Drug intelligence / Profile preview

yttrium (90Y) besilesomab

Development stage
Phase 2
Lead developer
Telix Pharmaceuticals
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Beta-minus Emitters → Radiopharmaceuticals, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

TLX66 (yttrium (90Y) besilesomab) is a radioimmunotherapy agent comprising the murine IgG1 monoclonal antibody besilesomab radiolabelled with the beta-emitting isotope yttrium-90. The antibody component, besilesomab, targets CD66 (specifically the CD66b/NCA-95 isoform), a cell surface antigen highly expressed on granulocytes and their bone marrow progenitor cells. By binding to these targets, the drug enables the selective delivery of high-energy beta radiation directly to the bone marrow compartment. It is primarily being developed as a targeted conditioning regimen to facilitate bone marrow ablation prior to autologous stem cell transplantation (ASCT) in patients with systemic AL amyloidosis and multiple myeloma. This approach aims to provide a more precise and potentially less toxic alternative to conventional high-dose chemotherapy conditioning regimens like melphalan.

Other names
yttrium-90 radiolabelled anti-CD66 antibodyyttrium90 radiolabelled anti-CD66 antibodyyttrium 90 radiolabelled anti-CD66 antibodyyttrium-90 besilesomabyttrium90 besilesomabyttrium 90 besilesomab90Y-besilesomab
02

Targets

CEACAM8 (Carcinoembryonic antigen-related cell adhesion molecule 8)

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