LU-177: I have a quick question...my... - Advanced Prostate...

Advanced Prostate Cancer

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LU-177

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I have a quick question...my husband is starting trial of LU-177 except that in the paperwork they are calling the drug LU-PSMA-R2 I called 2x this morning and I am waiting a call back but is this LU-177? Does anyone know? Thank you

20 Replies

Where is the trial at?

Mount Sinai New York

Axlrod profile image
Axlrod in reply to

Hi, Does this mean that LU-177 can still be accessed through a clinical trial here in the United States. I thought it was closed and we were waiting for FDA approval .

Gemlin_ profile image
Gemlin_

I guess LU-PSMA-R2 is "Lu-177 PSMA-R2"

A radioconjugate composed of PSMA-R2, a human prostate-specific membrane antigen (PSMA)-targeting ligand, conjugated to the beta-emitting radioisotope lutetium Lu 177. Have not seen any other of the 35 isotopes of lutetium used for PCa, probably because 177 has the most usable half life.

in reply to Gemlin_

Thank you!!

thank you

Tall_Allen profile image
Tall_Allen

You mistakenly think that the radioisotope, Lu-177, is a medicine. It is not. They attach the radioisotope to a "ligand"- a molecule that homes in on the PSMA protein on the cancer cell's surface. So, the medicine is Lu-177 attached to the ligand called PSMA-R2

in reply to Tall_Allen

Well thank you for this!!! Understood. Should he be adding meds while on LU-177?

Tall_Allen profile image
Tall_Allen in reply to

Usually you continue on whatever you are taking.

johnscats profile image
johnscats in reply to Tall_Allen

Fair play tall Allen great answer

in reply to Tall_Allen

Talk Allen he was on docetaxil (5txs) but PSA rose. Stopped chemo and going to LU 177. No meds since chemo ended 28 days ago. Is that ok?

Tall_Allen profile image
Tall_Allen in reply to

Isn't he taking Lupron or similar?

in reply to Tall_Allen

Yes he is, lupron my apologies

SatuitMike profile image
SatuitMike in reply to

There is a thing called psa flare in some docetaxil patients. Recommend that he has a new set of scans before proceeding!

DakotaDon profile image
DakotaDon in reply to Tall_Allen

Hi Tall Allen, I'm confused. First you say "You mistakenly think that the radioisotope, Lu-177, is a medicine. It is not. " . Followed by "So, the medicine is Lu-177 " Am I missing something?

Tall_Allen profile image
Tall_Allen in reply to DakotaDon

Yes- you are missing the rest of the sentence "So, the medicine is Lu-177 attached to the ligand called PSMA-R2"

tango65 profile image
tango65

This is from the National Cancer Institute:

cancer.gov/publications/dic...

Canoetripper profile image
Canoetripper

Hi My husband is in this same trial in Wisconsin and it is LU177. If you look carefully at the paperwork you will see a small 177 before the LU. The 177 is about 1/2 half the size of regular letters. My husband will have his first infusion tomorrow. It is the first of four. He has to stay overnight after the first one.

in reply to Canoetripper

Wow let’s stay in touch if you’d like. My husband is here at mount Sinai New York this morning getting ready for first infusion of LU 177. It will be a 10 hour day but he can go home this evening.

Canoetripper profile image
Canoetripper

Dear Cloc. Roger had no benefit from the trial. After two treatments he had Psa much higher and scans showed lots of new Mets. We were very disappointed. Now on Xtandi. It seems to be working. Started radiation for pain from Mets in spine. We basically had no treatment for 6 months and cancer went to town. Hope your husband had a better response. Jane

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