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Lutetium (177Lu) Chloride
The Australian Prescription Medicine Decision Summary provides a short overview of the TGA's evaluation process leading to the registration of a new prescription medicine on the Australian Register of Therapeutic Goods (ARTG).
More in-depth information about the evaluation will be available in the Australian Public Assessment Report (AusPAR) for a particular prescription medicine, which can be found on the AusPAR search page once published.
Australian prescription medicine decision summary
Summary of submission
Submission type | New chemical entity
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Product name | Lutetium (177Lu) Chloride
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Active ingredients | Lutetium (177Lu) chloride
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ATC codes | V10X
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Decision | Approved
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Date of decision | 8 December 2021
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Date of entry onto ARTG | 11 January 2022
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Original publication date | 21 January 2022
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ARTG numbers | 352151
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Black Triangle Scheme | Yes. This product will remain in the scheme for 5 years, starting on the date the product is first supplied in Australia
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Sponsor | Australian Nuclear Science and Technology Organisation (ANSTO)
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Sponsor address | Locked Bag 2001, Kirrawee DC NSW 2232
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Dose forms | Radiochemical solution
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Strength | 10 to 200 GBq/mL
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Other ingredients | Dilute hydrochloric acid and water for injections
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Containers | Vial
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Pack sizes | One vial
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Routes of administration | Lutetium chloride should not be administered directly to the patient. Lutetium is intended for in vitro radiolabelling of medicinal products which are subsequently administered by the approved route.
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Dosage | Lutetium chloride is only to be used by specialists experienced with peptide receptor radionuclide therapy (PRRT). The quantity of lutetium (177Lu)-labelled PRRT that is subsequently administered will depend on the carrier molecule to be radiolabelled and its intended use. The radiation dose received by various organs following intravenous administration of a lutetium (177Lu)- labelled PRRT is also dependent on the specific molecule being radiolabelled. For further information refer to the Product Information. |
Pregnancy category | X Drugs which have such a high risk of causing permanent damage to the fetus that they should not be used in pregnancy or when there is a possibility of pregnancy. The use of any medicine during pregnancy requires careful consideration of both risks and benefits by the treating health professional. This must not be used as the sole basis of decision making in the use of medicines during pregnancy. The TGA does not provide advice on the use of medicines in pregnancy for specific cases. More information is available from obstetric drug information services in your State or Territory. |
What was approved?
Lutetium (177Lu) Chloride (lutetium (177Lu) chloride) was approved for the following therapeutic use:
Lutetium (177Lu) chloride is a radiopharmaceutical precursor, and it is not intended for direct use in patients. For the treatment of non resectable or metastatic neuroendocrine tumours (NETS) expressing somatostatin subtype 2 receptors when coupled with a suitable carrier molecule.
What is this medicine and how does it work?
Lutetium chloride emits β-particles of moderate maximum energy (0.498 MeV) with a maximum tissue penetration of approximately 2 mm (mean penetration range of 0.67 mm), which is sufficient to kill targeted tumour cells with a limited effect on neighbouring normal cells, thus minimising potential toxicity.
What was the decision based on?
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Lutetium (177Lu) chloride was considered favourable for the therapeutic use approved.
What steps were involved in the decision process?
Registration timeline
The following table summarises the key steps and dates for this application.
Description | Date |
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Designation; Orphan | 22 January 2020 |
Orphan extension | 26 August 2020 |
Submission dossier accepted and first round evaluation commenced | 20 January 2021 |
First round evaluation completed | 16 July 2021 |
Sponsor provides responses on questions raised in first round evaluation | 1 September 2021 |
Second round evaluation completed | 7 October 2021 |
Delegate's overall benefit-risk assessment | 1 December 2021 |
Sponsor's pre-Advisory Committee response | Not applicable |
Advisory Committee meeting | Not applicable |
Registration decision (Outcome) | 8 December 2021 |
Completion of administrative activities and registration on ARTG | 11 January 2022 |
Number of working days from submission dossier acceptance to registration decision* | 189 |
*Statutory timeframe for standard applications is 255 working days
What post-market commitments will the sponsor undertake?
- Lutetium (177Lu) chloride is to be included in the Black Triangle Scheme. The Product Information (PI) and Consumer Medicines Information (CMI) for Lutetium (177Lu) chloride must include the black triangle symbol and mandatory accompanying text for five years, which starts from the date that the sponsor notifies the TGA of supply of the product.
- The Lutetium (177Lu) Australian (AU)-risk management plan (RMP) (version 0.2, dated 6 October 2021, data lock point 15 December 2020), included with submission PM-2020-06691-1-4 and any subsequent revisions, as agreed with the TGA will be implemented in Australia.
An obligatory component of risk management plans is routine pharmacovigilance. Routine pharmacovigilance includes the submission of periodic safety update reports (PSURs).
Unless agreed separately between the supplier who is the recipient of the approval and the TGA, the first report must be submitted to TGA no later than 15 calendar months after the date of the approval letter. The subsequent reports must be submitted no less frequently than annually from the date of the first submitted report until the period covered by such reports is not less than three years from the date of the approval letter. The annual submission may be made up of two PSURs each covering six months. If the sponsor wishes, the six monthly reports may be submitted separately as they become available.
If the product is approved in the European Union (EU) during the three years period, reports can be provided in line with the published list of EU reference dates no less frequently than annually from the date of the first submitted report until the period covered by such reports is not less than three years from the date of the approval letter.
The reports are to at least meet the requirements for PSURs as described in the European Medicines Agency's Guideline on good pharmacovigilance practices (GVP) Module VII-periodic safety update report (Rev 1), Part VII.B Structures and processes. Note that submission of a PSUR does not constitute an application to vary the registration. Each report must have been prepared within ninety calendar days of the data lock point for that report.
- For all injectable products the PI must be included with the product as a package insert.
- Category:Prescription medicines
- Tags:medicines registration
- URL:https://www.tga.gov.au/node/942130
Further information
The latest Product Information (PI) and Consumer Medicines Information (CMI) can be found at: ARTG search.
Australian Public Assessment Reports (AusPARs) can be found at: AusPAR search.
The latest news and updates regarding therapeutic goods regulation can be found at: TGA news room.