Tracers / [68Ga]Ga-FAPI

[68Ga]Ga-FAPI

Also written as [68Ga]Ga-FAPI; [Ga-68]Ga-FAPI; FAPI; Ga-68 FAPI
Radionuclide
Ga-68 t½ 67.71 min
Modality
PET
Production route
Stage
pilot clinical study
Syntheses indexed
25

What it is

Compound class
FAP inhibitor (FAPI) - quinoline-based fibroblast activation protein inhibitor
Target / mechanism
Targets fibroblast activation protein (FAP) overexpressed on cancer-associated fibroblasts PMID 34556528
Clinical application
PET/CT imaging of FAP-expressing tumors and tumor stroma, used diagnostically and for theranostic pairing with therapeutic radionuclides PMID 34556528
Theranostic pair
<a href="/tracers/lu177-fapi/">lu177-fapi</a>

Regulatory status

FDA
EMA (centralised)
Other approvals
Brand names

Clinical use

Typical injected activity
Uptake time

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
GAIA
Elysia-Raytest
SPEabout 75%RTX-1363S42422425
2026 Front Endocrinol (Lausanne)
The radiosynthesis of 68Ga-RTX-1363S (68Ga-FAPI) was performed under Good Manufacturing Practice (GMP) conditions on a GAIA synthesis module Elysia Raytest (Straubenhardt, Germany). — The radiochemical yield after sterile filtration was about 75%.
42318157
2026 Oncol Rev
41886137
2026 Curr Treat Options Oncol
40719066
2025 Adv Sci (Weinh)
Manual synthesisSPE>95%DOTA-2P(FAPI)239800373
2025 J Immunother Cancer
approximately 25 nmol of FAPI-46 and DOTA-2P(FAPI)2 was dissolved in 1 mL of NaAc (0.25 M aqueous solution), and 4 mL of 68GaCl3 solution (1.1 GBq, dissolved in 0.05 M HCl) was added
Manual synthesisSPE>90%>95%DOTA-4P(FAPI)437321827
2023 J Nucl Med
For 68Ga labeling, approximately 25.4 nmol of FAPI-46, DOTA-2P(FAPI)2, or DOTA-4P(FAPI)4 were dissolved in 1 mL of NaAc (0.25 M in water) and added to 4 mL of 68GaCl3 solution (1.3 GBq in 0.05 M HCl). — 68Ga, 64Cu, and 177Lu were labeled in more than 90% yield with radiochemical purity of more than 95%.
Manual synthesisSPE>90%>95%DOTA-2P(FAPI)237321827
2023 J Nucl Med
For 68Ga labeling, approximately 25.4 nmol of FAPI-46, DOTA-2P(FAPI)2, or DOTA-4P(FAPI)4 were dissolved in 1 mL of NaAc (0.25 M in water) and added to 4 mL of 68GaCl3 solution (1.3 GBq in 0.05 M HCl). — 68Ga, 64Cu, and 177Lu were labeled in more than 90% yield with radiochemical purity of more than 95%.
SPEmore than 95%DOTA-2P(FAPI)234556528
2022 J Nucl Med
TRAP-(FAPI)341946434
2026 J Control Release
42710079
2026 Clin Nucl Med
42609054
2026 Mol Imaging Radionucl Ther
42573855
2026 J Gastrointest Cancer
>99%DOTAGA.Glu2.(FAPI)242448891
2026 Eur J Nucl Med Mol Imaging
>99%DOTAGA.PEG2.Glu.(FAPI)242448891
2026 Eur J Nucl Med Mol Imaging
DOTA-T1-(FAPI)242343548
2026 J Med Chem
42341200
2026 Clin Nucl Med
42333406
2026 Clin Nucl Med
42149626
2026 Clin Nucl Med
42149612
2026 Clin Nucl Med
42148854
2026 Clin Nucl Med
42142951
2026 J Nucl Cardiol
42118324
2026 Eur J Nucl Med Mol Imaging
41984869
2026 Clin Nucl Med
41950235
2026 Clin Nucl Med
DOTA-2P(FAPI)241739974
2026 ACS Appl Mater Interfaces

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Quality control Preliminary — inferred from compound class

Ph. Eur. monograph
USP monograph
AppearancepHRCP HPLCHPLC UVRadionuclidic (HPGe)Half-lifeActivityEndotoxins (LAL)SterilityFilter integrityMolar activityMetal impuritiesGe-68 breakthrough
How this set was arrived at. base set per Ph. Eur. general monograph 0125 (rule); radiometal tracer -> metal impurities (rule); Ga-68, generator production assumed (no synthesis data found) -> Ge-68 breakthrough (preliminary); receptor ligand with a saturable target -> molar activity (rule)

Tests listed by reference only. Monograph texts are copyrighted and are not reproduced here. How these are derived

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Notes

Added from reverse module search (stage 6); 7 article(s) with Ga-68. Also seen with C-11[1], F-18[1] (too few articles for own row). Stage set/updated at stage 23 from PMID 34556528: 'Synthesis, Preclinical Evaluation, and a Pilot Clinical PET Imaging Study of 68Ga-Labeled FAPI Dimer.'. | Stage 28: added indication(s) onc-sarcoma from consolidated missing-rubric review.