4 is complexed with gadolinium chloride hexahydrate in water, the solution is filtered and evaporated to give a crude product which is purified on Amberchrome CG161M resin.

[0010] The process requires synthesis and isolation of the individual intermediates, which is usually achieved by evaporating the solvent to the residue. Such isolation steps inevitably reduce the yield and efficiency of the overall process, in addition to being unsuitable for large-scale production. Furthermore, the prior art processes are not particularly suitable for implementation on a larger scale, e.g., industrial production, since they use harsh materials such as TFA, TIPS and DCM, which are difficult to handle, i.e., corrode and therefore may wear out the synthesis equipment, and / or may not be safe for the health of the workers. Summary of the Invention [Problem to be solved by the invention]

[0011] Summary of the Invention The present invention relates generally to an optimized process for the preparation of dimeric complex compound 5, which involves a preparation step carried out in one pot, without the need for isolation of the resulting intermediate, allowing both a reduction in time and an improvement in overall yield and efficiency. [Means for solving the problem]

[0012] More specifically, the present invention relates to a dimeric complex compound 5 [ka] The method comprises the following main steps: 1) For example, in an organic solvent, [ka] preparing a solution of DO3A tri-tert-butyl ester represented by the formula: 2) For example, in an organic solvent, [ka] preparing a solution of an intermediate represented by the formula: 3) Mix the solutions prepared according to steps 1 and 2 to obtain a solution of formula 3 [ka] obtaining a solution of the protected ligand represented by 4) Without isolating the protected ligand from the solution of step 3, the protecting group tert-butyl is removed from the protected ligand to give a compound of formula 4 [ka] to obtain a free ligand solution denoted by 5) adding gadolinium metal ions to the solution of step 4 without isolating the free ligand of formula 4 from the resulting solution to obtain a solution of the dimeric complex of formula 5; and 6) isolating the dimeric complex; The present invention relates to a method comprising the steps of:

[0013] In a preferred embodiment of the invention, the reaction solvent in all steps after the preparation of the compound of formula 3 is an aqueous solvent or aqueous solvent mixture, which advantageously does not contain harmful substances such as TFA, TIPS and / or DCM.

[0014] Step 1 of the process generally comprises preparing a solution of DO3A tri-tert-butyl ester 1A. In one embodiment, the solution is prepared in an organic solvent, for example by dissolving commercially available DO3A tri-tert-butyl ester, or DO3A tri-tert-butyl ester prepared using known synthetic procedures, in the solvent.

[0015] In a preferred embodiment, the solution of 1A is prepared immediately before use by converting a salt of DO3A tri-tert-butyl ester, such as the hydrobromide salt, into its free base 1A. The conversion, which typically comprises neutralization of the hydrobromide salt, is preferably carried out in an organic solvent in the presence of a base or a basic salt (a salt which is the neutralization product of a strong base and a weak acid (which hydrolyzes by forming a basic solution)). Then, by removing the salt formed and optionally concentrating the filtrate, it is possible to obtain a solution of DO3A tri-tert-butyl ester 1A in an organic solvent, suitable for use directly in the subsequent steps of the process without the need for purification or isolation of the ester.

[0016] Suitable organic solvents preferably include MeCN, propylene carbonate, ethanol, t-butanol, hexane, etc. More preferably, the organic solvent is MeCN.

[0017] Suitable bases or basic salts for neutralization of the starting hydrobromide salt include, for example, strong bases, anion exchange resins such as Diaon PA308, Amberlite IRA 400, KOH, tBuOK, Na2CO3 and K2CO3, with Na2CO3 and K2CO3 being preferred. More preferably, neutralization of DO3A tri-tert-butyl ester hydrobromide salt is carried out in the presence of K2CO3.

[0018] Step 2 of the process involves the preparation of a compound of formula 2, which can be obtained by alkylating D-glucamine with epichlorohydrin. The alkylation is carried out in an organic solvent, such as a bipolar organic solvent or an aqueous mixture thereof. For example, suitable organic solvents include alcohols such as DMAC, DMF, MeOH, and mixtures thereof. More preferably, the organic solvent is DMAC. By distilling off the aqueous solvent and / or excess epichlorohydrin from the mixture, a solution of the compound of formula 2 in an organic solvent is then obtained, which is suitable for use directly in the next step of the process without isolation and / or further purification of the alkylation product.

[0019] Step 3 of the process essentially involves the condensation (or coupling, used interchangeably herein) of the intermediate compound of formula 2 with DO3A tri-tert-butyl ester 1A, with the formation of the protected ligand of formula 3. The condensation reaction is preferably carried out in the presence of a base, which acts as an acceptor for the HCl formed, for example. Suitable bases include, for example, anion exchange resins such as Amberlite GC400, NMM, tBuOK, Et3N, and DIPEA, with Et3N and DIPEA being preferred, and DIPEA being particularly preferred.

[0020] In one embodiment, the condensation reaction is carried out by adding an organic solution of base and DO3A tri-tert-butyl ester 1A recovered directly from step 1 to a solution of compound 2 recovered in step 2 to obtain an organic crude comprising the condensation product of formula 3 in a mixture of organic solvents. The organic crude is then purified to obtain a purified product in a water / organic solvent mixture, and optionally finally distilled off the organic solvent to obtain the protected ligand of formula 3 in an aqueous solvent or aqueous solvent mixture that can be used directly in the next step without isolation and / or further purification of the protected ligand itself.

[0021] Step 4 of the process essentially involves removing the carboxyl protecting group from the protected ligand of formula 3 to obtain an aqueous solution or mixture of the free ligand of formula 4. Deprotection by hydrolysis of the tert-butyl protecting group can be carried out under both acidic and basic conditions by using reaction reagents and conditions known to those skilled in the art. In one embodiment, deprotection is carried out by acidifying the aqueous solution or mixture of the protected ligand directly recovered from step 3 of the process to obtain an acidic solution of the free ligand of formula 4. Acidification is preferably carried out by addition of an acid selected from, for example, HCl, H2SO4, and H3PO4. In a preferred embodiment, deprotection is carried out with HCl. Neutralization of the acidic solution, followed by purification and partial concentration of the resulting mixture then provides an aqueous solution or mixture of the ligand 4, which is used directly in the complexation step without isolation.

[0022] Step 5 involves complexing the ligand with gadolinium metal ions to obtain the desired dimeric complex 5. The complexing reaction can be conveniently carried out according to well-known procedures, for example by adding a stoichiometric amount of an appropriate Gd(III) derivative, specifically an oxide (such as Gd2O3) or a gadolinium salt, to a solution of the ligand. In one embodiment, the complexing reaction is carried out by adding GdCl3 to a solution of the ligand directly recovered from step 4 of the process. The resulting mixture is adjusted to a pH of about 5 to about 7 and stirred to obtain an aqueous solution or mixture of gadolinium complex 5, which is purified and concentrated to obtain a solution of the desired dimeric complex 5 with the desired purity.

[0023] Step 6 involves the final isolation of the desired gadolinium complex 5. This step can be conveniently carried out according to known procedures. In one embodiment, the solution of the purified complex recovered in step 5 is spray dried to obtain the desired product as a white solid of desired purity.

[0024] Interestingly, the above process makes it possible to avoid or greatly reduce the use of hazardous reagents such as trifluoroacetic acid (TFA) and cumbersome solvents such as dichloromethane, which are required in prior art processes and are difficult to handle when carried out on a large scale, for example in industrial production.

[0025] Furthermore, the process comprises a one-pot step suitable for large-scale implementation, without the need to isolate the prepared precursor (such as 1A) or intermediate. As a result, in addition to shortening the preparation time and being easily implemented on a large scale as described above, the process advantageously allows a significant increase in the overall process yield from 10% (obtained in the process disclosed in WO2017098044) to at least 20%, preferably 25%, typically about 28%, advantageously more than 30%. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0026] Detailed Description of the Invention As used herein, and unless otherwise specified, the term "intermediate" (e.g., as used with respect to a compound of formula 2 resulting from the alkylation reaction of D-glucamine with epichlorohydrin, or a protected ligand of formula 3) refers to a molecule produced during the chemical synthesis or preparation steps of the process that is not itself the end product, but rather requires one or more further reactions, such as alkylation / deprotection / complexation reactions, to obtain the end product of the process, i.e., dimeric complex compound 5.

[0027] Unless otherwise specified, the term "precursor" (e.g., as used in reference to compound 1A) refers to a molecule that is involved in a chemical reaction that facilitates the conversion of the precursor into another molecule that contains or is derived from the precursor.

[0028] As used herein, the term "aqueous solvent" refers to an aqueous solution of water and salt, which may optionally contain small amounts of organic solvent that are miscible with water (e.g., 10% or less by volume of organic solvent that is miscible with water, preferably 8% or less, more preferably 5% or less by volume) (e.g., because the process of the present invention is carried out substantially without isolation of intermediate products, whereby small amounts of organic solvent may remain throughout the upstream and initial steps of the process). Preferably, the aqueous solvent is water.

