lutetium dotatate lu-177
Trade name: Lutathera
Small moleculeapprovedOrphan Drug FDAFast Track FDA
Approved
Jan 26, 2018
DOTA-TATE is an eight amino acid long peptide, with a covalently bonded DOTA bifunctional chelator. — Wikipedia
Clinical trial activity
66 trials · 65 clinical orgs · 2 marketing orgs
Phase 1
22
Phase 2
48
Phase 3
9
Phase 4
0
Earliest trial started Nov 2, 2004 (NCT04029428)
Timeline
2000s
- Jan 1, 2004
Earliest Phase 2 Sponsor(trial)
- Jan 12, 2009
Orphan Drug Designation
2010s
- Jan 1, 2013
Earliest Phase 3 Sponsor(trial)
- Jan 1, 2015
Earliest Phase 1 Sponsor(trial)
- Jan 26, 2018
Advanced Accelerator Applications — Earliest FDA Approval
- Jan 26, 2018
AAA Pharmaceutical — NDA Secondary Org
- Jan 26, 2018
Advanced Accelerator Applications — NDA Organization
Indications
Approved for
Studied for
- Adrenal Gland Neoplasms · Phase 2
- Breast Neoplasms · Phase 2
- Carcinoid Heart Disease · Phase 2
- Carcinoid Tumor · Phase 2
- Carcinoma, Merkel Cell · Phase 2
- Carcinoma, Neuroendocrine · Phase 2
- Clinical Trial, Phase I · Phase 1
- Diffuse Intrinsic Pontine Glioma · Phase 1/Phase 2
- Drugs, Investigational · Phase 2
- Ependymoma · Phase 1/Phase 2
- Gastrointestinal Stromal Tumors · Phase 1
- Glioblastoma · Phase 1
- Glioma · Phase 2
- Intestinal Neoplasms · Phase 3
- Lung Neoplasms · Phase 3
- Lymphoma · Phase 1
- Malignant Carcinoid Syndrome · Phase 2
- Medulloblastoma · Phase 2
- Meningioma · Phase 2
- Mesothelioma · Phase 1
- Neoplasm Metastasis · Phase 2/Phase 3
- Neoplasms · Phase 2
- Neoplasms, Germ Cell and Embryonal · Phase 1/Phase 2
- Neuroblastoma · Phase 2
- Neuroectodermal Tumors, Primitive, Peripheral · Phase 1
- Neuroendocrine Tumors · Phase 3
- Pancreatic Neoplasms · Phase 3
- Paraganglioma · Phase 2
- Pheochromocytoma · Phase 2
- Pituitary Neoplasms · Phase 2
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1/Phase 2
- Radioisotopes · Phase 2
- Rhabdomyosarcoma · Phase 1
- Small Cell Lung Carcinoma · Phase 1
- Thymoma · Phase 1
- Thymus Neoplasms · Phase 3
- Thyroid Neoplasms · Phase 2
Mechanism of action
- Somatostatin receptorBINDING AGENT
Somatostatin receptor binding agent
Highest affinity for SSTR2
Approval history
- approvedPriority reviewFast trackJan 26, 2018
Chemistry & pharmacology
Loading structure…
SMILES
[177Lu+3].C[C@@H](O)[C@@H](CO)NC(=O)[C@@H]1CSSC[C@H](NC(=O)[C@@H](CC2=CC=CC=C2)NC(=O)CN3CCN(CC([O-])=O)CCN(CC([O-])=O)CCN(CC([O-])=O)CC3)C(=O)N[C@@H](CC4=CC=C(O)C=C4)C(=O)N[C@H](CC5=CNC6=C5C=CC=C6)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1- Mol. weight
- 1595.559 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL3989924 ↗
- WikipediaDOTA-TATE ↗
- NCATSRGO812Q0C8 ↗
- ChEMBLCHEMBL4297545 ↗
- NCATSAE221IM3BB ↗
Also known as
- (177lu-dotaotyr3)octreotate
- 177lu dota-tate
- 177lu-dotatate
- 177lu-dotatate
- 177lu-dotatate
- 177lu-dota-tate
- 177lu-edotreotide
- 177lu-octreotate
- (177lutetium-dota(o)tyr3)octreotate
- dotatate-177lu
- lu177 dota-tate
- lu-177 dotate
- lutate
- lutetium dotatate lu-177
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06955169 | Phase 2 | Nov 30, 2025 | New York University, Novartis, RTOG Foundation, Yale University |
