Last Updated: June 30, 2026

CLINICAL TRIALS PROFILE FOR FLOTUFOLASTAT F-18 GALLIUM


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All Clinical Trials for flotufolastat f-18 gallium

Trial ID Title Status Sponsor Phase Start Date Summary
NCT06865768 ↗ An Investigational Scan (18F-rhPSMA-7.3 PET-mpMRI) for Targeted Prostate Biopsy Using TRUS-MR Fusion Technique RECRUITING National Cancer Institute (NCI) PHASE2 2025-04-18 This phase II trial evaluates an imaging technique called 18F-rhPSMA-7.3 positron emission tomography (PET)-multiparametric (mp) magnetic resonance imaging (MRI) in identifying tumor tissue in men suspected to have prostate cancer. This clinical trial also seeks to determine if the abnormal tissue identified during imaging represents the tumor tissue removed during transrectal ultrasound-magnetic resonance imaging (TRUS-MR) fusion biopsy of the prostate. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research, 18F-rhPSMA-7.3. Because some tumors take up 18F-rhPSMA-7.3 it can be seen with PET. MRI uses radio waves and a powerful magnet linked to a computer to create detailed pictures of areas inside the body. These pictures can show the difference between normal and diseased tissue. Standard of care imaging for prostate cancer includes mpMRI, which is the combination of multiple magnetic resonance techniques, including diffusion weighted imaging, dynamic contrast-enhanced imaging, and spectroscopy, to achieve an image that will allow for better identification of tumor size and location, as well as possibly identifying tumor spread and aggressiveness. However, mpMRI may not be as effective in identifying prostate tumors that are clinically significant. A TRUS-MR biopsy involves using both ultrasound and MRI scans to locate abnormal areas in the prostate. An 18F-rhPSMA-7.3 PET-mpMRI may be more effective than mpMRI alone in identifying tumor tissue and may increase the accuracy of TRUS-MRI fusion biopsies in men suspected of having prostate cancer.
NCT06865768 ↗ An Investigational Scan (18F-rhPSMA-7.3 PET-mpMRI) for Targeted Prostate Biopsy Using TRUS-MR Fusion Technique RECRUITING National Institutes of Health (NIH) PHASE2 2025-04-18 This phase II trial evaluates an imaging technique called 18F-rhPSMA-7.3 positron emission tomography (PET)-multiparametric (mp) magnetic resonance imaging (MRI) in identifying tumor tissue in men suspected to have prostate cancer. This clinical trial also seeks to determine if the abnormal tissue identified during imaging represents the tumor tissue removed during transrectal ultrasound-magnetic resonance imaging (TRUS-MR) fusion biopsy of the prostate. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research, 18F-rhPSMA-7.3. Because some tumors take up 18F-rhPSMA-7.3 it can be seen with PET. MRI uses radio waves and a powerful magnet linked to a computer to create detailed pictures of areas inside the body. These pictures can show the difference between normal and diseased tissue. Standard of care imaging for prostate cancer includes mpMRI, which is the combination of multiple magnetic resonance techniques, including diffusion weighted imaging, dynamic contrast-enhanced imaging, and spectroscopy, to achieve an image that will allow for better identification of tumor size and location, as well as possibly identifying tumor spread and aggressiveness. However, mpMRI may not be as effective in identifying prostate tumors that are clinically significant. A TRUS-MR biopsy involves using both ultrasound and MRI scans to locate abnormal areas in the prostate. An 18F-rhPSMA-7.3 PET-mpMRI may be more effective than mpMRI alone in identifying tumor tissue and may increase the accuracy of TRUS-MRI fusion biopsies in men suspected of having prostate cancer.
NCT06865768 ↗ An Investigational Scan (18F-rhPSMA-7.3 PET-mpMRI) for Targeted Prostate Biopsy Using TRUS-MR Fusion Technique RECRUITING Emory University PHASE2 2025-04-18 This phase II trial evaluates an imaging technique called 18F-rhPSMA-7.3 positron emission tomography (PET)-multiparametric (mp) magnetic resonance imaging (MRI) in identifying tumor tissue in men suspected to have prostate cancer. This clinical trial also seeks to determine if the abnormal tissue identified during imaging represents the tumor tissue removed during transrectal ultrasound-magnetic resonance imaging (TRUS-MR) fusion biopsy of the prostate. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research, 18F-rhPSMA-7.3. Because some tumors take up 18F-rhPSMA-7.3 it can be seen with PET. MRI uses radio waves and a powerful magnet linked to a computer to create detailed pictures of areas inside the body. These pictures can show the difference between normal and diseased tissue. Standard of care imaging for prostate cancer includes mpMRI, which is the combination of multiple magnetic resonance techniques, including diffusion weighted imaging, dynamic contrast-enhanced imaging, and spectroscopy, to achieve an image that will allow for better identification of tumor size and location, as well as possibly identifying tumor spread and aggressiveness. However, mpMRI may not be as effective in identifying prostate tumors that are clinically significant. A TRUS-MR biopsy involves using both ultrasound and MRI scans to locate abnormal areas in the prostate. An 18F-rhPSMA-7.3 PET-mpMRI may be more effective than mpMRI alone in identifying tumor tissue and may increase the accuracy of TRUS-MRI fusion biopsies in men suspected of having prostate cancer.
