FAP

Ongoing clinical trials and approved products targeting FAP, in radioligand therapy and PET/SPECT imaging. Data as of 26 October 2026.

Theranostic pair: this target is explored in both imaging and therapy.

20ongoing therapy trials
101ongoing imaging trials
0approved products

Target note

Full name
Fibroblast activation protein (FAP-α)
Nature
Membrane serine protease (dipeptidyl peptidase and endopeptidase activities) of cancer-associated fibroblasts.
Normal expression
Almost absent from healthy adult tissues; induced in wound healing, fibrosis, arthritis and atherosclerosis.
Disease expression
Stroma of most carcinomas (pancreas, breast, colon, lung, biliary tract); expressed directly by some sarcoma and mesothelioma cells.
Value
A "pan-tumor" target of the microenvironment: a single radiopharmaceutical could serve in many cancers. Tumor cells are irradiated by crossfire from the stroma.
Approaches
Inhibitors (FAPI-04, FAPI-46), dimers and albumin binders to prolong retention, cyclic peptides (FAP-2286, 3BP-3940), antibodies (IM-3050); ¹⁷⁷Lu, ⁹⁰Y, ²²⁵Ac, ²¹²Pb.
Indications explored
Advanced solid tumors (sarcomas, pancreas, thyroid, mesothelioma), multi-tumor basket trials.
Points of caution
Tumor retention often too short with the first inhibitors; uptake in areas of fibrosis and inflammation. Clinical efficacy remains to be shown.

Ongoing therapy trials · 20Open in the radar →

TrialPhaseStatusSponsorCountries
LuMIERE · [177Lu]FAP-2286NCT04939610 · Solid tumors (multiple indications)Phase 2RecruitingNovartis Pharmaceuticals6
[212Pb]Pb-PSV359NCT06710756 · Pancreas (adenocarcinoma)Phase 2RecruitingPerspective Therapeutics1
Lu-FAP CUP · [177Lu]FAP-2286NCT07434180 · Solid tumors (multiple indications)Phase 2Not yet recruitingPeter MacCallum Cancer Centre, Australia1
Yttrium-90-Labeled Fibroblast Activation Protein Inhibitor (Y-90 FAPI)NCT07500285 · Small-cell lung cancerPhase 2Not yet recruitingProf. Dr. Cemil Tascıoglu Education and Research Hospital Organization1
FAUNUS · [177Lu]FAP-2286NCT06880757 · Bladder / urothelialPhase 2Not yet recruitingAnkara University0
Injection of 177Lu-NI-FAPINCT07822347 · Solid tumors (multiple indications)Phase 2By invitationPeking Union Medical College Hospital1
ATLAS · [225Ac]RTX-2358NCT07156565 · Sarcoma / bonePhase 1RecruitingRatio Therapeutics, Inc.2
[177Lu]IM-3050NCT07505771 · Solid tumors (multiple indications)Phase 1RecruitingImmunome, Inc.1
177Lu-NRT6020 Injection (stage 2)NCT06911489 · Solid tumors (multiple indications)Phase 1RecruitingChengdu New Radiomedicine Technology Co. LTD.1
TheraTri · [177Lu]Lu-OncoFAP-23NCT06640413 · Solid tumors (multiple indications)Phase 1RecruitingPhilogen S.p.A.1
[177Lu]Lu-RTX-2358NCT07689643 · Small-cell lung cancerPhase 1RecruitingUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology1
[177Lu]Lu-XT117NCT06197139 · Solid tumors (multiple indications)Phase 1RecruitingXinlu Wang1
[177Lu]Lu-XT117NCT06211647 · Solid tumors (multiple indications)Phase 1RecruitingRuimin Wang1
225Ac-FAPI-XTNCT07135128 · Solid tumors (multiple indications)Phase 1RecruitingXiaorong Sun1
68Ga-FAPI-RGD for PET / CT scan and 177Lu-FAPI-RGD for therapyNCT06638034 · Solid tumors (multiple indications)Phase 1RecruitingPeking Union Medical College Hospital1
177Lu-CTR-FAPI therapyNCT07438847 · ThyroidPhase 1RecruitingSHAOYAN LIU1
177Lu-CTR-FAPINCT07229768 · Pancreas (adenocarcinoma)Phase 1RecruitingYan Xing1
177Lu-JH040182 with an activity of approximately 5.55-7.50 GBqNCT07681141 · Solid tumors (multiple indications)Phase 1Active, not recruitingFirst Affiliated Hospital of Fujian Medical University1
177Lu-FAP-VG11NCT07808177 · Solid tumors (multiple indications)Phase 1RecruitingShandong Cancer Hospital and Institute1
177Lu-AF03NCT07879547 · Solid tumors (multiple indications)Phase 1Not yet recruitingYong He1

