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PETNET® Pharmaceuticals, Inc. is pleased to announce the availability of
a new

molecular probe for use in Parkinson’s disease (PD) and other movement

disorders: MetaDopa™ (Fluorodopa F 18 Injection). This product is
available

through the LATech Center, a PETNET cyclotron-equipped radiopharmacy and

molecular imaging research center affiliated with the UCLA School of
Molecular and

Medical Pharmacology.

MetaDopa™will be an important new enabling technology.

MetaDopa™is used with positron emission tomography* (PET) to visualize
the

regional distribution of the neurotransmitter dopamine in the human
brain.1,2,3,4

MetaDopa™with PET is used to assess presynaptic dopaminergic function in
vivo

in the human brain,1,3,5,6 and to examine changes in dopamine
neurotransmission in

clinically dysfunctional patients.1,5,7 Since patients with Parkinson's
disease have been

demonstrated to have low MetaDopa™uptake throughout the striatum,

MetaDopa™ with PET may be used to confirm the diagnosis of Parkinson's

disease3,6,7,8,9,10,11and to follow the rate of disease
progression.11,12,13 A decreased

MetaDopa™uptake, especially in the putamen, may be indicative of a
primary

degeneration of the dopaminergic nigrostriatal neurons typical for
idiopathic

Parkinson's disease.3,7,12 Also, MetaDopa™has been used to investigate
the effect

of medications in Parkinson's disease, particularly of
catechol-O-methyltransferase

(COMT) inhibitors (e.g., nitecapone and entacapone), on the accumulation
of

dopamine in the striatum.14,15 MetaDopa™ may be useful for identifying
preclinical

or early Parkinson's disease in clinically normal subjects.6,16
MetaDopa™may also be

useful as an amino acid tracer for the detection of brain tumors and
their

recurrences.17

The primary deficit in PD is a loss of neurons in the substantia nigra
pars

compacta which provide dopaminergic innervation to the striatum (caudate
and

putamen).18 It is assumed the distribution and pharmacological
similarity of

MetaDopa™ reflect those of dopamine. Patients with PD have a significant
reduction

in striatal F-DOPA accumulation compared with normal subjects.10

Significant use expected.

The potential for MetaDopa™ PET is significant:

PD affects approximately half a million people in the

US each year. The incidence of PD is age related -- the current estimate
is that 1 in

500 people over age 50 will develop PD -- and the population is rapidly
aging. PET can

help to improve diagnosis and thus homogenize patient groups.10

Please find enclosed a bibliography of relevant literature. For
additional information on

the availability of MetaDopa™in your area, call:

LATech Center

6140 Bristol Parkway

Culver City, CA 90230

310-670-1010

877-4PETNET (473-8638)

Sincerely

J.Paul Shea, Ph.D.

Vice President,

Clinical Research

P.S. We are enclosing a copy of the letter sent to local neurologist for
your information.

MetaDopa™, developed at the LA Tech Center, is a

PET molecular probe used to assess presynaptic

dopaminergic function.


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