Abstract

Near infrared photoimmunotherapy (NIR-PIT) is a molecularly targeted treatment for cancers achieved by injecting a conjugate of IRDye700DX® (IR700), a water-soluble silicon phthalocyanine derivative in the near infrared, and a monoclonal antibody that targets cancer cell antigens. NIR-PIT is a highly specific treatment with few side effects thatresults in rapid immunogenic cell death. Despite it being a very effective and innovative therapy, there are a few challenges preventingfull implementation in clinical practice. These include the limits of near infrared light penetration, selection of targets, concerns about tumor lysis syndromeand drug costs. However, NIR-PIT has been approved by the regulatory authorities in Japan, allowing for exploration of how to mitigate challenges while maximizing the benefits of this treatment modality.

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