[0029] The expressions "water / organic solvent mixture" or more simply "aqueous solvent mixture", as used interchangeably herein, refer to a mixture of two or more solvents, where the mixture of aqueous solvents, e.g. water and one or more organic solvents, are all miscible with each other to give a homogeneous solvent mixture, the volume fraction of one or more organic solvents being higher than 10%, higher than 15%, more preferably higher than 20%. Suitable examples include, for example, a mixture of water and acetonitrile (or water / MeCN) used as an eluent in the chromatographic purification of the compound of formula 3, or a mixture of water / MeCN / DMAC, e.g. obtained by diluting the crude mixture resulting from the condensation reaction of step 3 with water. According to a preferred embodiment of the present invention, the one or more organic solvents in the aqueous solvent mixture (as well as in the aqueous solvent, if present) are not harsh solvents or materials; indeed, the aqueous solvent mixture is preferably not composed of harsh solvents or materials, such as TFA, TIPS and / or DCM.

[0030] Similarly, the expressions "aqueous solution" and "aqueous mixture" refer to a solution or mixture that contains water, respectively. Suitable examples include a solution of one or more compounds (such as reagents, acids, solutions, bases or reaction products) in water (more generally, an aqueous mixture) or in an aqueous solvent mixture, respectively, and mixtures such as an aqueous / organic mixture resulting from the addition of water or an aqueous solution to a reaction mixture in an organic solvent.

[0031] As used herein, the term "protecting group" (e.g., as used with reference to compounds of formula 3) refers to a protecting group suitable for preserving the functionality of the group to which it is attached. Specifically, protecting groups are used to preserve the carboxyl functionality. More specifically, the term refers to a tert-butyl group, which preserves the chelating functionality of the carboxyl group of the ligand by formation of a tert-butyl ester [for a general reference on protecting groups and deprotection conditions, see TW Green and PGM Wuts; Protective Groups in Organic Synthesis, Wiley, NY 1999, third edition].

[0032] An embodiment of the present invention essentially comprises the following general synthetic scheme 2: [ka] The method for producing the dimeric compound 5 represented by the formula (I) includes the following main steps: 1) neutralizing hydrobromide salt of DO3A tri-tert-butyl ester in an organic solvent to obtain a solution of DO3A tri-tert-butyl ester 1A in an organic solvent; 2) reacting D-glucamine with epichlorohydrin to obtain a solution of the compound of formula 2 in an organic solvent such as DMAC; and, without isolating the product, 3) reacting the compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1 in the presence of a base, optionally concentrating the solution to obtain an organic crude solution, diluting the organic crude solution with water, an aqueous / organic solvent mixture and / or optionally an aqueous solution to obtain an aqueous / organic crude solution, purifying the aqueous / organic crude solution and optionally removing the organic solvent to obtain an aqueous solution or aqueous mixture of the protected ligand of formula 3; and, without isolating the product, 4) acidifying the solution of the protected ligand of formula 3 obtained in step 3 to obtain an acidic aqueous solution or mixture of the deprotected ligand 4, neutralizing the acidic solution and purifying the resulting neutral solution to obtain an aqueous solution or mixture of the deprotected ligand 4; and, without isolation, 5) adding gadolinium metal ions to a solution of the ligand 4 to obtain a solution of the corresponding complex compound 5; and 6) Isolating the complex.

[0033] Process 1 The first step of the process involves preparing a solution of DO3A tri-tert-butyl ester 1A in an organic solvent by directly converting the hydrobromide salt of DO3A tri-tert-butyl ester to its free base in an organic solvent such as MeCN in the presence of a base or a basic salt.

[0034] In a preferred embodiment, step 1 of the process comprises: i) suspending the hydrobromide salt of DO3A tri-tert-butyl ester together with a base or a basic salt such as K2CO3 in an organic solvent such as MeCN to obtain a suspension containing the formed salt; ii) filtering the suspension; and iii) collecting the filtered suspension and optionally concentrating it to obtain a solution of DO3A tri-tert-butyl ester 1A in an organic solvent suitable for direct use in subsequent condensation reactions without the need for purification or isolation of the ester.

[0035] The hydrobromide salt of the ester and K2CO3 are preferably suspended in an organic solvent at room temperature to obtain a mixture, which is maintained under stirring for a period of 16 to 30 hours, preferably 18 to 20 hours, at a temperature of 20 to 30° C., preferably about 25° C. The mixture is then treated, preferably by filtration, to remove the salt formed.

[0036] In a preferred embodiment, the solution obtained by filtration is heated and concentrated (e.g., by partial distillation of the solvent) to give a solution of tri-tert-butyl ester 1A in MeCN at a final concentration of 55-65%, preferably about 60% (w / w), suitable for direct use in the subsequent condensation step of the process.

[0037] Process 2 This step involves preparing a solution of an intermediate compound of formula 2 by reacting D-glucamine with epichlorohydrin. In one embodiment, the reaction is carried out in a mixture of solvents, preferably water / DMAC, using a slight stoichiometric excess of epichlorohydrin, e.g., 2-3 moles, more preferably about 2.2 moles, per mole of D-glucamine. Preferably, such reaction in step 2 is carried out using a slight stoichiometric excess of epichlorohydrin, e.g., 2-3 moles, more preferably, 2.05-2.5 moles, even more preferably about 2.2 moles, per mole of D-glucamine.

[0038] In a preferred embodiment, step 2 of the process comprises: i) adding an aqueous solution of D-glucamine to a solution of epichlorohydrin in DMAC to obtain an intermediate compound of formula 2 in a water / DMAC solvent mixture; and ii) removing water from the solvent mixture to obtain a solution of the compound of formula 2 in the organic solvent.

[0039] D-glucamine is added to the epichlorohydrin solution, preferably at room temperature, over a period of about 2 hours to obtain a mixture, which is then stirred at a temperature of 15-30°C, preferably 15-25°C, more preferably 20-25°C, for 16-24 hours, preferably 16-20 hours, more preferably about 17 hours.

[0040] The mixture is then distilled to remove water and residual epichlorohydrin. Distillation is preferably carried out at reduced pressure and at a temperature preferably between 40-65° C. to obtain a solution of the desired intermediate compound of formula 2 in DMAC with a residual water content preferably <2% w / w. The resulting solution is then used directly in the subsequent condensation reaction without the need for product isolation or purification.

[0041] Process 3 This step essentially involves the condensation of DO3A tri-tert-butyl ester 1A with intermediate 2 in the presence of a base such as Et3N or more preferably DIPEA. The condensation is preferably carried out by combining a solution of ester 1A in base and MeCN obtained in step 1 with a solution of intermediate 2 in DMAC recovered directly from step 2 to obtain a crude solution containing the protected ligand of formula 3 in a mixture of MeCN / DMAC organic solvents, which is then purified.

[0042] In one embodiment, the organic crude resulting from the condensation reaction is diluted with water or partially concentrated and then diluted with water or an aqueous solvent mixture, preferably water / MeCN, to obtain an aqueous / organic crude or an aqueous crude (used interchangeably herein).

[0043] In a preferred embodiment, the aqueous / organic crude liquid thus obtained or the organic crude liquid preferably obtained by the condensation reaction is added with an aqueous solution that promotes the precipitation of the reaction salt, including DO3A tri-tert-butyl ester hydrochloride, and the precipitate is removed by filtration to obtain an aqueous / organic filtrate. The aqueous / organic crude liquid or the aqueous / organic filtrate is then purified, preferably by chromatography.

[0044] In one embodiment, the aqueous solution used to facilitate precipitation of the hydrochloride salt is aqueous ammonia.

[0045] More specifically, step 3 of the process preferably comprises: i) condensing the intermediate compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1 in the presence of a base, preferably DIPEA, to obtain an organic crude solution consisting of the condensation product of formula 3 and a reaction salt in an organic solvent mixture, and optionally concentrating the organic crude solution; ii) diluting the organic crude solution of step i with water or a water / organic solvent mixture, preferably water / MeCN, to obtain an aqueous / organic crude solution; iii) optionally adding an aqueous solution that promotes precipitation of the reaction salt to the aqueous / organic crude liquid and removing it by filtration to obtain an aqueous / organic filtrate; or iv) diluting the organic crude liquid of step i with an aqueous solution promoting precipitation of reaction salts which is removed by filtration to obtain an aqueous / organic filtrate; v) purifying the aqueous / organic crude solution of step ii, or the aqueous / organic filtrate of step iii or step iv, to obtain a solution of the protected ligand of formula 3 in an aqueous / organic solvent mixture that can be used in the subsequent deprotection step of the process without the need for isolation or further purification of the protected product; and vi) Optionally, removing the organic solvent from the mixture to obtain a solution of the protected ligand of formula 3 in water that is used in the subsequent deprotection step of the process without the need for isolation or further purification of the protected product.

