更新于：2024-11-01

FAP

更新于：2024-11-01

基本信息

别名

170 kDa melanoma membrane-bound gelatinase、Antiplasmin-cleaving enzyme FAP, soluble form、APCE

+ [14]

简介

Cell surface glycoprotein serine protease that participates in extracellular matrix degradation and involved in many cellular processes including tissue remodeling, fibrosis, wound healing, inflammation and tumor growth. Both plasma membrane and soluble forms exhibit post-proline cleaving endopeptidase activity, with a marked preference for Ala/Ser-Gly-Pro-Ser/Asn/Ala consensus sequences, on substrate such as alpha-2-antiplasmin SERPINF2 and SPRY2 (PubMed:14751930, PubMed:16223769, PubMed:16480718, PubMed:16410248, PubMed:17381073, PubMed:18095711, PubMed:21288888, PubMed:24371721). Degrade also gelatin, heat-denatured type I collagen, but not native collagen type I and IV, vitronectin, tenascin, laminin, fibronectin, fibrin or casein (PubMed:9065413, PubMed:2172980, PubMed:7923219, PubMed:10347120, PubMed:10455171, PubMed:12376466, PubMed:16223769, PubMed:16651416, PubMed:18095711). Also has dipeptidyl peptidase activity, exhibiting the ability to hydrolyze the prolyl bond two residues from the N-terminus of synthetic dipeptide substrates provided that the penultimate residue is proline, with a preference for Ala-Pro, Ile-Pro, Gly-Pro, Arg-Pro and Pro-Pro (PubMed:10347120, PubMed:10593948, PubMed:16175601, PubMed:16223769, PubMed:16651416, PubMed:16410248, PubMed:17381073, PubMed:21314817, PubMed:24371721, PubMed:24717288). Natural neuropeptide hormones for dipeptidyl peptidase are the neuropeptide Y (NPY), peptide YY (PYY), substance P (TAC1) and brain natriuretic peptide 32 (NPPB) (PubMed:21314817). The plasma membrane form, in association with either DPP4, PLAUR or integrins, is involved in the pericellular proteolysis of the extracellular matrix (ECM), and hence promotes cell adhesion, migration and invasion through the ECM. Plays a role in tissue remodeling during development and wound healing. Participates in the cell invasiveness towards the ECM in malignant melanoma cancers. Enhances tumor growth progression by increasing angiogenesis, collagen fiber degradation and apoptosis and by reducing antitumor response of the immune system. Promotes glioma cell invasion through the brain parenchyma by degrading the proteoglycan brevican. Acts as a tumor suppressor in melanocytic cells through regulation of cell proliferation and survival in a serine protease activity-independent manner.

关联

148

项与 FAP 相关的药物

[68Ga]FAPI-46

靶点

FAP

作用机制

FAP拮抗剂 [+1]

在研机构

Jonsson Comprehensive Cancer Center [+3]

原研机构

Ruprecht-Karls-Universität Heidelberg

在研适应症

卵巢癌 [+24]

非在研适应症-

最高研发阶段临床2期

首次获批国家/地区-

首次获批日期1800-01-20

[18F]FAPI-74

靶点

FAP

作用机制

FAP拮抗剂 [+1]

在研机构

Sofie Biosciences, Inc. [+1]

原研机构

Sofie Biosciences, Inc.

在研适应症

皮肌炎 [+5]

非在研适应症-

最高研发阶段临床2期

首次获批国家/地区-

首次获批日期1800-01-20

Talabostat Mesylate

靶点

DPP-4 x DPP-8 x DPP-9 x DPP2 x FAP

作用机制

DPP-4抑制剂 [+4]

在研机构

BioXcel Therapeutics, Inc. [+4]

原研机构

BioXcel Therapeutics, Inc.