| NCT07150546 | Phase 1 | Sep 1, 2025 | Emory University, National Cancer Institute (NCI) |
| NCT06878664 | Phase 3 | Jun 12, 2025 | Grupo Espanol de Tumores Neuroendocrinos (GETNE), Institut Gustave Roussy, Universidad Complutense de Madrid |
| NCT06663072 | Phase 1 | Nov 15, 2024 | University of Chicago |
| NCT06326190 | Phase 2 | Nov 6, 2024 | European Organisation for Research and Treatment of Cancer, Novartis |
| NCT06607692 | Phase 2 | Oct 31, 2024 | Fundación de investigación HM |
| NCT06441331 | Phase 1 | Sep 30, 2024 | ITM Solucin GmbH |
| NCT06379217 | Phase 1 | Jul 29, 2024 | Novartis |
| NCT06395402 | Phase 2 | May 3, 2024 | Novartis, University of Iowa |
| NCT05773274 | Phase 2 | Mar 1, 2024 | Canadian Cancer Trials Group, National Cancer Institute (NCI) |
| NCT06122610 | Phase 1 | Feb 29, 2024 | University of Wisconsin |
| NCT05691465 | Phase 2 | Jan 19, 2024 | Johns Hopkins University, National Cancer Institute (NCI) |
| NCT05687123 | Phase 1 | Jan 6, 2024 | National Cancer Institute (NCI), Yale University |
| NCT06121271 | Phase 2 | Dec 18, 2023 | University of London |
| NCT07057622 | Phase 3 | Dec 12, 2023 | — |
| NCT05987176 | Phase 2 | Nov 1, 2023 | Imperial College London |
| NCT05918302 | Phase 3 | Oct 27, 2023 | Grupo Espanol de Tumores Neuroendocrinos (GETNE), MFAR Clinical Research, Universidad Autonoma de Barcelona |
| NCT05724108 | Phase 2 | Aug 30, 2023 | National Cancer Institute (NCI), Ohio State University |
| NCT05583708 | Phase 2 | Feb 28, 2023 | Cornell University |
| NCT05610826 | Phase 1/Phase 2 (Phase 2) | Feb 1, 2023 | University of Chicago |
Showing 20 of 66 trials
Page 1 / 4
Organizations
Research & Development (65)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 14 | 10 | 2 | 2017 |
| Novartis | For profit | 8 | 3 | 2 | 2021 |
| Advanced Accelerator Applications | For profit | 6 | 1 | 3 | 2019 |
| Ohio State University | Academic/Hospital | 4 | 1 | 2 | 2020 |
| FutureChem | For profit | 3 | 3 | 2 | 2020 |
| ITM Solucin GmbH | For profit | 3 | 3 | 2 | 2017 |
| Catholic University of Korea | Academic/Hospital | 2 | 0 | 2 | 2020 |
| Erasmus University Rotterdam | Academic/Hospital | 2 | 2 | 2 | 2007 |
| Free University of Brussels | Academic/Hospital | 2 | 2 | 1 | 2013 |
| Fundación de investigación HM | Academic/Hospital | 2 | 2 | 1 | 2020 |
| Grupo Espanol de Tumores Neuroendocrinos (GETNE) | Academic/Hospital | 2 | 2 | 1 | 2023 |
| Istituto Nazionale per lo Studio e la Cura dei Tumori | Academic/Hospital | 2 | 2 | 1 | 2013 |
| Mayo Clinic | Academic/Hospital | 2 | 1 | 1 | 2019 |
| National Institutes of Health (NIH) | Government | 2 | 0 | 2 | 2017 |
| New York University | Academic/Hospital | 2 | 1 | 1 | 2019 |
| University of Chicago | Academic/Hospital | 2 | 2 | 2 | 2023 |
| University of Iowa | Academic/Hospital | 2 | 2 | 1 | 2020 |
| University of London | Academic/Hospital | 2 | 2 | 1 | 2020 |
| Yale University | Academic/Hospital | 2 | 0 | 2 | 2024 |
| ABX-CRO | For profit | 1 | 0 | 1 | 2017 |
65 organizations
Page 1 / 4
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AAA Pharmaceutical | For profit | NDA2 | Jan 26, 2018 |
| Advanced Accelerator Applications | For profit | NDA | Jan 26, 2018 |