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Actinium (225Ac) rhPSMA-10.1 Injection is an investigational alpha-emitting radiopharmaceutical developed by Blue Earth Therapeutics in collaboration with University College London (UCL). It consists of the alpha-emitting radionuclide actinium-225 (225Ac) conjugated to rhPSMA-10.1, a proprietary radiohybrid prostate-specific membrane antigen (PSMA)-targeting small molecule. The drug is designed to target PSMA, which is highly overexpressed on prostate cancer cells, and deliver high-energy, short-range alpha radiation directly to the tumor lesions. This localized radiation induces lethal double-strand DNA breaks in the cancer cells while minimizing damage to surrounding healthy tissues. It is currently being evaluated in the Phase 1/2 ACT-RESoLUTE clinical trial (NCT07414940) for the treatment of patients with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC) whose disease has progressed following prior therapies.
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