Tracer library / [153Sm]Sm-EDTMP
Structure of EDTMP (unlabelled parent compound, from PubChem)
Unlabelled parent compoundPubChem CID 15025

[153Sm]Sm-EDTMP

Also written as Sm-153-EDTMP; [Sm-153]EDTMP
Radionuclide
Sm-153 t½ 2776.8 min
Modality
Therapy
Production route
—
Stage
Approved
Syntheses indexed
3

What it is

Compound class
153Sm-EDTMP (bone-seeking bisphosphonate radiopharmaceutical)
Target / mechanism
Bone hydroxyapatite (bone mineral matrix) PMID 34001824
Clinical application
Palliative treatment of painful bone metastases from various primary cancers PMID 9933654
Theranostic pair
—

Regulatory status

FDA
Yes — 1997; Quadramet (samarium Sm-153 lexidronam pentasodium); sponsor LANTHEUS MEDICAL; NDA 020570; openFDA marketing status: 'Discontinued' Drugs@FDA / openFDA drug registry, NDA 020570, original approval 1997-03-28 — https://api.fda.gov/drug/drugsfda.json?search=application_number:%22NDA020570%22 (queried 2026-09-18); marketing status 'Discontinued'
EMA (centralised)
Yes — 1998; Quadramet (samarium (153Sm) lexidronam pentasodium); CIS bio international; EMEA/H/C/000150; register status 'Authorised' EMA medicines register (JSON export 2026-09-18), EPAR Quadramet: status 'Authorised', marketing authorisation date 1998-02-04 — https://www.ema.europa.eu/en/medicines/human/EPAR/quadramet
Other approvals
—
Brand names
—

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
Manual synthesis
n/a
————152Sm29309920
2018 Nucl Med Biol
A radiochemical separation procedure adopting electroamalgamation approach has been critically evaluated.
Manual synthesis
n/a
——~98%—152Sm21510750
2011 Cancer Biother Radiopharm
They were labeled with EDTMP at varying degrees of pH and molar ratios, and labeling yields were determined by paper chromatography at each data point. - All the four radiopharmaceuticals gave ∼98% complex yields at pH 8.
————96.9 +/- 1.7%EDTMP8358352
1993 Nucl Med Biol

Clinical literature

Clinical studies in the indexed corpus, ordered by design (multicentre, prospective, retrospective, others, case reports last) and then by year. Titles and links only, as published; this is not a summary of the evidence.

  1. Comparative analysis of patients not responding to a single dose of 153Sm-EDTMP palliative treatment for painful skeletal metastases.
    2002 · Chin Med J (Engl) · Multicentre
  2. Multicentre trial on the efficacy and toxicity of single-dose samarium-153-ethylene diamine tetramethylene phosphonate as a palliative treatment for painful skeletal metastases in China.
    1999 · Eur J Nucl Med · Multicentre
  3. [Treatment of painful bony metastases with Samarium 153-EDTMP in prostate carcinoma].
    2007 · Tunis Med · Retrospective
  4. Percutaneous tumor curettage and interstitial delivery of samarium-153 coupled with kyphoplasty for treatment of vertebral metastases.
    2009 · J Neurosurg Spine · Clinical study
  5. [Cost-effectiveness of samarium-153-EDTMP for the treatment of pain due to multiple bone metastases in hormone-refractory prostate cancer versus conventional pain therapy, in Portugal].
    2006 · Acta Med Port · Clinical study
  6. [Cost-effectiveness analysis of samario-153 (Quadramet) for the treatment of patients with prostate cancer and bone metastases].
    2005 · Clin Transl Oncol · Clinical study
  7. High-activity samarium-153-EDTMP therapy followed by autologous peripheral blood stem cell support in unresectable osteosarcoma.
    2001 · Nuklearmedizin · Clinical study
  8. 153Sm-EDTMP and 186Re-HEDP as bone therapeutic radiopharmaceuticals.
    1987 · Int J Rad Appl Instrum B · Clinical study

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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. | Stage 31 (2026-09-18): Stage left 'Approved' -- the US product is marked 'Discontinued' in openFDA but the EU centralised authorisation is still 'Authorised'. The registers list the substance under its INN 'samarium (153Sm) lexidronam' (lexidronam = EDTMP); matched to this row by that INN.
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