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Library · Reproductive · Treatment of metastatic castration-resistant prostate cancer

Pluvicto (Lutetium Lu 177 vipivotide tetraxetan)

177Lu-PSMA-617, Lutetium (177Lu) vipivotide tetraxetan, LuPSMA

A targeted radiopharmaceutical pairing a PSMA-binding molecule with radioactive lutetium-177, approved by the FDA in 2022 for PSMA-positive metastatic castration-resistant prostate cancer after prior treatment. It marked a major step for precision nuclear medicine in oncology.

Research score 92/100. Reference only, not a dose.

Boxed warning: Risk of major cardiovascular events

  • Anti-cancer
  • Hormone Regulation
  • DNA Repair
  • Anti-inflammatory
  • Inflammation Resolution
US status
FDA Approved
Approval
FDA + EMA Approved
Evidence
Extensive Human Studies
Research score
92 / 100
Indication
Prostate Cancer
Origin
Germany
Source category
Reproductive System
Status group
Approved / prescription

Mechanism

Binds PSMA overexpressed on prostate cancer cells, delivering localized beta radiation with about a 1 mm range that causes DNA breaks and cell death in tumor and nearby cells, with a stable chelator preventing systemic release of the isotope.

Safety file

Good tolerability profile.

  • Fatigue
  • Dry mouth
  • Nausea
  • Anemia
  • Decreased appetite
  • Low platelet counts
  • Constipation