[0046] The condensation reaction is preferably carried out by adding a solution of the ester 1A in MeCN recovered in step 1 of the process and a base to a solution of the intermediate compound of formula 2 in DMAC recovered in step 2.

[0047] Suitable amounts of base and ester 1A are conveniently determined based on the amount of D-glucamine reacted. In one embodiment, the condensation reaction is carried out with 1.6-2.4 moles, preferably about 1.8 moles, of ester 1A and 2-4 moles, preferably about 2.3 moles, of DIPEA per mole of starting D-glucamine reacted.

[0048] This addition is preferably carried out at a temperature of 40 to 50° C. The condensation reaction is then carried out at a temperature of 50 to 80° C., preferably 65 to 75° C., for example, for 60 to 80 hours, preferably 70 to 75 hours, to obtain a crude liquid containing the desired condensation product of formula 3 and the hydrochloride salt in the MeCN / DMAC solvent mixture.

[0049] In one embodiment, this crude liquid is then diluted with water to obtain an aqueous / organic crude liquid having a concentration preferably of about 25-30%, more preferably about 25% (w / w). In one preferred embodiment, the aqueous crude liquid contains an amount of water at least equal by weight to the amount of organic solvent (specifically MeCN in the mixture); more preferably, the crude liquid has a water:MeCN ratio of about 60:40.

[0050] The aqueous / organic crude liquid is then purified, preferably by chromatography, more preferably on a resin, even more preferably on an adsorptive resin such as Amberlite XAD® 1600. In a preferred embodiment, the aqueous crude liquid is purified on an adsorptive resin such as Amberlite XAD® 1600 using a water / MeCN mixture as eluent, and the unreacted DO3A tri tert-butyl ester 1A and the pure condensation product are obtained as separated fractions in a water / MeCN solvent mixture.

[0051] In another embodiment, the crude liquid obtained from the condensation reaction is first concentrated by removing at least a portion of the MeCN (e.g., by distillation). The concentrated solution is then diluted with water or a mixture of water:MeCN to obtain an aqueous / organic crude liquid having the water:MeCN ratio described above, which is then purified by chromatography as described above.

[0052] Optionally, to the aqueous / organic crude obtained as above, an aqueous solution (such as aqueous ammonia) is added which, upon cooling of the mixture, precipitates the unreacted DO3A tri-tert-butyl ester as the hydrochloride salt, which is removed by filtration and optionally recycled. The filtrate, which is essentially free of chloride salts, is then purified by chromatography on an adsorption resin such as Amberlite XAD® 1600 resin as described above, to obtain the remaining DO3A tri-tert-butyl ester 1A and the pure condensation product as separated fractions in an aqueous / organic (e.g. water / MeCN) solvent mixture.

[0053] In a preferred embodiment, an aqueous solution (e.g., aqueous ammonia) that precipitates the unreacted DO3A tri-tert-butyl ester as the hydrochloride salt upon cooling the mixture is added directly to the organic crude liquid obtained from the condensation reaction, followed by filtration to remove the precipitate and optionally reuse it. The filtrate, which is essentially free of chloride salts, is purified by chromatography on an adsorption resin such as Amberlite XAD® 1600 resin as described above to obtain the remaining DO3A tri-tert-butyl ester 1A and the pure condensation product as separate fractions in an aqueous / organic (e.g., aqueous / MeCN) solvent mixture.

[0054] Optionally, from the pure fractions, final distillation of the organic solvent (e.g. under reduced pressure) affords the condensation product of formula 3 as an aqueous solution with a final concentration of 5-15% (w / w), preferably about 10% (w / w), suitable for use directly in the subsequent deprotection step without the need for isolation or further purification of intermediates.

[0055] Interestingly, the above steps provide a protected condensation product 3 in an aqueous solvent or aqueous solvent mixture, which can be deprotected and complexed to the final complex 5 by using water, or more generally an aqueous solvent or aqueous solvent mixture, as the only or one of the main reaction solvents. The protected condensation product 3 in an aqueous solvent can be obtained according to various methods known to those skilled in the art. For example, the organic crude solution of the compound of formula 3 obtained by reacting the compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1, as described above, can be diluted with water, an aqueous / organic solvent mixture or an aqueous solution to obtain an aqueous / organic crude solution. Before removing the organic solvent, the aqueous / organic crude solution can be purified by chromatography, preferably a resin, more preferably an adsorbent resin, such as Amberlite XAD® 1600. The organic solvent can then be removed to obtain an aqueous solution of the compound of formula 3, for example by distillation under reduced pressure. The protected condensation product 3 in an aqueous solvent mixture can also be obtained according to various methods known to those skilled in the art. For example, the crude organic solution of the compound of formula 3 obtained by reacting the compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1 can be diluted with water, a water / organic solvent mixture or an aqueous solution to obtain an aqueous / organic solution for use in the subsequent step without isolating the product 3.

[0056] Thus, according to a preferred embodiment of the present invention, the invention comprises the further step of converting the solution of the compound of formula 3 into an aqueous solution of the compound of formula 3 or into an aqueous mixture of the compound of formula 3. Preferably, this further step comprises: (i) diluting a solution of a compound of Formula 3 with water, a water / organic solvent mixture, or an aqueous solution to obtain an aqueous mixture (or a water / organic solution); and (ii) optionally removing the organic solvent (e.g., by distillation) to obtain an aqueous solution; This is done by.

[0057] Process 4 This step involves deprotecting the protected ligand of formula 3 by removing the carboxyl protecting group to obtain an aqueous solution or mixture of the free ligand 4. This reaction is preferably carried out by acidifying the aqueous solution or mixture of the protected ligand of formula 3 recovered directly from step 3 of the process.

[0058] In one embodiment, step 4 of the process comprises: i) adding an acid to an aqueous solution or mixture of the compound of formula 3 recovered in step 3 to obtain an acidic solution of free ligand 4; ii) adding a base to the acidic solution to obtain a substantially neutralized solution of Ligand 4; iii) Purifying and optionally concentrating the neutralized solution to obtain an aqueous solution or mixture of free ligand 4 suitable for direct use in the next complexation reaction without the need for ligand isolation.

[0059] In one embodiment, a solution of the protected compound of formula 3 is acidified by the addition of an acid, for example 34% aqueous HCl. The acidification is carried out by using a large excess of HCl, for example 30-100 times, preferably 30-80 times, more preferably 40-50 times the molar amount of the protected compound 3.

[0060] The addition of the acid is carried out at a temperature of 20-35° C., preferably 30-35° C. The resulting solution is then stirred at 30-40° C. for 10-36 hours, preferably 25-30 hours, by following the deprotection of the ligand, for example by chromatography.

[0061] The acidic solution is then cooled, for example to 25° C., and neutralized by the addition of a base, preferably NaOH, to obtain a crude liquid with a final pH of 6.5 to 7.5, which is then purified.

[0062] The purification step preferably comprises: i) distilling the neutralized solution to remove the resulting t-butanol; ii) desalting of stillage; and iii) Chromatographic purification of the desalted solution Includes.

[0063] In particular, in one embodiment, the solution obtained after addition of the base is distilled to remove the tert-butanol formed, preferably at a temperature of 40-60° C. The distillation residue is then desalted, preferably by nanofiltration, to purify the recovered solution.

[0064] In one embodiment, the solution obtained by nanofiltration is first concentrated, for example under reduced pressure at 40-60° C., preferably at about 50° C., to a concentration preferably of 23-27% (w / w), and then purified by elution on a resin, more preferably Amberlite XAD® 1600. The eluate is optionally treated with Carbonpuron® and concentrated under reduced pressure at about 50° C., to obtain an aqueous solution or mixture of the ligand of formula 4, preferably with a final concentration of 8-25%, which is used directly in the subsequent complexation reaction without separation of the ligand.

[0065] Advantageously, the above procedure uses water as the sole or one of the main reaction solvents, thus avoiding or reducing the use of organic solvents, particularly harsh solvents such as DCM and harsh reaction components such as TFA and TIPS, which are required by the above prior art processes. These harsh materials are difficult to handle and therefore not suitable for use in large scale production. Moreover, the process allows the desired ligand to be obtained in an aqueous solution or mixture that can be used in the complexation reaction without isolation.

[0066] Process 5 This step involves complexing the dimeric ligand of formula 4 with gadolinium ions to obtain an aqueous solution or mixture of the desired chelating complex 5.

