Product image of Iasocholine (Fluorocholine (18f) Chloride) supplied by GNH India

Iasocholine

Active Ingredient:
Fluorocholine (18f) Chloride
Origin:
EU

Iasocholine (Fluorocholine (18f) Chloride)

Fluorocholine (18F) Chloride, the active ingredient in Iasocholine, is a radiopharmaceutical presented as a sterile injectable solution for intravenous use. It is employed in positron emission tomography (PET) imaging to highlight cells with increased phospholipid synthesis, aiding detection of certain cancers and hyperactive tissues.
GNH India supplies Iasocholine as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres and imaging facilities worldwide.

Manufacturer / TM Owner

Curium Austria Gmbh

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Indications & Clinical Uses

Iasocholine, a fluorine‑18 labeled choline analogue, is used in PET imaging to assess metabolic activity in specific disease groups.

  • Prostate cancer: enhances visualization of malignant lesions for staging and recurrence assessment.
  • Brain tumors: highlights high‑grade gliomas and metastatic lesions to aid treatment planning.
  • Hyperparathyroidism: assists in localizing overactive parathyroid tissue prior to surgical intervention.

How It Works

  • Fluorocholine (18F) Chloride acts as a choline analogue that is transported into cells via choline transporters and phosphorylated by choline kinase. The resulting phosphorylated tracer becomes incorporated into phosphatidylcholine, a key membrane phospholipid. Tumor cells and hyperactive tissues exhibit elevated choline kinase activity, leading to increased tracer accumulation that is detected by PET scanners as areas of heightened radioactivity.

Side Effects

Adverse reactions to Iasocholine are generally mild, but clinicians should remain vigilant for any unexpected response.

Common Side Effects

  • Nausea
  • Flushing
  • Mild headache
  • Injection site discomfort

Serious or Rare Side Effects

  • Allergic reaction, including anaphylaxis
  • Severe hypotension
  • Radiation‑induced skin erythema

Precautions & Warnings

Prior to administration, appropriate safety and patient‑specific considerations are essential.

  • Assess renal function: evaluate creatinine clearance to ensure adequate tracer elimination.
  • Verify pregnancy status: avoid use in pregnant patients unless the diagnostic benefit outweighs risk.
  • Monitor vital signs: observe for immediate hypersensitivity or hemodynamic changes during and after injection.
  • Ensure proper hydration: adequate fluid intake facilitates tracer clearance and reduces radiation exposure.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake the vial.

Avoid Interactions

Fluorocholine may interact with substances that affect choline metabolism or PET imaging quality.

Major Interactions (Avoid)

  • High‑dose choline supplements: can competitively reduce tracer uptake.
  • Concurrent administration of other PET tracers with overlapping emission spectra: may interfere with image interpretation.

Moderate Interactions (Monitor Closely)

  • Anticholinergic medications: may alter biodistribution of the tracer.
  • Diuretics: can affect renal clearance and background activity.
  • Hyperglycemia: elevated glucose levels may compete with tracer uptake in certain tissues.

Frequently Asked Questions

Iasocholine is a fluorine‑18 labeled choline analogue used as a PET imaging tracer. It helps visualize tissues with high phospholipid synthesis, such as prostate cancer lesions, brain tumors, and hyperactive parathyroid glands, providing clinicians with detailed metabolic information for diagnosis and treatment planning.

Fluorocholine (18F) Chloride mimics natural choline and is taken up by cells via choline transporters. Inside the cell, it is phosphorylated by choline kinase and incorporated into phosphatidylcholine, a membrane component. Tumor and hyperactive cells have increased choline kinase activity, leading to higher tracer accumulation that PET scanners detect as bright signals.

The administered activity of Iasocholine is determined by the prescribing physician or nuclear medicine specialist based on patient weight, the specific imaging protocol, and regulatory guidelines. Dosage is individualized and should be prepared by qualified radiopharmacy personnel according to local and international standards.

Fluorocholine (18F) Chloride involves exposure to ionizing radiation, which may pose risks to a developing fetus or nursing infant. It is generally avoided in pregnant or breastfeeding patients unless the diagnostic benefit is deemed essential and no alternative is available. Consultation with a radiology and obstetrics specialist is recommended.

To request Iasocholine, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifying trade or institutional credentials before providing pricing, availability, shipping details (including cold‑chain logistics if needed), and necessary import documentation.

Compared with ^18F‑FDG, a glucose‑based tracer, Fluorocholine targets choline metabolism, offering higher specificity for certain prostate cancers and neuro‑oncologic lesions that may show low FDG uptake. It provides complementary information, especially in cases where FDG results are equivocal, but its use is limited to indications where choline metabolism is a known marker.

Iasocholine must be stored refrigerated at 2‑8 °C, protected from light, and kept in its original sealed container. It should not be frozen or shaken, and any vial that has been out of the recommended temperature range for more than 30 minutes should be discarded to maintain tracer integrity.

Iasocholine is administered intravenously as a sterile injectable solution. The prepared dose is injected over a short period, typically a few seconds, followed by a waiting interval (usually 10‑20 minutes) before PET imaging begins to allow optimal tissue uptake and background clearance.

The most serious risks include severe allergic reactions such as anaphylaxis, significant hypotension immediately after injection, and rare radiation‑induced skin injury at the injection site. Prompt recognition and management of these events are essential, and facilities should have emergency equipment and trained personnel available.

Iasocholine should be avoided in patients with known hypersensitivity to choline‑based compounds, those with uncontrolled severe hypertension or cardiac instability, pregnant or breastfeeding women unless absolutely necessary, and individuals who have received other radiopharmaceuticals with overlapping emission spectra within a short timeframe.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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