View source for Lutetium Lu 177 vipivotide tetraxetan (Pluvicto)

==General information==
Class/mechanism: Radioligand therapeutic agent. The radionucleotide lutetium-177 is linked to vipivotide tetraxetan, which binds to PSMA (prostate-specific membrane antigen), a transmembrane protein that is expressed in prostate cancer. Binding of lutetium Lu 177 vipivotide tetraxetan to PSMA-positive cells results in delivery of beta-minus radiation, resulting in DNA damage and cell death. Lutetium 177's half-life is 6.647 days.<ref name="insert">[https://www.novartis.us/sites/www.novartis.us/files/pluvicto.pdf Lutetium Lu 177 vipivotide tetraxetan (Pluvicto) package insert]</ref><ref>[[:File:Lutetium Lu 177 vipivotide tetraxetan.pdf | Lutetium Lu 177 vipivotide tetraxetan (Pluvicto) package insert (locally hosted backup)]]</ref><ref>[https://www.us.pluvicto.com/ Pluvicto manufacturer's website]</ref>
<br>Route: IV
<br>Extravasation: no information

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://reference.medscape.com/drug/zytiga-abiraterone-999651 Medscape], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>

==Diseases for which it is used==
*[[Prostate cancer]]

==Patient drug information==
*[https://www.novartis.us/sites/www.novartis.us/files/pluvicto.pdf Lutetium Lu 177 vipivotide tetraxetan (Pluvicto) package insert]<ref name="insert"></ref>

==History of changes in FDA indication==
*3/23/2022: [https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-pluvicto-metastatic-castration-resistant-prostate-cancer FDA approved] "for the treatment of adult patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with androgen receptor (AR) pathway inhibition and taxane-based chemotherapy." ''(Based on VISION)''
#'''VISION:''' Sartor O, de Bono J, Chi KN, Fizazi K, Herrmann K, Rahbar K, Tagawa ST, Nordquist LT, Vaishampayan N, El-Haddad G, Park CH, Beer TM, Armour A, Pérez-Contreras WJ, DeSilvio M, Kpamegan E, Gericke G, Messmann RA, Morris MJ, Krause BJ; VISION Investigators. Lutetium-177-PSMA-617 for Metastatic Castration-Resistant Prostate Cancer. N Engl J Med. 2021 Sep 16;385(12):1091-1103. Epub 2021 Jun 23. [https://doi.org/10.1056/nejmoa2107322 link to original article] [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8446332/ link to PMC article] [https://pubmed.ncbi.nlm.nih.gov/34161051/ PubMed] NCT03511664

==History of changes in EMA indication==

==Also known as==
*'''Generic names:''' Lutetium-177-PSMA-617, Lutetium PSMA

==References==
<references/>

[[Category:Drugs]]
[[Category:Intravenous medications]]
[[Category:Beta emitters]]
[[Category:Radioconjugate]]

[[Category:Prostate cancer medications]]
[[Category:FDA approved in 2022]]