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MTC1 is a peptide-based radiotheranostic targeting trophoblast cell-surface antigen 2 (Trop2), a pan-cancer biomarker overexpressed in various solid tumors. Developed by researchers at Stanford University, MTC1 consists of a high-affinity Trop2-binding peptide conjugated to a DOTA chelator via a PEG3 linker. This design allows for radiolabeling with either gallium-68 ($^{68}\text{Ga}$) for positron emission tomography (PET) imaging or lutetium-177 ($^{177}\text{Lu}$) for targeted radionuclide therapy. In preclinical studies, $^{177}\text{Lu}$-labeled MTC1 demonstrated high binding affinity to Trop2-expressing cancer cells and significant tumor uptake in vivo, with rapid clearance from non-target organs, making it a promising candidate for pan-cancer radiotheranostic applications.
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