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GE226 (also known as [18F]GE-226 or GE121224) is an 18F-labeled diagnostic radiopharmaceutical developed for positron emission tomography (PET) imaging of human epidermal growth factor receptor 2 (HER2) expression. It consists of the HER2-targeting affibody molecule ZHER2:2891 site-selectively conjugated with [18F]4-fluorobenzaldehyde ([18F]FBA). GE226 binds to a different epitope on the HER2 receptor than trastuzumab, allowing non-invasive assessment of HER2 status in patients with locally advanced or metastatic breast cancer to guide therapy selection and monitor treatment response. The agent was originally developed by GE Healthcare in partnership with Affibody, and has been evaluated in Phase 1 clinical trials sponsored by Imperial College London.
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