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2D Structure
Also known as: Flortaucipir f 18, Flortaucipir f18, Tauvid, Flortaucipir (18f), 1522051-90-6, T1jp1kyu9o
Molecular Formula
C16H10FN3
Molecular Weight
262.27  g/mol
InChI Key
GETAAWDSFUCLBS-SJPDSGJFSA-N
FDA UNII
T1JP1KYU9O

Flortaucipir F-18 is a radioconjugate composed of the paired helical filament (PHF) tau binding agent flortaucipir, a benzimidazole pyrimidine derivative, conjugated to the radioisotope fluorine F 18, with potential tau positron emission tomography (PET) imaging activity. Upon administration, flortaucipir F-18 targets and binds to PHF-tau in the brain, which allows PET imaging of PHF-tau and analysis of phosphorylated PHF-tau aggregates (neurofibrillary tangles). Increased levels of PHF-tau and neurofibrillary tangles are correlated with the cognitive decline seen in neurodegenerative diseases, such as dementia, Alzheimer's disease (AD) and chemotherapy-induced cognitive impairment (CICI).
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
7-(6-(18F)fluoro-3-pyridinyl)-5H-pyrido[4,3-b]indole
2.1.2 InChI
InChI=1S/C16H10FN3/c17-16-4-2-11(8-19-16)10-1-3-12-13-9-18-6-5-14(13)20-15(12)7-10/h1-9,20H/i17-1
2.1.3 InChI Key
GETAAWDSFUCLBS-SJPDSGJFSA-N
2.2 Other Identifiers
2.2.1 UNII
T1JP1KYU9O
2.3 Synonyms
2.3.1 MeSH Synonyms

