“…This correlation is notably not true for radioligands that target the PSMA receptor in which albumin binders of moderate strength (e.g., toluene, chlorophenyl, etc.) can facilitate tumor saturation equally as well as strong albumin binders (e.g., iodophenyl). , This difference in the PK-to-tumor dose relationship may be due to the slower internalization and recycling kinetics of FAP compared to PSMA. ,− Additionally, the binding affinity of the FAP6 radioligands did not seem to directly correlate with the initial tumor uptake, the long-term tumor retention, or healthy tissue clearance. While some have postulated that subnanomolar binding affinities can be harmful to the performance of antibody–drug conjugates because of a phenomenon termed the binding site barrier effect, which may result in inferior tumor penetration, it is unclear whether this hypothesis has any merit for small molecule targeting ligands. − In summary, the dosimetry calculations confirm that FAP6-19 possesses differentiated PK/PD properties from the other six derivatives because of the linker modifications.…”