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18F-DCFPyL

Phase 4

Prostate Cancer | Small molecule | Oncology |Lantheus Holdings, Inc.|Last Updated: May 23, 2025

Development status

Highest phase Phase 4 (NCT06099093)
Phase scored for LNTHPhase 3
Registered trials 6 across 6 sponsors since Nov 2018

Target and mechanism

Molecular targetPSMA
ModalitySmall molecule

Also known as 18F-DCFPyL Injection

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials3
Total Enrollment641

FDA Designations

No designations recorded

Clinical trial landscape

18F-DCFPyL · 3 trials · 4 indications

Phase 3 1Phase 2 1Early Phase 1 1
NCT03739684Study of 18F-DCFPyL PET/CT Imaging in Patients With Suspected Recurrence of Prostate CancerProstate Cancer
COMPLETED208 Analytics
PHASE3COMPLETED
Study of 18F-DCFPyL PET/CT Imaging in Patients With Suspected Recurrence of Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Correct Localization Rate (CLR)
Within 60 days following 18F-DCFPyL PET/CT imaging.

The Correct Localization Rate (CLR) will be defined as percentage of participants with a one-to-one correspondence between localization of at least one lesion identified on 18F-DCFPyL PET/CT imaging and the composite truth standard. Within 60 days following PyL PET/CT imaging, either biopsy/surgery, conventional imaging, or locoregional radiation therapy of the PyL-suspected lesion(s) will be performed.

Specificity of 18F-DCFPyL PET/CT Imaging to Detect Metastatic Prostate Cancer Within the Pelvic Lymph Nodes Relative to Histopathology in High Risk Prostate Cancer Participants (Cohort A)
Within 28 days of imaging, radical prostatectomy with pelvic lymph node dissection will occur.

The primary analysis in Cohort A will test the co-primary endpoints of sensitivity and specificity of 18F-DCFPyL PET/CT imaging relative to histopathology for metastatic disease in pre-prostatectomy patients. For each co-primary endpoint there will be three independent imaging readers. At least two of the three readers must reject the null hypothesis for specificity to be deemed a success. If specificity is a success, then the same two readers need to reject the null hypothesis for sensitivity to reach overall success of the primary endpoint.

Sensitivity of 18F-DCFPyL PET/CT Imaging to Detect Metastatic Prostate Cancer Within the Pelvic Lymph Nodes Relative to Histopathology in High Risk Prostate Cancer Participants (Cohort A)
Within 28 days of imaging, radical prostatectomy with pelvic lymph node dissection will occur.

The primary analysis in Cohort A will test the co-primary endpoints of sensitivity and specificity of 18F-DCFPyL PET/CT imaging relative to histopathology for metastatic disease in pre-prostatectomy patients. For each co-primary endpoint there will be three independent imaging readers. At least two of the three readers must reject the null hypothesis for specificity to be deemed a success. If specificity is a success, then the same two readers need to reject the null hypothesis for sensitivity to reach overall success of the primary endpoint.

PET/MR versus mp-MRI for the Staging of Newly Diagnosed Prostate Cancer
5 years

To determine if PSMA-Targeted PET/MRI improves pre-operative staging of prostate cancer prior to radical prostatectomy compared to MRI alone.

Secondary Endpoints

Percentage of Participants With a Change in Intended Prostate Cancer Treatment Plans Due to 18F-DCFPyL PET/CT Imaging Results.
Pre 18F-DCFPyL PET/CT imaging and within 60 days following 18F-DCFPyL PET/CT imaging.
The Change From Pre- to Post- 18F-DCFPyl Dosing in Blood Pressure (Safety Outcome Measure)
Measured at 2 intervals on the day of dosing; the first interval prior to receiving the 18F-DCFPyL dose and the second interval within 60 to 120 minutes after dosing.
The Change From Pre- to Post- 18F-DCFPyL Dosing in Heart Rate (Safety Outcome Measure)
Measured at 2 intervals on the day of dosing; the first interval prior to receiving the 18F-DCFPyL dose and the second interval within 60 to 120 minutes after dosing.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
18F-DCFPyL InjectionEXPERIMENTAL9 mCi (333 MBq) IV injection of 18F-DCFPyL
18F-DCFPyLEXPERIMENTAL -

Interventions

NameTypeDescription
18F-DCFPyLDRUGA single dose of 9 mCi (333 MBq) IV injection of 18F-DCFPyL
PET/CT ImagingDIAGNOSTIC_TESTPET/CT imaging will be acquired 1-2 hours post-PyL injection
18F-DCFPyL InjectionDRUGA single dose of 9±1 mCi (333±37 MBq) IV injection of 18F-DCFPyL
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Male \>/= 18 years of age * Histopathologically confirmed prostate adenocarcinoma per original diagnosis, with subsequent definitive therapy * Suspected recurrence of prostate cancer based on rising PSA after definitive therapy on the basis of: 1. Post-radical prostatectomy...

Countries:United StatesCanada
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Competitive Landscape -Prostate Cancer 252 trials

Frequently asked questions about 18F-DCFPyL

What is 18F-DCFPyL used for in prostate cancer?

18F-DCFPyL is an imaging agent used in prostate cancer to help visualize prostate cancer lesions during PET/CT or PET/MRI scans. It is studied in patients with suspected recurrence of prostate cancer and in staging of newly diagnosed disease. It is a small molecule that binds PSMA, a protein expressed on prostate cancer cells.

What does 18F-DCFPyL target?

18F-DCFPyL targets PSMA, or prostate-specific membrane antigen, a protein expressed on the surface of prostate cancer cells. By binding PSMA, the agent concentrates in prostate cancer tissue and allows PET imaging to detect and localize lesions. This PSMA-targeted approach is the basis for its use as a diagnostic imaging agent.

Who makes 18F-DCFPyL?

18F-DCFPyL is developed by Lantheus Holdings, Inc., which trades under the ticker LNTH. The company is responsible for the clinical development of the agent in prostate cancer imaging.

What phase is 18F-DCFPyL in?

18F-DCFPyL is in Phase 3 clinical development. It is an investigational imaging agent and is not described as approved. Its clinical program includes completed Phase 2 and Phase 3 trials as well as an active early Phase 1 study.

What clinical trials is 18F-DCFPyL in?

18F-DCFPyL has been studied in three clinical trials. NCT03739684 was a completed Phase 3 study of PET/CT imaging in patients with suspected recurrence of prostate cancer. NCT02981368 was a completed Phase 2 imaging study, and NCT03392181 is an active early Phase 1 PET/MRI staging study in newly diagnosed prostate cancer.

Is 18F-DCFPyL the same as 18F-DCFPyL Injection?

Yes, 18F-DCFPyL Injection is another name for 18F-DCFPyL. Both refer to the same PSMA-targeted imaging agent developed by Lantheus Holdings, Inc. for use in prostate cancer PET imaging.