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111-indium-CMD-193 is a radiolabeled antibody-drug conjugate composed of CMD-193 (a humanized monoclonal antibody targeting the Lewis Y antigen) conjugated to the cytotoxic agent calicheamicin and labeled with the radioisotope indium-111. The radiolabel allows for detection of the drug's biodistribution and tumor localization using gamma scintigraphy. CMD-193 specifically binds to tumors expressing the Lewis Y antigen, delivering both targeted cytotoxicity via calicheamicin and enabling imaging through indium-111. The drug was developed for use in patients with advanced cancers expressing Lewis Y antigen but showed rapid blood clearance and increased hepatic uptake with low tumor accumulation in clinical studies[1][2][5]. Myelosuppression and liver function effects were notable adverse events[5]. Development has been discontinued.
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