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**188Re-P2045** is a radiopharmaceutical composed of an 11-amino acid somatostatin peptide analogue conjugated to the beta-emitting radionuclide rhenium-188. It is designed to target somatostatin receptors, particularly subtype SSTR2, which are highly expressed in various neuroendocrine tumors and pancreatic cancers. Upon binding to its receptor, the compound is internalized, enabling localized delivery of beta radiation that induces tumor cell death primarily through DNA damage. The drug has received Orphan Drug Designation by the FDA for pancreatic cancer. Early-phase clinical trials have also explored its use in small cell lung cancer, with preclinical data supporting antitumor activity and selectivity.
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