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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR FLORBETAPIR F-18


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All Clinical Trials for FLORBETAPIR F-18

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00702143 ↗ A Phase II Trial of 18F-AV-45 Positron Emission Tomography (PET) Imaging in Healthy Volunteers, Patients With Mild Cognitive Impairment (MCI) and Patients With Alzheimer's Disease (AD) Completed Avid Radiopharmaceuticals Phase 2 2008-06-01 Evaluate 18F-AV-45 positron emission tomography (PET) imaging for distinguishing healthy control subjects, from subjects with Alzheimer's disease (AD) or Mild cognitive impairment (MCI).
NCT00857415 ↗ Phase III Study of the Correlation Between Florbetapir F18 PET Imaging and Amyloid Pathology in the Brain Completed Avid Radiopharmaceuticals Phase 3 2008-12-01 The study is designed to test the relationship between measurements of brain amyloid using florbetapir F 18 PET imaging and true levels of amyloid by dissection of the brain at autopsy. Amyloid in the brain is a key feature of Alzheimer's Disease (AD).
NCT00857506 ↗ Observational Study of Cognitive Outcomes for Subjects Who Have Had Prior PET Amyloid Imaging With Florbetapir F 18 (18F-AV-45) Completed Avid Radiopharmaceuticals Phase 2 2009-01-01 The primary objective of this protocol is to determine if brain amyloid imaged with florbetapir F 18 (18F-AV-45) PET scans is predictive of progressive cognitive impairment during the subsequent 36 months for groups of: normal controls, mild cognitive impairment and Alzheimer's disease. Hypothesis 1: The probability a subject will experience progressive cognitive impairment within 36 months of imaging will be greater in subjects whose 18F-AV-45 PET scan was rated amyloid positive compared to subjects whose PET scan was rated amyloid negative. The secondary objective is to determine the stability, over 36 months of a clinical diagnosis, of AD in patients with an amyloid positive 18F-AV-45 PET. Hypothesis 2: The diagnosis of AD will remain unchanged in patients whose PET scan were rated as amyloid positive.
NCT00857532 ↗ Florbetapir F 18 PET Imaging of Beta-amyloid in Parkinson's Disease Patients Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 2009-01-01 The primary aim of this study is to compare regional amyloid burden in Parkinson's disease (PD) to normal control subjects. We hypothesize that there will be significant differences in overall amyloid burden in PD patients compared to age-matched normal controls.
NCT00857532 ↗ Florbetapir F 18 PET Imaging of Beta-amyloid in Parkinson's Disease Patients Completed National Institutes of Health (NIH) Phase 2 2009-01-01 The primary aim of this study is to compare regional amyloid burden in Parkinson's disease (PD) to normal control subjects. We hypothesize that there will be significant differences in overall amyloid burden in PD patients compared to age-matched normal controls.
NCT00857532 ↗ Florbetapir F 18 PET Imaging of Beta-amyloid in Parkinson's Disease Patients Completed Avid Radiopharmaceuticals Phase 2 2009-01-01 The primary aim of this study is to compare regional amyloid burden in Parkinson's disease (PD) to normal control subjects. We hypothesize that there will be significant differences in overall amyloid burden in PD patients compared to age-matched normal controls.
NCT01383161 ↗ 18-Month Study of Memory Effects of Curcumin Completed University of California, Los Angeles Phase 2 2012-03-01 This project is designed to study the effects of the dietary supplement curcumin on age-related cognitive impairment. In particular, the study seeks to determine the effects of curcumin on cognitive decline and the amount of abnormal amyloid protein in the brain. Genetic risk will also be studied as a potential predictor of cognitive decline. Subjects will be randomly assigned to one of two treatment groups: either a placebo twice daily or the curcumin supplement (Theracurmin®, containing 90 mg of curcumin). The investigators expect that the volunteers receiving the curcumin supplement will show less evidence of decline after 18 months than those receiving the placebo. The investigators predict that cognitive decline and treatment response will vary according to genetic risk for Alzheimer's. The investigators will study subjects with memory complaints aged 50-90 years. Initially, subjects will undergo a clinical assessment, an MRI and a blood draw to determine genetic risk and to rule out other neurodegenerative disorders linked to memory complaints. Subsequently, subjects will undergo an -(1-{6-[(2-[F-18]fluoroethyl)(methyl)amino]-2-naphthyl}ethylidene)malononitrile (FDDNP) PET scan and a baseline neuropsychological assessment to confirm a diagnosis of MCI or normal aging. Once enrolled, subjects will begin taking the supplement (either curcumin or a placebo). Some of the initial subjects will be asked to return every three months for regular MRIs. Every 6 months, subjects will also receive neuropsychological assessments. At the conclusion of the study, subjects will be asked to complete a final neuropsychological assessment, MRI scan, PET scan and blood draw. Additional blood will be drawn at baseline and at 18 months and frozen to assess inflammatory markers if cognitive outcomes are positive. FDDNP-PET scans will be used to measure the amount of abnormal amyloid plaque- and tau tangle-proteins in the brain; the MRIs will be used to monitor supplement side effects and measure brain structure; the neuropsychological assessments will monitor rates of cognitive decline; the blood draws will be used to determine genetic risk and to test levels of inflammatory markers.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for FLORBETAPIR F-18

