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A radioimmunoconjugate comprised of a chimeric monoclonal antibody (cT84.66) directed against human carcinoembryonic antigen (CEA), conjugated to the beta-emitting radioisotope yttrium-90 via the chelator DOTA (tetra-azacyclododecanetetra-acetic acid). The antibody moiety binds specifically to CEA-expressing tumor cells; upon internalization, it delivers cytotoxic beta radiation directly to these cells, resulting in targeted cell death while sparing most normal tissues[1][7][8]. CEA is overexpressed in many cancers including gastrointestinal, breast, non-small cell lung cancer (NSCLC), and thyroid cancers[7][8]. This agent has been investigated primarily for use in patients with metastatic or unresectable CEA-positive malignancies as a form of targeted radiotherapy[1][2][4].
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