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CYTALUX preoperatively

Phase 2

Esophageal Cancer | Small molecule | Oncology |Waters Corporation|Last Updated: Sep 24, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLED
Total Trials1
Total Enrollment50
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07039526Single Dose Investigator Initiated Pilot Study to Investigate CYTALUX (Pafolacianine) for Intraoperative Detection of Malignant Tissue in Subjects Undergoing Surgical Resection for Cancer.PHASE2 RECRUITING 50Aug 19, 2025Dec 1, 2027Sep 24, 20251 United States
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Study Endpoints
Primary Endpoints
Proportion of subjects with one or more NIR fluorescence positive lesion not detected under normal light and/or palpation
Day 1 intra-operatively post intervention

Proportion of subjects who have one or more NIR fluorescence positive lesion not detected under normal light and/or palpation will be measured in this outcome.

Secondary Endpoints
Number of lesions that are simultaneously fluorescence positive and cancer positive
Day 1 intra-operatively post intervention
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
CYTALUX™ (pafolacianine) injection groupEXPERIMENTALSingle arm study, every patient receives the study intervention.
Interventions
NameTypeDescription
CYTALUX™ (pafolacianine) injection preoperativelyDRUGCYTALUX™ (pafolacianine) injection: folate analog ligand conjugated with an indole cyanine green-like dye as a solution in vials containing 1.6 mL at 2 mg/mL. Each subject will be administered a single intravenous dose of not less than 1 hours before and not more than 24 hours before initiation of intraoperative NIR fluorescent imaging.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Male and Female patients 18 years of age and older 2. Have a primary diagnosis, or a high clinical suspicion, of gastrointestinal, fore gut, pancreatic, hepatobiliary, esophageal malignancies and gyn malignancies planned for HIPEC/debulking, warranting surgery. 3. Are schedul...

Countries:United States
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Competitive Landscape -Esophageal Cancer 112 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK8PHASE3Pembrolizumab, Lenvatinib, Cisplatin, 5-FU, Oxaliplatin
AstraZeneca PLCAZN13PHASE3Durvalumab, cisplatin + fluorouracil, FLOT chemotherapy, AZD0901, Ramucirumab+ paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC7PHASE3Tislelizumab, Cisplatin, Leucovorin, 5-fluorouracil, Oxaliplatin
Jazz Pharmaceuticals Public Limited CompanyJAZZ4PHASE3Zanidatamab, Tislelizumab, Trastuzumab, Capecitabine, Oxaliplatin
Amgen Inc.AMGN2PHASE3Bemarituzumab, Nivolumab, Chemotherapy, CAPOX, SOX
Pfizer Inc.PFE7PHASE2tucatinib, trastuzumab, oxaliplatin, leucovorin, fluorouracil
Eli Lilly and CompanyLLY4PHASE2Ramucirumab, Paclitaxel, LY4101174, LY4052031, LY4337713
AbbVie, Inc.ABBV3PHASE2Telisotuzumab Adizutecan, Budigalimab, Fluorouracil, Leucovorin, Oxaliplatin
ALX Oncology Holdings, Inc.ALXO2PHASE2Evorpacept, Trastuzumab, Ramucirumab, Paclitaxel, ALX2004
Apollomics Inc. Class AAPLM1PHASE2APL-101
Exelixis, Inc.EXEL3PHASE1cabozantinib, atezolizumab, XB010, Pembrolizumab, Cabozantinib
Bristol-Myers Squibb CompanyBMY2PHASE1DISP-10, nivolumab + chemotherapy
Novartis AG Sponsored ADRNVS1PHASE1KFA115, pembrolizumab
Arcus Biosciences, Inc.RCUS1PHASE1AB598, Zimberelimab, Fluorouracil, Leucovorin, Oxaliplatin
IDEAYA Biosciences, Inc.IDYA2PHASE1IDE892, IDE397, IDE034
I-Mab Biopharma US LimitedIMAB2PHASE2Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
Organon & Co.OGN1PHASE2Pembrolizumab, Trastuzumab, FLOT
Incyte CorporationINCY1PHASE2Capecitabine, Oxaliplatin, Retifanlimab
Nurix Therapeutics, Inc.NRIX1PHASE1NX-1607, Paclitaxel
Lantheus Holdings IncLNTH1PHASE164Cu-LNTH-1363S
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT07039526studyFirstPostDate: changed