Fluciclovine
Trade name: Axumin
Approved
May 27, 2016
Trans-1-amino-3-[(18)F]fluorocyclobutanecarboxylic acid (also known as Fluciclovine (18F)) was approved under brand name AXUMIN as a radioactive diagnostic agent indicated for positron emission tomography (PET) imaging in men with suspected prostate cancer recurrence. Besides, this radioactive compound is used in patients with cervical, ovarian epithelial or endometrial cancers. Fluciclovine F 18 is a synthetic amino acid transported across mammalian cell membranes by amino acid transporters, such as LAT-1 and ASCT2, which are upregulated in prostate cancer cells, but as was shown, this compound has a higher affinity for ASCT2 in comparison with other transporters. — NCATS
Clinical trial activity
63 trials · 45 clinical orgs · 1 marketing orgs
Earliest trial started May 13, 2003 (NCT00597246)
Timeline
2010s
- Jan 1, 2015
Blue Earth Diagnostics — Earliest Phase 3 Sponsor(trial)
- May 27, 2016
Blue Earth Diagnostics — Earliest FDA Approval
- May 27, 2016
Blue Earth Diagnostics — NDA Secondary Org
- May 27, 2016
Blue Earth Diagnostics — NDA Organization
Indications
Approved for
Studied for
- Brain Neoplasms · Phase 3
- Breast Neoplasms · Phase 2
- Carcinoma, Ovarian Epithelial · Phase 4
- Carcinoma, Renal Cell · Phase 2
- Carcinoma, Transitional Cell · Early Phase 1
- Colonic Neoplasms · Phase 1/Phase 2
- Endometrial Neoplasms · Phase 4
- Glioblastoma · Phase 2
- Glioma · Phase 3
- Graft Rejection · Early Phase 1
- Head and Neck Neoplasms · Phase 2
- Kidney Neoplasms · Phase 2
- Lung Neoplasms · Phase 2
- Melanoma · Phase 2
- Monoclonal Gammopathy of Undetermined Significance · Phase 2
- Multiple Myeloma · Phase 2
- Nasopharyngeal Carcinoma · Phase 2
- Neoplasm Metastasis · Phase 1
- Neoplasms · Phase 2
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Pancreatitis, Graft · Early Phase 1
- Prostatic Neoplasms · Phase 4
- Prostatic Neoplasms, Castration-Resistant · Phase 2
- Sarcoma · Phase 2
- Smoldering Multiple Myeloma · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Early Phase 1
- Testicular Diseases · Phase 2
- Testicular Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Early Phase 1
- Uterine Cervical Neoplasms · Phase 4
- Uterine Neoplasms · Phase 4
Mechanism of action
- Leucine--tRNA ligaseANTAGONIST
leuS antagonist
- Unspecified targetOTHER
Diagnostic agent
Diagnostic (a synthetic amino acid that is taken up by upregulated transporters found on prostate cancer cells).
Approval history
- approvedPriority reviewMay 27, 2016
Chemistry & pharmacology
SMILES
C[C@@]1(F)C[C@@](N)(C1)C(=O)O- Mol. weight
- 147.15 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL3707268 ↗
- WikipediaFluciclovine (18F) ↗
- NCATS38R1Q0L1ZE ↗
- ChEMBLCHEMBL3707267 ↗
- ChEMBLCHEMBL254468 ↗
- ChEMBLCHEMBL1908917 ↗
Also known as
- 18f
- (18f)ah111585
- 18f-ah111585
- (18f)facbc
- (18f)facbc
- 18f facbc
- 18f facbc
- 18f-facbc
- 18f-facbc
- (18f)fluciclatide
- 18f fluciclatide
- 18f fluciclatide
- 18f-fluciclatide
- 18f-fluciclatide
- 18f-fluciclovine
- 18f-fluciclovine
- (18f)ge-148
- 1-amino-3-fluorocyclobutane-1-carboxylic acid
- (1r,3r)-1-amino-3(18f)fluorocyclobutane-1-carboxylic acid
- (1r,3r)-1-amino-3(18f)fluorocyclobutane-1-carboxylic acid
- (1r,3r)-1-amino-3(18f)fluorocyclobutane-1-carboxylic acid
- ah111585
- ah 111585
- ah-111585
- anti-(18f)facbc
- anti-1-amino-3-(18f)fluorocyclobutane-1-carboxylic acid
- anti-1-amino-3-(18f)fluorocyclobutane-1-carboxylic acid
- axumin
- axumin
- axumin
- cyclobutanecarboxylic acid, 1-amino-3-(fluoro-18f)-, trans-
- f(18)1-amino-3-fluorocyclobutane-1-carboxylic acid
- f(18)-facbc
- facbc
- facbc
- facbc
- facbc
- facbc f-18
- facbc f-18
- f-facbc
- fluciclatide
- fluciclatide
- fluciclatide
- fluciclitite
- fluciclovine
- fluciclovine
- fluciclovine
- fluciclovine
- fluciclovine (18f)
- fluciclovine (18f)
- fluciclovine (18f)
- fluciclovine (18f)
- fluciclovine (18f)
