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99mTc-Pyrophosphate

Phase 1

Systemic Amyloidosis | Small molecule | Other |Bayer AG|Last Updated: Jul 24, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment31

FDA Designations

No designations recorded

Clinical trial landscape

99mTc-Pyrophosphate · 1 trial · 1 indication

Phase 1 1
NCT05951816A Phase 1 Study of 99mTc-p5+14 in Healthy Volunteers and Patients With AL or ATTR Systemic AmyloidosisSystemic Amyloidosis
RECRUITING31 Analytics
PHASE1RECRUITING
A Phase 1 Study of 99mTc-p5+14 in Healthy Volunteers and Patients With AL or ATTR Systemic Amyloidosis
Systemic AmyloidosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Whole body effective dosimetry measurement
From enrollment to the end of study is 8 days

Whole body effective radiation dose assessed from analysis of organ-specific radioactivity uptake in planar and SPECT images.

Secondary Endpoints

Measure cardiac uptake of 99mTc-p5+14 radioactivity from planar and SPECT/CT images in comparison to 99mTc-PYP uptake
From enrollment to the end of study is 8 days
Measure uptake of 99mTc-p5+14 radioactivity in extracardiac tissues from planar and SPECT/CT images
From enrollment to the end of study is 8 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
Estimation of dosimetry for 99mTc-p5+14 and Biodistribution Of 99mtc-p5+14 In Healthy SubjectsEXPERIMENTALFor dosimetry, healthy subjects (n=3) and patients with a confirmed diagnosis of AL (n=1) or ATTR amyloidosis (n=1) will be administered a single IV dose of up to 1 mg of 99mTc-p5+14 (\~20 mCi) by slow push (\~1 mL/5 sec.). Subjects will then undergo serial planar scintigraphic imaging at \~30 minutes, \~1 hour, \~2 hours, \~4 hours, \~6 hours, and \~24 hours post-injection. At the 4-hour time point, the subject will also undergo a single SPECT/CT scan to provide additional data for estimating dosimetry. Before injection of the radiotracer and at each imaging session, \~2 -3 mL of blood will be acquired to determine the whole blood radioactivity. An echo examination will also be performed. For physiological biodistribution, healthy volunteers (n=5) will undergo an echo examination, thereafter, they will be administered a single IV dose of 99mTc-p5+14 (20 mCi) and will undergo a planar image acquisition followed by SPECT/CT imaging at \~1 hour and \~3 hours post-injection.
Biodistribution in patients with systemic AL or ATTR amlyoidosisEXPERIMENTALOn Day 1, patients with a confirmed diagnosis of systemic AL or ATTR (with or without a positive PyP scan) will be administered a single IV dose of up to 1 mg of 99mTc-p5+14 (\~20 mCi) by slow push (\~1 mL/5 sec.). At \~1 hour and \~3 hours post-injection, patients will undergo whole body planar imaging followed by abdominothoracic SPECT/CT imaging. Vital signs (blood pressure, respiration rate, temperature, and pulse) will be acquired before injection of the 99mTc-p5+14, and at \~3 hours post injection. ECG measurements will be made within 1 hour prior to, and within 15 minutes after, injection. On Day 3, patient will undergo a trans thoracic echo examination. On Day 4, patients will undergo Technescan™ 99mTc-PYP (20 mCi) planar and SPECT/CT imaging at \~1 hour and \~3 hours post-injection. Vital signs (blood pressure, respiration rate, temperature, and pulse) will be acquired before injection of the 99mTc-PYP, and at \~3 hours post injection. ECG measurements will be made as on Day 1.

Interventions

NameTypeDescription
99mTc-p5+14 is an amyloid reactive peptide labeled with technetium-99m.DRUGPeptide p5+14 is a pan-amyloid reactive, synthetic 45 L-amino acid polypeptide with a net +12 positive charge that can bind two major components of all extracellular amyloid deposits: (i) hypersulfated heparan sulfate glycosaminoglycans (proteoglycans) and (ii) amyloid fibrils. The polypeptide, labeled with iodine-124, has been shown (study AMY1001) to bind amyloid in all organs including the heart. This study will evaluate a Tc-99m-labeled version of the peptide for gamma imaging.
99mTc-PyrophosphateDRUG99mTc-PYP is an FDA-approved, commercially available bone-seeking radiotracer used routinely in nuclear medicine. 99mTC-PYP imaging is used clinically for the diagnosis of cardiac ATTR amyloidosis.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: PART 1 1\) Understand the study procedures and agree to participate in the study by giving written informed consent.. 2\) Be male or female \>18 years of age. 3) Women of child-bearing potential (WOCBP) (those who have not been surgically sterilized, are not postmenopausal \[i...

Countries:United States
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Frequently asked questions about 99mTc-Pyrophosphate

What is 99mTc-Pyrophosphate used for?

99mTc-Pyrophosphate is an investigational small molecule being studied for use in systemic amyloidosis. It is currently in Phase 1 clinical development, with an active trial recruiting patients with AL or ATTR systemic amyloidosis. The drug is not yet approved and remains under investigation.

What does 99mTc-Pyrophosphate target?

99mTc-Pyrophosphate is a small molecule that is being studied for imaging in systemic amyloidosis. The specific molecular target is not disclosed in the available information. Its mechanism of action is not detailed, but it is being evaluated in a Phase 1 trial for this condition.

Who makes 99mTc-Pyrophosphate?

99mTc-Pyrophosphate is being developed by Bayer AG, a company traded under the ticker BAYRY. The drug is currently in Phase 1 clinical development for systemic amyloidosis, with an active trial recruiting participants in the United States.

What phase is 99mTc-Pyrophosphate in?

99mTc-Pyrophosphate is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. A Phase 1 study is currently recruiting participants with systemic amyloidosis, including healthy volunteers, to evaluate the drug.

What clinical trials is 99mTc-Pyrophosphate in?

99mTc-Pyrophosphate is being studied in a Phase 1 clinical trial with the identifier NCT05951816. The trial, titled 'A Phase 1 Study of 99mTc-p5+14 in Healthy Volunteers and Patients With AL or ATTR Systemic Amyloidosis,' is recruiting 31 participants in the United States. It is a controlled, randomized study that includes healthy volunteers.

Is 99mTc-Pyrophosphate the same as 99mTc-p5+14?

Yes, 99mTc-Pyrophosphate is also known as 99mTc-p5+14. The Phase 1 clinical trial NCT05951816 uses the name 99mTc-p5+14 in its title, and it is being studied for systemic amyloidosis. Both names refer to the same investigational drug.