Lutetium-177 vipivotide tetraxetan

May 09, 2023
I鈥檓 giving new hope to metastatic prostate cancer patients.
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Lutetium-177 vipivotide tetraxetan1 is a widely approved breakthrough drug for metastatic prostate cancer. It is manufactured and distributed by Novartis (Basel, Switzerland) under the trade name Pluvicto. According to a recent Novartis press release, 鈥淧luvicto shows statistically significant and clinically meaningful radiographic progression-free survival benefit in patients with PSMA-positive metastatic castration-resistant prostate cancer.鈥�

PSMA, or prostate-specific membrane antigen, is the target of the radioactive 177Lu atom in the molecule, which is surrounded by the complex vipivotide tetraxetan2 ligand that binds to the PSMA-expressing tumor cells. The drug, in solution form, is administered intravenously.

Pluvicto was approved first by the US Food and Drug Administration in March 2022. Approvals by the United Kingdom, Canada, and the European Medicines Agency followed later in 2022.

Pluvicto is considered to be a safe drug, although Novartis advises that to minimize radiation exposure, patients should avoid close contact with others for at least 2 days after injection and with children and pregnant women for 7 days. Patients should also urinate as often as possible to reduce the risk of bladder irradiation. The drug鈥檚 most common side effects include fatigue, dry mouth, nausea, anemia, decreased appetite, and constipation.

Safety data sheets for Pluvicto are not available, but Novartis published for the drug earlier this year.

1. SciFinder: Lutetate(3鈥�)-177Lu, [N2-[[[(1S)-1,3-dicarboxypropyl]amino]carbonyl]-N6-[3-(2-naphthalenyl)-N-[[trans-4-摆摆摆2-摆4,7,10-迟谤颈蝉摆(肠补谤产辞虫测-魏O)尘别迟丑测濒闭-1,4,7,10-迟别迟谤补补锄补肠测肠濒辞诲辞诲别肠-1-测濒-魏N1,魏N4,魏N7,魏N10闭补肠别迟测濒-魏O]amino]methyl]cyclohexyl]carbonyl]-L-alanyl]-L-lysinato(6鈥�)]-, hydrogen (1:3).
2. CAS Reg. No. 1702967-37-0.

Molecules from the journals

(+)-Xyloketal B1 is one of five pentacyclic compounds from mangrove fungus species of the genus Xylaria that grow on the coast of the South China Sea. Xyloketal B has shown potential for treating conditions such as and . This past February, Alison R. H. Narayan and colleagues at the University of Michigan (Ann Arbor) and Caltech (Pasadena, CA) reported a of the (+)-diastereomer in five steps beginning from 2,4-dihydroxy-6-iodo-3-methylbenzaldehyde2.

(鈭�)-颁耻谤肠耻尘别苍别3 is a terpene found in the perennial herb Curcuma zedoaria that grows in south and southeast Asia. In 2003, Myoun-Gae Kim at Dongseo University (Busan, South Korea) and coauthors in South Korea and China reported that against two cancer cell lines. Subsequent studies confirmed this finding and showed that the molecule also has antimicrobial properties. This past March, Xavier Verdaguer, Antoni Riera, and co-workers at the Barcelona Institute of Science and Technology and the University of Barcelona, in the course of developing a new synthesis of chiral methylbenzylic compounds, demonstrated their method in a .

1. CAS Reg. No. 370581-59-2.
2. CAS Reg. No. 1277176-12-1.
3. CAS Reg. No. 4176-17-4.

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Lutetium-177 vipivotide tetraxetan听fast facts

CAS Reg. No.1703749-62-5
Empirical formulaC49H68LuN9O16
Molar mass1214.08 g/mol
AppearanceColorless to light yellowa
Melting pointN/A
Water solubilityN/A

MOTW update

Betulinic acid1 was the Molecule of the Week for July 25, 2005. It is a triterpene found in the bark of the white birch (Betula pubescens) and other tree species. In 1995, it was reported to be effective at , a finding that has since been confirmed. In April Takashi Ito and co-workers at Fukui Prefectural University (Japan) further reported that betulinic acid (aging) in human dermal fibroblasts.

1. CAS Reg. No. 472-15-1.

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