NCT07025369 ↗ Androgen Deprivation Therapy (Relugolix) for the Improvement of Diagnostic Imaging (PSMA PET/CT Scan) in Patients With High Risk or Very High Risk Prostate Cancer, The EnrichPSMA Trial RECRUITING Mayo Clinic PHASE2 2025-08-25 This phase II trial studies how well a short course of androgen deprivation therapy (ADT) with relugolix works in increasing expression of prostate-specific membrane antigen (PSMA) and improving diagnostic imaging with PSMA positron emission tomography (PET)/computed tomography (CT) in patients with high risk or very high risk prostate cancer. PSMA PET/CT has become the standard of care in imaging for high-risk prostate cancer. However, a limitation of PSMA PET/CT is its ability to detect cancer that has spread to the lymph nodes. PSMA is a protein that is usually found on the surface of normal prostate cells but is found in higher amounts on prostate tumor cells. Studies have shown that expression of PSMA is regulated by androgens (male reproductive hormones). Relugolix binds to gonadotropin-releasing hormone receptors in the pituitary gland, which blocks the pituitary gland from making the hormones follicle-stimulating hormone and luteinizing hormone. This causes the testicles to stop making testosterone. Relugolix may stop the growth of tumor cells that need testosterone to grow. PSMA PET/CT is an imaging procedure that is used to help find prostate tumor cells in the body. For this procedure, a cell-targeting molecule linked to a radioactive substance (flotufolastat F 18 in this trial) is injected into the body and travels through the blood. It attaches to PSMA that is found on the surface of prostate tumor cells. PET/CT scanners detect high concentrations of the radioactive molecule and shows where the prostate tumor cells are in the body. Giving a short course of ADT with relugolix may increase PSMA expression to detect smaller areas of prostate cancer that were not previously detected.
NCT07185165 ↗ An Investigational Scan (Flotufolastat F 18 PET/CT) for Detecting Residual or Recurrent Disease in Patients Who Completed Focal Therapy for Prostate Cancer. NOT_YET_RECRUITING BLUE EARTH DIAGNOSTICS (UNITED KINGDOM) PHASE2 2025-09-30 This phase II trial evaluates how well flotufolastat F 18 positron emission tomography (PET)/computed tomography (CT) imaging works to detect cancer that remains (residual) or that has come back (recurrent) after the completion of focal therapy for prostate cancer. Flotufolastat F 18 is a radioactive tracer that binds to prostate specific membrane antigen (PSMA), a protein over-expressed on prostate tumor cells. This allows for visualization of PSMA-expressing cells upon imaging. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of, in the case of this research, flotufolastat F 18. Because prostate cancer takes up flotufolastat F 18, it can be seen with PET. CT utilizes x-rays that track the body from the outside. CT images provide an exact outline of the organs and potential inflammatory tissue where it occurs in the body. The PET/CT scanner combines the PET and the CT scanners into a single device. This device combines the anatomic (body structure) information provided by the CT scan with the metabolic information obtained from the PET scan. Metabolic information means how much of the injected tracer is taken up by inflammatory tissue. Flotufolastat F 18 PET/CT imaging may be an effective and less invasive way to detect residual or recurrent disease in prostate cancer patients, compared to other methods.
NCT07185165 ↗ An Investigational Scan (Flotufolastat F 18 PET/CT) for Detecting Residual or Recurrent Disease in Patients Who Completed Focal Therapy for Prostate Cancer. NOT_YET_RECRUITING Jonsson Comprehensive Cancer Center PHASE2 2025-09-30 This phase II trial evaluates how well flotufolastat F 18 positron emission tomography (PET)/computed tomography (CT) imaging works to detect cancer that remains (residual) or that has come back (recurrent) after the completion of focal therapy for prostate cancer. Flotufolastat F 18 is a radioactive tracer that binds to prostate specific membrane antigen (PSMA), a protein over-expressed on prostate tumor cells. This allows for visualization of PSMA-expressing cells upon imaging. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of, in the case of this research, flotufolastat F 18. Because prostate cancer takes up flotufolastat F 18, it can be seen with PET. CT utilizes x-rays that track the body from the outside. CT images provide an exact outline of the organs and potential inflammatory tissue where it occurs in the body. The PET/CT scanner combines the PET and the CT scanners into a single device. This device combines the anatomic (body structure) information provided by the CT scan with the metabolic information obtained from the PET scan. Metabolic information means how much of the injected tracer is taken up by inflammatory tissue. Flotufolastat F 18 PET/CT imaging may be an effective and less invasive way to detect residual or recurrent disease in prostate cancer patients, compared to other methods.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for flotufolastat f-18 gallium

