“…In this work, we hypothesized that the in vivo efficiency of radiation-activated prodrugs could be vastly improved through the design of a long-circulating construct that steadily accumulates in tumor tissue and releases chemotherapy payloads following clinically relevant doses or serial dose fractions of RT. Numerous strategies can extend the circulating pharmacokinetics of drug payloads and improve their delivery and retention at tumor sites, − including through payload incorporation into long-circulating PEGylated nanoparticles, , tumor-targeted antibodies, − and serum albumin. − We show how our modular chemical design for radiation-activated prodrugs can apply to each of these strategies and focus especially on serum albumin for its extended blood half-life (3 weeks in humans), relatively low molecular weight and high diffusivity compared to antibodies and nanoparticles, its extensive use in developing both molecularly targeted and passively accumulating therapies for cancer, and its ability to be taken up into tumors via oncogene-driven macropinocytosis and the “enhanced permeability and retention” (EPR) effect. , Thus, we present the design, synthesis, computational PK/PD modeling, and in vivo evaluation of the R adioactivated A lbumin- B ound i nducible T herapeutic (RABiT) platform and show how it efficiently accumulates in tumor tissue, selectively releases drug payload, and synergistically blocks tumor growth in mice.…”