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Lutetium (177Lu) pocuvotide satetraxetan (also known as 177Lu-DGUL) is a novel prostate-specific membrane antigen (PSMA)-targeted radioligand therapy developed by Cellbion in collaboration with Seoul National University Hospital. It consists of a Glu-Urea-Lys derivative (DGUL) that binds with high affinity to PSMA, conjugated via a short hydrophilic thiourea-containing linker to the chelator satetraxetan, which coordinates the beta-emitting radionuclide lutetium-177 (177Lu). Upon binding to PSMA-expressing prostate cancer cells, the radioligand is internalized, delivering localized ionizing radiation that induces DNA damage and cell death. 177Lu-DGUL is being developed for the treatment of metastatic castration-resistant prostate cancer (mCRPC).
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