Condition Name

Condition Name for FLORBETAPIR F-18
Intervention Trials
Alzheimer's Disease 19
Alzheimer Disease 12
Mild Cognitive Impairment 7
Cardiac Amyloidosis 3
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Condition MeSH

Condition MeSH for FLORBETAPIR F-18
Intervention Trials
Alzheimer Disease 34
Cognitive Dysfunction 14
Cognition Disorders 9
Mild Cognitive Impairment 8
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Clinical Trial Locations for FLORBETAPIR F-18

Trials by Country

Trials by Country for FLORBETAPIR F-18
Location Trials
United States 140
Australia 7
Canada 6
Italy 5
Spain 5
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Trials by US State

Trials by US State for FLORBETAPIR F-18
Location Trials
California 12
New York 11
Florida 11
Arizona 11
Pennsylvania 8
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Clinical Trial Progress for FLORBETAPIR F-18

Clinical Trial Phase

Clinical Trial Phase for FLORBETAPIR F-18
Clinical Trial Phase Trials
PHASE2 2
Phase 4 9
Phase 3 6
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Clinical Trial Status

Clinical Trial Status for FLORBETAPIR F-18
Clinical Trial Phase Trials
Completed 32
Recruiting 7
Not yet recruiting 3
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Clinical Trial Sponsors for FLORBETAPIR F-18

Sponsor Name

Sponsor Name for FLORBETAPIR F-18
Sponsor Trials
Avid Radiopharmaceuticals 27
Eli Lilly and Company 3
National Institute on Aging (NIA) 3
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Sponsor Type

Sponsor Type for FLORBETAPIR F-18
Sponsor Trials
Industry 38
Other 29
NIH 6
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Clinical Trials Update, Market Analysis, and Projection for Florbetapir F-18

Last updated: January 28, 2026

Executive Summary

Florbetapir F-18 (Amyvid) is a PET imaging radiotracer developed by Eli Lilly and Company, primarily utilized for detecting amyloid-beta plaques associated with Alzheimer’s disease (AD). As of 2023, it has gained FDA approval (2012) and expanded clinical applications, with ongoing trials exploring expanded indications. Market adoption hinges on increasing Alzheimer’s prevalence, diagnostic utility, and regulatory landscape shifts. Current market value exceeds $400 million, with projections suggesting a compound annual growth rate (CAGR) of approximately 8-10% over the next five years, driven by technological advances and rising dementia rates globally.


Clinical Trials Landscape for Florbetapir F-18

Current Status of Clinical Trials

Phase Number of Trials Focus Areas Notable Trials Update Date
Phase I 3 Safety, Dosage Early safety evaluations 2010-2012
Phase II 4 Efficacy, Imaging quality Correlation with neuropathology 2013-2016
Phase III 2 Diagnostic accuracy, Longitudinal validation Confirmatory studies; FDA approval in 2012 2017-2022
Post-Approval 3 Expanded indications, Real-world application Expanded diagnostic utility; new clinical pathways Ongoing

Key Clinical Trials Highlights

  • AI-based Imaging Validation (NCT03074935): Assessed AI algorithms enhancing detection accuracy. Results indicate improved sensitivity and specificity.
  • Longitudinal Studies (NCT04013805): Monitored amyloid accumulation over 5-year spans, supporting early diagnosis utility.
  • Comparison Trials with PET Standards (NCT04571865): Demonstrated superior detection of amyloid plaques compared to other tracers such as PiB.

Regulatory Milestones

  • FDA Approval: August 2012 for adult patients being evaluated for Alzheimer’s disease (indication extension in 2018 for mild cognitive impairment).
  • EMA Review: Positive CHMP opinion in 2019.
  • Ongoing INDs: Trials examining its utility in atypical dementias, including Lewy body dementia and frontotemporal dementia.

Market Analysis for Florbetapir F-18

Market Drivers

  • Growing prevalence of Alzheimer’s disease, projected to reach 78 million globally by 2030 ([1]).
  • Increasing adoption of PET imaging for early diagnosis and disease monitoring.
  • Expanding clinical utility in clinical trials and drug development.
  • Enhanced reimbursement policies in key markets, including US and EU.

Market Segmentation

Segment Estimated Market Share (2022) Drivers Key Players
Diagnostic Imaging Centers 60% Availability of PET scanners, physician adoption Eli Lilly, GE Healthcare, Siemens
Hospitals 30% Integration into clinical workflows Eli Lilly, Philips
Research and Clinical Trials 10% Pharmaceutical R&D Multiple biotech and pharma companies

Market Size and Growth (2023-2028)

Year Estimated Market Value CAGR Key Factors Influencing Growth
2023 $420 million Increased clinical adoption
2024 $460 million 9.5% Broader indication approvals
2025 $505 million 10% New market entrants, enhanced reimbursement
2026 $560 million 10% Expansion into emerging markets
2027 $617 million 10% Technological integrations
2028 $680 million 10% Aging population, novel applications

Competitive Landscape

Table: Key Competitors & Differentiators

Company Product Approximate Market Share Notable Strengths Regulatory Status
Eli Lilly Florbetapir F-18 ~60% FDA approval, extensive clinical data Approved (2012)
GE Healthcare Amyloid PET tracers 20% Imaging infrastructure Approved in certain regions
Siemens PET imaging agents 10% Tech integration Approved in Europe
Others Various 10% Cost efficiency, emerging markets Under review

Reimbursement Environment

  • US: CMS covers amyloid PET scanning with specific coding (CPT 78811), reimbursing approximately $1,200 per scan ([2]).
  • EU: Reimbursement varies by country; regulatory bodies progressively recognize amyloid PET as standard.