在研适应症

转移性胰腺导管腺癌 [+7]

非在研适应症

晚期非小细胞肺癌 [+2]

最高研发阶段临床2期

首次获批国家/地区-

首次获批日期1800-01-20

117

项与 FAP 相关的临床试验

NCT06640413 / Not yet recruiting临床1期

A Phase I Study to Evaluate the Safety and Preliminary Signs of Efficacy of [177Lu]Lu-OncoFAP-23 Alone or in Combination with L19-IL2 As a Treatment of Metastatic FAP-positive Solid Tumors

The aim of this study is to assess the safety of [177Lu]Lu-OncoFAP-23 alone or in combination with L19-IL2 for the treatment of advanced/metastatic Fibroblast Activation Protein (FAP)-positive solid tumors and to establish a Recommended Dose (RD).

开始日期2024-12-31

申办/合作机构

Philogen SpA

NCT06479811 / Not yet recruiting临床1期IIT

Phase I Trial of [212Pb]VMT-Alpha-NET in Metastatic or Inoperable Somatostatin-Receptor Positive Gastrointestinal Neuroendocrine Tumors, Pheochromocytoma/Paragangliomas, Small Cell Lung, Renal Cell, and Head and Neck Cancers

Background:
Some cancers have high levels of proteins called somatostatin receptors (SSTRs) on the surface of the tumors. These tumors can be in the lung, head and neck, digestive tract, kidneys, and in or near the adrenal glands. Researchers want to know if drug treatments that target SSTRs can help shrink these types of tumors.
Objective:
To test a study drug ([212Pb]VMT-Alpha-NET) in people with tumors that have SSTRs.
Eligibility:
People aged 18 years and older with tumors of the lung, kidneys, head and neck, digestive tract, or adrenal glands that have SSTRs. Their tumors must have spread to other organs and cannot be removed with surgery.
Design:
Participants will be screened. They will have a physical exam with blood and urine tests. They will have imaging scans and a test of their heart function. A sample of tumor tissue may be collected if one is not already available.
[212Pb]VMT-Alpha-NET is given through a tube attached to a needle inserted into a vein. The drug will be given on the first day of four 8-week cycles. Participants will stay in the hospital for a few nights after each dose. They will have blood tests once a week during each cycle.
Some participants will also get a related study drug ([203Pb]VMT-Alpha-NET). They will receive this drug a few days before the first 2 cycles. At 4, 24, and 48 hours after each infusion, they will have whole body scans. These scans will show where the study drug went in their body.
Follow-up visits will continue up to 6 years after the last treatment.

开始日期2024-11-04

申办/合作机构

National Cancer Institute

NCT06503146 / Not yet recruiting临床2期IIT

18F-Fibroblast Activation Protein Inhibitor ([18F]FAPI-74) PET Imaging for Cancer Detection

Background:
Fibroblast-activation protein (FAP) is an enzyme that appears in high numbers in certain cancer cells. [18F]FAPI-74 is a new tracer-a substance that is injected into a person s body before an imaging scan. Researchers believe that [18F]FAPI-74 may be able to highlight FAP enzymes more effectively than approved tracers. If so, the new tracer would make it easier to find FAP-positive tumors in the body.
Objective:
To see if [18F]FAPI-74 PET scans are as good or better than other methods for detecting certain cancers.
Eligibility:
People aged 18 years or older with cancer in 1 of these places: the ducts of the pancreas, liver, gallbladder, or small intestine; stomach; bladder; ovaries; or adrenal glands. They must be enrolled in an NIH treatment study for their cancer.
Design:
Participants will have 2 baseline scans: 1 with [18F]FAPI-74; 1 with an approved tracer.
The [18F]FAPI-74 will be infused through a tube attached to a needle inserted into a vein. About 1 hour later, the participant will undergo 1 or more imaging scans.
Within 1 week, participants will undergo the same scanning procedures with the approved tracer.
If the baseline scan with [18F]FAPI-74 shows the tumors, scans with this tracer will be repeated when their regular treatment regimen calls for scans again. If the scans with the regular tracer also showed tumors, this scan will be repeated within the same week as the repeated [18F]FAPI-74 scans. If either type of scan showed no tumors, that scan will not be repeated.
If the participant s cancer progresses within 2 years, both types of scan may be repeated.
Follow-up calls will continue for 2 years.

