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177Lu-DOTATOC + capecitabine + temozolomide is an investigational combination therapy regimen being evaluated for the treatment of advanced, non-resectable, and progressive gastro-entero-pancreatic neuroendocrine tumors (GEP-NET). The regimen utilizes **177Lu-DOTATOC** (lutetium (177Lu) edotreotide), a radiopharmaceutical consisting of the beta-emitting radioisotope Lutetium-177 chelated to the somatostatin analog DOTATOC. This component targets somatostatin receptors (primarily SSTR2) overexpressed on tumor cells, delivering targeted ionizing radiation. The chemotherapy components, **capecitabine** and **temozolomide** (collectively known as CAPTEM), are administered to provide additional cytotoxic effects and act as radiosensitizers to enhance the efficacy of the peptide receptor radionuclide therapy (PRRT). This specific therapeutic approach is currently under investigation in a Phase II clinical trial led by the University of Warmia and Mazury.
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