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This is a **combination of three targeted radiopharmaceuticals**, each consisting of the radioactive isotope lutetium-177 (177Lu) linked via different chelation systems (DOTA, vipivotide tetraxetan, NeoB) to peptides that bind specific tumor-associated targets. **Lutetium (177Lu) DOTA-TATE** is a somatostatin analog targeting somatostatin receptor subtype 2 (SSTR2) on neuroendocrine tumor (NET) cells, allowing targeted beta radiation delivery[1][2][7]. **Lutetium (177Lu) vipivotide tetraxetan** is a radio-labeled ligand specifically targeting prostate-specific membrane antigen (PSMA), overwhelmingly expressed in prostate cancer cells. **Lutetium (177Lu) NeoB** is a gastrin-releasing peptide receptor (GRPR) antagonist, targeting cancers like prostate and breast that express GRPR. All three agents function by delivering cytotoxic radiation to specific cancer cells, improving tumor control in appropriately selected patients.
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