1. (18f)flortaucipir

2. Flortaucipir (f 18)

3. Flortaucipir (f-18)

4. Flortaucipir (18f)

5. (18)f-flortaucipir

2.3.2 Depositor-Supplied Synonyms

1. Flortaucipir F 18

2. Flortaucipir F18

3. Tauvid

4. Flortaucipir (18f)

5. 1522051-90-6

6. T1jp1kyu9o

7. 18f-av-1451

8. T807 F-18

9. T-807 F-18

10. (18f)flortaucipir

11. Ly3191748

12. Ly-3191748

13. 7-(6-(f-18)fluoropyridin-3-yl)-5h-pyrido(4,3-b)indole

14. Av-1451 F-18

15. (f-18)t807

16. [f-18]t807

17. Dtxsid001027893

18. [18f]flortaucipir

19. Flortaucipirum (18f)

20. Refchem:56271

21. Fluorine F18 T807

22. Dtxcid701513453

23. (18f)t807

24. (f18)t807

25. F 18 T807

26. ((18)f)t807

27. 2-(1?f)fluoro-5-(5h-pyrido(4,3-b)indol-7-yl)pyridine

28. Fluorine-18 Labeled 7-(6-fluoropyridin-3-yl)-5h-pyrido(4,3-b)indole

29. 7-(6-fluoranylpyridin-3-yl)-5h-pyrido(4,3-b)indole

30. Flortaucipir F 18 [usan]

31. Unii-t1jp1kyu9o

32. (18f)av 1451

33. 18-f Av-1451

34. Ly 3191748

35. Flortaucipir F 18 (usan)

36. Flortaucipirf-18

37. Tauvid (tn)

38. Flortaucipir (18f) (inn)

39. Flortaucipir ((1)f) [inn]

40. Gtpl9100

41. Flortaucipir F18 [mi]

42. Chembl3545253

43. Schembl13640613

44. Schembl29379518

45. Schembl29707635

46. Ebc-26363

47. At18475

48. Db14914

49. Flortaucipir (18f) [who-dd]

50. Flortaucipir F-18 [orange Book]

51. D11210

52. Q21936669

53. 7-(6-(18f)fluoranylpyridin-3-yl)-5h-pyrido[4,3-b]indole

2.4 Create Date
2013-03-21
3 Chemical and Physical Properties
Molecular Weight 262.27 g/mol
Molecular Formula C16H10FN3
XLogP33.3
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count3
Rotatable Bond Count1
Exact Mass Da
Monoisotopic Mass Da
Topological Polar Surface Area41.6
Heavy Atom Count20
Formal Charge0
Complexity351
Isotope Atom Count1
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Flortaucipir F-18 is a radioactive agent indicated for positron emission tomography (PET) imaging of aggregated tau neurofibrillary tangles (NFTs) in adult patients under evaluation for Alzheimer's disease. Flortaucipir F-18 is not indicated for use in patients under evaluation for chronic traumatic encephalopathy.


FDA Label


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Contrast Media

Substances used to allow enhanced visualization of tissues.


5.2 ATC Code

V - Various

V09 - Diagnostic radiopharmaceuticals

V09A - Central nervous system

V09AX - Other central nervous system diagnostic radiopharmaceuticals

V09AX07 - Flortaucipir (18F)


ATCvet Code

QV - Various

QV09 - Diagnostic radiopharmaceuticals

QV09A - Central nervous system

QV09AX - Other central nervous system diagnostic radiopharmaceuticals

QV09AX07 - Flortaucipir (18f)


5.3 Absorption, Distribution and Excretion

Absorption

Flortaucipir F-18 is administered as an intravenous bolus injection, and peak brain uptake in mice of 4.16% ID/g is achieved by 2 minutes. Fast transfer from the peripheral circulation to the brain was corroborated by human studies that demonstrated peak SUV in gray matter >2 across subjects approximately 5 minutes after administration. Pharmacokinetic studies in humans suggest that equilibrium is achieved by 55 minutes (Logan DVR) and by 80 - 100 minutes (SUVR), and current guidelines recommend initiating imaging approximately 80 minutes after initial administration.


Route of Elimination

The major route of elimination for Flortaucipir F-18 is via the kidneys.


Volume of Distribution

Flortaucipir F-18 injected into mice accumulates primarily in the kidneys (14.99 0.39 %ID/g at five minutes and 5.52 0.91 %ID/g at 30 minutes post-injection) and liver (4.44 0.16/5.99 0.42 %ID/g at five/30 minutes, respectively). It is able to cross the blood-brain barrier, with relatively high penetration early (4.43 0.91 %ID/g at five minutes) and low residual penetration later (0.62 0.06 %ID/g at 30 minutes). Detectable amounts of Flortaucipir F-18 are found in the systemic circulation, as well as in muscle and bone.


5.4 Metabolism/Metabolites

Initial studies in mice described the parent compound and four uncharacterized metabolites, one of which, termed metabolite 1, is presumed to be [18F]fluoride. Plasma radioactivity corresponded only to the parent compound and metabolite 1. All metabolites were detected in the liver while all metabolites except metabolite 2 were found in the kidneys.


5.5 Biological Half-Life

Flortaucipir F-18 plasma half-life was calculated at 17.0 4.2 minutes; correction for metabolite half-life yielded a biexponential distribution with half-lives of 18.1 5.8 and 2.4 0.5 minutes.


5.6 Mechanism of Action

Alzheimer's disease is a progressive neurodegenerative disease characterized by the build-up of hyperphosphorylated tau protein aggregates. Hyperphosphorylated tau forms dimers termed paired helical filaments (PHFs), which aggregate further to form neurofibrillary tangles (NFTs) associated with neurodegeneration and severity of Alzheimer's symptoms. Flortaucipir F-18 is a small molecule that contains radioactive 18F, which decays by positron emission to 18O with a half-life of 109.8 minutes. As a small relatively lipophilic molecule, flortaucipir F-18, following intravenous injection, quickly passes through systemic circulation, crosses the blood-brain barrier, and binds to NFTs. Once bound, the ensuing radioactive decay emits pairs of 511 keV gamma photons useful in diagnostic imaging. The pattern and intensity of emission during imaging is used in the diagnosis of Alzheimer's disease.