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212Pb-RMX-VH-PKM is a second-generation radiopharmaceutical and targeted alpha therapy (TAT) agent currently in preclinical development for the treatment of solid tumors, specifically pancreatic ductal adenocarcinoma (PDAC). Co-developed by RadioMedix and Vect-Horus, the conjugate consists of a DOTAM-modified peptide (RMX-VH) that targets the low-density lipoprotein receptor (LDLR), which is frequently overexpressed in various cancers. The therapeutic payload is Lead-212 (212Pb), an alpha-emitting radioisotope that delivers high-energy radiation to induce double-strand DNA breaks in target cells. The "PKM" designation refers to a second-generation modification intended to optimize the conjugate's pharmacokinetic profile, building upon the first-generation 212Pb-RMX-VH compound.
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