Drug intelligence / Profile preview

[225Ac]Ac-DOTA-2Rs15d

Development stage
Preclinical
Lead developer
Vrije Universiteit Brussel
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Nanobodies (VHH) → Antibody Fragments → Engineered Antibody Formats → Antibody-Based Therapeutics
Administration
Intravenous, Intraperitoneal
01

Overview

[225Ac]Ac-DOTA-2Rs15d is a preclinical radiopharmaceutical consisting of the alpha-emitting radioisotope actinium-225 conjugated to the anti-HER2 single-domain antibody (sdAb) fragment 2Rs15d via a DOTA chelator. The 2Rs15d sdAb, also known as a nanobody, specifically targets the Human Epidermal Growth Factor Receptor 2 (HER2), which is overexpressed in various malignancies including breast, gastric, and ovarian cancers. By utilizing the high linear energy transfer (LET) of alpha particles, the drug induces potent DNA double-strand breaks in targeted tumor cells while minimizing damage to surrounding healthy tissue due to the short range of alpha radiation. Preclinical studies have demonstrated significant therapeutic efficacy in HER2-positive intraperitoneal ovarian cancer models, although some renal toxicity was observed due to kidney accumulation.

Other names
225Ac-labeled anti-HER2 sdAb225Ac-labeled 2Rs15d
02

Targets

ERBB2 (Erb-b2 receptor tyrosine kinase 2)

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