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177-Lu-DOTA-cG250 is a radiolabeled chimeric monoclonal antibody targeting carbonic anhydrase IX (CAIX), a protein highly expressed in renal cell carcinoma. The drug consists of the cG250 antibody conjugated to the chelator DOTA and labeled with the beta-emitting radionuclide lutetium‑177. Upon administration, it binds specifically to CAIX-expressing tumor cells and delivers targeted ionizing radiation to induce tumor cell death while sparing surrounding healthy tissue. It is being developed primarily for advanced or metastatic renal cell carcinoma and has been evaluated in phase I/II clinical trials for safety, dosimetry, and preliminary efficacy[1][2][5][8].
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