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177Lu-DOTATOC
177Lu-DOTATOC is a radiolabeled somatostatin analog that binds to somatostatin receptors on neuroendocrine tumor cells and delivers targeted radiation therapy.
177Lu-DOTATOC is a radiolabeled somatostatin analog that binds to somatostatin receptors on neuroendocrine tumor cells and delivers targeted radiation therapy. Used for Somatostatin receptor-positive neuroendocrine tumors (NET), Gastroenteropancreatic neuroendocrine tumors (GEP-NET).
At a glance
| Generic name | 177Lu-DOTATOC |
|---|---|
| Sponsor | University Hospital, Basel, Switzerland |
| Drug class | Peptide receptor radionuclide therapy (PRRT) |
| Target | Somatostatin receptor 2 (SSTR2) |
| Modality | Small molecule |
| Therapeutic area | Oncology |
| Phase | Phase 3 |
Mechanism of action
177Lu-DOTATOC combines lutetium-177, a beta-emitting radioisotope, with DOTATOC (a somatostatin receptor 2 agonist peptide). The peptide targets somatostatin receptors overexpressed on neuroendocrine tumors, allowing selective delivery of cytotoxic radiation to tumor cells while sparing normal tissue. This is a form of peptide receptor radionuclide therapy (PRRT).
Approved indications
- Somatostatin receptor-positive neuroendocrine tumors (NET)
- Gastroenteropancreatic neuroendocrine tumors (GEP-NET)
Common side effects
- Nausea and vomiting
- Hematologic toxicity (anemia, thrombocytopenia, leukopenia)
- Renal toxicity
- Fatigue
Key clinical trials
- Testing the Safety and Effectiveness of Radiation-based Treatment (Lutetium Lu 177 Dotatate) for Metastatic Prostate Cancer That Has Neuroendocrine Cells (PHASE2)
- Efficacy and Safety of Radiotherapy Compared to Everolimus in Somatostatin Receptor Positive Neuroendocrine Tumors of the Lung and Thymus. (PHASE3)
- Combination External Radiation and PRRT for Large GI Neuroendocrine Tumors. (PHASE1)
- Phase I Trial to Determine the Dose and Evaluate the PK and Safety of Lutetium Lu 177 Edotreotide Therapy in Pediatric Participants With SSTR-positive Tumors (PHASE1)
- Lutathera for the Treatment of Inoperable, Progressive Meningioma After External Beam Radiation Therapy (PHASE2)
- 177Lu-DOTATATE for the Treatment of Stage IV or Recurrent Breast Cancer (PHASE2)
- Multi-modal Characterisation of Gastroenteropancreatic Neuroendocrine Tumours (GEP-NETs) Treated With Targeted Radionuclide Therapy (TRT): Prospective Interventional Multicentre National Cohort (NA)
- Lutetium 177Lu-Edotreotide Versus Best Standard of Care in Well-differentiated Aggressive Grade-2 and Grade-3 GastroEnteroPancreatic NeuroEndocrine Tumors (GEP-NETs) - COMPOSE (PHASE3)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- 177Lu-DOTATOC CI brief — competitive landscape report
- 177Lu-DOTATOC updates RSS · CI watch RSS
- University Hospital, Basel, Switzerland portfolio CI