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Lutetium lu 177 vipivotide tetraxetan is a radiopharmaceutical used for the treatment of prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) in adults who have previously been treated with androgen receptor pathway inhibition and taxane-based chemotherapy. It consists of a PSMA-targeting ligand (PSMA-617) conjugated to the beta-emitting radioisotope lutetium-177 via a DOTA chelator. The drug binds to PSMA-expressing cells, delivering targeted radiation that induces DNA damage and cell death in both cancerous and surrounding cells. Lutetium lu 177 vipivotide tetraxetan was first approved in the United States on March 23, 2022, and is marketed under the brand name Pluvicto[1][3][5].
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