drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
Peptide receptor radionuclide therapy (PRRT); a radiolabeled somatostatin analog (DOTA-TATE) that binds SSTR2 on tumor cells and delivers beta radiation, causing DNA damage and tumor cell death (brand name Lutathera).
nci_thesaurus_concept_id
C95020
nci_thesaurus_preferred_term
Lutetium Lu 177 Dotatate
nci_thesaurus_definition
A radioconjugate consisting of the tyrosine-containing somatostatin analog Tyr3-octreotate (TATE) conjugated with the bifunctional, macrocyclic chelating agent tetra-azacyclododecanetetra-acetic acid (DOTA) and radiolabeled with the beta-emitting radioisotope lutetium Lu 177, with potential imaging and antineoplastic activities. Lutetium Lu 177 dotatate binds to somatostatin receptors (SSTRs), with high affinity to type 2 SSTR, present on the cell membranes of many types of neuroendocrine tumor (NET) cells. Upon binding and internalization, this radioconjugate specifically delivers a cytotoxic dose of beta radiation to SSTR-positive cells. Tyr3-octreotate (TATE) is an octreotide derivative in which phenylalanine at position 3 is substituted by tyrosine and position 8 threoninol is replaced with threonine. SSTRs have been shown to be present in large numbers on NET and their metastases, while most other normal tissues express low levels of SSTRs.
drug_mesh_term
lutetium Lu 177 dotatate
drug_category
RADIOPEPTIDE CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Radiolabeled somatostatin analog (DOTA-TATE) that binds somatostatin receptor 2 (SSTR2) on tumor cells, is internalized, and delivers beta radiation from Lu-177, causing DNA damage and tumor cell death in SSTR-positive cells.
drug_name
Lutetium Lu 177 dotatate
nct_id_drug_ref
NCT05583708