- fluciclovine (18f)
- fluciclovine f18
- fluciclovine f 18
- fluciclovine f 18
- fluciclovine f 18
- fluciclovine f 18
- fluciclovine f-18
- fluciclovine f-18
- fluciclovine f-18
- fluciclovine f-18
- fluciclovine f-18
- ge-148
- ge-148
- ge-148
- ge-148
- ge-148 (18f)
- ge-148 f-18
- nmk36
- nmk 36
- nmk-36
- nmk-36
- nmk-36
- nmk36 cpd
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06613841 | Early Phase 1 (Phase 1) | Oct 1, 2024 | University of Pennsylvania |
| NCT06319027 | Phase 2 | Apr 11, 2024 | ECOG-ACRIN Cancer Research Group, National Cancer Institute (NCI) |
| NCT06062745 | Phase 1 | Feb 29, 2024 | Blue Earth Diagnostics, Harvard University |
| NCT06048094 | Phase 1 | Feb 29, 2024 | Baptist Health, Blue Earth Diagnostics |
| NCT06103838 | Phase 2 | Jan 3, 2024 | National Cancer Institute (NCI) |
| NCT06064097 | Phase 2 | Dec 20, 2023 | National Cancer Institute (NCI) |
| NCT05722925 | Phase 4 | Oct 4, 2023 | Blue Earth Diagnostics, OHSU Knight Cancer Institute, Oregon Health and Science University |
| NCT05553041 | Early Phase 1 (Phase 1) | Jan 31, 2023 | Blue Earth Diagnostics, Dragon Master Foundation, University of Pennsylvania |
| NCT05554302 | Phase 2 | Dec 31, 2022 | Baptist Health, Blue Earth Diagnostics, University of Miami |
| NCT05555550 | Early Phase 1 (Phase 1) | Oct 31, 2022 | Blue Earth Diagnostics, Dragon Master Foundation, University of Pennsylvania |
| NCT05479136 | Phase 3 | Aug 24, 2022 | Barrow Neurological Institute, Blue Earth Diagnostics, University of Arizona |
| NCT05054400 | Early Phase 1 (Phase 1) | Nov 30, 2021 | University of Texas at Houston |
| NCT04852523 | Early Phase 1 (Phase 1) | Sep 16, 2021 | University of Utah |
| NCT04750473 | Phase 1 | Jul 16, 2021 | Emory University, National Cancer Institute (NCI) |
| NCT04840069 | Phase 2 | Apr 1, 2021 | Arizona Biomedical Research Commission (ABRC), Barrow Neurological Institute, Blue Earth Diagnostics, University of Arizona |
| NCT04689048 | Phase 1 | Dec 31, 2020 | Baptist Health, Blue Earth Diagnostics |
| NCT04410133 | Phase 3 | Sep 30, 2020 | Blue Earth Diagnostics, Precision Medicine |
| NCT04410367 | Phase 2/Phase 3 (Phase 3) | Jul 31, 2020 | Blue Earth Diagnostics, Precision Medicine |
| NCT04158245 | Phase 2 | Dec 31, 2019 | Blue Earth Diagnostics, Tulane University |
| NCT04114370 | Early Phase 1 (Phase 1) | Dec 1, 2019 | Blue Earth Diagnostics, University of Pittsburgh |
Organizations
Research & Development (45)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Blue Earth Diagnostics | For profit | 24 | 4 | 5 | 2015 |
| National Cancer Institute (NCI) | Government | 14 | 5 | 4 | 2007 |
| Emory University | Academic/Hospital | 13 | 13 | 4 | 2007 |
| General Electric | For profit | 6 | 3 | 2 | 2007 |
| Harvard University | Academic/Hospital | 4 | 3 | 3 | 2015 |
| University of Pennsylvania | Academic/Hospital | 4 | 4 | 1 | 2019 |
| University of Texas at Houston | Academic/Hospital | 4 | 4 | 2 | 2014 |
| University of Utah | Academic/Hospital | 4 | 4 | 3 | 2017 |
| Baptist Health | Academic/Hospital | 3 | 3 | 2 | 2020 |
| Barrow Neurological Institute | Academic/Hospital | 2 | 0 | 2 | 2021 |
| Cornell University | Academic/Hospital | 2 | 2 | 1 | 2003 |
| Dragon Master Foundation | Academic/Hospital | 2 | 0 | 1 | 2022 |
| IND 2 Results LLC | For profit | 2 | 0 | 1 | 2015 |
| Nihon Medi Physics | For profit | 2 | 0 | 2 | 2009 |
| Precision Medicine | For profit | 2 | 0 | 1 | 2020 |
| Syne Qua Non Limited | For profit | 2 | 0 | 1 | 2015 |
| University of Arizona | Academic/Hospital | 2 | 2 | 2 | 2021 |
| University of Oxford | Academic/Hospital | 2 | 1 | 2 | 2015 |
| University of Pittsburgh | Academic/Hospital | 2 | 2 | 2 | 2018 |
| American College of Radiology | Academic/Hospital | 1 | 0 | 1 | 2016 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Blue Earth Diagnostics | For profit | NDA2 | May 27, 2016 |
| Blue Earth Diagnostics | For profit | NDA | May 27, 2016 |