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177Lu-R10306 is a radiopharmaceutical consisting of the beta-emitting radioisotope Lutetium-177 (177Lu) conjugated to R10306, a ligand targeting Fibroblast Activation Protein (FAP). FAP is highly expressed on cancer-associated fibroblasts (CAFs) within the stroma of various solid tumors, including breast, lung, colorectal, and renal cancers, while showing low expression in normal tissues. This makes it an attractive target for both diagnostic imaging and targeted radionuclide therapy (theranostics). The agent is being evaluated by The First Affiliated Hospital of Xi'an Jiaotong University in Phase 1 clinical trials to assess its safety, biodistribution, and lesion detection capabilities using SPECT/CT imaging in patients with advanced solid tumors.
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