[0067] More specifically, this step preferably includes: i) adding a gadolinium salt, such as GdCl3, to the solution of the ligand recovered in step 4 to obtain a mixture containing the dimeric chelate complex 5; ii) adding a base to obtain a mixture with a pH of about 5 to about 7; iii) purifying the mixture to obtain a solution of the dimeric complex of formula 5; and iv) Concentrating the recovered solution.

[0068] This reaction is preferably carried out by adding GdCl3 directly to the solution of the ligand recovered in the previous step. The addition is preferably carried out at a temperature between 25 and 45° C. The amount of GdCl3 required to completely complex the ligand is determined according to well-known procedures, for example by titration of the ligand solution using copper sulfate as titrant.

[0069] In one embodiment, the ratio of the ligand of formula 4 to the added GdCl3 is 1:1.98 to 1:2.02 (mol / mol), more preferably a ratio of 1:2.00 to ensure consumption of the added lanthanide ion.

[0070] After the addition, the pH of the resulting mixture is adjusted to a range of about 5 to about 7.5 by the addition of a base, preferably NaOH.

[0071] In one alternative embodiment, GdCl3 and the amount of NaOH required to maintain the pH at the desired neutral value can be added simultaneously, and the resulting mixture is then stirred as above for about 25 hours.

[0072] In a preferred embodiment, the pH of the mixture obtained by adding GdCl3 is adjusted to about 5 to about 6, preferably 5 to 5.6, and more preferably about 5.3, and then the mixture is stirred at about 40° C. for 1 to 4 hours, for example, about 2 hours. Then, free Gd 3+ The presence of residual free species, such as ligand or partially complexed ligand, is assessed, for example, by titration and / or HPLC methods and compensated for by the addition of a calculated amount of ligand or GdCl3 to obtain an aqueous solution or mixture of the dimeric complex of formula 5, which is then purified.

[0073] Purification is carried out by chromatography, preferably on a resin.

[0074] In one embodiment, purification involves eluting the mixture obtained from the complexation reaction on a polymeric resin, preferably Amberlite XAD® 1600 resin.

[0075] In another embodiment, purification comprises first eluting the mixture obtained in the complexation reaction on a chelating resin selected from, for example, Hi Trap IMAC FF, Lewatit MonoPlus TP 260, Lewatit TP 208, IRC748I, DIAION CR11, SiliaMets AMPA and SiliaMets DOTA, preferably Diaion CR11 and Amberlite IRC748 to minimize the free gadolinium content, and further purifying the collected eluate on a polymeric resin such as Amberlite XAD® 1600 resin.

[0076] In practical implementation, the mixture, adjusted to an approximately neutral pH value, is suitably purified by elution on Amberlite XAD® 1600 resin.

[0077] Alternatively, the solution is preferably adjusted to a low pH value (e.g. 5-5.6) and the resulting mixture is first eluted with a chelating resin such as Amberlite IRC748 or Diaion CR11 resin. The collected eluate is then readjusted to a pH value, preferably of about 5.5-6, and concentrated, preferably at 50° C. under reduced pressure, to obtain an aqueous solution or mixture of the dimeric complex, preferably at a concentration of about 25% (w / w), which is purified on Amberlite XAD® 1600 resin.

[0078] The collected fractions are then optionally treated with charcoal and filtered, and the resulting filtrate is then preferably concentrated, for example by distillation under reduced pressure at 45-55° C., to obtain a solution of dimeric complex 5 with a final concentration of about 25% (w / w).

[0079] Process 6 The dimeric complex of formula 5 is then isolated. The complex can be isolated, for example, by freeze drying or spray drying, from the aqueous solution or mixture obtained in step 5. In one preferred embodiment, the desired dimeric complex is obtained as a white solid by spray drying the solution recovered directly from step 5 of the process.

[0080] The overall yield of the process, determined from the reactants defined as the free base DO3A tri-tert-butyl ester 1A, is at least 20%, preferably 25%, more preferably about 28-30%, or >30%.

[0081] Interestingly, the process described above comprises steps carried out in one pot, suitable for large scale implementation, without the need to isolate either the prepared precursor (such as the compound of formula 1A) or the reaction intermediates. As a result, the synthetic approach aimed at by the present invention makes it possible to obtain the final product in an overall yield at least about 18% higher than the process disclosed in WO2017098044.

[0082] Moreover, since there is no need to isolate intermediates, the overall process time can be shortened.

[0083] Moreover, the process uses water, or more generally an aqueous solvent or mixture of aqueous solvents, as the reaction solvent in all steps after the preparation of the coupling product 3. In particular, when the compound of formula 3 is prepared in an organic solvent in step 3, for example by reacting the compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1, the organic solvent can be replaced by an aqueous solvent or mixture of aqueous solvents by methods known to those skilled in the art (for example, an organic solution of the compound of formula 3 is first diluted with water, a water / organic solvent mixture, or an aqueous solution, and then optionally the organic solvent is removed to obtain an aqueous solution of the compound of formula 3). The use of an aqueous solvent or mixture of aqueous solvents as the reaction solvent in all steps after the coupling is highly advantageous, especially in terms of cost, environmental impact, and ease of implementation on an industrial scale. Indeed, the process disclosed in WO2017098044 uses solvents such as DCM and substances such as TFA and TIPS, which are expensive and difficult to handle, especially when scaling up the process to an industrial scale, and may also be unsafe from the perspective of worker health. The present invention solves the problems of the prior art processes, since the process of the present invention is suitable and easy to implement on a larger scale, for example in an industrial process, since the use of an aqueous solvent or aqueous solvent mixtures in all steps after the preparation of the compound of formula 3 avoids or greatly reduces the use of organic solvents. Moreover, the process of the present invention surprisingly leads to a very high yield of isolated dimeric complex (especially higher than the prior art processes) simply by using an aqueous solvent or aqueous solvent mixtures after the preparation of the compound of formula 3.

[0084] All solvents and starting materials, including reactants such as epichlorohydrin, D-glucamine and DO3A tri-tert-butyl ester hydrobromide, are either commercially available or can be obtained according to known procedures.

[0085] In a preferred embodiment, the hydrobromide salt of DO3A tri-tert-butyl ester used as starting material for the preparation of the solution of ester 1A is prepared using the process described in co-pending patent application EP19215900.2 (of the same applicant) (exemplified in the experimental section below) and stored until use.

[0086] Non-limiting examples of preferred embodiments of the process of the present invention are described in the following sections with the aim of explaining the invention in more detail without limiting its scope.

[0087] Experimental Part Abbreviations and definitions DO3A tri-tert-butyl ester: Tri-tert-butyl 1,4,7,10-tetraazacyclododecane-1,4,7-triacetate DO3A tri-tert-butyl ester-HBr: Tri-tert-butyl 1,4,7,10-tetraazacyclododecane-1,4,7-triacetate hydrobromide TAZA: 1,4,7,10-tetraazacyclododecane tBuOK: Potassium tert-butoxide DMAC: N,N-dimethylacetamide DMC: Dichloromethane DIPEA: N,N-diisopropylethylamine HCl: Hydrochloric acid MeCN: Acetonitrile NaOH: Sodium hydroxide NH3: Ammonia MRI: Magnetic resonance imaging MeCN: Acetonitrile NMM: N-methylmorpholine K2CO3: Potassium carbonate TFA: Trifluoroacetic acid TIPS: Triisopropylsilane FLD: Fluorescence detector UV / Vis: Ultraviolet / visible light

[0088] HPLC characterization of the obtained compounds General Procedure Procedure 1: HPLC characterization and assay determination of DO3A-tri-tert-butyl ester TIFF0007667242000010.tif138150

[0089] Procedure 2: HPLC method for monitoring the formation of intermediate 2 This method is used to monitor the mixture at the end of alkylation of D-glucamine and after distillation of water. TIFF0007667242000011.tif160156

[0090] Procedure 3: HPLC method to monitor the formation and purification of intermediate 3 General Procedure This method is used to monitor the production and purification process of intermediate 3. TIFF0007667242000012.tif122123 Mobile phase A Preparation of solutions Accurately measure 2.0 g of ammonium acetate into a 1000 mL measuring flask and dilute with water. Add 600 mL of ammonium acetate solution and 300 mL of methanol to a 1000 mL measuring flask. Sonicate for 30 minutes.