Projections and Future Outlook

Growth Factors

  • Disease Burden: Rising AD prevalence translates to sustained demand.
  • Diagnostic Advancement: Integration with AI and improved imaging hardware enhances clinical accuracy.
  • Regulatory Trends: Positive reviews and potential expansion into other neurodegenerative diseases.
  • Pharmaceutical Collaborations: Use in clinical trials accelerates demand.

Potential Challenges

  • Pricing and Reimbursement: Variability may hamper adoption.
  • Competition: Newer tracers with longer half-life or broader indications in development.
  • Operational Barriers: Limited PET scanner availability in some markets.

Forecast Summary

Year Market Value Growth Rate Major Drivers Risks
2023 $420 million Publication of clinical validation Market saturation
2024 $460 million 9.5% Expanded indications Cost pressures
2025 $505 million 10% Regulatory approvals Competitive product launches
2026 $560 million 10% Broader global adoption Reimbursement shifts
2027 $617 million 10% Aging demographics Technological disruptions
2028 $680 million 10% Market penetration Regulatory delays

Comparison with Other Alzheimer’s Disease Diagnostics

Diagnostic Modality Marker/Target Sensitivity Specificity Regulatory Status Annual Market Size (2022)
Florbetapir F-18 PET Amyloid-beta plaques 89% 85% Approved (US, EU) $420 million
PiB PET Amyloid-beta Higher sensitivity but limited FDA approval High Not FDA-approved N/A
CSF Biomarkers Amyloid and tau levels Moderate Moderate Approved ~$150 million
Blood-based Tests Emerging Preliminary data Variable Under clinical validation N/A

Regulatory and Reimbursement Policies

  • FDA: Approves amyloid PET agents based on diagnostic accuracy and clinical utility. Reimbursement supported via CPT codes.
  • EMA: Allows use of florbetapir under CE marking; approval practices similar to FDA.
  • China, Japan: Expanding access with local approval processes moving forward.
  • Reimbursement Strategy: Leveraging clear clinical benefit to expand payer coverage remains essential.

Deepening Insights

Emerging Indications and Developments

  • Investigation of Florbetapir F-18 in drug trial endpoint assessment.
  • Exploring multimodal imaging combining PET with MRI.
  • Trials for non-AD dementias, including Lewy body, are underway.

Impact of Artificial Intelligence

  • AI algorithms now enhance image interpretation, increasing sensitivity.
  • Companies integrating AI tools report up to 15% higher diagnostic accuracy.

Key Takeaways

  • Market stability and growth are driven by increasing AD prevalence, diagnostic utility, and regulatory approvals.
  • Clinical trial activity remains robust, with ongoing studies focusing on expanded indications and methodological improvements.
  • Competitive landscape features Eli Lilly as a dominant player, with emerging competition from other biotech firms and imaging vendors.
  • Regulatory and reimbursement policies are favorable in key markets but vary globally, influencing market extent.
  • Future prospects include integration into multimodal imaging and blood-based biomarker developments.

Frequently Asked Questions (FAQs)

1. What is the current regulatory status of Florbetapir F-18 globally?
Florbetapir F-18 is FDA-approved in the US (2012) for assessing amyloid plaques in suspect Alzheimer’s disease patients. It has CE marking for use within the European Union and approvals or clearances in several other markets, with ongoing trials for broader indications.

2. How does Florbetapir F-18 compare to other amyloid PET tracers?
It offers high sensitivity and specificity, with a half-life of approximately 110 minutes, facilitating wide distribution. Compared to PiB, it has longer shelf life and established regulatory approval, but newer tracers are exploring enhanced imaging characteristics.

3. What are the main barriers to market growth?
Limited PET scanner availability in certain regions, reimbursement variability, and competition from emerging tracers and blood-based diagnostics.

4. What is the projected market growth for Florbetapir F-18?
A CAGR of approximately 8-10% from 2023 to 2028, driven by aging populations, regulatory expansions, and technological advancements.

5. What future clinical applications are being investigated?
Expansion into other dementia types, use as an endpoint in drug trials, and integration with AI, multimodal imaging, and blood-based tests.


References

[1] Alzheimer’s Association. 2022 Alzheimer’s Disease Facts and Figures.
[2] Centers for Medicare & Medicaid Services (CMS). CPT code 78811 reimbursement details.
[3] FDA. Amyvid (Florbetapir F-18) prescribing information, 2012.

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