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Telix Precision Medicine Announces AlFluor Radiochemistry Platform

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Telix Pharmaceuticals has launched AlFluor™, a novel PET radiochemistry platform enabling flexible radiolabeling of PSMA with either AlF or gallium-68. The platform combines 18F imaging benefits with 68Ga kit-based workflow convenience, supporting both centralized cyclotron manufacturing and distributed kit production. Telix has partnered with University Hospital Ghent for [18F]AlF-PSMA-11, including exclusive access to Phase 3 trial data involving 96 prostate cancer patients. The trial showed diagnostic performance comparable to commercial 68Ga-labeled PSMA-11 agents, with high specificity for metastatic detection. The technology can potentially be used with ligands targeting NETs and FAP, along with other imaging agents under development.
Telix Pharmaceuticals ha lanciato AlFluor™, una nuova piattaforma di radiochemica PET che consente un'etichettatura flessibile del PSMA con AlF o gallio-68. La piattaforma unisce i vantaggi dell'imaging con 18F alla comodità del flusso di lavoro basato su kit con 68Ga, supportando sia la produzione centralizzata tramite ciclotrone sia la produzione distribuita con kit. Telix ha collaborato con l'Ospedale Universitario di Gand per [18F]AlF-PSMA-11, ottenendo l'accesso esclusivo ai dati della fase 3 dello studio clinico su 96 pazienti con cancro alla prostata. Lo studio ha mostrato una performance diagnostica paragonabile agli agenti commerciali PSMA-11 marcati con 68Ga, con alta specificità nella rilevazione delle metastasi. La tecnologia potrebbe essere utilizzata anche con ligandi che mirano a NET e FAP, oltre ad altri agenti di imaging in fase di sviluppo.
Telix Pharmaceuticals ha lanzado AlFluor™, una novedosa plataforma de radiociencia PET que permite la radiomarcación flexible del PSMA con AlF o galio-68. La plataforma combina los beneficios de la imagen con 18F con la conveniencia del flujo de trabajo basado en kits con 68Ga, apoyando tanto la fabricación centralizada mediante ciclotrón como la producción distribuida con kits. Telix se ha asociado con el Hospital Universitario de Gante para [18F]AlF-PSMA-11, incluyendo acceso exclusivo a los datos del ensayo de fase 3 con 96 pacientes con cáncer de próstata. El ensayo mostró un rendimiento diagnóstico comparable a los agentes PSMA-11 comerciales marcados con 68Ga, con alta especificidad para la detección de metástasis. La tecnología podría usarse potencialmente con ligandos dirigidos a NET y FAP, junto con otros agentes de imagen en desarrollo.
텔릭스 파마슈티컬스는 AlF 또는 갈륨-68로 PSMA의 유연한 방사성 표지를 가능하게 하는 새로운 PET 방사화학 플랫폼인 AlFluor™를 출시했습니다. 이 플랫폼은 18F 이미징의 장점과 68Ga 키트 기반 작업 흐름의 편리함을 결합하여 중앙 집중식 사이클로트론 생산과 분산형 키트 생산을 모두 지원합니다. 텔릭스는 96명의 전립선암 환자를 대상으로 한 3상 임상시험 데이터에 대한 독점 접근권을 포함하여 [18F]AlF-PSMA-11을 위해 헨트 대학병원과 협력했습니다. 이 임상시험은 상업용 68Ga 표지 PSMA-11 제제와 유사한 진단 성능을 보였으며, 전이 탐지에 높은 특이성을 나타냈습니다. 이 기술은 NET 및 FAP를 표적으로 하는 리간드와 개발 중인 다른 영상제제에도 잠재적으로 사용할 수 있습니다.
Telix Pharmaceuticals a lancé AlFluor™, une nouvelle plateforme de radiochimie PET permettant un marquage flexible du PSMA avec AlF ou gallium-68. Cette plateforme combine les avantages de l'imagerie en 18F avec la commodité d'un flux de travail basé sur des kits en 68Ga, supportant à la fois la production centralisée par cyclotron et la production distribuée par kits. Telix s'est associé à l'Hôpital Universitaire de Gand pour [18F]AlF-PSMA-11, incluant un accès exclusif aux données de l'essai de phase 3 portant sur 96 patients atteints de cancer de la prostate. L'essai a montré des performances diagnostiques comparables aux agents PSMA-11 commerciaux marqués au 68Ga, avec une haute spécificité pour la détection des métastases. Cette technologie pourrait potentiellement être utilisée avec des ligands ciblant les NET et FAP, ainsi qu'avec d'autres agents d'imagerie en développement.
Telix Pharmaceuticals hat AlFluor™ eingeführt, eine neuartige PET-Radiochemie-Plattform, die eine flexible Radiomarkierung von PSMA mit entweder AlF oder Gallium-68 ermöglicht. Die Plattform vereint die Vorteile der 18F-Bildgebung mit der Bequemlichkeit eines kitbasierten Workflows mit 68Ga und unterstützt sowohl die zentrale Herstellung mittels Zyklotron als auch die verteilte Kit-Produktion. Telix arbeitet mit dem Universitätsklinikum Gent für [18F]AlF-PSMA-11 zusammen und hat exklusiven Zugriff auf Phase-3-Studien-Daten mit 96 Prostatakrebspatienten. Die Studie zeigte eine diagnostische Leistung, die mit kommerziellen 68Ga-markierten PSMA-11-Mitteln vergleichbar ist, mit hoher Spezifität für die Metastasen-Erkennung. Die Technologie könnte potenziell auch mit Liganden für NETs und FAP sowie anderen in Entwicklung befindlichen Bildgebungsmitteln verwendet werden.
Positive
  • Strategic agreement with University Hospital Ghent provides exclusive access to Phase 3 trial data and CMC package
  • Phase 3 trial demonstrated comparable diagnostic performance to commercial agents with ~90% specificity
  • Platform offers flexibility in manufacturing methods and isotope choice
  • Technology has potential applications beyond PSMA imaging, including NETs and FAP targeting
Negative
  • Regulatory approval pathway for [18F]AlF-PSMA-11 still pending
  • Market adoption may require changes to existing clinical workflows

