Drug intelligence / Profile preview

[177Lu]Lu-NeoB + capecitabine

Development stage
Unknown
Lead developer
Novartis
Modality
Nucleic Acid-Directed Small Molecules → Small Molecules, Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Covalent Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Intravenous, Oral
01

Overview

[177Lu]Lu-NeoB + capecitabine is an investigational combination therapy under clinical evaluation for the treatment of metastatic breast cancer that is estrogen receptor-positive (ER+), human epidermal growth factor receptor-2 negative (HER2-), and gastrin releasing peptide receptor positive (GRPR+), particularly in patients who have progressed after prior endocrine therapy with a CDK4/6 inhibitor. [177Lu]Lu-NeoB is a radioligand therapy that targets GRPR on tumor cells, delivering targeted radiation via lutetium-177 to induce cytotoxicity while sparing healthy tissue. Capecitabine is an oral prodrug of 5-fluorouracil (5-FU) that acts as a chemotherapeutic agent and radiosensitizer by inhibiting thymidylate synthase after conversion to 5-FU in tumor tissues. The rationale for combining these agents lies in the potential synergistic effect between targeted radiotherapy and chemotherapy/radiosensitization, aiming to enhance anti-tumor efficacy in endocrine-resistant metastatic breast cancer[1][5][6].

Other names
Lutetium-177 NeoB + capecitabine177Lu-Lu-NeoB plus capecitabine
02

Targets

GRPR (Gastrin-releasing peptide receptor)TS (Thymidylate synthase)

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