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Vidoflufolastat (18F) is a fluorine-18 labeled radiopharmaceutical diagnostic imaging agent developed by Novartis for the detection and localization of prostate cancer. It is a small molecule PET radiotracer that utilizes a phosphoramidate scaffold to bind pseudo-irreversibly to the prostate-specific membrane antigen (PSMA) with high nanomolar affinity. PSMA is a transmembrane protein that is significantly overexpressed in the majority of prostate cancer cells, including metastatic and castrate-resistant forms. By targeting PSMA, vidoflufolastat (18F) enables high-resolution positron emission tomography (PET) imaging of PSMA-positive tumors. The agent has been evaluated in Phase 3 clinical trials, including the GuideView study for newly diagnosed high-risk prostate cancer and the GuidePath study for patients with biochemical recurrence, demonstrating high sensitivity and specificity for lesion detection.
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