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177Lu-NYM096 is a next-generation radiopharmaceutical theranostic agent developed by Peking Union Medical College Hospital for the treatment of metastatic clear cell renal cell carcinoma (ccRCC). The drug consists of NYM096, a small molecule ligand with high affinity for carbonic anhydrase 9 (CA9), labeled with the therapeutic beta-emitting radioisotope lutetium-177 (177Lu). CA9 is a cell-surface enzyme that is significantly overexpressed in the majority of ccRCC cases due to the inactivation of the von Hippel-Lindau (VHL) tumor suppressor gene, making it an ideal target for site-specific delivery of radiation. NYM096 reportedly exhibits approximately 100-fold higher affinity for CA9 compared to its predecessor, NYM005. In clinical practice, it is utilized within a theranostic framework where patients are first screened using 68Ga-NYM096 PET/CT imaging to confirm CA9 expression before receiving the therapeutic 177Lu-NYM096 doses.
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