MedPath

Fluciclovine (18F)

Generic Name
Fluciclovine (18F)
Brand Names
Axumin
Drug Type
Small Molecule
Chemical Formula
C5H8FNO2
CAS Number
222727-39-1
Unique Ingredient Identifier
38R1Q0L1ZE
Background

Fluciclovine is a [18F]-tagged synthetic analog of the amino acid L-leucine. It presents excellent diagnostic properties to be used in positron emission tomography (PET) imaging. The structure of fluciclovine allows it to be uptaken by the tumoral cells by its amino acid transporter without incorporating in the metabolism within the body. Fluciclovine was developed by Blue Earth Diagnostics, Ltd. and FDA approved in May 27, 2016.

Indication

Fluciclovine is indicated as a detection agent for positron emission tomography (PET) in men with suspected prostate cancer recurrence based on elevated blood prostate specific antigen (PSA) levels following prior treatment. The overexpression of L-type amino acid transporters such as LAT1 and LAT3 that mediate the uptake of essential amino acids has been extensively reported as a tumoral mechanism of cell growth.

Associated Conditions
Prostate Cancer

Multitracer [18F]Fluciclovine and 18F-FDG PET, and Advanced MRI for Metabolic Profiling of Glioblastoma

Early Phase 1
Recruiting
Conditions
Glioblastoma
Recurrent Glioblastoma
Glioblastoma Multiforme of Brain
Interventions
First Posted Date
2024-09-26
Last Posted Date
2025-05-08
Lead Sponsor
Abramson Cancer Center at Penn Medicine
Target Recruit Count
15
Registration Number
NCT06613841
Locations
🇺🇸

Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States

🇺🇸

University of Pennsylvania, Philadelphia, Pennsylvania, United States

Pilot Study for Detection of PSMA-Low CRPC-NE Tumors with Fluciclovine PET/CT

Phase 1
Recruiting
Conditions
Metastatic Prostate Neuroendocrine Carcinoma
Advanced Prostate Cancer
Metastatic Prostate Cancer
Interventions
First Posted Date
2023-10-02
Last Posted Date
2025-02-05
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
30
Registration Number
NCT06062745
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Brigham and Womens Hospital, Boston, Massachusetts, United States

Evaluation of 18F-Fluciclovine Positron Emission Tomography - Magnetic Resonance Imaging (PET-MRI) in LGG

Early Phase 1
Recruiting
Conditions
Glioma
Low-grade Glioma
Low Grade Glioma of Brain
Glioma, Malignant
Glioma Intracranial
Interventions
First Posted Date
2022-09-27
Last Posted Date
2025-02-24
Lead Sponsor
Children's Hospital of Philadelphia
Target Recruit Count
30
Registration Number
NCT05555550
Locations
🇺🇸

The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

Characterization of 18F-Fluciclovine PET Amino Acid Radiotracer in Resected Brain Metastasis

Phase 2
Recruiting
Conditions
Brain Metastases
Brain Cancer
Interventions
First Posted Date
2022-09-26
Last Posted Date
2024-10-18
Lead Sponsor
Baptist Health South Florida
Target Recruit Count
20
Registration Number
NCT05554302
Locations
🇺🇸

Miami Cancer Institute at Baptist Health South Florida, Miami, Florida, United States

18F-Fluciclovine PET-MRI in High-grade Glioma

Early Phase 1
Recruiting
Conditions
Diffuse Glioma
Glioma
High Grade Glioma
Glioma Intracranial
Glioma, Malignant
Interventions
First Posted Date
2022-09-23
Last Posted Date
2024-10-08
Lead Sponsor
Children's Hospital of Philadelphia
Target Recruit Count
30
Registration Number
NCT05553041
Locations
🇺🇸

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

18F-Fluciclovine PET/CT in the Assessment of Pancreatic Transplants

Early Phase 1
Completed
Conditions
Pancreatitis, Graft
Pancreatic Transplant Post-Transplant Dysfunction Rejection
Interventions
First Posted Date
2021-04-21
Last Posted Date
2024-01-17
Lead Sponsor
University of Utah
Target Recruit Count
4
Registration Number
NCT04852523
Locations
🇺🇸

University of Utah Hospital, Salt Lake City, Utah, United States

Fluciclovine and PSMA PET/CT for the Classification and Improved Staging of Invasive Lobular Breast Cancer

Phase 1
Completed
Conditions
Anatomic Stage IV Breast Cancer AJCC v8
Metastatic Breast Lobular Carcinoma
Invasive Breast Lobular Carcinoma
Prognostic Stage IV Breast Cancer AJCC v8
Interventions
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
First Posted Date
2021-02-11
Last Posted Date
2025-01-17
Lead Sponsor
Emory University
Target Recruit Count
20
Registration Number
NCT04750473
Locations
🇺🇸

Emory University Hospital/Winship Cancer Institute, Atlanta, Georgia, United States

An Investigational Scan (18F-Fluciclovine PET-CT) for the Measurement of Therapeutic Response in Patients With Metastatic Prostate Cancer

Phase 4
Terminated
Conditions
Metastatic Prostate Carcinoma
Stage IVB Prostate Cancer AJCC v8
Interventions
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
First Posted Date
2019-10-22
Last Posted Date
2025-01-16
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
2
Registration Number
NCT04134208
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Evaluation of 18F-fluciclovine (FACBC) PET/MR Uptake in Participants With Glioma

Early Phase 1
Completed
Conditions
Glioma
Interventions
First Posted Date
2019-10-03
Last Posted Date
2022-12-06
Lead Sponsor
James Mountz
Target Recruit Count
9
Registration Number
NCT04114370
Locations
🇺🇸

UPMC Hospitals, Pittsburgh, Pennsylvania, United States

18Fluorine-Fluciclovine PET/CT for Staging Muscle Invasive Bladder Cancer Preceding Radical Cystectomy

Early Phase 1
Active, not recruiting
Conditions
Urothelial Carcinoma
Bladder Cancer
Interventions
First Posted Date
2019-07-12
Last Posted Date
2025-02-05
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
16
Registration Number
NCT04018053
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

© Copyright 2025. All Rights Reserved by MedPath