Pafolacianine

(Cytalux®)

Cytalux®

Drug updated on 12/11/2024

Dosage FormInjection (intravenous; 3.2 mg/1.6 mL [2 mg/mL])
Drug ClassOptical imaging agents
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated as an adjunct for intraoperative identification of malignant lesions in adult patients with ovarian cancer
  • Indicated as an adjunct for intraoperative identification of malignant and non-malignant pulmonary lesions in adult patients with known or suspected cancer in the lung.

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Summary
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  • This summary is based on the review of one randomized controlled trial. [1]
  • Pafolacianine, used with near-infrared imaging, successfully identified additional cancerous tissues in 33.0% of patients with ovarian cancer during cytoreductive surgery (95% confidence interval (CI), 24.3–42.7; P < .001), surpassing the predefined efficacy threshold of 10%.
  • Among patients who underwent interval debulking surgery, the detection rate was higher at 39.7% (95% CI, 27.0–53.4; P < .001), with a sensitivity of 83% and a false-positive rate of 24.8%.
  • Complete R0 resection, indicating no visible cancer left after surgery, was achieved in 62.4% of patients (68 of 109).
  • Drug-related adverse events were reported in 30% of patients (45 out of 150), with the most common events being nausea, vomiting, and abdominal pain.
  • No drug-related serious adverse events or deaths were reported in the study.

Product Monograph / Prescribing Information

Document TitleYearSource
Cytalux (pafolacianine) Prescribing Information.2022On Target Laboratories, Inc., West Lafayette, IN

Randomized Controlled Trials

Document TitleSex DistributionYearSource
A Phase III Study of Pafolacianine Injection (OTL38) for Intraoperative Imaging of Folate Receptor-Positive Ovarian Cancer (Study 006)
140Subjects
F: 100%
M: 0%
2023Journal of Clinical Oncology

Sex Distribution:

F:100%
M:0%
140Subjects

Year:

2023

Source:Journal of Clinical Oncology