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Cetuximab sarotalocan

Cetuximab sarotalocan is an EGFR antibody carrying a light-activated dye: after infusion, a red laser is shone on the tumour and the cells burst. It has been approved in Japan since 2020.

Cetuximab sarotalocan is Rakuten Medical's photoimmunotherapy. It was approved in Japan (September 2020) for unresectable locally advanced or recurrent head and neck cancer with conditional approval; two global phase 3 trials in locally recurrent HNSCC continue without US approval to date. Also being studied in cutaneous squamous cell carcinoma.

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Payload: IR700 dye (IRDye 700DX) · 2D coordinates (no PubChem conformer)
PubChem
Mechanism, step by step
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1.Antibody-dye conjugate binds EGFR on tumour cells within 24 hours

Modality
Photoimmunotherapy conjugate (anti-EGFR antibody–IR700 dye)
Mechanism
Cetuximab conjugated to IRDye700DX; 690 nm light triggers photochemical membrane damage in EGFR-bound cells and immunogenic cell death.
Brand / code
Akalux · ASP-1929, RM-1929
Dosing & schedule
Route
Intravenous infusion, then light at 24 hours
Schedule
640 mg/m² followed by 50 J/cm² (surface) or 100 J/cm (interstitial) illumination; repeatable

Source: www.pmda.go.jp/english/. Doses are for orientation; the current label governs.

Medicare
Not covered (not FDA-approved)

Not FDA-approved, so there is no US coverage; access is only through a clinical trial or an FDA expanded-access request. Approved in Japan only.

Commercial insurance
unknown

Not FDA-approved, so there is no US coverage; access is only through a clinical trial or an FDA expanded-access request.

Sources: CMS Medicare Coverage Database (NCDs and LCDs). Not medical or financial advice; verify with your plan.

Not yet researchedSearch NICE
Notes
Japan-only licence (Akalux); not available in the UK.

Sources: NICE search: cetuximab sarotalocan. Funding decisions are indication-specific and change monthly; verify with NICE and your treating team.

Regulatory

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  1. 25 Sept 2020ApprovalJapan

    World-first approval of a photoimmunotherapy drug

Approvals

RegionYearIndication
Japan2020Unresectable locally advanced or recurrent head and neck cancer (conditional)

Trials

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Recruiting now (live from ClinicalTrials.gov)

Recruiting trials near you · live from ClinicalTrials.gov
Cetuximab sarotalocan
intervention: Cetuximab sarotalocan
Open on ClinicalTrials.gov →

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Latest papers

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Literature trend9 papers in the last 12 months+13% vs prior 12How this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this drug: (TITLE:"Cetuximab sarotalocan" OR ABSTRACT:"Cetuximab sarotalocan" OR TITLE:"Akalux" OR ABSTRACT:"Akalux" OR TITLE:"ASP-1929" OR ABSTRACT:"ASP-1929" OR TITLE:"RM-1929" OR ABSTRACT:"RM-1929") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Cetuximab sarotalocan, not a curated reading list.

Connected

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