Ongoing imaging trials · 101Open in the radar →

TrialPhaseStatusSponsorCountries
FAPI-GO · FAP ligands (FAPI)NCT07217704 · Stomach / esophagusPhase 3RecruitingSOFIE1
FAPI-PRO · FAP ligands (FAPI)NCT07217717 · Pancreas (adenocarcinoma)Phase 3RecruitingSOFIE1
FAP ligands (FAPI)2023-506030-70-00 · Pancreas (adenocarcinoma)Phase 3Not yet recruitingUniversitaetsklinikum Essen AöR1
FAPIChol · FAP ligands (FAPI)NCT06355427 · Solid tumors (multiple indications)Phase 3RecruitingMara Veenstra, MD1
FAP ligands (FAPI)NCT07535554 · Bacterial infectionsPhase 3RecruitingUniversitaire Ziekenhuizen KU Leuven1
FAP ligands (FAPI)NCT07098598 · Pancreas (adenocarcinoma)Phase 3RecruitingTurku University Hospital1
FAP ligands (FAPI)NCT07272772 · ColorectalPhase 3RecruitingTurku University Hospital1
FAP ligands (FAPI)NCT07613099 · Atherosclerosis and vesselsPhase 3RecruitingNational Heart, Lung, and Blood Institute (NHLBI)1
FAP ligands (FAPI)2024-516486-36-00 · Pancreas (adenocarcinoma)Phase 3RecruitingStichting Amsterdam UMC1
FAP ligands (FAPI)2026-526942-29-00 · Inflammatory diseasesPhase 3Not yet recruitingUZ Leuven1
PLASTIC-3 · FAP ligands (FAPI)NCT07018661 · Stomach / esophagusPhase 3RecruitingLeiden University Medical Center1
FAP ligands (FAPI)2024-517931-29-00 · Inflammatory diseasesPhase 3RecruitingUniversitair Medisch Centrum Groningen1
FAPIDO · FAP ligands (FAPI)NCT06782412 · Pancreas (adenocarcinoma)Phase 3RecruitingKU Leuven1
FAP ligands (FAPI)2025-520731-17-02 · OtherPhase 3Not yet recruitingCentre Hospitalier Regional Et Universitaire De Brest1
FAP ligands (FAPI)2024-517257-27-00 · OtherPhase 3RecruitingUniversitair Medisch Centrum Groningen1
FAP ligands (FAPI)NCT07702292 · BreastPhase 2RecruitingBlue Earth Diagnostics2
FAP ligands (FAPI)NCT07432633 · BreastPhase 2RecruitingBlue Earth Diagnostics1
FAP ligands (FAPI)NCT05518903 · Pancreas (adenocarcinoma)Phase 2RecruitingMayo Clinic1
BEFAST · FAP ligands (FAPI)NCT07629609 · Pancreas (adenocarcinoma)Phase 2RecruitingBarbara Malene Fischer1
FAPIPET · FAP ligands (FAPI)NCT07705074 · Inflammatory diseasesPhase 2Not yet recruitingMartin Huellner1
FAP ligands (FAPI)2024-518765-96-00 · Solid tumors (multiple indications)Phase 2RecruitingAzienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico1
FAPI-NICM · FAP ligands (FAPI)NCT07878338 · Ischemic heart diseasePhase 2RecruitingPeking Union Medical College Hospital1
FAP ligands (FAPI)NCT06503146 · Pheochromocytoma / paragangliomaPhase 2RecruitingNational Cancer Institute (NCI)1
FAPI-PM · FAP ligands (FAPI)NCT06790082 · Solid tumors (multiple indications)Phase 2RecruitingAalborg University Hospital1
FAP ligands (FAPI)NCT07083011 · Heart failure and cardiomyopathiesPhase 2RecruitingMayo Clinic1
PHANTOM · FAP ligands (FAPI)NCT06298916 · Pancreas (adenocarcinoma)Phase 2RecruitingLantheus Medical Imaging1
