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Molecule

Pafolacianine

Also known as pafolacianine sodium
Available on requestOrphanCold chain
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Pafolacianine is an optical imaging agent indicated as an adjunct for intraoperative identification of malignant lesions in adult patients with ovarian cancer. It is available as injection for intravenous use. MedsAcross supplies Pafolacianine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Optical Imaging Agent, Fluorescence Contrast Activity
US FDA first approval
29 November 2021
EU status
Not recorded
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Identifiers
UNII F7BD3Z4X8LCAS 1628423-76-6DrugBank DB15413Q27277759

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

1. INDICATIONS AND USAGE CYTALUX is indicated as an adjunct for intraoperative identification of: Malignant lesions in adult patients with ovarian cancer. Malignant and non-malignant pulmonary lesions in adult patients with known or suspected cancer in the lung. CYTALUX is an optical imaging agent indicated as an adjunct for intraoperative identification of: Malignant lesions in adult patients with ovarian cancer.

Source: US FDA prescribing information

How it works

Pafolacianine binds to alpha and beta folate receptors (FR) on cells, is internalized via receptor-mediated endocytosis, and accumulates intracellularly. Pafolacianine enhances lesion visualization through the differential level of expression and accessibility of folate receptors within lesions relative to normal tissue. Pafolacianine absorbs light in the near-infrared (NIR) region within a range of 760 nm to 785 nm with peak absorption of 776 nm and emits fluorescence within a range of 790 nm to 815 nm with peak emission of 796 nm.

Source: US FDA prescribing information

Dosing overview

For recommended testing, evaluations, and premedications, see Full Prescribing Information. Recommended intravenous dosage of CYTALUX is: Adult Patients with Ovarian Cancer: 0.025 mg/kg over 60 minutes, 1 hour to 9 hours prior to surgery Adult Patients with Known or Suspected Cancer in the Lung: 0.025 mg/kg over 60 minutes, 1 hour to 24 hours prior to surgery. For preparation, management of infusion-related reactions, and imaging information see Full Prescribing Information. CYTALUX should only be used by trained surgeons using FDA cleared imaging systems.

Source: US FDA prescribing information

Warnings and precautions

Infusion-Related Reactions: Interrupt the infusion and treat as necessary with antihistamines and/or nausea medications. Risk of misinterpretation: Non-fluorescing tissue in the surgical field does not rule out the presence of tumor. Fluorescence may be seen in non-cancerous tissues. Embryo-Fetal Toxicity: CYTALUX may cause fetal harm. Advise females of reproductive potential of the potential risk to a fetus. Risk of Pafolacianine Aggregation and Infusion Reactions: Use only 5% Dextrose Injection for dilution. Do not use other diluents.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reaction is described elsewhere in the labeling: • Infusion-Related Reactions Most common adverse reactions (incidence ≥1%, ovarian and lung combined) included nausea, vomiting, abdominal pain, flushing, other infusion-related reactions, hypersensitivity, elevation in blood pressure, dyspepsia, and chest discomfort.

Source: US FDA prescribing information

Interactions

Use of folate, folic acid, or folate-containing supplements may reduce binding of pafolacianine to folate receptors and could reduce the detection of lesions with CYTALUX. Avoid administration of folate, folic acid, or folate-containing supplements within 48 hours before administration of CYTALUX. Folate Supplements: Avoid folate, folic acid, or folate-containing supplements within 48 hours before administration of CYTALUX.

Source: US FDA prescribing information

Storage

If CYTALUX vial is not used within the maximum single period at either room temperature or under refrigerated conditions the vial may be refrozen up to three time.​ Storage Condition​ Condition Temperature Range​ Maximum Single Period Permissible Freeze-Thaw Cycles​ Frozen -25°C to -15°C (-13°F to 5°F) Until Expiration Date Not applicable Refrigeration 2°C to 8°C (36°F to 46°F) Up to 30 days Three Room Temperature 20°C to 25°C (68°F to 77°F) Up to 24 hours Three Do not use the product past the expiration date Store vials in their original cartons to protect from light. CYTALUX may be stored according to the table below.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Pafolacianine, sorted by availability.

MedicineManufacturerRegisterAvailability
Cytalux 3.2 mg/1.6 mL injectionIntravenous Cold chainOn Target LaboratoriesUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 29 November 2021Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Pafolacianine available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Pafolacianine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Pafolacianine have?

The catalogue lists 1 brand names for Pafolacianine, including Cytalux.

Is Pafolacianine approved by the US FDA?

Yes. The US FDA first approved Pafolacianine on 29 November 2021, according to Drugs@FDA.

Does Pafolacianine need cold chain shipping?

At least one listed presentation of Pafolacianine must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

References

  1. Cytalux prescribing information (On Target Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 1 April 2026

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