Insights

Telix's new AlFluor platform enables flexible radioisotope labeling for cancer imaging, expanding market potential with versatile production options.

Telix's introduction of the AlFluor™ platform represents a meaningful advancement in PET radiochemistry. The technology's dual-isotope capability (18F-aluminium fluoride or gallium-68) addresses a significant operational challenge in nuclear medicine by offering both centralized manufacturing and point-of-care preparation options.

The strategic agreement with University Hospital Ghent delivers substantial value through immediate access to a complete CMC package and Phase 3 clinical data for [18F]AlF-PSMA-11. This acquisition strategy accelerates Telix's regulatory timeline while avoiding significant R&D investment and clinical trial costs.

The platform's versatility extends beyond prostate cancer to potentially include neuroendocrine tumors (NETs) and fibroblast activation protein (FAP) targets, significantly expanding the technology's market potential. The Phase 3 data showing comparable diagnostic performance to established products like Illuccix® with high specificity (~90%) for metastatic detection provides technical validation.

AlFluor™ addresses a critical supply chain vulnerability in nuclear medicine. Fluorine-18 offers longer half-life (110 minutes vs. 68 minutes for gallium-68), enabling wider distribution networks. This flexibility allows hospitals to maintain consistent imaging capabilities regardless of isotope availability fluctuations, potentially increasing procedural reliability and adoption rates.

The platform aligns with healthcare's movement toward precision medicine by enabling the same targeting molecule to be deployed with different isotopes based on clinical requirements and resource availability, ultimately improving patient access to advanced diagnostic tools.

MELBOURNE, Australia and INDIANAPOLIS, June 20, 2025 (GLOBE NEWSWIRE) -- Telix Pharmaceuticals Limited (ASX: TLX, NASDAQ: TLX, “Telix”, “the Company”) today announces it has launched a novel PET1 radiochemistry solution based on 18F-aluminium fluoride (AlF), named AlFluor.

