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**111In-Accum-trastuzumab** is a preclinical, Accum-enhanced HER2-targeted radioimmunoconjugate program being developed for HER2-positive solid tumors, including tumors resistant to established HER2-directed therapies. It uses trastuzumab for HER2 recognition and indium-111 as an Auger-electron-emitting radionuclide. Defence Therapeutics' Accum intracellular-delivery technology is intended to promote endosomal escape and nuclear localization after HER2-mediated cellular uptake, positioning indium-111 near DNA to produce localized radiation-induced DNA damage and cancer-cell killing. Public sponsor materials describe the related constructs as variations of **111In-AccuTOX-trastuzumab**, with candidate selection and preclinical characterization ongoing. ([defencetherapeutics.com](https://defencetherapeutics.com/defence-therapeutics-granted-cnri-h-from-the-canadian-nuclear-laboratories-to-accelerate-the-development-of-its-radio-immuno-conjugates-program/))
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