[0091] Procedure 4: HPLC method for monitoring the production and purification of chelating ligand 4. General Procedure The formation and purification of dimeric ligand 4 was monitored by reverse-phase HPLC with UV detection at 210 nm. TIFF0007667242000013.tif131119 EXAMPLES

[0092] Example 1: Synthesis of DO3A-tri-tert-butyl ester hydrobromide The synthesis of the starting material, DO3A tri-tert-butyl ester hydrobromide, was carried out using the procedure described in co-pending patent application EP19215900.2 (of the same applicant), specifically as follows: To a suspension of commercial TAZA (14.39 kg; 83.53 mol) and sodium acetate (21.58 kg; 263.12 mol) in DMAC (98.07 kg; 104.33 L) was added a solution of tert-butyl bromoacetate (51.32 kg; 263.12 mol) in DMAC (50.72 kg; 53.96 L) over 2.5 hours at 10° C. The temperature was then raised to 25° C. and stirred at this temperature for 24 hours. Water (57.56 kg) was added over 0.5 hours and after 2 hours the mixture was centrifuged and washed with water (2×57 kg). The wet solid was dried under reduced pressure to give 36.62 kg; 61.48 mol of DO3A tri-tert-butyl ester hydrobromide (73.6% yield). The product assays by HPLC (against standards) to be 100% w / w and by NMR (against standards) to be 99.86% w / w.

[0093] Example 2: Preparation of dimeric compound 5 The dimeric complex compound 5 can be synthesized according to the following procedure: [ka] and includes: a) Neutralization of the hydrobromide salt gives the DO3A tri-tert-butyl ester 1A DO3A tri-tert-butyl ester-HBr (36.62 kg; 61.5 mol) obtained as described in Example 1 and potassium carbonate (16.99 kg; 122.9 mol) were suspended in MeCN (72.29 kg; 91.50 L) at room temperature and the mixture was stirred at 24° C. for 20 hours. The resulting salt was then filtered and the filtrate was partially distilled under reduced pressure at 50° C. to obtain a solution of DO3A tri-tert-butyl ester 1A (30.68 kg; 59.6 mol) in MeCN with a final concentration of about 62% w / w, which was used in the next step without further isolation. 1A assay in solution was performed by HPLC-UV method. b) Synthesis of intermediate 2 D-Glucamine (6 kg; 33.1 mol) in water (15 kg) was added dropwise to a solution of epichlorohydrin (6.74 kg; 72.8 mol) in DMAC (6 kg; 6.38 L) at room temperature over 2 hours. The mixture was stirred for 17 hours. The mixture was then diluted with DMAC (12 kg; 12.77 L) and water was distilled under reduced pressure at 45-50° C. to obtain a solution of intermediate 2 with residual water content of <2.0% in DMAC, which was used in the next step without further purification.

[0094] c) Alkylation of intermediate 2 with DO3A tri-tert-butyl ester 1A gives the protected ligand 3. DIPEA (9.79 kg; 75.8 mol) and the solution of 1A recovered in step a were added to the solution of intermediate 2 heated to 50° C., and the resulting mixture was stirred at 70° C. for 72 h while monitoring the conversion by HPLC-UV method. The mixture was then cooled to 20-25° C. and diluted with 16% w / w aqueous ammonia solution (36 L). The resulting mixture was stirred at 25° C. for 15 h to precipitate salts, which were removed by filtration. The filtrate was purified by chromatography using Amberlite XAD® 1600 (450 L: eluent: water / MeCN gradient). Pure fractions (HPLC Area %≧90) were then collected, the organic solvent was evaporated, and the aqueous residue was concentrated under reduced pressure at about 50° C. to obtain an aqueous solution of the protected ligand 3 (concentration: about 10% w / w) suitable for use directly in the next step without further separation.

[0095] d) Deprotection Aqueous 34% hydrochloric acid (64.72 kg; 603.5 mol) was added to the solution of protected ligand 3 obtained in step c, while maintaining the temperature at about 30° C. After the addition was complete, the mixture was heated to 35-40° C. and stirred for 30 h. The solution was cooled to 20-25° C., neutralized by addition of 30% aqueous sodium hydroxide (final pH about 7), tert-butanol formed as a reaction by-product was distilled off, and the mixture was desalted by nanofiltration. The desalted mixture was partially concentrated under reduced pressure at 50° C. to a final concentration of 25% (w / w) and then purified by chromatography on Amberlite XAD® 1600 (150 L; eluent water). Pure fractions (HPLC Area % ≥ 90) were treated with charcoal and concentrated under reduced pressure at 45–55 °C to obtain a 10% (w / w) aqueous solution of the desired ligand 4 (11.4 mol), which was quantified by potentiometric titration using copper sulfate solution as the titrant.

[0096] e) Complex formation The solution of ligand 4 was heated to 40° C. and an aqueous solution of gadolinium chloride (21.35 kg of solution; 6.01 kg of gadolinium chloride; 22.8 mol) was added while maintaining the temperature around 40° C. After addition, the pH of the solution was adjusted to 5.3 by adding 10% aqueous sodium hydroxide and the mixture was kept at 40° C. for 2 hours to form the paramagnetic complex 5. The presence of free species was assessed, for example by titration. The free gadolinium content was reduced by purification with Diaion CR11 (6 L) to obtain the final solution of the dimeric complex. After loading, the resin was washed with water; the collected solution was adjusted to pH 5.5 and concentrated under reduced pressure at 50° C. to obtain a 25% w / w aqueous solution, which was loaded onto an Amberlite XAD® 1600 (500 L: eluent: water / MeCN gradient) at pH 6.2. Selected fractions were treated with charcoal and distilled under reduced pressure at 50°C to give a final concentration of about 25% (w / w) mixture from which the gadolinium complex was isolated by spray drying as a white powder (11.74 kg; 10.80 kg on anhydrous basis; 8.3 mol), assayed 99% (w / w%; anhydrous basis) by final titration. Overall yield from DO3A tri-tert-butyl ester 1A: 28%

[0097] Example 3: Preparation of Compound 5 a) Neutralization of DO3A 3tBu-HBr DO3A tri-tert-butyl ester-HBr (241.6 g; 0.406 mol) and potassium carbonate (112.1 g; 0.811 mol) were suspended in MeCN (477.2 g; 0.604 L) and the mixture was stirred at 25° C. for 20 h. The salts formed were then removed by filtration and the filtrate was partially distilled under reduced pressure at 50° C. to obtain a solution of DO3A tri-tert-butyl ester 1A (204.5 g; 0.397 mol) in MeCN at a final concentration of 61% w / w, which was used in the next step without further isolation. 1A in the solution was assayed by HPLC-UV method.

[0098] b) Synthesis of intermediate 2 D-glucamine (40.0 g; 0.221 mol) in water (99.3 g) was added dropwise over 2 hours to a solution of epichlorohydrin (44.9 g; 0.486 mol) in DMAC (40.0 g; 0.043 L) at 24° C. After stirring the mixture for 17 hours, DMAC (80.0 g; 0.085 L) was added and the water was distilled off under reduced pressure at 50° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0% w / w.

[0099] c) Alkylation of Compound 1A with Intermediate 2 A solution of DIPEA (65.3 g; 0.505 mol) and 1A was added at 50° C. to the solution of intermediate 2 obtained in step b. The mixture was further stirred at 70° C. for 72 h while monitoring the conversion by HPLC-UV method, then cooled to 25° C. and diluted with 16% w / w aqueous ammonia solution (0.240 L). The resulting mixture was stirred at 20° C. for 15 h, precipitating salts, which were removed by filtration. The filtrate was then purified by chromatography using Amberlite XAD® 1600 (3 L; eluent: water / MeCN gradient). Pure fractions (HPLC Area %≧90) were collected and the organic solvent was evaporated. The resulting residue was then concentrated under reduced pressure at 50° C. to obtain an aqueous solution of the protected ligand 3 with a final concentration of about 10% w / w, which was used directly in the next step.

[0100] d) Deprotection of intermediate 3 A 34% aqueous solution of hydrochloric acid (431.5 g; 4.023 mol) was added to the solution of intermediate 3 obtained in step c, while maintaining the temperature at 30-35°C. After the addition was complete, the mixture was heated to 37°C and stirred for 36 hours. The solution was cooled to 25°C, neutralized by adding a 30% aqueous solution of sodium hydroxide, the tert-butanol formed as a by-product was distilled off and the mixture was desalted by nanofiltration. The mixture was then partially concentrated under reduced pressure at 50°C to a concentration of 24% w / w and purified by chromatography using Amberlite XAD® 1600 (1 L; eluent water). The fractions selected by HPLC-UV evaluation were treated with charcoal and concentrated under reduced pressure at 50°C to obtain a 10% w / w aqueous solution of the desired ligand 4 (0.075 mol), which was quantified by potentiometric titration using copper sulfate solution as titrant.

