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FPI-2068 is a novel targeted alpha therapy (TAT) radioimmunoconjugate designed to treat various solid tumors that co-express epidermal growth factor receptor (EGFR) and mesenchymal–epithelial transition factor (cMET). It consists of a bispecific antibody targeting both EGFR and cMET conjugated to the alpha-emitting radioisotope actinium-225 via a fast-clear linker. The drug delivers potent ionizing alpha radiation directly into tumor cells expressing these targets, causing double-strand DNA breaks and subsequent activation of DNA damage response pathways leading to apoptosis. This approach aims to maximize anti-tumor efficacy while minimizing off-target toxicity. FPI-2068 is being developed by Fusion Pharmaceuticals (a subsidiary of AstraZeneca) and AstraZeneca for the treatment of advanced solid tumors including metastatic colorectal cancer, head and neck squamous cell carcinoma, non-small cell lung cancer, and pancreatic ductal adenocarcinoma[1][3][4][5][6].
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