Drug intelligence / Profile preview

18F-fluoropivalate

Development stage
Phase 2
Lead developer
Radiopharm Theranostics, Ltd
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Positron Emitters → Radiopharmaceuticals, Small Molecules
Administration
Intravenous
01

Overview

18F-fluoropivalate ([18F]FPIA) is a novel radiopharmaceutical imaging agent developed by Imperial College London and licensed to Radiopharm Theranostics (under the code RAD 101). It is a small-molecule tracer designed to image short-chain fatty acid (SCFA) uptake, which serves as a proxy for fatty acid oxidation (FAO) in tumor cells. The tracer targets fatty acid synthase (FASN) and is particularly effective for imaging cerebral metastases because it exhibits low background signal in normal brain tissue, unlike glucose-based tracers. By quantifying the magnitude of early-step fatty acid oxidation, [18F]FPIA PET/MRI aims to differentiate between treatment-naïve metastases and those that have undergone stereotactic radiosurgery, providing a metabolic signature of viable tumor cells under bioenergetic stress.

Brand names
RAD 101RAD101RAD-101
Other names
18F-FPIAFluorine-18 fluoropivalateFluorine18 fluoropivalateFluorine 18 fluoropivalateFluoropivalate F-18
02

Targets

FASN (Fatty acid synthase)

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