The coupling of biotin (I) with N-Boc-1,6-diaminohexane (II) by means of HATU yields the amide (III). Subsequent acidic cleavage of the N-Boc protecting group of (III) gives the amine (IV), which is reduced by borane in THF to furnish the diamine (V). Finally, coupling of (V) with the tetra-aza macrocyclic ligand (VI), followed by radiolabeling with 90Y, affords the target compound. (1,2)