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ePSMA-DM1 is an experimental **theranostic small-molecule drug conjugate** being investigated for **prostate cancer**. It consists of a **glutamate-urea-lysine prostate-specific membrane antigen targeting vector** linked to the **maytansinoid cytotoxic payload DM1** and a **DOTA chelator**, enabling both targeted drug delivery and radiolabeling with diagnostic or therapeutic radionuclides such as indium-111 and lutetium-177. Mechanistically, the molecule binds **prostate-specific membrane antigen** on PSMA-expressing tumor cells, undergoes PSMA-specific uptake, and is designed to release DM1 in a reducing intracellular environment, where the payload disrupts microtubule function and kills cancer cells. Published preclinical work showed PSMA-specific cellular uptake, marked cytotoxicity in PSMA-positive cells, and successful radiolabeling for SPECT/CT imaging and potential radiotheranostic applications; development appears to remain at the preclinical stage.
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