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EVS459 is a radioconjugate theranostic developed by Novartis Pharmaceuticals. It is a low molecular weight compound that targets the folate receptor alpha (FRα), which is overexpressed in various cancers. The drug consists of a folic acid-binding motif, a linker, and a DOTA chelator. It can be labeled with Lutetium-177 ([177Lu]Lu-EVS459) for therapeutic purposes and SPECT imaging, or with Gallium-68 ([68Ga]Ga-EVS459) for diagnostic PET imaging. It was being investigated for the treatment of advanced high-grade serous ovarian cancer and locally advanced unresectable or metastatic non-squamous non-small cell lung carcinoma.
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