Pafolacianine

DB15413ApprovedInvestigationalSmall moleculeOptical Imaging Agent

Pafolacianine is an optical imaging agent indicated in adult patients with ovarian cancer as an adjunct for intraoperative identification of malignant lesions. Pafolacianine, or OTL38, is a folate analogue conjugated with a fluorescent dye that absorbs light in the near-infrared (NIR) spectrum within a range of 760 nm to 785 nm, with a peak absorption of 776...

Chemical structure of Pafolacianine
Mechanism
Curator reviewed · 3 references
Primary indication
Pafolacianine is an optical imaging agent indicated in adult patients with ovarian cancer as an adjunct for intraoperative identification of malignant lesions.Curator reviewed · 1 structured indication
Formula / weight
C61H67N9O17S4 · 1326.49 g/mol (avg)
First approval
United States, 2021
Code names
OTL-0038 · OTL 38

Resolves to

Structure
InChIKeyPDXNSXLPXJFETD-DYVQZXGMSA-NSMILESCC1(C)\C(=C/C=C2\CCCC(\C=C\C3=[N+](CCCCS(O)(=O)=O)C4=C(C=C(C=C4)S([O-])(=O)=O)C3(C)C)=C2OC2=CC=C(C[C@H](NC(=O)C3=CC=C(NCC4=CN=C5N=C(N)NC(=O)C5=N4)C=C3)C(O)=O)C=C2)N(CCCCS(O)(=O)=O)C2=C1C=C(C=C2)S(O)(=O)=O

What you can answer from here — as of September 13, 2026

1Protein targetEach mapped to UniProt, with action and pharmacological action
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3TransportersSubstrate / inhibitor direction, not just membership
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10Drug interactionsStructured to mechanism, not free text
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17Clinical trialsPhase, status and sponsor resolved per trial
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1Structured indicationCondition, population, route and combination as fields, not prose
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1Marketed productAcross 1 country and 1 labeller
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1ATC codeIncluding every combination product, plus 13 drug categories
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11+ReferencesStructured and connected to the statements they support
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Which drugs share a target with Pafolacianine, and which of those have an active Phase 3 trial?

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