Drug intelligence / Profile preview

AAA604

Development stage
Phase 1
Lead developer
Novartis
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

AAA604 (also known as 177Lu-FF58) is an investigational radioligand therapy developed by Novartis in collaboration with PeptiDream. It consists of FF58, a non-RGD small molecule targeting the transmembrane integrin receptors αvβ3 and αvβ5, conjugated to the beta-emitting radioisotope lutetium-177 (177Lu). AAA604 was evaluated in a Phase 1 clinical trial for the treatment of advanced solid tumors, including pancreatic ductal adenocarcinoma, gastroesophageal adenocarcinoma, and glioblastoma multiforme. In December 2024, Novartis terminated the Phase 1 trial, and in August 2025, PeptiDream confirmed that development of the FF58 program would not be continued.

Other names
177Lu-FF58Lu-FF58Lu-FF-58Lu-FF 58[177Lu]Lu-FF58lutetium (177Lu) FF58lutetium Lu 177 FF58
02

Targets

αVβ3 (Integrin αVβ3)αVβ5 (Integrin αVβ5)

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