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Cu-67 dotatate is a radiopharmaceutical composed of copper-67 (^67Cu), a radioactive isotope, chelated to the somatostatin analog dotatate (Tyr3-octreotate) using a chelator like NODAGA. It targets somatostatin receptor subtype 2 (SSTR2), which is highly expressed on neuroendocrine tumors (NETs). Upon intravenous administration, the conjugate binds to SSTR2-expressing tumor cells and delivers localized beta radiation from ^67Cu, leading to cellular damage and tumor regression. ^67Cu also emits gamma rays enabling SPECT imaging and dosimetry. Cu-67 dotatate is under preclinical and early clinical evaluation as a theranostic agent for the treatment and imaging of SSTR2-positive cancers, with animal studies demonstrating inhibition of tumor growth and increased survival in SSTR2-positive tumor models[1][5].
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