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211At-DualFAPi-5 is a fibroblast activation protein (FAP)-targeted alpha-particle radioligand therapy being developed by TetraKit Technologies. The drug consists of a dimeric FAP-targeting small-molecule ligand (DualFAPi-5) labeled with the alpha-emitting radionuclide astatine-211 (211At) using TetraKit's proprietary tetrazine-based click chemistry platform. By targeting FAP, which is highly expressed in the tumor microenvironment of various solid tumors, 211At-DualFAPi-5 delivers high-linear energy transfer (LET) alpha radiation directly to cancer cells and surrounding stroma, inducing lethal DNA double-strand breaks while minimizing damage to healthy tissues. The therapeutic candidate is currently in preclinical development for FAP-expressing solid tumors, including triple-negative breast cancer (TNBC) and glioblastoma, with clinical evaluation planned under the European Accelerate.EU initiative.
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