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Lutetium Lu 177 FF58 is a radioconjugate composed of the small molecule FF58, which targets the transmembrane receptors integrin alpha V beta 3 (αvβ3) and alpha V beta 5 (αvβ5), linked to the beta-emitting radioisotope lutetium-177. It is designed as a radioligand therapy for cancer treatment. The mechanism involves selective binding to integrin αvβ3/5 on tumor cells, delivering targeted ionizing radiation that can damage or kill cancer cells. The drug was developed by Advanced Accelerator Applications (a Novartis subsidiary) and Novartis for use in advanced solid tumors including pancreatic ductal adenocarcinoma, gastroesophageal junction adenocarcinoma, and glioblastoma multiforme. Clinical development reached Phase I before being terminated; no safety concerns were cited for termination[1][4][5][7].
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