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Lutetium Lu 177 dotatate is a radiolabeled somatostatin analog used in peptide receptor radionuclide therapy (PRRT). It consists of the radioactive isotope lutetium-177 chelated to the somatostatin analog peptide DOTATATE. The drug selectively binds to somatostatin receptor subtype 2 (SSTR2), which is overexpressed on many gastroenteropancreatic neuroendocrine tumors (GEP-NETs). Upon binding, it delivers targeted beta radiation directly to tumor cells, causing DNA damage and cell death while sparing most surrounding healthy tissue. Lutetium Lu 177 dotatate is approved for treating adults and children aged 12 years and older with SSTR-positive GEP-NETs, including those originating in the foregut, midgut, or hindgut[1][2][5][9]. It was developed as part of an emerging class of targeted radiopharmaceutical therapies.
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