开始日期2024-11-04

申办/合作机构

National Cancer Institute

100 项与 FAP 相关的临床结果

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100 项与 FAP 相关的转化医学

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0 项与 FAP 相关的专利（医药）

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3,190

项与 FAP 相关的文献（医药）

2024-12-01·Gene

Sarcopenia is attenuated by mairin in SAMP8 mice via the inhibition of FAPs fibrosis through the AMPK-TGF-β-SMAD axis

Article

作者: Huang, Wei ; Zhong, Wen ; Yang, Qiyue ; Jia, Huanan ; Tian, Yuan ; Zhu, Haiyan

Sarcopenia has become a prominent health problem among the elderly because of its adverse consequence, including physical disabilities and death. Fibro-adipogenic progenitors (FAPs) exhibit adipogenic and fibrogenic potencies and regulate skeletal muscle development, which plays important role in sarcopenia. Mairin, as an ingredient of Astragalus membranaceus, has the effect of anti-fibrosis. Therefore, we predicted that mairin targeted the fibrosis of FAPs and then affected sarcopenia. To verify our ideas, mairin (30 mg/kg/day or 60 mg/kg/day) was given to senescence accelerated mouse-prone 8 (SAMP8) mice by oral administration. Aging led to loss of weight, skeletal muscle mass, strength, and function, and an increase in muscle atrophy and fibrosis, while mairin administration inhibited physiological decline caused by aging. Similarly, mairin (20 μM or 40 μM) treatment enhanced FAP proliferation but blocked the differentiation into fibroblasts. Mechanically, mairin played an anti-fibrotic role via AMP-activated protein kinase-transforming growth factor beta-drosophila mothers against decapentaplegic protein (AMPK-TGF-β-SMAD) axis, as evidenced by increased phosphorylation of AMPKα and decreased TGF-β and phosphorylated-SMAD2/3. In addition, the potential target genes of mairin were explored by mRNA sequencing in our study. In conclusion, mairin may interfere with the AMPK/TGF-β/SMAD pathway to repress the fibrosis of FAPs and eventually ameliorate sarcopenia.

2024-12-01·European Journal of Medicinal Chemistry

Sensitive quantification of fibroblast activation protein and high-throughput screening for inhibition by FDA-approved compounds

Article

作者: Šácha, Pavel ; Šimková, Adéla ; Konvalinka, Jan ; Staňurová, Jana ; Wichterle, Filip ; Čermáková, Kateřina ; Bušek, Petr ; Kryštůfek, Robin ; Vaníčková, Zdislava

Fibroblast activation protein (FAP) has been extensively studied as a cancer biomarker for decades. Recently, small-molecule FAP inhibitors have been widely adopted as a targeting moiety of experimental theranostic radiotracers. Here we present a fast qPCR-based analytical method allowing FAP inhibition screening in a high-throughput regime. To identify clinically relevant compounds that might interfere with FAP-targeted approaches, we focused on a library of FDA-approved drugs. Using the DNA-linked Inhibitor Antibody Assay (DIANA), we tested a library of 2667 compounds within just a few hours and identified numerous FDA-approved drugs as novel FAP inhibitors. Among these, prodrugs of cephalosporin antibiotics and reverse transcriptase inhibitors, along with one elastase inhibitor, were the most potent FAP inhibitors in our dataset. In addition, by employing FAP DIANA in the quantification mode, we were able to determine FAP concentrations in human plasma samples. Together, our work expands the repertoire of FAP inhibitors, analyzes the potential interference of co-administered drugs with FAP-targeting strategies, and presents a sensitive and low-consumption ELISA alternative for FAP quantification with a detection limit of 50 pg/ml.

