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Lutetium lu 177 vipivotide tetraxetan Side Effects

Medically reviewed by Last updated on Sep 7, 2022.

Applies to lutetium lu 177 vipivotide tetraxetan: intravenous solution.

Serious side effects

Along with its needed effects, lutetium lu 177 vipivotide tetraxetan may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking lutetium lu 177 vipivotide tetraxetan:

More common

  • Black, tarry stools
  • bladder pain
  • bleeding gums
  • bloating or swelling of the face, arms, hands, lower legs, or feet
  • blood in the urine or stools
  • bloody or cloudy urine
  • difficult, burning, or painful urination
  • lower back or side pain
  • pale skin
  • pinpoint red spots on the skin
  • rapid weight gain
  • tingling of the hands or feet
  • trouble breathing
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • unusual weight gain or loss

Less common

  • Anxiety
  • chest pain or tightness
  • chills
  • confusion
  • coughing up blood
  • difficulty in breathing or swallowing
  • dizziness
  • fainting
  • fast heartbeat
  • fever
  • headache
  • increased menstrual flow or vaginal bleeding
  • lightheadedness
  • nosebleeds
  • paralysis
  • prolonged bleeding from cuts
  • sore throat
  • sores, ulcers, or white spots on the lips or in the mouth
  • swollen glands


  • Blurred vision
  • dark-colored urine
  • irregular heartbeat
  • light-colored stools
  • nausea and vomiting
  • stomach pain, continuing
  • yellow eyes or skin

Other side effects

Some side effects of lutetium lu 177 vipivotide tetraxetan may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

For Healthcare Professionals

Applies to lutetium lu 177 vipivotide tetraxetan: intravenous solution.


The most common adverse reactions reported with this drug (plus best standard of care) were fatigue, dry mouth, nausea, anemia, decreased appetite, and constipation; the most common laboratory abnormalities that worsened from baseline were decreased lymphocytes, decreased hemoglobin, decreased leukocytes, decreased platelets, decreased calcium, and decreased sodium. Serious adverse reactions included hemorrhage, musculoskeletal pain, sepsis, anemia, urinary tract infection, acute kidney injury, pneumonia, pancytopenia, pyrexia, spinal cord compression, and pulmonary embolism; fatal adverse reactions included sepsis, pancytopenia, hepatic failure, intracranial hemorrhage, subdural hematoma, ischemic stroke, coronavirus disease 2019 (COVID-19), and aspiration pneumonia.[Ref]


Very common (10% or more): Decreased lymphocytes (up to 85%), decreased hemoglobin (up to 63%), decreased leukocytes (up to 56%), decreased platelets (up to 45%), anemia (up to 32%), decreased neutrophils (up to 28%), thrombocytopenia (up to 17%)

Frequency not reported: Pancytopenia (including bicytopenia), leukopenia (including neutropenia)[Ref]

In clinical trials, Grade 3 or 4 decreased hemoglobin (15%), decreased platelets (9%), decreased leukocytes (7%), and decreased neutrophils (4.5%) occurred in patients treated with this drug. Grade 3 or higher pancytopenia (including 2 fatal events) occurred in 1.1% of patients treated with this drug. There were 2 deaths (0.4%) due to intracranial hemorrhage and subdural hematoma associated with thrombocytopenia and 1 death due to sepsis and concurrent neutropenia in patients who received this drug.[Ref]


Very common (10% or more): Fatigue (up to 43%); decreased calcium (up to 39%), decreased sodium (up to 33%), increased potassium (up to 24%), weight decreased (up to 11%), increased sodium (up to 11%)

Common (1% to 10%): Peripheral edema (included peripheral edema, fluid retention, fluid overload), pyrexia, sepsis[Ref]


Very common (10% or more): Dry mouth (included dry mouth, aptyalism, dry throat; up to 39%), nausea (up to 35%), constipation (up to 20%), vomiting (included vomiting, retching; up to 19%), diarrhea (up to 19%), abdominal pain (included abdominal pain, upper abdominal pain, abdominal discomfort, lower abdominal pain, abdominal tenderness, gastrointestinal pain; up to 11%)[Ref]


Very common (10% or more): Increased AST (up to 28%)

Frequency not reported: Hepatic failure[Ref]


In clinical trials, Grade 3 or 4 acute kidney injury and increased creatinine occurred in 3% and 0.9% of patients treated with this drug, respectively.[Ref]

Very common (10% or more): Increased creatinine (up to 24%)

Common (1% to 10%): Acute kidney injury (included blood creatinine increased, acute kidney injury, renal failure, blood urea increased)[Ref]


Very common (10% or more): Decreased appetite (up to 21%)[Ref]


Very common (10% or more): Urinary tract infection (included urinary tract infection, cystitis, bacterial cystitis; up to 12%)[Ref]

Nervous system

Common (1% to 10%): Dizziness, headache, dysgeusia (included dysgeusia, taste disorder), spinal cord compression

Frequency not reported: Vertigo, intracranial hemorrhage, subdural hematoma, ischemic stroke[Ref]


Common (1% to 10%): Hemorrhage[Ref]


Common (1% to 10%): Musculoskeletal pain[Ref]


Common (1% to 10%): Pneumonia, pulmonary embolism

Frequency not reported: COVID-19, aspiration pneumonia[Ref]


Frequency not reported: Dry eye[Ref]


1. Product Information. Pluvicto (lutetium Lu 177 vipivotide tetraxetan). Advanced Accelerator Applications. 2022.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.