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PI2620

Phase 3

Alzheimer Disease | Small molecule | Neurology |Lantheus Holdings, Inc.|Last Updated: May 22, 2026

Target and mechanism

ModalitySmall molecule

Also known as [18F]PI-2620, PI-2620

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment210

FDA Designations

No designations recorded

Clinical trial landscape

PI2620 · 3 trials · 2 indications

Phase 3 1Phase 1 2
NCT05641688[18F]PI-2620 Phase 3 Histopathological StudyAlzheimer Disease
RECRUITING200 Analytics
PHASE3RECRUITING
[18F]PI-2620 Phase 3 Histopathological Study
Alzheimer DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Diagnostic Efficacy of the visual assessment of [18F]PI-2620 PET imaging, in correctly differentiating tau neurofibrillary pathology associated with AD (NFT Score of B0 or B1 = negative)
At autopsy, until study completion with an average of 1 year

\[18F\]PI-2620 PET scans will be classified as either tau-positive or tau-negative as defined by the reading methodology by each of the 5 independent readers blinded to the clinical and pathology information. NFT scores (as defined in Hyman et al. 2012) will be used as pathology assessment SoT (standard of truth). Tau neurofibrillary pathology associated with AD is defined as either negative with NFT Scores of B0 or B1 or positive NFT Scores of B2 or B3. The \[18F\]PI-2620 PET visual assessment will be compared with the pathology assessment to derive sensitivity and specificity estimates for each individual reader. Sensitivity and specificity are percentages that can range from 0 to 100%. The primary endpoint is considered to be met if for the same 3 out of 5 readers, the lower bound of the 95% CIs for both sensitivity and specificity are ≥ 50%.

Test-retest variability of the [18F]PI-2620 binding parameters in brain of patients with PSP-RS and non-demented controls
The duration of the study for participants may be up to 74 days

Test-retest variability of \[18F\]PI-2620 accumulation will be analyzed using quantification

Number of adverse events
The duration of the study for participants may be up to 74 days

Safety will be evaluated by collection of Adverse Events.

Comparability of visual assessment of PI-2620 tau PET images obtained after injection of high specific activity and low specific activity in AD and PSP patients.
4-54 days

PI-2620 tau PET images obtained with \[18F\]PI-2620 using high specific activity (185 MBq and ≤ 5 µg mass dose) and with \[18F\]PI-2620 using low specific activity (185 MBq and 40-50 µg mass dose) in AD and PSP patients will be visually analyzed. Visual analysis of the tau signal pattern will be compared for high and low specific activity images within the same subject.

Secondary Endpoints

Diagnostic Efficacy of the visual assessment of [18F]PI-2620 PET imaging, in correctly differentiating tau neurofibrillary pathology associated with AD (NFT Score of B0, B1 or B2 = negative)
At autopsy, until study completion with an average of 1 year
Diagnostic efficacy of the visual assessment of [18F]PI-2620 PET imaging, in correctly differentiating levels of AD neuropathologic change (ADNC) ('No' or 'Low' levels of ADNC = negative)
At autopsy, until study completion with an average of 1 year
Diagnostic efficacy of the visual assessment of [18F]PI-2620 PET imaging, in correctly differentiating levels of ADNC ('No', 'Low' or 'Intermediate" levels of ADNC = negative)
At autopsy, until study completion with an average of 1 year
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
PI-2620 PET ScanEXPERIMENTAL -
Imaging characteristics of [18F]PI-2620 for detection of Tau deposition in the brain of PSP patientsEXPERIMENTALAll eligible PSP patients will receive two injections of the investigational imaging agent \[18F\]PI-2620: at a baseline PET imaging session and at a follow-up PET imaging session to evaluate the test-retest imaging characteristics. 10 PSP patients will be required to complete the study arm.
Imaging characteristics of [18F]PI-2620 for detection of Tau deposition in the brain of NDC subjectsEXPERIMENTALAll eligible non-demented control (NDC) subjects will receive two injections of the investigational imaging agent \[18F\]PI-2620: at a baseline PET imaging session and at a follow-up PET imaging session to evaluate the test-retest imaging characteristics. 5 NDC subjects will be required to complete the study arm.
Tau deposition in the brains of Alzheimer Disease and Progressive Supranuclear Palsy patientsEXPERIMENTALAll patients will receive two administrations of \[18F\]PI-2620 at a radioactive dose of 185 MBq, one with high specific activity (≤ 5 µg tracer mass dose), another one with low specific activity (40-50 µg tracer mass dose)

Interventions

NameTypeDescription
[18F]PI-2620DRUGThe radioligand, \[18F\]PI-2620, will be injected intravenously at a dose of 185 MBq ± 20%
[18F]-PI2620DRUG\[18F\]PI-2620 is a radioactive diagnostic agent being developed for the indication of PET imaging of the brain to detect tau pathology in adult patients who are being evaluated for neurodegenerative decline. All patients will receive two administrations of \[18F\]PI-2620 at a radioactive dose of 185 megabecquerel (MBq).
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: Only subjects who meet all of the following criteria will be eligible for enrollment into the study: 1. Males and females aged 50 years and over 2. Have a projected life expectancy of ≤ 1 year as determined by the investigator (terminal medical condition including but not limit...

Countries:United StatesGermany
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Frequently asked questions about PI2620

What is PI2620 used for?

PI2620, also known as [18F]PI-2620, is an investigational small molecule being developed for use in Alzheimer Disease and Progressive Supranuclear Palsy. It is a positron emission tomography (PET) imaging agent designed to evaluate imaging characteristics in these conditions. The drug is currently in Phase 3 clinical development.

What does PI2620 target?

PI2620 is a PET imaging agent that targets tau protein aggregates, which are hallmarks of Alzheimer Disease and Progressive Suupranuclear Palsy. By binding to tau, it enables visualization of disease pathology through PET imaging. The drug is being studied to assess its imaging characteristics in patients with these neurodegenerative conditions.

Who makes PI2620?

PI2620 is being developed by Lantheus Holdings, Inc., a company traded on NASDAQ under the ticker symbol LNTH. The company is conducting clinical trials to evaluate the imaging agent's safety and effectiveness in patients with Alzheimer Disease and Progressive Supranuclear Palsy.

What phase is PI2620 in?

PI2620 is in Phase 3 clinical development. The most advanced trial is a Phase 3 histopathological study with an enrollment of 200 participants, which is currently recruiting in the United States. Earlier Phase 1 trials have been completed in Germany.

What clinical trials is PI2620 in?

PI2620 has been studied in three clinical trials. NCT04715750 and NCT05187546 were completed Phase 1 studies in Germany. The active Phase 3 trial, NCT05641688, is a histopathological study recruiting 200 participants with Alzheimer Disease in the United States.

Is PI2620 the same as [18F]PI-2620?

Yes, PI2620 is the same as [18F]PI-2620. The drug is referred to by both names in clinical trial documentation. The [18F] designation indicates the radioactive fluorine isotope used in the PET imaging agent, while PI2620 is the shorter identifier for the compound.