2024-12-01·Techniques in Coloproctology

Gracilis muscle interposition for pouch-vaginal fistulas: a single-centre cohort study and literature review

Review

作者: Horesh, N ; Wexner, S D ; Strassmann, V ; Ray-Offor, E ; Garoufalia, Z ; Dourado, J ; Emile, S H ; Rogers, P

BACKGROUNDFirst described by Parks and Nicholls in 1978, the ileal pouch-anal anastomosis (IPAA) has revolutionized the treatment of mucosal ulcerative colitis (MUC) and familial adenomatous polyposis (FAP). IPAA is fraught with complications, one of which is pouch-vaginal fistulas (PVF), a rare but challenging complication noted in 3.9-15% of female patients. Surgical treatment success approximates 50%. Gracilis muscle interposition (GMI) is a promising technique that has shown good results with other types of perineal fistulas. We present the results from our institution and a comprehensive literature review.METHODSA retrospective observational study including all patients with a PVF treated with GMI at our institution from December 2018-January 2000. Primary outcome was complete healing after ileostomy closure.RESULTSNine patients were included. Eight of nine IPAAs (88.9%) were performed for MUC, and one for FAP. A subsequent diagnosis of Crohn's disease was made in five patients. Initial success occurred in two patients (22.2%), one patient was lost to follow-up and seven patients, after further procedures, ultimately achieved healing (77.8%). Four of five patients with Crohn's achieved complete healing (80%).CONCLUSIONSurgical healing rates quoted in the literature for PVFs are approximately 50%. The initial healing rate was 22.2% and increased to 77.8% after subsequent surgeries, while it was 80% in patients with Crohn's disease. Given this, gracilis muscle interposition may have a role in the treatment of pouch-vaginal fistulas.

