Tracers / [225Ac]Ac-DOTATATE

[225Ac]Ac-DOTATATE

Also written as DOTATATE; [Ac-225]Ac-DOTATATE; DOTA-TATE; dotatate
Radionuclide
Ac-225 t½ 14284.8 min
Modality
Therapy
Production route
Stage
Phase 1b/3 clinical trial
Syntheses indexed
8

What it is

Compound class
DOTA-conjugated somatostatin analog peptide (DOTA-TATE)
Target / mechanism
Somatostatin receptor 2 (SSTR2)-targeted alpha-particle therapy PMID 33772332
Clinical application
Targeted alpha-particle therapy for SSTR2-expressing neuroendocrine tumors, including GEP-NETs progressing after 177Lu-labeled SSA therapy PMID 42242867
Theranostic pair
<a href="/tracers/ga68-dotatate/">ga68-dotatate</a>

Regulatory status

FDA
EMA (centralised)
Other approvals
Brand names

Clinical use

Typical injected activity
Uptake time

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Modular-Lab EAZY
Eckert & Ziegler
vendor cassetteSPE80-90%>95%DOTA-TATE
ROTOP, Dresden-Rossendorf, Germany
34358076
2021 Pharmaceuticals (Basel)
the Modular-Lab EAZY (ML EAZY), Eckert & Ziegler — final radiochemical yields of 80–90% for the 225Ac-labeled peptides
custom manifoldnone98%99.8%DOTA-(Tyr3)-octreotate (DOTA-TATE)
Bachem, Bubendorf, Switzerland
33772332
2021 Eur J Nucl Med Mol Imaging
42454478
2026 Endocr Relat Cancer
42242867
2026 J Nucl Med
Modular-Lab EAZY
Eckert & Ziegler
vendor cassetteSPE80-90%>95%DOTA-TATE
ROTOP, Dresden-Rossendorf, Germany
34358076
2021 Pharmaceuticals (Basel)
The Modular-Lab EAZY module (GTL) with software Modular-Lab v6.2 was obtained from Eckert & Ziegler (Berlin, Germany). — final radiochemical yields of 80–90% for the 225Ac-labeled peptides
42333414
2026 Clin Nucl Med
42302403
2026 Clin Nucl Med
SPEDOTATATE34053430
2022 Curr Radiopharm
PSMA-617, DOTATATE were radiolabelled with 225Actinium in 0.1 M HCl in the presence of ascorbate buffer solution and passed through the C-18 light cartridge for purification

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Notes

Added at stage 21 from therapy-discovered.xlsx (bulk PubMed search by isotope/therapy-type/known-agent, not individually researched yet) -- 15 articles found. Target/mechanism, clinical application, indications, approval and precursor fields still need per-agent research and are intentionally left empty. Diagnostic pair signal at discovery: YES - Cu-64, Ga-68. Stage set/updated at stage 23 from PMID 42242867: 'Dosimetry Results from the Phase 1b/3 ACTION-1 Trial of [225Ac]Ac-DOTATATE (RYZ101) in Patients with Somatostatin Receptor-Expressing, Well-Differentiated GEP-NETs.'.