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New clinical trial data highlights RAD 101 (18F-Pivalate) successfully detects Brain Metastases Successful detection of brain metastases using RAD 101 (18F-Pivalate) in a novel multiparametric imaging methodology (PET-mp

Key Takeaway: Radiopharm Theranostics has announced the successful detection of brain metastases using RAD 101 (18F-Pivalate) through a novel imaging approach combining PET and mpMRI. A recent study published in the European Journal of Nuclear Medicine reported that all brain metastases from various primary solid tumors were detected with a high tumor-to-background ratio. The Phase 2b clinical trial for RAD 101 is currently recruiting participants in the U.S. to further evaluate its diagnostic performance in patients with suspected recurrent brain metastases.
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POSITIVE FACTORS

  • Successful detection of brain metastases using RAD 101.
  • Demonstrated proof-of-concept for a novel imaging methodology.
  • Potential to improve diagnostic accuracy for recurrent brain metastases.
  • High tumor-to-background ratio indicates effectiveness of imaging.

Full Press Release Details

trial data highlights RAD 101 (18F-Pivalate) successfully detects Brain Metastases
Sydney, Australia - 10 February 2025 - Radiopharm Theranostics (ASX:RAD, NASDAQ: RADX "Radiopharm" or the "Company"),
a clinical-stage biopharmaceutical company focused on developing innovative oncology radiopharmaceuticals for areas of high unmet medical
need, is pleased to announce the publication of a novel imaging approach demonstrating proof-of-concept for the use of RAD 101 for successful
detection of brain metastases (both treatment-na ve and previously treated) from a variety of primary solid tumors.
The clinical study, recently published by Islam et al. in the prestigious
European Journal of Nuclear Medicine and Molecular Imaging1,
reports a novel methodology of detecting brain metastases using the proprietary radiotracer 18F-RAD101 in a hybrid imaging test that combines
Positron Emission Tomography and Multiparametric Magnetic Resonance Imaging (PET-mpMRI). The study investigated the imaging characteristics
of brain metastases in 12 treatment-na ve (no prior brain radiotherapy) patients and 10 patients who had previously been treated
with brain radiation2. All brain metastases,
regardless of the tumor of origin, were detected with 18F-RAD101 PET-mpMRI, with a high tumor-to-background ratio.
RAD 101 is a novel imaging small molecule that targets fatty acid metabolism,
which is upregulated in many solid tumors, including cerebral metastases. Targeting the transport and metabolism of fatty acid synthase,
RAD 101 enables accurate detection of cancer cells, representing a viable target for the imaging of brain metastases. In October 2022,
preliminary positive data from the Imperial College of London's Phase 2a imaging trial of RAD 101 in patients with brain metastases
showed significant tumor uptake that was independent from the tumor of origin3,
now confirmed in the larger study.
Radiopharm's RAD 101 Phase 2b clinical trial, entitled "An
Open-Label, Single Dose, Single Arm, Multicenter Phase 2b Study to Establish the Imaging Performance of RAD101 Positron Emission Tomography
(PET) in Participants with Suspected Recurrent Brain Metastases from Solid Tumors", is
currently open and recruiting in the United States4. The trial is designed to evaluate the diagnostic performance
of 18F-RAD101 in individuals with suspected recurrent brain metastasis from solid tumors of different origins.
Radiopharm Theranostics
Suite 1, Level 3, 62 Lygon Street, Carlton South VIC 3053 Australia
metastases occur with a frequency four-times higher than primary tumors of the brain," said Dr Eric Aboagye,
lead inventor of RAD 101, co-author of the publication, Professor of Cancer Pharmacology & Molecular Imaging at the Imperial
College of London, and Director of the CRUK-EPSRC-MRC-NIHR Comprehensive Cancer Imaging Centre. "With
a poor prognosis, there is a need for improved detection and characterization of these metastases. Our work affirms the current understanding
of the way in which cancers of diverse origin utilise simple short chain fatty acids compared to glucose and other nutrients in the brain
environment, and how to employ this information to improve detection of metastases in the brain. 18F-RAD101 PET also provides us with
opportunities to delve deeply into therapeutic opportunities."
rising incidence of brain metastases is largely attributed to improved systemic cancer treatments leading to longer patient survival,"
said Riccardo Canevari, CEO and Managing Director of Radiopharm Theranostics. "Contrast Enhanced MRI is the current standard
of care but provides limited sensitivity for distinguishing disease progression from radiotherapy versus treatment effects. This is the
first clinical study with 18F-RAD101 PET-mpMRI that demonstrates potentially more sensitive detection of brain metastases compared to
current standard of care, offering a strong potential to improve diagnostic accuracy of suspected recurrent brain metastases."
About Radiopharm Theranostics
Radiopharm Theranostics is a clinical stage radiotherapeutics company
developing a world-class platform of innovative radiopharmaceutical products for diagnostic and therapeutic applications in areas of high
unmet medical need. Radiopharm has been listed on ASX (RAD) since November 2021 and on the Nasdaq (RADX) since November 2024. The company
has a deep pipeline of highly differentiated molecules spanning peptides, small molecules and monoclonal antibodies for use in cancer,
in pre-clinical and clinical stages of development. The pipeline has been built based on the potential to be first-to-market or best-in-class.
The clinical program includes one Phase II and three Phase I trials in a variety of solid tumour cancers including brain, lung, breast
and pancreas. Learn more at radiopharmtheranostics.com.
Authorized on behalf of the Radiopharm
Theranostics Board of Directors by Executive Chairman Paul Hopper.
For more information:
CEO & Managing Director
Follow Radiopharm Theranostics:
Radiopharm Theranostics Limited
Suite 1, Level 3, 62 Lygon Street, Carlton South VIC 3053 Australia

Frequently Asked Questions

What is RAD 101 used for?

RAD 101 is designed for detecting brain metastases from various solid tumors.

How does RAD 101 detect brain metastases?

It utilizes a proprietary radiotracer, 18F-RAD101, combined with PET-mpMRI imaging.

What type of study was published about RAD 101?

A clinical study demonstrating proof-of-concept for detecting brain metastases.

What are the advantages of using RAD 101?

It offers potentially higher sensitivity for detecting recurrent brain metastases.

Is the RAD 101 trial currently recruiting participants?

Yes, the Phase 2b trial is actively recruiting participants in the United States.

Last updated: Feb 10, 2025