FAP ligands (FAPI)NCT06335069 · BreastPhase 2RecruitingMaastricht University Medical Center1
FAP ligands (FAPI)2024-511659-17-00 · Solid tumors (multiple indications)Phase 2RecruitingIstituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.1
FAP ligands (FAPI)2024-514504-13-00 · Inflammatory diseasesPhase 2RecruitingMoonLake Immunotherapeutics AG1
FAP ligands (FAPI)NCT07523607 · BreastPhase 2Not yet recruitingOdense University Hospital0
FAP ligands (FAPI)2023-503686-26-02 · Inflammatory diseasesPhase 2RecruitingSt Antonius Hospital1
FAPDIG · FAP ligands (FAPI)NCT07478523 · Pancreas (adenocarcinoma)Phase 2RecruitingUniversity Hospital, Bordeaux1
FAPICAM · FAP ligands (FAPI)NCT07549841 · Cardiac amyloidosisPhase 2RecruitingNantes University Hospital1
HEFITEP · FAP ligands (FAPI)NCT06160271 · Psychiatry and addictionPhase 2Not yet recruitingCentral Hospital, Nancy, France0
FAP ligands (FAPI)NCT07062523 · Inflammatory diseasesPhase 2RecruitingPeking Union Medical College Hospital1
FAPIHN · FAP ligands (FAPI)NCT06794372 · Head and neckPhase 2RecruitingJohn O. Prior1
BEFAST · FAP ligands (FAPI)NCT07215182 · MelanomaPhase 2RecruitingBarbara Malene Fischer1
FAP ligands (FAPI)2025-524874-41-00 · Sarcoma / bonePhase 2Not yet recruitingRigshospitalet1
FAP ligands (FAPI)2024-511977-31-01 · Atherosclerosis and vesselsPhase 2Not yet recruitingUniversitair Medisch Centrum Groningen1
MI-CISDIR · FAP ligands (FAPI)NCT06540872 · BreastPhase 2RecruitingUniversität Münster1
INDIGO-FAPI · FAP ligands (FAPI)NCT06659705 · Pancreas (adenocarcinoma)Phase 2RecruitingInstitut Curie1
FAP ligands (FAPI)2025-524897-40-00 · BreastPhase 2Not yet recruitingHospices Civils De Lyon1
SOFAPI · FAP ligands (FAPI)NCT07357974 · OtherPhase 2Not yet recruitingUniversity Hospital, Brest1
FAP ligands (FAPI)2025-524434-25-00 · Stomach / esophagusPhase 2Not yet recruitingCentre Hospitalier Universitaire De Bordeaux1
FAP ligands (FAPI)NCT07285993 · BreastPhase 2Not yet recruitingRandy Yeh1
FAP ligands (FAPI)2025-521163-12-01 · ThyroidPhase 2Not yet recruitingErasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)1
FAP ligands (FAPI)NCT07464132 · Heart failure and cardiomyopathiesPhase 2RecruitingPeking Union Medical College Hospital1
FAP ligands (FAPI)2025-523032-39-00 · Small-cell lung cancerPhase 2Not yet recruitingAcademisch Ziekenhuis Maastricht1
FAP ligands (FAPI)NCT05172310 · Pancreas (adenocarcinoma)Phase 1RecruitingKarolinska University Hospital1
FAP ligands (FAPI)NCT04499365 · Solid tumors (multiple indications)Phase 1RecruitingFirst Affiliated Hospital of Fujian Medical University1
FAP ligands (FAPI)NCT06740240 · Solid tumors (multiple indications)Phase 1RecruitingFirst Affiliated Hospital of Fujian Medical University1
FAP ligands (FAPI)2023-506594-35-00 · ColorectalPhase 1RecruitingAmsterdam UMC1
