Presso la Casa di Cura Pio XI è attiva la Terapia con Lutezio-177, una tecnologia medico-nucleare all’avanguardia che consente di colpire in modo selettivo e mirato le cellule tumorali, preservando i tessuti sani circostanti.

How it works

Lutezio-177 is a radioactive isotope bound to a “vehicle” molecule that recognizes specific receptors on the surface of the tumor. Once attached to the cell, Lutezio releases radiation (beta particles) in a beam of only a few millimeters, destroying the DNA of the tumor.

Main applications

Currently, this therapy is used primarily for:

  • Neuroendocrine tumors (NETs): especially those gastro-enteric-pancreatic ones that express receptors for somatostatin (often treated with the drug Lutathera).
  • Advanced Prostate Cancer: Used in metastatic cases resistant to castration (CRPC) that express the PSMA protein.

Procedure and administration

  • Modes: slow intravenous infusion, usually in about 20-30 minutes.
  • Standard protocol: It often involves 4 spaced cycles of about 8 weeks apart from each other.
  • Regime: It may require a brief stay in a “protected zone” (about 3 days) for the management of radioactivity, although some centers of excellence are implementing day hospital protocols.

Common side effects

Although it is generally well tolerated, the following may occur:

  • Fatigue (asthenia) and nausea.
  • Temporary reduction in white blood cells, red blood cells or platelets (anemia or leukopenia).
  • Monitoring of renal function is necessary, as the drug is eliminated through the urine.
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