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**177Lu-PSMA-R2 (AAA602) and 225Ac-PSMA-R2 (AAA802)** are investigational radioligand therapies targeting the Prostate-Specific Membrane Antigen (PSMA). These agents consist of the PSMA-R2 ligand conjugated to either the beta-emitting radionuclide Lutetium-177 or the alpha-emitting radionuclide Actinium-225. Both drugs are designed to deliver targeted radiation to PSMA-expressing prostate cancer cells, causing lethal DNA damage. They are being evaluated as neoadjuvant treatments before surgery in high-risk localized prostate cancer (HRLPC) and in advanced hormone- and castration-resistant prostate cancer (mCRPC, mHSPC). The theranostic approach enables personalized therapy, where PSMA-R2 labeled with a diagnostic radioisotope (e.g., gallium-68) identifies suitable patients for therapeutic intervention with AAA602 or AAA802[1][2][3][4][7][9].
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