Tracers / [90Y]Y-FAPI-46

[90Y]Y-FAPI-46

Also written as [90Y]Y-FAPI-46; [Y-90]Y-FAPI-46
Radionuclide
Y-90 t½ 3843 min
Modality
Therapy
Production route
Stage
early-stage clinical evidence / investigational
Syntheses indexed
6

What it is

Compound class
FAP inhibitor (FAPI) radiotracer
Target / mechanism
Fibroblast activation protein (FAP) expressed on cancer-associated fibroblasts PMID 41599688
Clinical application
Radioligand therapy targeting FAP-expressing tumours (e.g. solitary fibrous tumours) using 90Y-FAPI-46 PMID 42495195
Theranostic pair
<a href="/tracers/ga68-fapi46/">ga68-fapi46</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
42495195
2026 Am J Nucl Med Mol Imaging
41886137
2026 Curr Treat Options Oncol
41599688
2026 Pharmaceuticals (Basel)
Manual synthesis39207485
2024 Eur J Nucl Med Mol Imaging
The patient received two cycles with 3.7 GBq and 7.4 GBq [90Y]Y-FAPI-46 six weeks apart.
56 ± 5%>99%FAPI-4635533534
2022 Nucl Med Biol
the cassette based synthesis module Trasis EASYONE — a radiochemical yield of 88 ± 7% and 56 ± 5%
41714122
2026 J Nucl Med

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Quality control Preliminary — inferred from compound class

Ph. Eur. monograph
USP monograph
AppearancepHRCP HPLCHPLC UVRadionuclidic (HPGe)Half-lifeActivityEndotoxins (LAL)SterilityFilter integrityOsmolalityMolar activityMetal impurities
How this set was arrived at. base set per Ph. Eur. general monograph 0125 (rule); radiometal tracer -> metal impurities (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

Added from reverse module search (stage 6); 4 article(s) with Y-90. Stage set/updated at stage 23 from PMID 41599688: 'Therapeutic evidence shows encouraging tumour retention and safety profiles for agents such as [177Lu]Lu-FAP-2286 and [90Y]Y-FAPI-46, while α-emitting radiotracers (e.g., [225Ac]Ac-FAPI-04) demonstrate potent antitumor effects in preclinical models.'. | Stage 28: added indication(s) onc-sarcoma from consolidated missing-rubric review.