Drug intelligence / Profile preview

[18F]F-FAPI-74

Development stage
Unknown
Lead developer
SOFIE
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Positron Emitters → Radiopharmaceuticals, Small Molecules
Administration
Intravenous
01

Overview

[18F]F-FAPI-74 is a fluorine-18 labeled small molecule radiopharmaceutical and positron emission tomography (PET) imaging tracer that targets fibroblast activation protein alpha (FAP). FAP is a transmembrane serine protease highly overexpressed on cancer-associated fibroblasts (CAFs) in the tumor microenvironment of more than 90% of epithelial carcinomas, as well as in active fibrotic lesions. Originally developed by researchers at Heidelberg University Hospital, [18F]F-FAPI-74 is licensed to SOFIE Biosciences for clinical development and commercialization in the United States, while GE HealthCare holds the development and commercialization rights outside the United States. [18F]F-FAPI-74 is being evaluated in Phase 3 clinical trials (such as FAPI-GO and FAPI-PRO) for the detection of metastatic disease in patients with gastroesophageal cancer and pancreatic ductal adenocarcinoma (PDAC). It is also being investigated in Phase 2 trials for various other solid tumors (including breast, bladder, colorectal, and ovarian cancers) and in Phase 1 trials for imaging tissue fibrosis and sarcoidosis.

Other names
F-18 FAPI-74F18 FAPI-74F 18 FAPI-74fluorine F 18 FAPI-74fluorine F-18 FAPI-74
02

Targets

FAP (Fibroblast activation protein alpha)

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