Drug intelligence / Profile preview

68Ga-FAPI + 18F-FDG

Development stage
Preclinical
Lead developer
SOFIE
Modality
Small Molecules, Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Peptides
Administration
Intravenous
01

Overview

This is a combination of two radiopharmaceutical PET imaging agents used in oncology and other disease diagnostics. - **68Ga-FAPI** (Gallium-68–labeled fibroblast activation protein inhibitor) targets the fibroblast activation protein (FAP), which is highly expressed in cancer-associated fibroblasts within the tumor stroma. It enables visualization of tumors with strong desmoplastic reactions and fibrotic or inflammatory processes, offering high contrast due to low background uptake in normal tissues such as brain, liver, and oral mucosa. The DOTA chelator allows for potential theranostic applications by coupling with therapeutic radionuclides[1][2][4][5]. - **18F-FDG** (Fluorine-18 fluorodeoxyglucose) is a glucose analog that accumulates in cells with increased glycolytic activity—commonly used as the standard PET tracer for oncologic imaging. The combination of these tracers can provide complementary information: - **68Ga-FAPI** highlights tumor stroma/fibroblastic activity. - **18F-FDG** highlights metabolic activity. This dual-tracer approach may improve detection sensitivity and specificity for various cancers (e.g., lung, pancreatic, head and neck), especially where one tracer alone may be limited by background uptake or specific tumor biology[1][2][4][5].

Other names
Gallium-68 FAPI + Fluorine-18 FDGGallium-68 fibroblast activation protein inhibitor plus fluorodeoxyglucoseGallium68 fibroblast activation protein inhibitor plus fluorodeoxyglucoseGallium 68 fibroblast activation protein inhibitor plus fluorodeoxyglucose
02

Targets

SLC2A4 (Solute carrier family 2 facilitated glucose transporter member 4)FAP (Fibroblast activation protein alpha)

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