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Safety

Long-Term Safety


No new safety signals were reported in the 5-year, long-term follow-up for NETTER-11,*

Adverse Events

During the long-term follow-up, only serious adverse events (SAEs) deemed related to treatment with LUTATHERA and AEs of special interest (hematotoxicity, cardiovascular events, and nephrotoxicity, regardless of causality) in the LUTATHERA arm were reported1

Grade ≥3 Treatment-Related SAEs During the Entire Study

7 (6%) of 111 patients treated in the LUTATHERA arm1

Incidence of Treatment-Related SAEs During the Long-Term Follow-Up Period

3 (3%) of 111 patients treated with LUTATHERA1
— 2 (1.8%) patients experienced at least 1 grade ≥3 SAE (1 grade 5 MDS event)1
— 1 (0.9%) patient experienced an SAE leading to study discontinuation1

MDS or Acute Leukemia

No new cases were reported during long-term follow-up1
— MDS incidence from the Prescribing Information for LUTATHERA:
In NETTER-1, with a median follow-up time of 76 months in the main study, MDS was reported in 2.3% of patients receiving LUTATHERA with long-acting octreotide compared with no patients receiving high-dose, long-acting octreotide1,2
— In ERASMUS, 16 patients (2.0%) developed MDS and 4 (0.5%) developed acute leukemia. The median time to onset was 29 months (range, 9-45 months) for MDS and 55 months (range, 32-125 months) for acute leukemia2,a

Diffuse Large B-Cell Lymphoma

One patient developed diffuse large B-cell lymphoma during long-term follow-up that was deemed unrelated to treatment with LUTATHERA1

Nephrotoxicity of Grade ≥3, Regardless of Causality

Reported in 6 (5%) of 111 patients in the LUTATHERA arm and 4 (4%) of 112 patients in the control arm during the study1

*Cutoff date for final analysis was January 18, 2021.1

aERASMUS study design: Retrospective safety data are available from 1214 patients in ERASMUS, an international, single-institution, single-arm, open-label trial of patients with SSTR-positive tumors (neuroendocrine and other primaries). The median duration of follow-up was >4 years.2

AEs, adverse events; MDS, myelodysplastic syndrome; SSTR, somatostatin receptor.
References: 1. Strosberg JR, Caplin ME, Kunz PL, et al; NETTER-1 investigators. 177Lu-dotatate plus long-acting octreotide versus high-dose long-acting octreotide in patients with midgut neuroendocrine tumours (NETTER-1): final overall survival and long-term safety results from an open-label, randomised, controlled, phase 3 trial. Lancet Oncol. 2021;22(12):1752-1763. 2. Lutathera. Prescribing information. Novartis Pharmaceuticals Corp.