TABLE 1.

Anticancer Therapeutic Radiopharmaceuticals Currently Approved by Regulators in United States

AgentTrade nameYear of FDA approvalPrimary endpointIndication
89Sr-chlorideMetastron (GE Healthcare)1993Pain/analgesicsPainful skeletal metastases
153Sm-lexidronamQuadramet (Dow Chemical Co.)1997Pain/analgesicsPainful osteoblastic metastases
90Y-ibritumomab tiuxetanZevalin (Acrotech Biopharma)2002Tumor response rateLow-grade or follicular lymphoma
131I-tositumomabBexxar (GlaxoSmithKline)2003Tumor response rateLow-grade or follicular lymphoma
223Ra-dichlorideXofigo (Bayer)2013OSmCRPC
177Lu-DOTATATELutathera (Advanced Accelerator Applications)2018Progression-free survivalSelect neuroendocrine tumors
131I-iobenguaneAzedra (Progenics Pharmaceuticals)2018Lower blood pressure and tumor response rateSelect pheochromocytoma or paraganglioma
177Lu-PSMA-617Pluvictoa (Advanced Accelerator Applications)2022OS and rPFSPSMA PET-positive mCRPC after ARPI and taxane
  • PSMA = prostate-specific membrane antigen.