LUTATHERA Solution for injection Ref.[109757] Active ingredients: Lutetium ¹⁷⁷Lu oxodotreotide

Source: FDA, National Drug Code (US)  Revision Year: 2024 

Product description

Lutetium Lu 177 dotatate is a radiolabeled somatostatin analog. The drug substance lutetium Lu 177 dotatate is a cyclic peptide linked with the covalently bound chelator 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid to a radionuclide.

Lutetium Lu 177 dotatate is described as lutetium (Lu 177)N[(4,7,10-Tricarboxymethyl-1,4,7,10-tetraazacyclododec-1-yl) acetyl]-D-phenylalanyl-L-cysteinyl-L-tyrosyl-D-tryptophanyl-L-lysyl-L-threoninyl-L-cysteinyl-L-threonine-cyclic (2-7) disulfide. The molecular weight is 1609.6 Daltons and the structural formula is as follows:

LUTATHERA (lutetium Lu 177 dotatate) 370 MBq/mL (10 mCi/mL) Injection is a sterile, clear, colorless to slightly yellow solution for intravenous use. Each single-dose vial contains acetic acid (0.48 mg/mL), sodium acetate (0.66 mg/mL), gentisic acid (0.63 mg/mL), sodium hydroxide (0.64 mg/mL), ascorbic acid (2.8 mg/mL), diethylene triamine pentaacetic acid (0.05 mg/mL), sodium chloride (6.85 mg/mL), and Water for Injection (ad 1 mL). The pH range of the solution is 4.5 to 6.

11.1 Physical Characteristics

Lutetium-177 decays to stable hafnium-177 with a half-life of 6.647 days, by emitting beta-minus radiation with a maximum energy of 0.498 MeV (79%) and photonic radiation (γ) of 0.208 MeV (11%) and 0.113 MeV (6.2%). The main radiations of lutetium-177 are detailed in Table 7.

Table 7. Lutetium-177 Main Radiations:

Radiation Energy
(keV)
Iβ-% Iγ%
β- 176.5 12.2 
β- 248.1 0.05 
β- 384.9 9.1 
β- 497.8 78.6 
γ 71.6 0.15
γ 112.9 6.20
γ 136.7 0.05
γ 208.4 11.0
γ 249.7 0.21
γ 321.3 0.22

11.2 External Radiation

Table 8 summarizes the radioactive decay properties of lutetium-177.

Table 8. Physical Decay Chart: Lutetium-177 Physical Half-Life = 6.647 Days:

Hours Fraction
remaining
Hours Fraction
remaining
0 1.000 48 (2 days) 0.812
1 0.996 72 (3 days) 0.731
2 0.991 168 (7 days) 0.482
5 0.979 336 (14 days) 0.232
10 0.958 720 (30 days) 0.044
24 (1 day) 0.901 1080
(45 days)
0.009
Dosage Forms and Strengths

Injection: 370 MBq/mL (10 mCi/mL) of lutetium Lu 177 dotatate as a clear and colorless to slightly yellow solution in a single-dose vial.

How Supplied

LUTATHERA Injection containing 370 MBq/mL (10 mCi/mL) of lutetium Lu 177 dotatate is a sterile, preservative-free and clear, colorless to slightly yellow solution for intravenous use supplied in a clear, colorless Type I glass 30 mL single-dose vial containing 7.4 GBq (200 mCi) ± 10% of lutetium Lu 177 dotatate at the time of injection (NDC# 69488-003-01). The solution volume in the vial ranges between 20.5 to 25 mL to provide a total of 7.4 GBq (200 mCi) of radioactivity.

The product vial is enclosed within a lead shielded container (NDC# 69488-003-01) placed in a plastic sealed container. The product is shipped in a Type A package (NDC# 69488-003-70).

Distributed by: Advanced Accelerator Applications USA, Inc., Millburn, NJ 07041

Drugs

Drug Countries
LUTATHERA Austria, Estonia, Spain, France, Hong Kong, Croatia, Ireland, Israel, Italy, Japan, Lithuania, Poland, United States

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