PLUVICTO uses radiation to seek and destroy prostate cancer cells that contain a protein called PSMA (prostate-specific-membrane antigen). After finding the PSMA protein, PLUVICTO enters the cell and releases radiation, which kills the cancer cell without attacking healthy cells. This can result in fewer side effects like nausea, vomiting, and hair loss. Studies show it can extend the lives of people with this aggressive form of prostate cancer, even in the late stages.
PLUVICTO®
Metastatic prostate cancer that hasn't responded to other treatments may benefit from a new type of targeted therapy called PLUVICTO (lutetium Lu 177 vipivotide tetraxetan). Duke Health was one of the first cancer centers in the Southeastern region to offer PLUVICTO following its FDA approval in 2022.
About PLUVICTO
Who is a Candidate?
You may be a candidate for PLUVICTO treatment if:
- You have metastatic prostate cancer.
- Your prostate cancer continues to grow despite therapy to lower your testosterone.
- Your prostate cancer has progressed even after standard chemotherapy treatments.
- Your tumors produce large amounts of PSMA.
PSMA Pet Scan
To determine if you are a candidate for PLUVICTO, you will undergo a PSMA PET scan. First, you will receive an injection of a safe, FDA-approved radioactive tracer drug that is specially made to find PSMA-producing prostate cancer cells throughout your body. An hour later, the PET machine scans your body to create images that show whether the tumor contains the PSMA target. If it does not, PLUVICTO may not be an appropriate treatment and your doctor will discuss other options.
PLUVICTO is given at the nuclear medicine clinic inside the Duke Medicine Pavilion, located adjacent to Duke University Hospital.
Receiving PLUVICTO
PLUVICTO is typically given intravenously once every six weeks for up to six treatments. An IV catheter will be placed in your arm and connected to a syringe containing the medication. The infusion will take about 10 minutes. During this time, you will also receive IV saline to ensure you are well hydrated. Because your urine will be radioactive, you will urinate in a specially-equipped bathroom after your treatment.
In the days following your infusion, you may feel tired. Because saliva glands naturally contain small amounts of PSMA, you may experience dry mouth or some gastrointestinal upset. These side effects usually lessen as the weeks progress.
Your blood will be drawn to check your labs three weeks after you receive PLUVICTO and again one week before your next treatment.
To reduce exposing others to radiation, you will need to drive yourself to appointments or sit in the backseat if someone is driving you. You should maintain at least four feet of separation from people for several days following each infusion. A radiation safety expert will meet with you after each treatment to provide more detailed instructions and answer any questions you may have.
Why Choose Duke
Dedicated Care Navigators
You will work with a patient navigator who will guide you through the PLUVICTO treatment process. The navigator assists with scheduling, checking insurance coverage, and processing prior approvals so we can ensure everything is ready and available for you on the day of your treatment.
Expertise in Systemic Therapy
As a Department of Defense Prostate Cancer Clinical Trial Consortium site, we are involved in the development and delivery of new drugs and innovative therapies for advanced prostate cancer. Duke is also a designated Comprehensive Radiopharmaceutical Therapy Center of Excellence. Duke researchers have been closely involved in the development and approval of treatments for advanced prostate cancer, including hormonal therapies, immunotherapies, chemotherapies, and radiopharmaceuticals.
Duke Cancer Institute
The Duke Cancer Institute brings together the extensive resources of Duke University, Duke Health, and the Duke Comprehensive Cancer Center. We are committed to making innovative discoveries, developing new ways to prevent, diagnose, and treat cancer, and delivering those therapies in a patient- and family-centric way.
Comprehensive Cancer Center
We are one of the select centers designated by the National Cancer Institute as a Comprehensive Cancer Center, and we are part of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers dedicated to improving care for our patients. Our team includes surgeons, radiation oncologists, medical oncologists, nuclear medicine physicians, radiologists, and pathologists who specialize in prostate and urologic cancers.
We Support You
Our comprehensive cancer support services help you with concerns ranging from how to minimize the side effects of treatment to coping with the emotional and psychological elements of your diagnosis and treatment. This includes a Prostate Cancer Survivors clinic and pelvic floor physical therapy to rehabilitate urinary function. Learn more about our prostate cancer support groups.
Best Cancer Hospital in North Carolina
Where you receive your cancer care is important. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our cancer program is nationally ranked, and the highest-ranked program in North Carolina, according to U.S. News & World Report for 2025–2026.