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FPI-2505 is a targeted alpha therapy (TAT) radiopharmaceutical developed by Fusion Pharmaceuticals (now a subsidiary of AstraZeneca). It consists of a small molecule ligand that specifically targets Fibroblast Activation Protein (FAP), conjugated to the alpha-emitting radioisotope Actinium-225 (225Ac). FAP is highly expressed on cancer-associated fibroblasts (CAFs) within the tumor microenvironment of various solid tumors, including lung, colorectal, and pancreatic cancers, while showing limited expression in normal tissues. By targeting FAP, FPI-2505 delivers potent alpha radiation directly to the tumor site, inducing complex double-stranded DNA breaks and cell death in both the CAFs and adjacent malignant cells via the bystander effect. The drug is currently being evaluated in Phase 1 clinical trials for patients with FAP-expressing solid tumors.
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