Tracer library / [225Ac]Ac-DOTA-LM3
Structure of DOTA-LM3 (unlabelled parent compound, from PubChem)
Unlabelled parent compoundPubChem CID 168355559

[225Ac]Ac-DOTA-LM3

Also written as [Ac-225]Ac-DOTA-LM3
Radionuclide
Ac-225 t½ 14284.8 min
Modality
Therapy
Production route
—
Stage
Clinical research
Syntheses indexed
1

What it is

Compound class
DOTA-conjugated somatostatin receptor subtype 2 (SSTR2) antagonist peptide (DOTA-LM3)
Target / mechanism
Somatostatin receptor subtype 2 (SSTR2) antagonist PMID 41599769
Clinical application
Targeted alpha therapy for metastatic neuroendocrine tumors, including cases refractory to prior 177Lu-based PRRT PMID 41599769
Theranostic pair
—

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Manual synthesis—none86.7 ± 2.7%
decay-corrected
>97%DOTA-LM3
piCHEM, Raaba-Grambach, Austria
41599769
2026 Pharmaceuticals (Basel)
Radiolabeling of DOTA-LM3 with Actinium-225 was performed in a manual process in a shielded glove box - the average RCY was 86.7 ± 2.7%

Clinical literature

Clinical studies in the indexed corpus, ordered by design (multicentre, prospective, retrospective, others, case reports last) and then by year. Titles and links only, as published; this is not a summary of the evidence.

  1. First Autopsy-confirmed Complete Remission of Metastatic Neuroendocrine Neoplasm of Tailgut Cyst After a Single Cycle of Alpha-Peptide Receptor Radionuclide Therapy With [ 225 Ac]Ac-DOTA-LM3.
    2026 · Clin Nucl Med · Clinical study
  2. TANDEM Peptide Receptor Radionuclide Therapy Using [ 225 Ac]Ac-/[ 177 Lu]Lu-DOTA-LM3 in a Patient With Parotid Gland Metastasis From Pancreatic Neuroendocrine Neoplasm.
    2025 · Clin Nucl Med · Case report

Precursor

Common precursor
—
Suppliers seen in the literature
—
Cited suppliers in indexed syntheses
piCHEM
Typical final purification
—

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Notes

Added at stage 21 from therapy-discovered.xlsx (bulk PubMed search by isotope/therapy-type/known-agent, not individually researched yet) -- 2 articles found. Target/mechanism, clinical application, indications, approval and precursor fields still need per-agent research and are intentionally left empty. Compound class inferred from precursor name (not stated outright) -- PMID 41599769: 'DOTA-LM3'. Stage set/updated at stage 23 from PMID 41599769: 'In the reported patient, [225Ac]Ac-DOTA-LM3 therapy resulted in partial remission without clinically relevant hematologic, renal, or hepatic toxicity and was associated with marked clinical improvement.'. | Stage 30 (2026-09-18): Stage was 'first-in-human'; normalised to 'Clinical research', original wording kept here.
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