DOTATOC: A powerful new tool for receptor-mediated radionuclide therapy

Otte, A. ; Jermann, E. ; Behe, M. ; Goetze, M. ; Bucher, H. ; Roser, H. ; Heppeler, A. ; Mueller-Brand, J. ; Maecke, H.

In: European Journal of Nuclear Medicine, 1997, vol. 24, no. 7, p. 792-795

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    Summary
    This study presents the first successful use of a peptidic vector, DOTATOC, labelled with the β-emitting radioisotope yttrium-90, for the treatment of a patient with somatostatin receptor-positive abdominal metastases of a neuroendocrine carcinoma of unknown localization. Tumour response and symptomatic relief were achieved. In addition, the new substance DOTA-TOC was labelled with the diagnostic chemical analogue indium-111 and studied in three patients with histopathologically verified neuroendocrine abdominal tumours for its diagnostic sensitivity and compared with the commercially available OctreoScan. In all patients the kidney-to-tumour uptake ratio (in counts per pixel) was on average 1.9-fold lower with111In-DOTATOC than with OctreoScan. DOTATOC could be a potential new diagnostic and therapeutic agent in the management of neuroendocrine tumours