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ITM-91 is a Lutetium-177-labeled radioligand therapeutic compound developed for the treatment of unresectable locally advanced or metastatic solid tumors, including clear cell renal cell carcinoma (ccRCC), pancreatic ductal adenocarcinoma (PDAC), and colorectal cancer (CRC)[1][2][3][5][6]. It consists of chemically stabilized peptide ligands (peptidomimetics) that target the Carbonic Anhydrase IX (CA IX) surface protein—a key player in tumor growth and metastasis—conjugated to a therapeutic radioisotope via a linker[1][2]. The drug is administered intravenously as part of a theranostic pair with an imaging agent ([68Ga]Ga-DPI-4452/ITM-94D). Its mechanism involves selective binding to CA IX-expressing tumor cells and delivering targeted radiotherapy through Lutetium-177 decay. Originally developed by Debiopharm as Debio 0228, it is now licensed globally to ITM Isotope Technologies Munich SE for clinical development[1][5].
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