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This is a **combination therapy** consisting of **lintuzumab-ac225** (a humanized monoclonal antibody targeting CD33, conjugated to the alpha-emitting radionuclide actinium-225) plus **cytarabine** (a nucleoside analog chemotherapy). Lintuzumab-ac225 delivers high-energy alpha radiation specifically to CD33-expressing myeloid cells, causing lethal double-strand DNA breaks and selective killing of leukemic blasts. Cytarabine acts as an antimetabolite, inhibiting DNA synthesis in rapidly dividing cells. This combination is being studied for treating patients with **acute myeloid leukemia (AML)**, including relapsed/refractory cases and elderly, previously untreated patients. The principal developer is **Actinium Pharmaceuticals**. Clinical trials demonstrate promising response rates and measurable residual disease (MRD) negativity in high-risk AML, particularly when used with other chemotherapeutic regimens.
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