[0101] e) Complex formation The solution of deprotected ligand 4 was heated to 37°C, after which an aqueous solution of gadolinium chloride (140.5 g solution; 39.5 g gadolinium chloride; 0.150 mol) was added, while maintaining the temperature in the range of 37-43°C. After the addition was complete, the pH was adjusted to 5.3 by addition of 10% aqueous sodium hydroxide. The mixture was kept at 40°C for 2 hours to allow the formation of the paramagnetic complex 5. The presence of free species was assessed, for example by titration. The solution was then purified with Diaion CR11 chelating resin (0.16 L) to reduce the content of free gadolinium. After loading, the resin was washed with water, the pH was adjusted to 5.5, and the solution was concentrated under reduced pressure at 50°C to obtain a 25% w / w aqueous solution. The solution was loaded onto an Amberlite XAD® 1600 (3.3 L: eluent: water / MeCN gradient) at pH 6. Selected fractions assessed by HPLC-FLD and UV were treated with charcoal and the resulting solution was distilled under reduced pressure at 50° C. The final solution (25% w / w) was spray dried and the gadolinium complex was isolated as a white powder (82.0 g, equivalent to 74.6 g of anhydrous product; titration assay: 99% w / w%, anhydrous basis). Overall yield from DO3A tri-tert-butyl ester 1A: 29%

[0102] Example 4: Preparation of Compound 5 a) Neutralization of DO3A 3tBu-HBr DO3A 3tBu-HBr (241.6 g; 0.406 mol) and potassium carbonate (112.1 g; 0.811 mol) were suspended in MeCN (480.0 g; 0.608 L) and the mixture was stirred at 27° C. for 18 h. The salts formed were then removed by filtration and the filtrate was partially distilled under reduced pressure at 50° C. to give a solution of DO3A tri-tert-butyl ester 1A (205.0 g; 0.398 mol) in MeCN at a final concentration of 58% w / w, which was used in the next step without further isolation. 1A in solution was assayed by HPLC-UV method.

[0103] b) Synthesis of intermediate 2 D-Glucamine (40.0 g; 0.221 mol) in water (100.0 g) was added dropwise over 2 hours to a solution of epichlorohydrin (44.9 g; 0.486 mol) in DMAC (40.0 g; 0.043 L) at 25° C. After stirring the mixture for 16 hours, DMAC (80.0 g; 0.085 L) was added and the water was distilled off under reduced pressure at 50° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0% w / w.

[0104] c) Alkylation of Compound 1A with Intermediate 2 A solution of DIPEA (65.3 g; 0.505 mol) and 1A was added at 50° C. to the solution of intermediate 2 obtained in step b. The mixture was stirred at 75° C. for a further 70 h while monitoring the conversion by HPLC-UV, then partially concentrated under reduced pressure at 60° C. After cooling to 23° C., a previously prepared mixture of water (80.0 g) and MeCN (126.4 g; 0.160 L) was added, followed by 25% w / w aqueous ammonia solution (144.5 g; 0.160 L). The resulting mixture was stirred at 22° C. for 14 h. The mixture was filtered and purified by chromatography using Amberlite XAD® 1600 (3 L; eluent: water / MeCN gradient). After elution, fractions of sufficient purity (HPLC Area % ≥ 90) were collected, the organic solvent was removed by distillation, and the resulting solution was concentrated under reduced pressure at 50 °C to give an aqueous solution of the protected ligand 3 (concentration: 13% w / w), which was used directly in the next step.

[0105] d) Deprotection of intermediate 3 A 34% aqueous hydrochloric acid solution (435.0 g; 4.057 mol) was added to the solution of intermediate 3 obtained in step c, while maintaining the temperature at 30-35°C. After the addition was completed, the mixture was stirred for 32 hours while maintaining the temperature at 35°C. The solution was cooled to 23°C and neutralized by adding a 30% aqueous sodium hydroxide solution, after which the t-butanol formed as a by-product was distilled off and the mixture was desalted by nanofiltration. The mixture was then partially concentrated under reduced pressure at 50°C to a concentration of 22% w / w and purified by chromatography using Amberlite XAD® 1600 (1 L: eluent water). The fractions selected by HPLC-UV evaluation were treated with charcoal and concentrated under reduced pressure at 50°C to obtain a 25% w / w aqueous solution of the desired ligand 4 (0.076 mol), which was quantified by potentiometric titration using a copper sulfate solution as a titrant.

[0106] e) Complex formation To a solution of the deprotected ligand 4 at 25 °C, aqueous gadolinium chloride (142.4 g solution; 40.1 g gadolinium chloride; 0.152 mol) was added while maintaining the temperature in the range of 23-27 °C, and the pH was adjusted to 7.0-7.5 by adding 30% aqueous sodium hydroxide. The mixture was kept at 25 °C for 24 h to allow the formation of the paramagnetic complex 5. The presence of free species was evaluated, for example, by titration. The resulting solution was purified on an Amberlite XAD® 1600 (3.3 L: eluent: water / MeCN gradient). Selected fractions evaluated by HPLC-FLD and UV were treated with charcoal, and the resulting solution was distilled under reduced pressure at 50 °C. The final solution (25% w / w) was spray dried and the gadolinium complex was isolated as a white powder (73.5 g, equivalent to 66.9 g of anhydrous product; titration assay: 99% w / w%, anhydrous basis). Overall yield from DO3A tri-tert-butyl ester 1A: 26%

[0107] Example 5: Preparation of Compound 5 a) Neutralization of DO3A 3tBu-HBr DO3A 3tBu-HBr (724.9 g; 1.217 mol) and potassium carbonate (336.4 g; 2.434 mol) were suspended in MeCN (1431.7 g; 1.812 L) and the mixture was stirred at 25° C. for 18 h. The salts formed were then removed by filtration and the solution was partially evaporated under reduced pressure at 50° C. to give a solution of DO3A tri-tert-butyl ester 1A (613.9 g; 1.193 mol) in MeCN at a final concentration of 56% w / w, which was used in the next step without further isolation. 1A in solution was assayed by HPLC-UV method.

[0108] b) Synthesis of intermediate 2 D-Glucamine (120.0 g; 0.662 mol) in water (298.0 g) was added dropwise over 2 hours to a solution of epichlorohydrin (134.8 g; 1.457 mol) in DMAC (120.0 g; 0.128 L) at 24° C. After stirring the mixture for 18 hours, DMAC (240.0 g; 0.255 L) was added and the water was distilled off under reduced pressure at 50° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0% w / w.

[0109] c) Alkylation of Compound 1A with Intermediate 2 A solution of DIPEA (195.9 g; 1.516 mol) and 1A was added to the solution of intermediate 2 at 45° C. The mixture was stirred at 70° C. for 75 h while monitoring the conversion by HPLC-UV. The mixture was then partially concentrated under reduced pressure at 60° C. The residue was cooled to 25° C. and diluted with a previously prepared mixture of water (720.0 g) and MeCN (379.2 g; 0.480 L). The solution obtained was purified by chromatography on Amberlite XAD® 1600 (9 L; eluent: water / MeCN gradient). Fractions with sufficient purity (HPLC Area %≧90) were collected and the organic solvent was evaporated. The aqueous residue thus obtained was concentrated under reduced pressure at 50° C. to obtain an aqueous solution of the protected ligand 3 with a final concentration of 15% w / w for the next step.

[0110] d) Deprotection of intermediate 3 Aqueous 34% hydrochloric acid (1294.4 g; 12.070 mol) was added to the solution of intermediate 3 while maintaining the temperature at 30-35°C. After the addition was complete, the mixture was heated to about 40°C and stirred at this temperature for 28 hours. The solution was then cooled to 25°C and neutralized by the addition of aqueous 30% sodium hydroxide. The resulting t-butanol was distilled off and the remaining mixture was first desalted by nanofiltration and then partially concentrated under reduced pressure at 50°C to a concentration of 26% w / w. The concentrated solution was purified by chromatography on Amberlite XAD® 1600 (3 L; eluent water). The pure fractions were collected, treated with charcoal and concentrated under reduced pressure at 50°C to give a 12% w / w solution of the deprotected ligand 4 in water (0.228 mol), which was quantified by potentiometric titration using copper sulfate solution as titrant.

[0111] e) Complex formation The solution of deprotected ligand 4 was heated to 37°C, after which an aqueous solution of gadolinium chloride (427.1 g of solution; 120.2 g of gadolinium chloride; 0.456 mol) was added, while maintaining the temperature in the range of 37-43°C. After the addition was complete, the pH was adjusted to 5.5 by adding 10% aqueous sodium hydroxide, and the resulting mixture was maintained at 42°C for 2 hours to form the paramagnetic complex 5. The presence of free species was assessed, for example, by titration. The solution was purified on Diaion CR11 chelating resin (0.48 L) at 25°C to reduce the free gadolinium content. After loading, the resin was washed with water, the pH was adjusted to 5.8, and the solution was concentrated under reduced pressure at 50°C to obtain a 26% w / w aqueous solution. The solution was loaded onto an Amberlite XAD® 1600 (10 L: eluent: water / MeCN gradient) at pH 6.2. Selected fractions assessed by HPLC-FLD and UV were treated with charcoal and the resulting solution was distilled under reduced pressure at 50° C. The final solution (22% w / w) was spray dried and the gadolinium complex was isolated as a white powder (226.5 g, equivalent to 208.3 g of anhydrous product; titration assay: 99% w / w%, anhydrous basis). Overall yield from DO3A tri-tert-butyl ester 1A: 27%

[0112] Example 6: Preparation of Compound 5 a) Neutralization of DO3A 3tBu-HBr DO3A 3tBu-HBr (724.9 g; 1.217 mol) and potassium carbonate (336.4 g; 2.434 mol) were suspended in MeCN (1435.5 g; 1.817 L) and the mixture was stirred at 25° C. for 18 h. The salts formed were then removed by filtration and the solution was partially evaporated under reduced pressure at 50° C. to give a solution of DO3A tri-tert-butyl ester 1A (607.9 g; 1.181 mol) in MeCN at a final concentration of 62% w / w, which was used in the next step without further isolation. 1A in solution was assayed by HPLC-UV method.

