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TRC003 is an investigational radiopharmaceutical developed by Tongrui Biopharmaceutical (Chengdu) Co., Ltd. for the treatment of metastatic castration-resistant prostate cancer (mCRPC). It consists of a small-molecule ligand that specifically targets Prostate-Specific Membrane Antigen (PSMA), which is highly overexpressed on the surface of prostate cancer cells, conjugated to the alpha-emitting radioisotope Actinium-225 ($^{225}$Ac). Upon binding to PSMA and subsequent internalization, the drug delivers high-energy alpha particles directly to the tumor cells. These alpha particles have a high linear energy transfer (LET) and a very short range in tissue, causing lethal DNA double-strand breaks while minimizing damage to surrounding healthy tissues. TRC003 is currently being evaluated in early-phase clinical trials in China as a next-generation targeted alpha therapy.
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