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[177Lu]Lu-DOTA-(PEG28)2-A20FMDV2 is a targeted radiopharmaceutical developed for the treatment of cancers overexpressing the integrin alpha-v beta-6 (avb6) receptor. It consists of the beta-emitting radioisotope Lutetium-177 complexed with a DOTA chelator and conjugated to a bi-terminally PEGylated version of the A20FMDV2 peptide. The A20FMDV2 peptide is a 20-amino-acid sequence derived from the foot-and-mouth disease virus that exhibits high affinity and selectivity for the avb6 receptor, which is frequently upregulated in aggressive malignancies such as pancreatic ductal adenocarcinoma. In preclinical studies, this specific non-albumin-binding formulation demonstrated rapid blood clearance and lower tumor uptake compared to albumin-binding derivatives, serving as a baseline therapeutic agent in the development of avb6-targeted theranostic pairs.
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