gallium-68-dotatate
Trade name: netspot
Approved
Jun 1, 2016
Dotatate gallium (Ga-68) (Ga-DOTATATE ) under the brand name NETSPOT is indicated for use with positron emission tomography (PET) for localization of somatostatin receptor positive neuroendocrine tumors (NETs) in adult and pediatric patients. In addition, was shown, that Ga-DOTATATE can be used for detection the incidental medullary thyroid carcinoma. It binds to cells that express somatostatin receptors including malignant cells, which overexpress somatostatin subtype 2 receptors. — NCATS
Clinical trial activity
42 trials · 29 clinical orgs · 2 marketing orgs
Earliest trial started Dec 15, 1993 (NCT00001277)
Timeline
1990s
- Jan 1, 1993
Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2011
Earliest Phase 1 Sponsor(trial)
- Dec 31, 2013
Orphan Drug Designation
- Jun 1, 2016
Advanced Accelerator Applications — Earliest FDA Approval
- Jun 1, 2016
AAA Pharmaceutical — NDA Secondary Org
- Jun 1, 2016
Advanced Accelerator Applications — NDA Organization
- Jan 1, 2019
Earliest Phase 3 Sponsor(trial)
Indications
Approved for
Studied for
- Adenoma, Islet Cell · Phase 1/Phase 2
- Adrenocorticotropic Hormone · Phase 2
- Apudoma · Phase 1/Phase 2
- Breast Neoplasms · Phase 1
- Carcinoid Tumor · Phase 1/Phase 2
- Carcinoma, Hepatocellular · Phase 1/Phase 2
- Carcinoma, Neuroendocrine · Phase 2
- Coronary Artery Disease · Phase 3
- Cushing Syndrome · Phase 2
- Diagnostic Imaging · Phase 2
- Diagnostic Techniques and Procedures · Phase 2
- Drugs, Investigational · Phase 1/Phase 2
- Ganglioneuroblastoma · Early Phase 1
- Ganglioneuroma · Early Phase 1
- Glioblastoma · Phase 1
- Glioma · Phase 1
- Heart Diseases · Phase 4
- Hypercalcemia · Phase 2
- Hyperparathyroidism · Phase 2
- Intestinal Neoplasms · Phase 1/Phase 2
- Kidney Neoplasms · Phase 1
- Meningioma · Phase 2
- Multiple Endocrine Neoplasia · Phase 2
- Multiple Endocrine Neoplasia Type 1 · Phase 2
- Neoplasms · Phase 2
- Neuroblastoma · Phase 2
- Neuroendocrine Tumors · Phase 3
- Osteomalacia · Phase 1/Phase 2
- Pancreatic Neoplasms · Phase 2
- Paraganglioma · Phase 2
- Parathyroid Neoplasms · Phase 2
- Pheochromocytoma · Phase 2
- Positron-Emission Tomography · Phase 1/Phase 2
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 2
- Small Cell Lung Carcinoma · Phase 1
- Squamous Cell Carcinoma of Head and Neck · Phase 1
- Thyroid Neoplasms · Phase 2
- von Hippel-Lindau Disease · Phase 2
Mechanism of action
- SomatostatinBINDING AGENT
SST binding agent
- Unspecified targetOTHER
Diagnostic
Somatostatin binding substance used to visualise neuroendocrine tumours when radiolabelled
- Unspecified targetOTHER
Diagnostic agent
Radioactive diagnostic agent. A radionuclide that binds to malignant neuroendocrine cells which overexpress sstr2 receptors allowing positron emission tomography (PET) imaging.
Highest affinity for subtype 2 receptors.
Approval history
- approvedPriority reviewJun 1, 2016
Chemistry & pharmacology
SMILES
[68Ga+3].CC(O)[C@H](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)C(O)=O- Mol. weight
- 1500.527 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Imaging
- 68-gallium
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaNetSpot ↗
- NCATS9L17Y0H71P ↗
- ChEMBLCHEMBL4297340 ↗
- ChEMBLCHEMBL3833383 ↗
- NCATSY68179SY2L ↗
Also known as
- (68ga-dota-3-iodo-tyr(3),thr(8))octreotide
- 68ga-dota-iodo-tyr(3)-octreotate
- 68ga dotatate
- 68ga dotatate
- 68ga-dotatate
- 68ga-dotatate
- 68ga-dotatate
- (68ga)gallium dotatate
- 68ga-ha-dotatate
- 68ga-ha-dotatate
- 68gallium-dota-tyr(3)-thr(8)-octreotate
- dotatate gallium ga-68
- edotreotide gallium ga-68
- ga-68 dota0-tyr3-octreotide
- ga-68 dota0-tyr3-octreotide
- ga-68 dotatoc
- ga-dotatate
- gallium 68 dota-octreotide
- gallium 68 dotatate
- gallium-68-dotatate
- gallium-68-dotatate
- gallium (68ga) dota-tate
- gallium (68ga) edotreotide
- gallium-dota-octreotate, ga-68
- gallium dotatate ga-68
- gallium dotatate ga-68
- gallium dotatate, ga-68
- gallium edotreotide ga-68
- gallium ga 68 dotatate
- gallium ga 68-dotatoc
- gallium ga 68-edotreotide
- gallium ga 68-edotreotide
- gallium ga-68 edotreotide
- netspot
- netspot
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07284589 | Phase 2 | Dec 11, 2025 | — |
| NCT06479811 | Phase 1 | Nov 17, 2024 | National Cancer Institute (NCI) |
| NCT06427798 | Phase 1/Phase 2 (Phase 2) | Nov 17, 2024 | National Cancer Institute (NCI) |
| NCT07288931 | N/A | Aug 6, 2024 | Chinese Academy of Medical Sciences |
| NCT06379217 | Phase 1 | Jul 29, 2024 | Novartis |
| NCT06240741 | Phase 3 | Mar 21, 2024 | Eckert & Ziegler Radiopharma GmbH, Novartis |
| NCT07119242 | Phase 3 | Jan 8, 2024 | — |
| NCT06520319 | Phase 1 | Jun 21, 2023 | Fujian Medical University |
| NCT05880394 | Phase 1 | Jan 10, 2023 | Hoag Memorial Hospital Presbyterian |
| NCT05990998 | Phase 1/Phase 2 (Phase 2) | Nov 20, 2022 | Fujian Medical University |
| NCT05536960 | N/A | Sep 9, 2022 | University of Amsterdam |
| NCT05142696 | Phase 1 | Mar 11, 2022 | Novartis |
| NCT05109728 | Phase 1 | Feb 14, 2022 | Novartis |
| NCT04927416 | Phase 2 | Oct 25, 2021 | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
| NCT04888481 | Phase 2 | Sep 1, 2021 | University of Alberta |
| NCT04609592 | Phase 1 | Mar 17, 2021 | Novartis, Stanford University |
| NCT04559217 | Phase 2 | Nov 15, 2020 | Ciusss de L'Est de l'Île de Montréal, University of Sherbrooke |
| NCT04298541 | Phase 2 | Apr 30, 2020 | Cornell University |
| NCT04074135 | Phase 2 | Apr 23, 2020 | National Cancer Institute (NCI) |
| NCT04689893 | Phase 1 | Mar 15, 2020 | Chinese Academy of Medical Sciences |
Organizations
Research & Development (29)
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AAA Pharmaceutical | For profit | NDA2 | Jun 1, 2016 |
| Advanced Accelerator Applications | For profit | NDA | Jun 1, 2016 |