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800-rhNGF + tozuleristide is an investigational intraoperative fluorescence imaging combination developed by Manzanita Pharmaceuticals for use during prostate cancer surgery. The product consists of two distinct fluorescently labeled agents: **800-rhNGF** (recombinant human nerve growth factor conjugated to the near-infrared fluorophore IRDye 800CW) and **tozuleristide** (a chlorotoxin-derived peptide conjugated to indocyanine green, also known as BLZ-100 or 'Cancer Paint'). This dual-agent approach is designed to provide real-time, simultaneous visualization of both the neurovascular bundles (nerves) and the tumor margins during radical prostatectomy. By highlighting the cavernous nerves with 800-rhNGF and the prostate tumor with tozuleristide, the system aims to assist surgeons in maximizing tumor resection while minimizing damage to critical nerves responsible for urinary and sexual function.
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