By: Jason M. Broderick
FDA authorized lutetium Lu 177 dotatate for adult SSTR-positive GEP-NETs, positioning PRRT as a theranostic extension for foregut, midgut, and hindgut neuroendocrine primaries. ERASMUS efficacy in 360 GEP-NET patients showed 17% ORR (3 complete responses) and median duration of response 35 months, with FDA counting only prospectively assessed responders.