153Sm: its use in multiple myeloma and report of a clinical experience

Expert Opin Investig Drugs. 2008 Sep;17(9):1379-87. doi: 10.1517/13543784.17.9.1379.

Abstract

Background: In the past years the bone seeking radiopharmaceutical samarium lexidronam ((153)Sm-EDTMP) has been increasingly used alone or in conjunction with chemotherapy and/or bisphosphonates for the treatment of painful bone metastasis.

Objective: Its use has been explored in different solid tumours. In this report we explore its interesting characteristics and describe our experience in multiple myeloma (MM).

Methods: (153)Sm-EDTMP has an affinity for bone and concentrates in areas of bone turnover. It decays as a therapeutic beta-emission and at the same time as gamma-photon that can be used for tracking its concentration with bone scan imaging. Ten patients with symptomatic MM were treated to achieve pain control.

Results: Encouraging results were obtained in MM patients. The use of this radioisotope could be largely improved.

MeSH terms

  • Combined Modality Therapy
  • Diphosphonates / therapeutic use
  • Humans
  • Isotopes
  • Multiple Myeloma / diagnostic imaging
  • Multiple Myeloma / drug therapy*
  • Multiple Myeloma / radiotherapy
  • Organometallic Compounds / chemistry
  • Organometallic Compounds / therapeutic use
  • Organophosphorus Compounds / chemistry
  • Organophosphorus Compounds / therapeutic use
  • Pain / drug therapy
  • Pain / radiotherapy
  • Radiography
  • Samarium / therapeutic use*

Substances

  • Diphosphonates
  • Isotopes
  • Organometallic Compounds
  • Organophosphorus Compounds
  • Samarium
  • samarium Sm-153 lexidronam