The AlFluor™ platform technology enables flexible radiolabeling of PSMA2 with either AlF or gallium-68 (68Ga). It also has the potential to be used with ligands targeting NETs3 and FAP4, as well as other novel imaging agents under development by Telix and its strategic partners. Developed to combine the imaging benefits of 18F with the convenience of 68Ga kit-based workflows, the AlFluor™ platform supports both centralized cyclotron manufacturing and distributed "shake-and-inject" kit production. This flexibility allows a complementary product with the same targeting agent to be labeled with either isotope, catering to clinical setting or physician preference.

As part of AlFluor’s development, Telix has signed a strategic agreement with University Hospital Ghent and Ghent University for a novel [18F]AlF-PSMA-11 targeting agent. The agreement includes a comprehensive chemistry, manufacturing and controls (CMC) package suitable for the preparation of a Drug Master File (DMF), and provides exclusive access to [18F]AlF-PSMA-11 clinical safety and efficacy data, including a Phase 3 trial in 96 prostate cancer patients, where PSMA-11 (gozetotide) was labeled interchangeably with 18F and 68Ga.

The trial demonstrated diagnostic performance comparable to commercial 68Ga-labeled PSMA-11 agents such as Illuccix® and Gozellix®, both known to deliver high specificity (~90%) for metastatic detection at initial staging5. [18F]AlF-PSMA-11 has also demonstrated favorable biodistribution, high tumor-to-background ratios, and low off-target uptake in multiple studies6. Telix has commenced engagement with regulators to determine the pathway to approval for [18F]AlF-PSMA-11.

Kevin Richardson, Chief Executive Officer, Telix Precision Medicine, said, “Telix’s goal is to expand the utilization of PSMA-PET imaging through clinical leadership and novel, flexible product deployment that enables physician choice. AlFluor™ is an example of innovation that meets the evolving needs of physicians and their patients. The addition of this advanced-stage technology and product candidate aligns with our strategy to offer the broadest choice of PSMA-PET imaging agents, with the service, flexibility and reliability that define the Telix customer experience.”

About Telix Pharmaceuticals Limited

Telix is a biopharmaceutical company focused on the development and commercialization of therapeutic and diagnostic radiopharmaceuticals and associated medical technologies. Telix is headquartered in Melbourne, Australia, with international operations in the United States, Brazil, Canada, Europe (Belgium and Switzerland), and Japan. Telix is developing a portfolio of clinical and commercial stage products that aims to address significant unmet medical needs in oncology and rare diseases. Telix is listed on the Australian Securities Exchange (ASX: TLX) and the Nasdaq Global Select Market (NASDAQ: TLX).

Illuccix® (kit for the preparation of gallium-68 (68Ga) gozetotide injection), Telix’s first generation PSMA-PET imaging agent, has been approved in multiple countries globally. Gozellix® (kit for the preparation of gallium-68 (68Ga) gozetotide injection) has been approved by the U.S. FDA7.

Visit www.telixpharma.com for further information about Telix, including details of the latest share price, ASX and SEC filings, investor and analyst presentations, news releases, event details and other publications that may be of interest. You can also follow Telix on LinkedIn, X and Facebook.

Telix Investor Relations

Ms. Kyahn Williamson
Telix Pharmaceuticals Limited
SVP Investor Relations and Corporate Communications
Email: kyahn.williamson@telixpharma.com

Telix Investor Relations (U.S.)

Annie Kasparian
Telix Pharmaceuticals Limited
Director Investor Relations and Corporate Communications
Email: annie.kasparian@telixpharma.com

Telix Media Relations (U.S.)

Eliza Schleifstein
ES Media Relations
Email: eliza@schleifsteinpr.com   
Phone: 917-763-8106

Legal Notices

You should read this announcement together with our risk factors, as disclosed in our most recently filed reports with the Australian Securities Exchange (ASX), U.S. Securities and Exchange Commission (SEC), including our Annual Report on Form 20-F filed with the SEC, or on our website.

