Technetium-99m / MAG 3 / Renal agents / Synthesis / RadiolabellingSummary. Several derivatives of MAG 3 , in which one or both of the first two amide bonds are inverted and contain an additional methyl or carboxyl-substituent on the ligand backbone, have been synthesized and evaluated. This was realized by substituting a glycyl with a D-or L-alanyl moiety or by replacing cysteamine with an L-cysteine to investigate the renal characteristics of the resulting derivatives versus the reference 99m Tc-MAG 3 . Labelling with 99m Tc resulted in two main radioactive species, which probably are the isomeric oxo-technetium complexes. These complexes were separated by HPLC and evaluated in mice. The data suggest that the substitution in the amide functions and addition of a methyl or carboxyl moiety results in poor renal handling of these compounds. However, one of the derivatives 99m Tc-C-LB, exhibits renal characteristics comparable to 99m Tc-MAG 3 .