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Zalsenertant tetraxetan lutetium Lu‑177 is a radioconjugate composed of the neurotensin receptor type 1 (NTR1) antagonist IPN01087 (also known as 3BP‑227), linked via the chelating agent dodecanetetraacetic acid (DOTA) to the beta-emitting radioisotope lutetium Lu‑177. Upon administration, it binds to NTR1 expressed on certain tumor cells, particularly in ductal pancreatic adenocarcinoma. After binding and internalization, it delivers a cytotoxic dose of beta radiation specifically to NTR1-expressing cells, resulting in targeted antineoplastic activity and enabling imaging during PET/CT scans. The drug is being developed for use as both a therapeutic and diagnostic agent in oncology[1][4][8].
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