Condition Name

Condition Name for flotufolastat f-18 gallium
Intervention Trials
Prostate Carcinoma 2
Prostate Adenocarcinoma 1
Stage IIC Prostate Cancer AJCC v8 1
Stage III Prostate Cancer AJCC v8 1
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Condition MeSH

Condition MeSH for flotufolastat f-18 gallium
Intervention Trials
Prostatic Neoplasms 3
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Clinical Trial Locations for flotufolastat f-18 gallium

Trials by Country

Trials by Country for flotufolastat f-18 gallium
Location Trials
United States 3
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Trials by US State

Trials by US State for flotufolastat f-18 gallium
Location Trials
California 1
Arizona 1
Georgia 1
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Clinical Trial Progress for flotufolastat f-18 gallium

Clinical Trial Phase

Clinical Trial Phase for flotufolastat f-18 gallium
Clinical Trial Phase Trials
PHASE2 3
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Clinical Trial Status

Clinical Trial Status for flotufolastat f-18 gallium
Clinical Trial Phase Trials
RECRUITING 2
NOT_YET_RECRUITING 1
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Clinical Trial Sponsors for flotufolastat f-18 gallium

Sponsor Name

Sponsor Name for flotufolastat f-18 gallium
Sponsor Trials
Emory University 1
Mayo Clinic 1
BLUE EARTH DIAGNOSTICS (UNITED KINGDOM) 1
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Sponsor Type

Sponsor Type for flotufolastat f-18 gallium
Sponsor Trials
OTHER 3
NIH 2
UNKNOWN 1
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Last updated: May 21, 2026

Flotufolastat F-18 (Gallium) Clinical Trials Update and Market Projection (2024–2035)

Executive summary: Flotufolastat F-18 (gallium) is an investigational prostate cancer imaging PET agent whose clinical development and commercial outlook hinge on: (1) US and ex-US Phase 3 execution and regulatory submissions, (2) the scope of diagnostic label claims for staging and recurrence workflows, (3) competitive displacement risk from PSMA-targeted PET agents (and any next-gen ligands), and (4) reimbursement and site adoption speed for high-throughput radiopharmacy networks. A definitive clinical-trial and market model cannot be produced from the information available in this request.

What is flotufolastat F-18 gallium and where is it in clinical development?

Featured snippet answer: No reliable, citeable trial-phase status, protocol identifiers, or readout dates are present in the supplied prompt; an evidence-based development update cannot be generated.

How do the current indications position the product in prostate cancer imaging?

  • Without source-backed clinical statements in the prompt, indication coverage (primary staging vs biochemical recurrence vs therapy response) cannot be mapped to competitive outcomes.

What endpoints are most likely to drive regulatory submissions?

  • No trial endpoint descriptions (PSA correlation, lesion detection rate, sensitivity/specificity, per-patient vs per-lesion metrics) are included in the prompt.

Which companies and sites are sponsoring the program?

  • Sponsor, CRO, and site lists require source-backed identifiers that are not provided.

Which patents protect flotufolastat F-18 gallium and how do they impact exclusivity?

Featured snippet answer: No patent numbers, assignees, filing dates, priority dates, or expiration dates are provided in the prompt; a protected-market exclusivity and design-around risk assessment cannot be produced.

What is the Orange Book status of flotufolastat F-18 gallium?

  • This program is not identified as an NDA/BLA in the prompt; Orange Book listing status cannot be stated.

When does flotufolastat F-18 gallium lose exclusivity in the US and EU?

  • Exclusivity timelines require patent/market authorization dates not included in the prompt.

What clinical trial results update the evidence base for flotufolastat F-18 gallium?

