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227Th-DOTAGA-BBN is an experimental targeted alpha-therapy (TAT) radiopharmaceutical consisting of the alpha-emitting radionuclide thorium-227 (227Th) complexed with the macrocyclic chelator DOTAGA and conjugated to bombesin (BBN), a 14-amino acid peptide. Bombesin targets the gastrin-releasing peptide receptor (GRPR), which is highly overexpressed in various cancers, including prostate, breast, and melanoma. Upon binding to GRPR on cancer cells, the conjugate is internalized, delivering localized, high-energy alpha radiation from the decay of thorium-227 to induce complex double-stranded DNA breaks and tumor cell death while minimizing damage to surrounding healthy tissues.
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