FAP ligands (FAPI)NCT04621435 · Solid tumors (multiple indications)Phase 1RecruitingThomas Hope1
FAP ligands (FAPI)NCT07144085 · Solid tumors (multiple indications)Phase 1RecruitingYi Tian1
FAP ligands (FAPI)NCT05121779 · Inflammatory diseasesPhase 1RecruitingPeking Union Medical College Hospital1
FAP ligands (FAPI)2024-518838-82-00 · Inflammatory diseasesPhase 1RecruitingUniversitair Medisch Centrum Groningen1
FAP ligands (FAPI)NCT06413355 · Inflammatory diseasesPhase 1RecruitingAbramson Cancer Center at Penn Medicine1
FAPI-PETCD · FAP ligands (FAPI)NCT07273188 · Inflammatory diseasesPhase 1RecruitingMayo Clinic1
FAP ligands (FAPI)NCT07457541 · BreastPhase 1Active, not recruitingTomsk National Research Medical Center of the Russian Academy of Sciences1
FAP ligands (FAPI)NCT06688305 · Solid tumors (multiple indications)Phase 1RecruitingFirst Affiliated Hospital of Fujian Medical University1
FAP ligands (FAPI)2023-505317-25-00 · Inflammatory diseasesPhase 1RecruitingAmsterdam UMC1
FAPI PET Prost · FAP ligands (FAPI)NCT04457232 · Prostate – otherPhase 1Active, not recruitingJonsson Comprehensive Cancer Center1
FAPI ILD · FAP ligands (FAPI)NCT05365802 · Inflammatory diseasesPhase 1Active, not recruitingUniversity of California, Los Angeles1
FAP ligands (FAPI)NCT07118176 · Prostate – otherPhase 1Active, not recruitingJonsson Comprehensive Cancer Center1
FAP ligands (FAPI)NCT07132645 · NETs and neuroendocrine carcinomas (other)Phase 1RecruitingUniversity of Michigan Rogel Cancer Center1
FAP ligands (FAPI)NCT07817563 · Non-small-cell lung cancerPhase 1Not yet recruitingMayo Clinic1
FAPI PET RDRC · FAP ligands (FAPI)NCT04459273 · NETs and neuroendocrine carcinomas (other)Phase 1Active, not recruitingJonsson Comprehensive Cancer Center1
FAP ligands (FAPI)2023-503985-21-00 · Small-cell lung cancerPhase 1RecruitingMeander Medisch Centrum1
FAP ligands (FAPI)NCT04457258 · Sarcoma / bonePhase 1Active, not recruitingJonsson Comprehensive Cancer Center1
FAP ligands (FAPI)NCT06734572 · Solid tumors (multiple indications)Phase 1RecruitingFirst Affiliated Hospital of Fujian Medical University1
FAP ligands (FAPI)NCT07830771 · Bacterial infectionsPhase 1RecruitingUniversity of Pennsylvania1
CUPCAKE · FAP ligands (FAPI)NCT06225505 · BreastNo phaseRecruitingInstitut Curie1
FAP ligands (FAPI)NCT05034146 · Solid tumors (multiple indications)No phaseRecruitingZhongnan Hospital1
FAP ligands (FAPI)NCT06421142 · Bladder / urothelialNo phaseRecruitingFirst Affiliated Hospital of Fujian Medical University1
FAP ligands (FAPI)NCT04416165 · Solid tumors (multiple indications)No phaseRecruitingThe First Affiliated Hospital of Xiamen University1
FAP ligands (FAPI)NCT07753499 · ThyroidNo phaseRecruitingThe First Affiliated Hospital of Xiamen University1