330

项与 FAP 相关的新闻（医药）

2024-10-31

·药融圈

你知道细胞疗法在非肿瘤领域的6个重磅研发方向吗？

免疫细胞治疗通过激活或增强机体的免疫系统，在肿瘤治疗领域具有划时代意义，为癌症治疗带来了深远的影响。免疫细胞治疗能够弥补传统肿瘤治疗方法的不足，如手术无法完全清除微小病灶、放疗和化疗对正常细胞的损伤等。它可以帮助清除手术后残留在体内的肿瘤细胞，减少术后复发和转移的风险。同时免疫细胞治疗还可以与其他治疗方法如放疗和化疗联合应用，发挥协同抗肿瘤效应，提高治疗效果。近年来，免疫细胞治疗在肿瘤临床应用中取得了显著进展。例如，CAR-T细胞疗法已经在多种血液系统肿瘤和部分实体瘤患者中显示出良好的疗效。同时近年来，免疫细胞治疗在非肿瘤领域也取得很多突破，例如在自身免疫疾病、感染性疾病、衰老等，未来非肿瘤领域或许是免疫细胞治疗更大的用武之地与市场所在。 01 自身免疫类疾病 1 SLE（系统性红斑狼疮） SLE（系统性红斑狼疮）一直是临床的难题，传统治疗方法包括糖皮质激素、免疫抑制剂和生物制剂等，在部分重度和难治性患者中的效果非常有限。CAR-T疗法通过靶向B细胞分化产生的自身抗体，达到深度清除致病性B细胞的效果，从而触发免疫“重置”，实现完全缓解疾病，许多患者在接受治疗后无需再使用羟氯喹、激素或免疫抑制剂，达到了接近一次性治愈的效果。 2021年8月，德国埃尔朗根-纽伦堡大学的研究人员在《新英格兰医学杂志》（NEJM）发表研究论文，对一名患有严重系统性红斑狼疮的20岁女性患者进行了CAR-T细胞治疗，这是世界上首次使用CAR-T细胞疗法来治疗系统性红斑狼疮。从治疗后的第三周开始，患者的肾脏和红斑狼疮指标有所改善，所有症状逐渐消失了，治疗团队表示，之前从未有任何药物达到过这种效果。2023年7月底，CAR-T细胞治疗仅仅一个月后，患者已经可以回家了，开始了正常的生活。如今已经一年多了，患者保持良好状态。相关研究成果发表在《柳叶刀》（The Lancet）。目前国内多家企业也在快速推进此领域的研究。 2 难治性风湿免疫疾病难治性风湿免疫疾病是临床难题之一。近年通用型CAR-T细胞疗法带来了新的希望。今年7月16日，我国上海长征医院风湿免疫科的徐老师团队，发布了一项令人瞩目的临床研究结果，三名患有严重复发难治性风湿免疫疾病的患者，在接受通用型CAR-T疗法后，病情得到了明显的改善。这一研究的成果于2024年7月15日晚在线发表在《Cell》上是国际上首次报道通用型CAR-T成功治疗自身免疫疾病的研究成果。标志细胞治疗在该领域的临床研究迈出了突破性的一步。 3 阿尔兹海默病阿尔兹海默症（俗称老年痴呆症），是一种非常常见的神经退行性疾病。这种疾病主要影响65岁以上的老年人。患者基数巨大，给患者急社会带来巨大的痛苦，当前临床期待更强效的治疗方案，或许免疫细胞疗法能带来更多选择。研究人员成功在阿尔茨海默病患者中测试了一种名为 SNK01 的免疫细胞疗法的有效性。SNK01是一款非基因修饰的自体NK细胞疗法，其在采集患者的血液后从中分离并筛选出目标NK细胞，再激活NK细胞并促使其扩增。这是一种增强型自然杀伤细胞，可表达激活受体并显示出显着的细胞毒性。这种治疗可以穿过血脑屏障，血脑屏障是防止毒素进入中枢神经系统的一层细胞。在I期临床试验中，10名阿尔茨海默病患者接受了SNK01的NK细胞治疗。研究的最终数据，进一步证明SNK01耐受性良好，似乎可以降低患者的阿尔茨海默症血液标志物:Aβ42/40淀粉样蛋白，并减轻神经炎症。使用ADCOMS评分显示，90%的患者11周后表现出改善或保持稳定的认知功能，这表明SNK01不止局限于减缓疾病进展。华盛顿医学院研究者们系统地比较了淀粉样蛋白沉积或tau聚集和神经退行疾病的小鼠大脑中的免疫环境。他们的研究结果揭示了在tau病和神经变性中，激活的小胶质细胞和T细胞相互作用的免疫中枢，可以作为预防阿尔茨海默病和原发性tau病的神经退行性变的治疗方法。 02 抗衰老领域几千年来抗衰老是人类永恒的需求。预计到2030年，65岁以上的老年人将占世界人口的20%。衰老细胞在生命早期就被免疫系统生理清除，利用增强免疫细胞并延长这一过程可能使机体获得更大收益。《自然衰老》杂志发表了抗衰老领域的一项新突破。科学家发现，单次注射由CAR-T细胞组成的抗衰老疗法可以延缓或逆转衰老的特征，并可能在数年内继续提供这些益处。这种方法改善了年老机体的运动能力和代谢功能障碍，如葡萄糖耐量。这项新研究的不同之处在于，它将CAR-T免疫细胞视为一种预防和治疗与衰老相关的变化的方法。此外，这些细胞的持久性表明，即使是一次给药也可能能够治疗与年龄有关的慢性疾病。基于这些突破性成果，研究人员正在寻找能让机体更健康且活得更久的新方案。随着科学研究的进展，科学界离人们梦寐以求的青春之泉又近了一步。 1 巨噬细胞巨噬细胞是免疫系统中的关键细胞，它们通过吞噬作用清除凋亡细胞和衰老细胞，防止炎症和组织损伤。在动脉粥样硬化等疾病中，巨噬细胞的这种清除功能受损，可能导致疾病的进展。 