3036453-82-1O=C([O-])CC[C@H](NC(=O)N[C@@H](CCCCNC(=O)Nc1cccc(-c2cn(CCOCCOCCOCCC(=O)N[C@@H](CCCCNC(=S)Nc3ccc(CCOc4cc(CN5CCOCCOCCN(Cc6cccc(C(=O)[O-])n6)CCOCCOCC5)nc(C(=O)[O-])c4)cc3)C(=O)NCCOCCOCCOCCOCCOCCOCCOCCOCCC(=O)N[C@@H](CCCCNC(=O)CCCc3ccc(I)cc3)C(=O)[O-])nn2)c1)C(=O)[O-])C(=O)[O-].[225Ac].[H+].[H+].[H+]MRARQYVBCSRGGC-XEZLDHGOSA-KActinium Ac-225 Felivotide Mopaxetan is a radioconjugate composed of felivotide mopaxetan, a human prostate-specific membrane antigen (PSMA)-targeting small molecule that is linked to an albumin-binding moiety, and conjugated to the alpha-emitting radioisotope actinium Ac 225, with potential antineoplastic activity. Upon administration, actinium Ac 225 felivotide mopaxetan targets and binds to PSMA-expressing tumor cells. Upon binding, the radioisotope moiety delivers a cytotoxic dose of alpha radiation to PSMA-expressing tumor cells. PSMA, a tumor-associated antigen (TAA) and type II transmembrane protein, is expressed on the membrane of prostatic epithelial cells and overexpressed on prostate tumor cells as well as a variety of other solid tumors. The albumin-binding moiety targets and binds to albumin, which may improve therapeutic efficacy and reduce side effects in normal organs.
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