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**Mechanism of Action:** Lutetium-177 rosopatamab is a radiopharmaceutical consisting of a fully human monoclonal antibody (rosopatamab) targeting prostate-specific membrane antigen (PSMA), conjugated to the beta-emitting radioisotope lutetium-177 via a DOTA chelator. The antibody binds specifically to PSMA-expressing tumor cells and delivers targeted radiation directly to these cells and their metastases. This approach aims to maximize tumor cell killing while minimizing damage to normal tissues[1][3][5]. **Primary Indication:** Developed for the treatment of PSMA-positive metastatic castration-resistant prostate cancer (mCRPC). It is currently being investigated in combination with standard-of-care therapies such as abiraterone, enzalutamide, or docetaxel[1][9]. **Development Status:** Phase III clinical trials are ongoing for mCRPC in multiple countries. The drug has shown promising efficacy and safety in early-phase studies[1][3][4].
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