2 自然杀伤（NK）细胞 NK细胞是免疫系统中的另一类重要细胞，它们通过识别衰老细胞表面的特定分子（如MICA/B和ULBP2）来清除衰老细胞。NK细胞的这种清除功能对于防止肿瘤发展和慢性炎症至关重要。 3 T细胞 T细胞，特别是CD8+细胞毒性T细胞，可以通过识别衰老细胞表面的MHC I分子来直接杀死衰老细胞。此外，通过基因工程改造的CAR-T细胞（嵌合抗原受体T细胞）可以被设计为特异性地识别和清除表达特定抗原的衰老细胞。 4 树突状细胞树突状细胞是专业的抗原呈递细胞，它们可以吞噬衰老细胞并将其抗原呈递给T细胞，从而激活适应性免疫反应。 03 脏器纤维化最近的临床前研究表明， CAR-T 细胞可以针对纤维化并在高血压损伤后恢复心脏功能。研究人员注入 anti-FAP CAR-T 细胞可以在心脏损伤后解决纤维化问题，并改善心脏功能。肝脏疾病、慢性肾脏疾病、肺部疾病、骨骼肌疾病等许多其他情况都可以尝试使用抗纤维化 CAR-T 细胞进行治疗。今年安徽医科大学第一附属医院王华教授团队在Journal of Hepatology上发表题为Chimeric antigen receptor-modified macrophages ameliorate liver fibrosis in preclinical models的研究论文，该研究首次提供了临床前证据，证明靶向uPAR的CAR-Ms可以减轻肝纤维化。在上文提到的，我国上海长征医院风湿免疫科的徐老师团队，三名患有严重复发难治性风湿免疫疾病的患者，在接受通用型CAR-T疗法后，还有一个新的发现：CT和核磁共振显现心肺等重要器官的纤维化实现损伤逆转，并在6个月的随访期间持续改善。临床通常认为，器官的纤维化是很难逆转的，这个试验貌似打开了脏器纤维化逆转改善，新的一扇窗。 04 抗感染 CAR-T的初衷是为了治疗HIV感染病人。随着 CAR-T 结构的优化，基于二代结构的 CAR-T 也被应用于 HIV 的治疗，相关的临床实验正在积极开展。同时近期研究测试了 CAR-T 细胞对抗侵袭性肺曲霉病的功效，表明该 CAR-T 细胞在体外和侵袭性肺曲霉病小鼠模型中均显示出抗真菌特性。目前已有临床研究探讨了 NK 细胞在治疗 HPV 病毒感染中的应用。不少试验表明应用 NK 细胞过继免疫疗法可有效地阻止癌症前状态的进展，对于 CIN 早期与宫颈原位癌的患者具有良好的控制与治疗作用。 2023年8月，国际知名期刊《Open Life Sciences》上曾报道一位肺癌继发败血症患者的案例，患者陷入昏迷状态在采用NK细胞疗法治疗后，逐渐苏醒并恢复身体功能。虽然CAR-T 在慢性感染方面有着广阔的发展空间，但是对于急性感染，需要紧急反应，当前 CAR-T 离体生产过程还需进一步优化，通用型免疫细胞治疗或是一种更好的选择。 05 传染性疾病 2022年，《科学转化医学》（Science Translational Medicine）杂志发表文章，科研人员在这篇文章中也表示，NK细胞是抗病毒的天然武器，在临床研究中也已经证明NK细胞对这类病毒（如甲型流感病毒、新冠病毒、乙肝病毒、丙肝病毒、艾滋病毒等）均有效。还有研究表明，甲型流感病毒为了防止体内免疫细胞的干扰，它会释放一种名为PB1-F2毒性蛋白从而抑制NK细胞的招募，减少体内NK细胞的数量，从而增加其发病率和致死性。未来NK细胞有望代表一种新型的抗病毒治疗方法。 06 代谢系统疾病早在几年前，《Science》就有文章大胆预测：调节性T细胞将成为细胞治疗的下一个前沿领域。在治疗代谢性疾病2型糖尿病的过程中，免疫细胞疗法的目标是纠正失衡的免疫状态，保护β细胞免受自身免疫攻击。当前有些研究报告显示，采用免疫调节T细胞疗法后，部分糖尿病前期患者的血糖水平得以稳定，减少了胰岛素需求。你知道细胞疗法在非肿瘤领域的6个重磅研发方向吗？作者 | Yang 审核编辑 | Dr. Tuu ▎2024国际药物研发论坛推荐瞄准全球最前沿的创新技术，由中关村生命科学园发起的2024国际药物研发论坛将于11月22日在北京召开，聚焦创新药物研发和可持续发展，围绕细胞与基因治疗药物研发及产业化、靶向肿瘤药物的研究进展探讨如何整合各方资源，在新技术上、新靶标、新机制、新化合物等方面寻求突破，打通“基础研究-新药创制-成果转化”三大环节之间的壁垒，努力建设新药创制生态圈，推动我国新药创制事业的源头创新、持续创新和循环创新。本次论坛邀请了来自中国、英国、日本、瑞士、美国的顶尖基础研究及药物研发领域的科学家，包括罗敏敏教授，Adil Mardinoglu 教授，Shuai Ke教授，Minoru Takasato教授，Maya Zhang博士，Bernd Wollscheid教授，王军研究员等国内外知名专家出席，针对创新药物新技术研究，细胞基因疗法开发，靶向肿瘤药物研究带来最前沿的分享。 *议程以现场实际为准扫码报名国际峰会了解最新源头创新 2023年国际药物研发论坛往期回顾：

