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Higher Efficacy & Lower Toxicity with Terbium-161

The presentation compares Tb-161 with Lu-177, showcasing how Tb-161 delivers more radiation to tumors with less damage to healthy organs. Backed by data from the VIOLET trial, it underscores Tb-161u2019s superior therapeutic efficacy and safety profile.

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Higher Efficacy & Lower Toxicity with Terbium-161

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  1. Nuclear Medicine Centre FMRi Gurugram INDIA Dr. Ishita B Sen Higher Efficacy & Lower Toxicity with Terbium-161 www.nuclearmedicinetherapy.in

  2. Introduction to Terbium-161 (Tb-161) • Tb-161 is being evaluated as a next-generation therapy for mCRPC • Investigated in the VIOLET trial (ClinicalTrials.gov ID: NCT05521412) • Shows better efficacy and lower toxicity than Lu-177

  3. Limitations of Lu-177 • Emits beta particles with ~0.7 mm pathlength • Effective for large tumors • Limited reach fails to target micrometastases or single tumor cells

  4. How Tb-161 is Different • Emits: • Beta particles • Auger electrons • Conversion electrons • Radiation effective over nanometer to micrometer range • Targets micrometastases with precision

  5. Better Energy Delivery • Tb-161 delivers 35–40% more absorbed energy per decay than Lu-177 • More focused radiation to tumor cells • Less damage to healthy tissues (e.g., kidneys, salivary glands)

  6. SPECT/CT-Based Dosimetry in VIOLET Trial • Advanced imaging confirms: • Higher tumor dose with Tb-161 • Maintained safety thresholds in healthy organs • No unexpected toxicities reported

  7. Key Takeaway • Tb-161 is more precise and safer than Lu-177 • Targets micrometastatic cancer more effectively • A promising choice for advanced prostate cancer treatment Disclaimer: This information is intended for general knowledge and informational purposes only, and does not constitute medical advice. Please consult with a qualified healthcare professional for any medical concerns or treatment decisions.

  8. For more information talk to Dr. Ishita B Sen today. dr.ishitasen@nuclearmedicinetherapy.in +91 8700 668 431 www.nuclearmedicinetherapy.in

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