The information contained in this announcement is not intended to be an offer for subscription, invitation or recommendation with respect to securities of Telix Pharmaceuticals Limited (Telix) in any jurisdiction, including the United States. The information and opinions contained in this announcement are subject to change without notification.  To the maximum extent permitted by law, Telix disclaims any obligation or undertaking to update or revise any information or opinions contained in this announcement, including any forward-looking statements (as referred to below), whether as a result of new information, future developments, a change in expectations or assumptions, or otherwise. No representation or warranty, express or implied, is made in relation to the accuracy or completeness of the information contained or opinions expressed in the course of this announcement.

This announcement may contain forward-looking statements, including within the meaning of the U.S. Private Securities Litigation Reform Act of 1995, that relate to anticipated future events, financial performance, plans, strategies or business developments. Forward-looking statements can generally be identified by the use of words such as “may”, “expect”, “intend”, “plan”, “estimate”, “anticipate”, “believe”, “outlook”, “forecast” and “guidance”, or the negative of these words or other similar terms or expressions. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. Forward-looking statements are based on Telix’s good-faith assumptions as to the financial, market, regulatory and other risks and considerations that exist and affect Telix’s business and operations in the future and there can be no assurance that any of the assumptions will prove to be correct. In the context of Telix’s business, forward-looking statements may include, but are not limited to, statements about: the initiation, timing, progress and results of Telix’s preclinical and clinical trials, and Telix’s research and development programs; Telix’s ability to advance product candidates into, enrol and successfully complete, clinical studies, including multi-national clinical trials; the timing or likelihood of regulatory filings and approvals for Telix’s product candidates, manufacturing activities and product marketing activities; Telix’s sales, marketing and distribution and manufacturing capabilities and strategies; the commercialization of Telix’s product candidates, if or when they have been approved; Telix’s ability to obtain an adequate supply of raw materials at reasonable costs for its products and product candidates; estimates of Telix’s expenses, future revenues and capital requirements; Telix’s financial performance; developments relating to Telix’s competitors and industry; the anticipated impact of U.S. and foreign tariffs and other macroeconomic conditions on Telix’s business; and the pricing and reimbursement of Telix’s product candidates, if and after they have been approved. Telix’s actual results, performance or achievements may be materially different from those which may be expressed or implied by such statements, and the differences may be adverse. Accordingly, you should not place undue reliance on these forward-looking statements.

©2025 Telix Pharmaceuticals Limited. Telix Pharmaceuticals®, Telix Group company, and Telix product names and logos are trademarks of Telix Pharmaceuticals Limited and its affiliates – all rights reserved. Trademark registration status may vary from country to country.

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1
Positron emission tomography.
2 Prostate-specific membrane antigen.
3 Neuroendocrine tumors.
4 Fibroblast activation protein.
5 PSMA-PreRP clinical study. ClinicalTrials.gov ID: NCT02919111.
6 Piron et al. Sci Rep. 2021; Malik et al. EJNMMI Res. 2020; Boschi et al. EJNMMI Res. 2020.
7 Telix ASX disclosure 21 March 2025.


FAQ

What is Telix's new AlFluor radiochemistry platform?

AlFluor is a novel PET radiochemistry platform that enables flexible radiolabeling of PSMA with either aluminium fluoride (AlF) or gallium-68, combining 18F imaging benefits with 68Ga kit-based workflow convenience.

What were the results of the Phase 3 trial for TLX's [18F]AlF-PSMA-11?

The Phase 3 trial in 96 prostate cancer patients showed diagnostic performance comparable to commercial 68Ga-labeled PSMA-11 agents, with high specificity (~90%) for metastatic detection at initial staging.

What is the manufacturing flexibility of Telix's AlFluor platform?

AlFluor supports both centralized cyclotron manufacturing and distributed 'shake-and-inject' kit production, allowing flexibility in production methods based on clinical setting or physician preference.

What additional applications does TLX's AlFluor platform have?

Beyond PSMA imaging, the AlFluor platform has potential applications for ligands targeting NETs (Neuroendocrine Tumors) and FAP (Fibroblast Activation Protein), as well as other novel imaging agents under development.

What is the current regulatory status of Telix's [18F]AlF-PSMA-11?

Telix has commenced engagement with regulators to determine the pathway to approval for [18F]AlF-PSMA-11, but the specific approval pathway is still being determined.
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