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177Lu-JH040182 is a novel radiopharmaceutical consisting of the beta-emitting radioisotope Lutetium-177 conjugated to a ligand targeting Fibroblast Activation Protein (FAP). FAP is a cell-surface glycoprotein that is highly expressed in the tumor stroma of various epithelial cancers, particularly on cancer-associated fibroblasts (CAFs), while showing minimal expression in normal adult tissues. This differential expression makes FAP an attractive target for theranostic applications. Developed by the First Affiliated Hospital of Fujian Medical University, 177Lu-JH040182 is designed to deliver targeted cytotoxic radiation directly to the tumor microenvironment. It is currently being evaluated in first-in-human Phase 1 clinical trials to assess its safety, biodistribution, and internal radiation dosimetry in patients with advanced metastatic FAP-positive malignancies.
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