[0113] b) Synthesis of intermediate 2 D-Glucamine (120.0 g; 0.662 mol) in water (300.0 g) was added dropwise over 2 hours to a solution of epichlorohydrin (134.8 g; 1.457 mol) in DMAC (120.0 g; 0.128 L) at 25° C. The mixture was stirred for 18 hours, after which DMAC (240.0 g; 0.255 L) was added and the water was distilled off under reduced pressure at 50° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0% w / w.

[0114] c) Alkylation of Compound 1A with Intermediate 2 A solution of DIPEA (196.1 g; 1.517 mol) and 1A was added to the solution of 2 at 50° C. The mixture was then stirred at 70° C. for 70 h while monitoring the conversion by HPLC-UV method. After cooling to 25° C., it was diluted with water (720.0 g). The resulting mixture was purified by chromatography using Amberlite XAD® 1600 (9 L; eluent: water / MeCN gradient). After elution, fractions of suitable purity (HPLC Area %≧90) were collected, the organic solvent was evaporated and the resulting solution was concentrated under reduced pressure at 50° C. to obtain an aqueous solution of the protected ligand 3 with a final concentration of 14% w / w, which was used in the next step.

[0115] d) Deprotection of intermediate 3 Aqueous 34% hydrochloric acid (1290.0 g; 12.030 mol) was added to the solution of intermediate 3 while maintaining the temperature at 30-35°C. After the addition was complete, the mixture was heated to 38°C and stirred for 30 hours. The solution was cooled to 25°C and neutralized by adding aqueous 30% sodium hydroxide. The resulting t-butanol was distilled off and the remaining mixture was desalted by nanofiltration and then partially concentrated under reduced pressure at 50°C to a concentration of 22% w / w. The concentrated solution was purified by chromatography using Amberlite XAD® 1600 (3 L; eluent water). The fractions selected by HPLC-UV evaluation were treated with charcoal and concentrated under reduced pressure at 50°C to obtain a 23% w / w aqueous solution of the desired ligand 4 (0,226 mol), which was quantified by potentiometric titration using copper sulfate solution as titrant.

[0116] d) Complex formation To a 25 °C solution of the deprotected ligand 4, aqueous gadolinium chloride (423.3 g; 119.2 g; 0.452 mol) was added while maintaining the temperature in the range of 23-27 °C, and the pH was adjusted to 7.0-7.5 by adding 30% aqueous sodium hydroxide. The mixture was maintained at 25 °C for 24 h. The resulting solution was purified on an Amberlite XAD® 1600 (10 L: eluent: water / MeCN gradient). Selected fractions assessed by HPLC-FLD and UV were treated with charcoal, and the resulting solution was distilled under reduced pressure at 50 °C. The final solution (25% w / w) was spray-dried to isolate the gadolinium complex as a white powder (201.3 g, corresponding to 185.2 g of anhydrous product; titration assay: 99% w / w%, anhydrous basis). Overall yield from DO3A tri-tert-butyl ester 1A: 24%

[0117] Example 7: Preparation of Compound 5 a) Neutralization of Compound 1 DO3A 3tBu-HBr 1 (724.9 g; 1.217 mol) and potassium carbonate (336.4 g; 2.434 mol) were suspended in MeCN (1431.7 g; 1.812 L) and the mixture was stirred for 18 h at 25° C. Then the salts were removed by filtration, the solution was partially evaporated under reduced pressure at 50° C. and the solution of compound 1A (613.6 g; 1.192 mol, 98% conversion) in MeCN (final concentration: 56% w / w) was stored until the next step without further isolation.

[0118] b) Synthesis of intermediate 2 D-Glucamine (120.0 g; 0.662 mol) in water (298.0 g) was added dropwise over 2 hours to a solution of epichlorohydrin (134.8 g; 1.457 mol) in DMAC (120.0 g; 0.128 L) at 24° C. After stirring the mixture for 18 hours, DMAC was added (240.0 g; 0.255 L) and the water was distilled off under reduced pressure at 50° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0% w / w.

[0119] c) Alkylation of Compound 1A with Intermediate 2 A solution of DIPEA (195.9 g; 1.516 mol) and 1A was added to the solution of intermediate 2 at 50° C. The mixture was stirred at 70° C. for 75 h while monitoring the conversion by HPLC-UV method (HPLC Area %: 75). The mixture was then partially concentrated under reduced pressure at 60° C. The residue was cooled to 25° C. and diluted with a previously prepared mixture of water (240.0 g) and MeCN (379.2 g; 0.480 L), followed by addition of 25% aqueous ammonia solution (433.4 g; 0.480 L) to obtain a mixture which was stirred for 16 h and the resulting precipitate of hydrochloride salt was filtered. The filtrate was then collected and purified by chromatography using Amberlite XAD® 1600 (9 L; eluent: water / MeCN gradient). Fractions with sufficient purity (HPLC A%≧90) were collected and the organic solvent was evaporated. The aqueous residue thus obtained was concentrated under reduced pressure at 50° C. to give a solution of the protected ligand 3 in water with a final concentration of 14% w / w, which was used in the next step.

[0120] d) Deprotection of intermediate 3 Aqueous 34% hydrochloric acid (1294.4 g; 12.070 mol) was added to the solution of intermediate 3 while maintaining the temperature at 30-35°C. After the addition was complete, the mixture was heated to about 40°C and stirred at this temperature for 30 hours. The solution was then cooled to 25°C and neutralized by adding aqueous 30% sodium hydroxide. The resulting t-butanol was distilled off and the remaining mixture was desalted by nanofiltration and then partially concentrated under reduced pressure at 50°C to a concentration of 26% w / w. The concentrated solution was purified by chromatography on Amberlite XAD® 1600 (3 L; eluent water). Pure fractions were collected, treated with charcoal and concentrated under reduced pressure at 50°C to give a 25% w / w aqueous solution of the deprotected ligand 4, which was quantified by potentiometric titration with copper sulfate solution as titrant.

[0121] e) Complex formation The solution of deprotected ligand 4 was heated to 37°C, and then aqueous gadolinium chloride (427.1 g; gadolinium chloride 120.2 g; 0.456 mol) was added while maintaining the temperature in the range of 37-43°C. After the addition was completed, the pH was adjusted to 5.5 by adding 10% aqueous sodium hydroxide, and the resulting mixture was maintained at 42°C for 2 h. The solution was purified with Diaion CR11 chelating resin (0.48 L) at 25°C to reduce the free gadolinium content. After elution, the resin was washed with water, the pH was adjusted to 5.8, and the solution was concentrated under reduced pressure at 50°C to obtain a 26% w / w aqueous solution. The solution was loaded onto an Amberlite XAD® 1600 (10 L: eluent: water / MeCN gradient) at pH 6.2. Selected fractions evaluated by HPLC-FLD and UV were treated with charcoal, and the resulting solution was distilled under reduced pressure at 50°C. The final solution (22% w / w) was spray dried and the gadolinium complex was isolated as a white powder (251.6 g, equivalent to 231.5 g of anhydrous product; titration assay: 99% w / w%, anhydrous basis). Overall yield from DO3A tri-tert-butyl ester 1A: 30%

[0122] Example 8: Preparation of dimeric compound 5 a) Neutralization of the hydrobromide salt gives the DO3A tri-tert-butyl ester 1A DO3A tri-tert-butyl ester-HBr (36.60 kg; 61.4 mol) obtained as described in Example 1 and potassium carbonate (16.99 kg; 122.9 mol) were suspended in MeCN (72.50 kg; 91.77 L) at room temperature (i.e. 25° C.) and the mixture was stirred at 24° C. for 19 hours. The resulting salts were then removed by filtration and the filtrate was partially distilled under reduced pressure at 50° C. to obtain a solution of DO3A tri-tert-butyl ester 1A (31.07 kg; 60.4 mol) in MeCN with a final concentration of about 56% w / w, which was used in the next step without further isolation. 1A in the solution was assayed by HPLC-UV method.

