Tracer library / [177Lu]Lu-FAPI-46
Structure of FAPI-46 (unlabelled parent compound, from PubChem)
Unlabelled parent compoundPubChem CID 139400499

[177Lu]Lu-FAPI-46

Also written as 177Lu-FAPI-46; [177Lu]Lu-FAPI-46; [Lu-177]Lu-FAPI-46
Radionuclide
Lu-177 t½ 9585 min
Modality
Therapy
Production route
—
Stage
Preclinical
Syntheses indexed
8

What it is

Compound class
FAP inhibitor (FAPI) small-molecule radioligand, DOTA-conjugated
Target / mechanism
Targets fibroblast activation protein (FAP), expressed on cancer-associated fibroblasts and tumor cells PMID 40177850
Clinical application
Targeted radionuclide therapy of FAP-expressing tumors (e.g., glioblastoma) and fibrosing mediastinitis PMID 40815689
Theranostic pair
[68Ga]Ga-FAPI-46

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Modular-Lab EAZY
Eckert & Ziegler
vendor cassettenone95 ± 1.0
synthesis no. 3-5
99.8
radio-HPLC, synthesis no.3
FAPI-46
ABX
37233924
2023 EJNMMI Radiopharm Chem
ModularLab EAZY (Eckert & Ziegler Eurotope GmbH, Berlin, Germany) - we increased the balanced radiochemical yield from 86.0% ± 1.4% (synthesis no 1 and 2) to 95% ± 1.0% (synthesis no. 3–5)
Modular-Lab EAZY
Eckert & Ziegler
vendor cassetteSPE86% ± 3≥99FAPI-46
ABX
33864154
2021 EJNMMI Radiopharm Chem
A fully automated synthesis of [177Lu]Lu-FAPI derivatives was achieved on the Modular Lab Eazy (ML Eazy) - [177Lu]Lu-FAPI-04; 88% ± 3, [177Lu]Lu-FAPI-46; 86% ± 3
Modular-Lab EAZY————FAPI-4634009498
2021 EJNMMI Radiopharm Chem
Fully-automated synthesis of 177Lu labelled FAPI derivatives on the module modular lab-Eazy
Manual synthesis—SPE——DOTA-FAPI-4641688618
2026 EJNMMI Res
FAPI-46 and FAP-2286 were radiolabeled with 111In and 177Lu at a selected pH for 10 min at 100 °C, then purified with a SepPak cartridge
Manual synthesis—SPE—>95%FAPI-46
Nanchang Tanzhen Biological Technology Co., Ltd., China
40177850
2025 Mol Cancer Ther
[177Lu]LuCl3 (185–740 MBq) was mixed with 0.2 mL of 0.5 mol/L NaOAc (pH = 5.5) and incubated with FAPI-46, DOTA-LP, DOTA-ALB-01, DOTA-ALB-02, and DOTA-ALB-03 (20 μg) at 95°C for 15 minutes.
Manual synthesis—SPE>90%>95%FAPI-4637321827
2023 J Nucl Med
For 177Lu labeling, each of the aforementioned precursors was dissolved in 1 mL of NaAc (0.25 M in water) and added to 4 mL of 177LuCl3 solution (740 MBq in 0.05 M HCl). - 68Ga, 64Cu, and 177Lu were labeled in more than 90% yield with radiochemical purity of more than 95%.
Manual synthesis———≥ 93%FAPI-4637261473
2023 Eur J Nucl Med Mol Imaging
177Lu-labeling was performed at different conditions, depending on the ligand (Supplementary Table 1).
Modular-Lab EAZY
Eckert & Ziegler
vendor cassettenone95 ± 1.099.8FAPI-46
ABX
37233924
2023 EJNMMI Radiopharm Chem
All three radiopharmaceuticals were successfully synthesized in high radiochemical purities and yields on the ML Eazy. - we increased the balanced radiochemical yield from 86.0% ± 1.4% (synthesis no 1 and 2) to 95% ± 1.0% (synthesis no. 3–5)

Clinical literature

Clinical studies in the indexed corpus, ordered by design (multicentre, prospective, retrospective, others, case reports last) and then by year. Titles and links only, as published; this is not a summary of the evidence.

  1. Significant 99mTc-FAPI-46 Uptake in 2 Cases of TENIS Syndrome With Negative Tc-OCTREOTIDE Scan, a New Hope in Theranostic Applications.
    2025 · Clin Nucl Med · Clinical study

Precursor

Common precursor
—
Suppliers seen in the literature
—
Cited suppliers in indexed syntheses
ABX, Nanchang Tanzhen Biological Technology Co., Ltd.
Typical final purification
—

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Quality control Derived from the published synthesis

Ph. Eur. monograph
not verified No Ph. Eur. check is recorded for this entry.
USP monograph
not verified No USP check is recorded for this entry.
AppearancepHRCP HPLCHPLC UVRadionuclidic (HPGe)Half-lifeActivityEndotoxins (LAL)SterilityFilter integrityOsmolalityMolar activityMetal impuritiesLu-177m
How this set was arrived at. base set per Ph. Eur. general monograph 0125 (rule); radiometal tracer -> metal impurities (rule); Lu-177 preparation -> Lu-177m content (rule); therapeutic radiopharmaceutical -> osmolality (rule); 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

Stage 8: 1 corpus article with Lu-177 FAPI-46 (PMID 37233924) was collapsed onto the Ga-68 anchor [68Ga]Ga-FAPI-46. Added as the therapy partner of the FAPI-46 anchor. Compound class inferred from precursor name (not stated outright) -- PMID 41688618: '[177Lu]Lu-DOTA-FAPI-46'. Stage set/updated at stage 39 from PMID 40815689: 'A radioisotope-based therapeutic approach using 177Lu-FAPI-46 has demonstrated promising results in preclinical models'.
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