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[177Lu]Lu-DOTA-MGS5 is a **radiolabeled minigastrin analog** designed for **peptide receptor radionuclide therapy (PRRT)** targeting the **cholecystokinin-2 receptor (CCK2R)**, which is overexpressed in several cancers including medullary thyroid carcinoma (MTC), small cell lung cancer (SCLC), and other neuroendocrine tumors. The agent consists of a minigastrin-derived peptide (MGS5) conjugated via DOTA chelator to the **beta-emitting isotope Lutetium-177 (177Lu)**. It delivers targeted radiation by binding specifically to CCK2R-expressing tumor cells, which results in localized cytotoxicity. Preclinical studies and preliminary clinical dosimetry indicate high **receptor affinity**, excellent **radiochemical purity** (>98%), favorable **biodistribution** (notably high and persistent tumor uptake, low background), and manageable toxicity profile, supporting its clinical development for PRRT in advanced, CCK2R-positive malignancies[1][2][3].
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