Tracers / [225Ac]Ac-DOTA-YS5

[225Ac]Ac-DOTA-YS5

Also written as [Ac-225]DOTA-YS5; [Ac-225]Ac-DOTA-YS5; Ac-225-DOTA-YS5
Radionuclide
Ac-225 t½ 14284.8 min
Modality
Therapy
Production route
Stage
preclinical study
Syntheses indexed
4

What it is

Compound class
DOTA-conjugated anti-CD46 monoclonal antibody (YS5) radioimmunoconjugate
Target / mechanism
Targets a tumor-selective CD46 epitope via the YS5 antibody PMID 36917693
Clinical application
CD46-targeted alpha particle radioimmunotherapy of prostate cancer and multiple myeloma PMID 36917693
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 synthesisSPE>98.9%DOTA-2Rs15d41390415
2025 J Transl Med
225Ac (1.89 MBq for in vitro assays, 3.90–3.97 MBq for biodistributions and 0.77–0.83 MBq for therapy) (Van Overeem Nuclear BV) was obtained in a carrier-free dried form and dissolved in 0.01 N nitric acid (HNO3)
Manual synthesisSPE83%>95%DOTA-YS538389832
2024 Theranostics
A standard one-step process was used for radiolabeling. — RCY of 83%, an isolated yield of 40%
Manual synthesisp-Isothiocyanate-benzyl-DOTA
Macrocyclics
38109209
2024 Clin Cancer Res
Conjugation of antibody YS5 as well as IgG with DOTA and further radiolabeling with 225AcNO3 was carried out by following previously reported procedures (30).
Manual synthesisSPE39.494.8DOTA-YS536917693
2023 Clin Cancer Res
For radiolabeling, 1 mCi of 225Ac(NO3)3 was received from Oak Ridge National Laboratory by the 229Th decay pathway in solid form, and it was dissolved in 0.2 mol/L HCl (100 μL). — The isolated yield of [225Ac]DOTA-YS5 from [225Ac]Ac(NO3) was 39.4% ± 4.4% (n = 6)

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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) -- 3 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 38389832: '225Ac-DOTA-YS5'. Stage set/updated at stage 23 from PMID 36917693: 'Overall, this preclinical study confirms that [225Ac]DOTA-YS5 is a highly effective treatment and suggests feasibility for clinical translation of CD46-targeted radioligand therapy in prostate cancer.'. | Stage 28: added indication(s) onc-myeloma from consolidated missing-rubric review.