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Satoreotide tetraxetan is a radiopharmaceutical drug consisting of the somatostatin receptor antagonist peptide satoreotide (JR11) conjugated via the chelator DOTA to the beta-emitting radioisotope lutetium-177. It is designed for targeted radionuclide therapy and imaging (theranostics) in cancers that overexpress somatostatin receptor type 2 (SSTR2), such as neuroendocrine tumors (NETs), small cell lung cancer, and Merkel cell carcinoma. Unlike traditional somatostatin analogues, which are agonists, satoreotide acts as an SSTR2 antagonist, resulting in higher and more stable tumor uptake. Clinical studies have shown promising efficacy and a favorable safety profile in patients with progressive SSTR-positive NETs[1][2][5][6].
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