[0123] b) Synthesis of intermediate 2 A solution of D-glucamine (6 kg; 33.1 mol) in water (15.1 kg) was added dropwise to epichlorohydrin (6.75 kg; 73.0 mol) in DMAC (6.2 kg; 6.60 L) at room temperature over 2 hours. The mixture was stirred for 16 hours. The mixture was then diluted with DMAC (12.2 kg; 12.98 L) and the water was distilled off under reduced pressure at 55-60° C. to give a solution of intermediate 2 in DMAC with residual water content of <2.0%, which was used in the next step without further purification.

[0124] c) Alkylation of intermediate 2 with DO3A tri-tert-butyl ester 1A gives the protected ligand 3. DIPEA (9.80 kg; 75.8 mol) and the solution of 1A recovered in step a were added to the solution of intermediate 2 heated to 50° C., and the resulting mixture was stirred at 70° C. for 80 h while monitoring the conversion by HPLC-UV. The mixture was then partially concentrated under reduced pressure at 60° C. The residue was cooled to 25° C. and diluted with a previously prepared mixture of water (12.2 kg) and MeCN (19.0 kg; 24.05 L), followed by dilution with 25% aqueous ammonia solution (21.7 kg; 24.03 L) to obtain a mixture which was stirred for 15 h and the resulting precipitate of hydrochloride was removed by filtration. The filtrate was collected and purified by chromatography using Amberlite XAD® 1600 (450 L: eluent: water / MeCN gradient). Pure fractions (HPLC Area % ≥ 90) were then collected, the organic solvent was evaporated, and the aqueous residue was concentrated under reduced pressure at about 50°C to give an aqueous solution of the protected ligand 3 (concentration: approx. 10% w / w), suitable for use directly in the next step without further isolation.

[0125] d) Deprotection Aqueous 34% hydrochloric acid (64.75 kg; 603.8 mol) was added to the solution of protected ligand 3 recovered in step c, while maintaining the temperature at about 30° C. After the addition was complete, the mixture was heated to 35-40° C. and stirred for 30 h. The solution was cooled to 20-25° C., neutralized by addition of 30% aqueous sodium hydroxide (final pH about 7), tert-butanol formed as a reaction by-product was distilled off, and the mixture was desalted by nanofiltration. The desalted mixture was partially concentrated under reduced pressure at 50° C. to a final concentration of 25% (w / w) and then purified by chromatography on Amberlite XAD® 1600 (150 L; eluent water). Pure fractions (HPLC Area % ≥ 90) were treated with charcoal and concentrated under reduced pressure at 45–55 °C to obtain a 12% (w / w) aqueous solution of the desired ligand 4 (15.3 mol), which was quantified by potentiometric titration using copper sulfate solution as the titrant.

[0126] e) Complex formation The solution of ligand 4 was heated to 40° C. and an aqueous solution of gadolinium chloride (27.79 kg of solution; 8.10 kg of gadolinium chloride; 30.7 mol) was added while maintaining the temperature around 40° C. After the addition, the pH of the solution was adjusted to 5.5 by adding 10% aqueous sodium hydroxide and the mixture was kept at 40° C. for 2 hours to form the paramagnetic complex 5. The presence of free species was assessed, for example by titration. The final solution of the dimeric complex thus obtained was purified on a Diaion CR11 (6 L) to reduce the free gadolinium content. After loading, the resin was washed with water and the collected solution was adjusted to pH 5.5 and concentrated under reduced pressure at 50° C. to obtain a 23% w / w aqueous solution, which was loaded onto an Amberlite XAD® 1600 (500 L: eluent: water / MeCN gradient) at pH 5.7. Selected fractions were treated with charcoal and distilled under reduced pressure at 50°C to give a mixture with a final concentration of about 28% (w / w) from which the gadolinium complex was isolated by spray drying as a white powder (13.38 kg; 12.58 kg on anhydrous basis; 9.7 mol), assayed 99% (w / w%; anhydrous basis) by final titration. Overall yield from DO3A tri-tert-butyl ester 1A: 33%

Claims

1. The following formula 【Chemistry 1】 A method for producing a dimer complex compound 5 represented by the following formula: 1) A compound of formula 1A in an organic solvent 【Chemistry 2】 Preparing a solution of DO3A tri-tert-butyl ester represented by the formula: 2) in an organic solvent, 【Chemistry 3】 preparing a solution of an intermediate represented by 3) Mix the solutions prepared according to steps 1 and 2 to obtain a compound of formula 3. 【Chemistry 4】 obtaining a solution of the protected ligand represented by 4) Without isolating the compound from the solution of step 3, the protecting group tert-butyl is removed from the compound of formula 3 to give a compound of formula 4 【Chemistry 5】 to obtain a free ligand solution represented by 5) adding gadolinium metal ions to the solution of step 4 without isolating the free ligand of formula 4 to obtain a solution of the dimeric complex of formula 5; and 6) isolating the dimeric complex; wherein the reaction solvent in all steps after preparation of the compound of formula 3 is an aqueous solvent.

2. 2. The process according to claim 1, wherein the solution of DO3A tri-tert-butyl ester 1A in step 1 is prepared from DO3A tri-tert-butyl ester hydrobromide.

3. The method of claim 1 or 2, wherein step 1 comprises: i) suspending the hydrobromide salt of DO3A tri-tert-butyl ester together with a base or a basic salt in an organic solvent to obtain a suspension; ii) filtering the suspension; and iii) recovering the filtered suspension and concentrating, or not, to obtain a solution of DO3A tri-tert-butyl ester 1A in an organic solvent.

4. The process according to any one of claims 1 to 3, wherein step 2 comprises reacting D-glucamine with epichlorohydrin to obtain a solution of the compound of formula 2 in an organic solvent.

5. 5. The process of claim 4, comprising: i) adding an aqueous solution of D-glucamine to a solution of epichlorohydrin in an organic solvent to obtain a compound of formula 2 in a water / organic solvent mixture; and ii) removing water from the mixture to obtain a solution of the compound of formula 2 in the organic solvent.

6. The method of claim 5, wherein the amount of epichlorohydrin is 2 to 3 moles per mole of D-glucamine.

7. The method according to any one of claims 4 to 6, wherein the organic solvent is dimethylacetamide (DMAC).

8. The method according to any one of claims 1 to 7, wherein step 3 comprises the following steps a, b and c, or steps a, b, c and d: a. reacting the compound of formula 2 obtained in step 2 with DO3A tri-tert-butyl ester 1A obtained in step 1 in the presence of a base to obtain an organic crude liquid; b. diluting the resulting organic crude liquid with water, a water / organic solvent mixture, or an aqueous solution to obtain an aqueous / organic crude liquid; c. Purifying the aqueous / organic crude to obtain the compound of formula 3 in an aqueous / organic solvent mixture; d. Removing the organic solvent from the water / organic solvent mixture obtained in step c to obtain an aqueous solution of the compound of formula 3.

9. 9. The process according to claim 8, which comprises adding an aqueous solution to the aqueous / organic crude liquid of step b obtained by diluting the organic crude liquid with an aqueous / organic solvent mixture.

10. 10. The process according to claim 8 or 9, wherein purification of the aqueous / organic crude liquid in step c is carried out by chromatography.

11. The method of any one of claims 1 to 10, wherein step 4 comprises: i) adding an acid to the aqueous solution of the compound of formula 3 obtained in step 3 to remove the protecting group tert-butyl, thereby obtaining an acidic aqueous solution of the free ligand represented by formula 4; ii) adding a base to the acidic solution to obtain a substantially neutral aqueous solution of the free ligand; iii) Purifying and concentrating the resulting neutral solution, with or without concentration, to obtain an aqueous solution of the free ligand of formula 4.

12. 12. The process according to claim 11, wherein step iii) comprises distilling the neutral solution to remove the resulting t-butanol, desalting the distillation residue, purifying the desalted solution by chromatography to obtain an aqueous solution of the ligand of formula 4, and concentrating or not concentrating the aqueous solution.

13. The method according to claim 11 or 12, wherein the concentration of the resulting aqueous solution of the ligand represented by formula 4 is 8 to 25% (w / w).

14. The method of any one of claims 1 to 13, wherein step 5 comprises: i) adding a gadolinium salt to the solution of the ligand of formula 4 obtained in step 4 to obtain a mixture containing the dimeric complex of formula 5; ii) purifying the mixture to obtain a solution of the dimeric complex; and iii) concentrating the solution.

15. The process of claim 14, wherein step ii) comprises purifying the mixture by chromatography.

16. The process according to any one of claims 1 to 15, wherein step 6 comprises isolating the dimeric complex of formula 5 as a white solid by spray drying the solution directly recovered from step 5.

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