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Frontiers · Part 2: Peptide-drug conjugates and radioligands

Find it, then treat it, and a cautionary tale

Lesson 10.2.3 · 6 min read · Advanced plan

What you'll learn

  • Swapping the radioactive atom turns a treatment peptide into an imaging tracer, such as gallium Ga 68 dotatate (approved 2016).
  • Matched imaging and treatment versions let doctors check for the target first.
  • Pluvicto, approved in 2022 and expanded since, brought radioligand therapy to PSMA-positive prostate cancer.
  • Pepaxto, a peptide-drug conjugate, lost its accelerated approval in 2024 after its confirming trial failed.

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