Tracers / [225Ac]Ac-DOTA-LM3

[225Ac]Ac-DOTA-LM3

Also written as [Ac-225]Ac-DOTA-LM3
Radionuclide
Ac-225 t½ 14284.8 min
Modality
Therapy
Production route
Stage
first-in-human
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

Regulatory status

FDA
EMA (centralised)
Other approvals
Brand names

Clinical use

Typical injected activity
Uptake time

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Manual synthesisnone86.7 ± 2.7%
yes
>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%

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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.'.