PARADISE · FAP ligands (FAPI)NCT06275477 · Inflammatory diseasesNo phaseRecruitingUniversity Hospital, Brest1
FAP ligands (FAPI)NCT07180433 · BreastNo phaseNot yet recruitingSt. Olavs Hospital0
EM-FAPI · FAP ligands (FAPI)NCT07876648 · Inflammatory diseasesNo phaseRecruitingUniversitaire Ziekenhuizen KU Leuven1
FAP ligands (FAPI)NCT06232122 · GynecologicalNo phaseRecruitingChang Gung Memorial Hospital1
FAP ligands (FAPI)NCT06791226 · Solid tumors (multiple indications)No phaseRecruitingPeking University Third Hospital1
FAP ligands (FAPI)NCT05442151 · Solid tumors (multiple indications)No phaseRecruitingTadashi Watabe1
FAP ligands (FAPI)NCT06653452 · ColorectalNo phaseRecruitingPeking Union Medical College Hospital1
Ga-68-FAPI-46 · FAP ligands (FAPI)NCT06769828 · ColorectalNo phaseRecruitingKoo Foundation Sun Yat-Sen Cancer Center1
PKUCH-R12 · FAP ligands (FAPI)NCT07552207 · ColorectalNo phaseNot yet recruitingPeking University Cancer Hospital & Institute0
FAP ligands (FAPI)NCT06911021 · Pancreas (adenocarcinoma)No phaseNot yet recruitingCentre Hospitalier Universitaire Vaudois1
FAPeCa · FAP ligands (FAPI)NCT06061874 · Solid tumors (multiple indications)No phaseRecruitingJules Bordet Institute1
INTERACT-FAPI · FAP ligands (FAPI)NCT06957782 · OtherNo phaseNot yet recruitingErasmus Medical Center0
FAP ligands (FAPI)NCT07114211 · OtherNo phaseNot yet recruitingXijing Hospital0
FAP ligands (FAPI)NCT05140746 · Stomach / esophagusNo phaseRecruitingRuijin Hospital1
FAP-IT · FAP ligands (FAPI)NCT06349512 · BreastNo phaseRecruitingInstitut Curie1
FAPI-PET · FAP ligands (FAPI)NCT06790264 · BreastNo phaseRecruitingEuropean Institute of Oncology1
FAPI for CUP · FAP ligands (FAPI)NCT06644716 · Solid tumors (multiple indications)No phaseRecruitingErasmus Medical Center1
FoCus · FAP ligands (FAPI)NCT06191120 · ColorectalNo phaseRecruitingUMC Utrecht1
FAP ligands (FAPI)NCT07104058 · Inflammatory diseasesNo phaseRecruitingLuo Yaping1
FAP ligands (FAPI)NCT07423013 · ThyroidNo phaseRecruitingPeking University Third Hospital1
FAPI-ARVC · FAP ligands (FAPI)NCT07563660 · Heart failure and cardiomyopathiesNo phaseRecruitingIstanbul University - Cerrahpasa1
GALILEE · FAP ligands (FAPI)NCT05931302 · BreastNo phaseActive, not recruitingCentre Hospitalier Intercommunal de Toulon La Seyne sur Mer1
FAST HOC · FAP ligands (FAPI)NCT05956093 · GynecologicalNo phaseActive, not recruitingUniversity Health Network, Toronto1
FAP ligands (FAPI)NCT06684028 · Solid tumors (multiple indications)No phaseRecruitingAffiliated Hospital of Jiangnan University1
FAP ligands (FAPI)NCT07138729 · Inflammatory diseasesNo phaseRecruitingLuo Yaping1

Cite this page

FAP. Theranostic Atlas, LaRadiopharmacie.fr. Data as of 26 October 2026. https://theranosticatlas.com/target/fap/ (accessed [date]).

A monitoring tool with no regulatory value: check every item at its source.