Puneet Varma (Editor)

Samarium (153Sm) lexidronam

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Routes of administration
  
Intravenous

Bioavailability
  
N/A

Molar mass
  
695.93 g/mol

Pubchem
  
9810246

ATC code
  
V10BX02 (WHO)

PubChem CID
  
9810246

Route
  
Intravenous therapy

ChEMBL ID
  
1201796

Samarium (153Sm) lexidronam httpsuploadwikimediaorgwikipediacommonsthu

Pregnancy category
  
US: D (Evidence of risk)

Legal status
  
In general: ℞ (Prescription only)

Samarium (153Sm) lexidronam (chemical name Samarium-153-ethylene diamine tetramethylene phosphonate, abbreviated Samarium-153 EDTMP, trade name Quadramet) is a chelated complex of a radioisotope of the element samarium with EDTMP. It is used to treat pain when cancer has spread to the bone.

Contents

It is injected into a vein and distributed throughout the body, where it is preferentially absorbed in areas where cancer has invaded the bone. The radioisotope 153Sm, with a half-life of 46.3 hours, decays by emitting beta particles (electrons), which kill the nearby cells. Pain begins to improve in the first week for most people and the effects can last several months. It is commonly used in lung cancer, prostate cancer, breast cancer, and osteosarcoma.

Side effects

Side effects include the following:

  • Black, tarry stools
  • Blood in urine/stool
  • Cough, hoarseness
  • Fever/chills
  • Lower back/side pain
  • Painful or difficult urination
  • Pinpoint red spots on skin
  • Irregular heartbeat
  • Nausea, vomiting
  • Supply and administration

    Quadramet is supplied as a frozen solution for intravenous use with an activity of 50±5 mCi/mL. Due to the short half-life of the radioisotope, the drug expires 56 hours after the noted calibration time. Currently supported by Lantheus Medical Imaging.

    References

    Samarium (153Sm) lexidronam Wikipedia