细胞疗法免疫疗法临床研究临床结果ASH会议

2024-10-30

·Pharma CMC

刚刚，东诚药业抗癌核药获FDA快速通道资格

刚刚，东诚药业发布公告，其下属公司LNC PHARMA PTE.LTD.申报的177Lu-LNC1004注射液获得FDA授予的快速通道资格，用于治疗至少接受过一种及以上酪氨酸激酶抑制剂的转移性碘-131难治性分化型甲状腺癌患者。据东诚药业公告披露，177Lu-LNC1004注射液是一种靶向成纤维细胞活化蛋白（Fibroblast Activation Protein，FAP）的放射性体内治疗药物，通过将放射性核素镥-177靶向运送至FAP阳性表达的实体瘤实现肿瘤的精准治疗。目前在国内和国外尚无同靶点治疗药物上市。该药物在中国、美国和新加坡均已获得临床试验许可，并处在I期临床试验中。

快速通道临床1期

2024-10-30

·医药观澜

刚刚！东诚药业宣布抗癌核药产品获FDA快速通道资格

▎药明康德内容团队报道今日（10月30日），东诚药业宣布下属公司蓝纳成在研产品177Lu-LNC1004注射液获得美国FDA授予的快速通道资格。该产品用于治疗接受过一种及以上酪氨酸激酶抑制剂的转移性碘-131难治性分化型甲状腺癌患者。 177Lu-LNC1004注射液是一种靶向成纤维细胞活化蛋白（Fibroblast Activation Protein，FAP）的放射性体内治疗药物，通过将放射性核素镥-177靶向运送至FAP阳性表达的实体瘤而实现肿瘤的精准治疗。该产品通过修饰的FAP抑制剂（FAP inhibitor, FAPI），能够特异性地与FAP结合，在未来有可能用于多种肿瘤的治疗。FAP作为一种泛肿瘤靶点，高表达于90%以上上皮源性肿瘤相关的成纤维细胞，在正常组织中无表达或低表达。东诚药业新闻稿表示，在临床前研究中，177Lu-LNC1004在多个肿瘤模型中显示出明显的肿瘤高摄取和更长的滞留时间，能够在较低的剂量下达到显著的肿瘤抑制作用。 177Lu-LNC1004注射液已经在2023年分别取得了美国、新加坡和中国的临床批件，并启动1期临床试验。此外，在研究者发起的临床研究（IIT）中，177Lu-LNC1004注射液在特定肿瘤——转移性碘-131难治性分化型甲状腺癌的治疗中表现出优秀的治疗效果，并在确定的剂量下具有良好的患者耐受性和安全性。公开资料显示，蓝纳成创立于2021年，由东诚药业与国际分子影像及纳米医学领域专家陈小元教授联合创立，专注于全球创新的1类诊疗一体化创新肿瘤核药研发平台的打造，致力于为肿瘤患者提供更加精准和有效的治疗方案，并推动核医学在全球的发展。今年4月，该公司宣布完成3亿元B+轮融资。参考资料： [1]重磅 | 177Lu - LNC1004注射液获得美国FDA快速通道资格认定. Retrieved Oct 30, 2024. From https://mp.weixin.qq.com/s/pvwRg0NYDZLTt8Ja8gvR7w 本文由药明康德内容团队根据公开资料整理编辑，欢迎个人转发至朋友圈。转发授权及其他合作需求，请联系wuxi_media@wuxiapptec.com。免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。

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