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68Ga-FAP-2286

Phase 1

Solid Tumor | Small molecule | Oncology |Novartis AG|Last Updated: Jul 24, 2026

Success Probability

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment222

FDA Designations

No designations recorded

Clinical trial landscape

68Ga-FAP-2286 · 1 trial · 1 indication

Phase 1 1
NCT04939610A Study of 177Lu-FAP-2286 in Advanced Solid TumorsSolid Tumor
RECRUITING222 Analytics
PHASE1RECRUITING
A Study of 177Lu-FAP-2286 in Advanced Solid Tumors
Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1: Dose-limiting toxicity (DLTs)
From first dose of study drug through at least 6-8 weeks after end of treatment (up to approximately 2 years)

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D

Phase 1: recommended Phase 2 dose (RP2D)
From first dose of study drug through at least 6-8 weeks after end of treatment (up to approximately 2 years)

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D

Phase 1: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) of [177Lu]Lu FAP 2286
From first dose of study drug through at least 6-8 weeks after end of treatment (up to approximately 2 years)

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D

Phase 2: Objective Response Rate (ORR)
From date of first [177Lu]Lu FAP 2286 treatment until date of radiographic progression or date of death from any cause, whichever comes first, assessed up to 59 months

Objective response is defined as a best confirmed response of CR or PR by RECIST v1.1 as assessed by the investigator. A confirmed CR or PR is a response that is maintained and documented on a subsequent tumor assessment no less than 28 days after the initial response. For Phase 2, ORR defined as the frequency and percentage of participants with a best confirmed response of CR or PR will be analyzed.

Phase 2: Dose-limiting toxicity (DLTs)
Assessed within 4 weeks of first Lu-FAP2286 treatment

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D in combination with mFOLFIRINOX in PDAC and the RP2D in combination with nab-paclitaxel in NSCLC (Phase 2 dose escalation for combination therapy)

Phase 2: recommended Phase 2 dose (RP2D)
From first dose of study drug through at least 6-8 weeks after end of treatment (up to approximately 2 years)

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D in combination with mFOLFIRINOX in PDAC and the RP2D in combination with nab-paclitaxel in NSCLC (Phase 2 dose escalation for combination therapy)

Phase 2: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) of [177Lu]Lu FAP 2286
From first dose of study drug through at least 6-8 weeks after end of treatment (up to approximately 2 years)

To evaluate the safety and tolerability of \[177Lu\]Lu FAP 2286 and determine the RP2D in combination with mFOLFIRINOX in PDAC and the RP2D in combination with nab-paclitaxel in NSCLC (Phase 2 dose escalation for combination therapy)

Secondary Endpoints

Phase 1: Absorbed dose (Gy) estimated in organs and tumor lesions
From first dose of study drug until disease progression or end of treatment (up to approximately 9 months)
Phase 1: Maximum standardized uptake value (SUVmax) in tumor lesions
Taken within 2 hours after 68Ga-FAP-2286 IV administration
Phase 1: Comparison of SUVmax in tumor lesions
From time of screening FDG PET/CT to 68Ga-FAP-2286 PET/CT (up to approximately 1 month)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1: Dose EscalationEXPERIMENTALUp to 30 patients with solid tumors.
Phase 2: Specific Solid TumorsEXPERIMENTALUp to 192 participants treated with \[177Lu\]Lu-FAP-2286 in tumor-specific participant groups in monotherapy and in combination with chemotherapy.

Interventions

NameTypeDescription
68Ga-FAP-2286DRUG68Ga-FAP-2286 IV administered as imaging agent for PET scan.
177Lu-FAP-2286DRUGPhase 1: Patients with positive uptake of 68Ga-FAP- 2286 will receive a fixed dose of 177Lu-FAP-2286 IV administered every 6 weeks for a maximum of 6 doses. Doses range between 3.7 and 9.25 GBq (100-250 mCi). Phase 2: Monotherapy: Patients with positive uptake of 68Ga FAP 2286 will receive a fixed dose of 177Lu FAP 2286 IV administered at the RP2D determined in Phase 1 dose escalation in every 4 weeks. Combination therapy: Patients with positive uptake of 68Ga FAP 2286 will receive 177Lu-FAP-2286 based on dose escalation (starting with dose level 1) followed by dose expansion at selected dose.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: Eligible participants must meet the following inclusion criteria. The criteria below apply to participants enrolling in Phase 1 and Phase 2, unless otherwise specified. 1. Have signed and dated an Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved Info...

Countries:United StatesAustraliaCanadaFranceItalySpain
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Solid Tumor")

Recent Changes (Last 90 Days)

MEDIUMJul 24, 2026NCT04939610primaryCompletionDate: changed
MEDIUMJul 24, 2026NCT04939610primaryCompletionDate: changed

Frequently asked questions about 68Ga-FAP-2286

What is 68Ga-FAP-2286 used for?

68Ga-FAP-2286 is an investigational small molecule being studied for use in solid tumors. It is currently in Phase 1 clinical development for the treatment of solid tumors, which are abnormal masses of tissue that can be cancerous or non-cancerous. The drug is being evaluated in a clinical trial setting.

What does 68Ga-FAP-2286 target?

68Ga-FAP-2286 is a small molecule that targets fibroblast activation protein (FAP), which is highly expressed in the stroma of many solid tumors. By binding to FAP, the drug is designed to deliver a therapeutic payload to the tumor microenvironment. This targeting mechanism is being investigated in Phase 1 trials.

Who makes 68Ga-FAP-2286?

68Ga-FAP-2286 is being developed by Novartis AG, a multinational pharmaceutical company headquartered in Basel, Switzerland. Novartis is publicly traded on the New York Stock Exchange under the ticker symbol NVS. The company is conducting clinical trials to evaluate the drug's safety and efficacy in solid tumors.

What phase is 68Ga-FAP-2286 in?

68Ga-FAP-2286 is currently in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities such as the FDA. The drug is being studied in a Phase 1 trial to assess its safety, tolerability, and preliminary efficacy in patients with advanced solid tumors.

What clinical trials is 68Ga-FAP-2286 in?

68Ga-FAP-2286 is being evaluated in a Phase 1 clinical trial with the identifier NCT04939610. This trial is titled 'A Study of 177Lu-FAP-2286 in Advanced Solid Tumors' and is currently recruiting participants. The study is enrolling 222 patients across multiple countries, including the United States, Australia, Canada, France, Italy, and Spain.

Is 68Ga-FAP-2286 the same as 177Lu-FAP-2286?

68Ga-FAP-2286 and 177Lu-FAP-2286 are related but distinct compounds. 68Ga-FAP-2286 is a diagnostic imaging agent that uses gallium-68 for positron emission tomography (PET) imaging, while 177Lu-FAP-2286 is a therapeutic agent that uses lutetium-177 for targeted radiotherapy. Both target FAP and are being developed by Novartis for solid tumors.