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[211At]BC8-B10 is a radioimmunoconjugate consisting of a murine IgG1 anti-CD45 monoclonal antibody (BC8) conjugated via lysine side groups to a decaborate (B10) moiety and radiolabeled with astatine-211, an alpha particle-emitting radionuclide. The resulting agent specifically targets CD45-positive cells, such as malignant hematopoietic cells, delivering targeted alpha radiation to induce cytotoxicity. It is primarily being investigated as a conditioning regimen prior to donor stem cell transplantation in patients with high-risk or relapsed/refractory acute leukemia or myelodysplastic syndrome. Developed at Fred Hutchinson Cancer Center with NCI support, it is currently in phase I/II clinical evaluation[1][2][3][4][5][6][8][9].
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