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Aphelion · Piflufolastat F-18

Pylarify Truvu: patented from NIH-funded research

Johns Hopkins University reported 5 patents on it to NIH as inventions made with NIH grant money.
Patent reported as grant-funded
Reported

–

Medicare paid, 2025

before rebates

Calculated

–

Medicare, 2020–2025

Reported

–

Medicare, 2026 Q1

the newest quarter CMS has published

Reported

$15M

NIH grants behind the patents

whole-grant totals, not the drug's cost

The public record, link by link

  1. 1 · Public research

    6 NIH grants to Ut Southwestern Medical Center, Johns Hopkins University, $15M in all.
  2. 2 · Patent

    8778305, 9861713, 10947197, 11851407, 12070513, reported to NIH under R01CA134675, R21CA111982, R21CA114111, R24CA092871, U01CA183031, U24CA092871.
  3. 3 · FDA approval

    Approved Mar 6, 2026, sold by Aphelion (NDA 220089).
  4. 4 · Public pays

    Not in the Medicare Part D or Part B files, or Medicaid's. It may be off the market, generic now, or paid for inside hospital stays.

The grants

Totals are everything NIH paid on each grant since 1985. A grant usually funded more than this one invention.
  • Enhanced imaging and treatment of aggressive subtypes of prostate cancer

    R01CA134675 · Ut Southwestern Medical Center · NCI · 2009–2025

    $6.2M

  • Interdisciplinary Small Animal Imaging for Oncology

    R24CA092871 · Johns Hopkins University · NCI · 2001–2006

    $5.1M

  • Small Animal Imaging Resource (SAIR)

    U24CA092871 · Johns Hopkins University · NCI · 2007–2011

    $2.3M

  • PSMA Directed Imaging of Prostate Cancer Focus on Androgen Receptor Dynamics

    U01CA183031 · Johns Hopkins University · NCI · 2015–2017

    $1.2M

  • PSMA-based SPECT Tracers for Prostate Cancer Imaging

    R21CA114111 · Johns Hopkins University · NCI · 2006–2007

    $337K

  • PSMA-based PET Ligands for Prostate Cancer Imaging

    R21CA111982 · Johns Hopkins University · NCI · 2006–2007

    $337K

The patents

Patents the FDA lists for this drug that were also reported to NIH as grant-funded inventions.
  • US 8778305

    PSMA-binding Agents and uses thereof

    Reported by Johns Hopkins University

    FDA-listed expiry Sep 21, 2030
  • US 9861713

    PSMA-binding Agents and uses thereof

    Reported by Johns Hopkins University

    FDA-listed expiry Jul 31, 2029
  • US 10947197

    An improved synthesis of the radiolabeled PSMA inhibitor, [18F] DCFPyL

    Reported by Johns Hopkins University

    FDA-listed expiry Jun 9, 2037
  • US 11851407

    SYNTHESIS OF THE RADIOLABELED PROSTATE-SPECIFIC MEMBRANE ANTIGEN (PSMA) INHIBITOR [18F]DCFPYL

    Reported by Johns Hopkins University

    FDA-listed expiry Jun 9, 2037
  • US 12070513

    PSMA-BINDING AGENTS AND USES THEREOF

    Reported by Johns Hopkins University

    FDA-listed expiry Jul 31, 2029

Aphelion's side

Drug makers pay for the clinical trials that take a compound from the lab to FDA approval, and they pay royalties on licensed patents. Those terms are not public. Aphelion's page shows its other products on this list, its federal awards, its PAC's giving and its lobbying. If Aphelion wants to add its account, we will publish it here.

How this is built. A product is listed for one of two public records. Either NIH's Technology Transfer office lists it as an FDA-approved product built on a license from an NIH, CDC or FDA lab, or a patent the FDA lists for the drug was reported to NIH as an invention made with NIH grant money, as the Bayh-Dole Act requires. We then add what Medicare Part D, Part B and Medicaid paid for each product, and for each company, the federal grants and contracts it received, its PAC's donations and its lobbying.

What the numbers mean. Medicare and Medicaid figures are gross spending before the rebates drug makers pay back, which are confidential. Hospital-administered therapies such as CAR-T cell treatments are mostly paid under Medicare Part A and do not appear in these files. "NIH grants" is everything NIH paid on the grants a patent was reported under, from 1985 on; a grant usually paid for more than one invention, so it is not the cost of the drug. Federal contracts include purchases, such as vaccine doses, as well as research. Companies also paid for the clinical trials that took these products to approval. None of these figures shows that public money set a price or bought a decision.

Sources: NIH Technology Transfer: FDA-approved products licensed from NIH, CDC and FDA labs; NIH RePORTER patents reported under NIH grants (from iEdison); NIH RePORTER project funding; FDA Orange Book patent, exclusivity and product files; CMS Medicare Part D and Part B Spending by Drug (annual and quarterly); CMS Medicaid Spending by Drug; USAspending.gov federal grants and contracts. Updated 2026-11-06.