Featured snippet answer: No results tables, abstract citations, or press-release readout dates are provided in the prompt; a results update cannot be written.

What did Phase 1/2 show on safety and lesion detectability?

  • No dose-escalation, adverse event profiles, or imaging performance metrics are available in the prompt.

What Phase 3 readouts are expected and when?

  • No recruitment status, interim analysis windows, or primary analysis dates are provided.

What is the regulatory pathway for flotufolastat F-18 gallium in the US (FDA) and EU (EMA)?

Featured snippet answer: No FDA pathway details (NDA vs BLA, radiopharmaceutical-specific considerations, investigational use vs marketing authorization strategy) are included in the prompt.

Is flotufolastat F-18 gallium pursuing an expedited designation (Fast Track, Breakthrough, etc.)?

  • Designation status is not provided.

What compendial or chemistry-manufacturing-controls requirements apply?

  • Manufacturing release specs, radionuclide purity requirements, and GMP release systems are not provided.

How does flotufolastat F-18 gallium compare with PSMA PET competitors?

Featured snippet answer: No comparative trial design, head-to-head evidence, or standardized metric comparisons are provided in the prompt, so relative performance cannot be concluded.

Which PSMA-targeted PET agents are the main displacement threats?

  • No competitor list or reference product framing is included in the prompt.

What dosing, imaging windows, and logistics differentiate adoption?

  • No imaging acquisition times, radiochemical yields, or half-life handling constraints are provided in the prompt.

What market size and adoption curve should investors model for flotufolastat F-18 gallium?

Featured snippet answer: A market model cannot be produced from the prompt alone because it contains no US/EU commercialization assumptions, pricing, addressable patient counts, or reimbursement inputs.

Which reimbursement scenarios drive uptake in prostate cancer imaging?

  • No Medicare coverage, CPT/HCPCS codes, or commercial payer positions are provided.

What are the key market levers for radiopharmacy scale-up?

  • No site count, production capacity, batch frequency, or distribution constraints are provided.

What is the revenue sensitivity to imaging volume per installed base?

  • No dose economics, per-scan cost structure, or utilization targets are provided.

What generic entry risks exist for flotufolastat F-18 gallium?

Featured snippet answer: No patent estate or regulatory history is provided; the likelihood and timing of generic radiopharmaceutical entry cannot be assessed.

Can “imaging equivalents” emerge via substitution or compendial transitions?

  • No label and interchangeability details are provided.

How much of the value is driven by proprietary manufacturing versus ligand IP?

  • No CMC proprietary controls are provided.

What patent litigation affects flotufolastat F-18 gallium and biosimilar/generic risk?

Featured snippet answer: No litigation dockets, Paragraph IV actions, or district court outcomes are provided in the prompt.

Are there any Paragraph IV challenges or settlement agreements?

  • Not provided.

How strong is the patent estate for key claims (ligand, formulation, method-of-use, kit/process)?

  • Not provided.

Timeline: clinical readouts and commercialization milestones to track (build-ready template)

Featured snippet answer: No milestone dates are provided in the prompt; a fact-based timeline cannot be created.

Milestone type What to track Why it matters for market projection
Phase transition Last-patient-in/primary completion Determines submission and launch window
Regulatory submission NDA/BLA submission date Sets exclusivity and payer coverage tempo
Label scope Staging vs biochemical recurrence vs therapy monitoring Drives addressable volume definition
Coverage & reimbursement Coverage decisions and payment rates Determines utilization and gross margin
Site adoption Installed base of PET-capable sites Converts approval into scan throughput

Key takeaways

  • A clinical-trials update and market projection for flotufolastat F-18 (gallium) require source-backed development, regulatory, competitive, and commercialization inputs that are not present in this prompt.
  • Without citeable trial phases/readouts, FDA/EMA pathway data, and competitor/payer assumptions, any claimed timeline or revenue projection would be non-evidentiary.

FAQs

  1. What phase is flotufolastat F-18 gallium in and what are the latest enrollment/readout dates?
  2. What PET indication label scope is most likely for flotufolastat F-18 gallium (staging, biochemical recurrence, therapy response)?
  3. How does flotufolastat F-18 gallium’s imaging performance compare with PSMA-11 and flotufolastat F-18 (if applicable)?
  4. What CPT/HCPCS and reimbursement assumptions should be modeled for radiopharmaceutical PET scans?
  5. What is the likely US exclusivity and generic or “radioligand substitution” risk profile based on the patent estate?

References

  1. (No sources were provided in the prompt to cite.)

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