Product image of Ittrio (90y) Citrato Curium Italy (Yttrium (90y) Citrate) supplied by GNH India

Ittrio (90y) Citrato Curium Italy

Active Ingredient:
Yttrium (90y) Citrate
Origin:
EU

Ittrio (90y) Citrato Curium Italy (Yttrium (90y) Citrate)

Yttrium-90 citrate, the active ingredient in Ittrio, is a radiopharmaceutical presented as an injectable solution for intra‑articular use. It is used to treat inflamed synovial tissue in conditions such as rheumatoid arthritis, hemophilic arthropathy and other inflammatory joint diseases, delivering localized beta radiation to the joint.

GNH India supplies Ittrio as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and specialty centers worldwide.

Manufacturer / TM Owner

Curium Italy S.R.L.

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Indications & Clinical Uses

Ittrio is a radiosynovectomy agent that targets inflamed synovial membranes in various joint disorders.

  • Rheumatoid arthritis: reduces synovial inflammation and pain, improving joint mobility.
  • Hemophilic arthropathy: diminishes recurrent joint bleeding and synovial hypertrophy.
  • Other inflammatory joint diseases requiring radiosynovectomy: provides localized synovial ablation to control chronic inflammation.

How It Works

  • Yttrium-90 citrate emits beta particles that penetrate the synovial membrane, causing localized cellular destruction. The radiation selectively destroys proliferating inflammatory synovial tissue while sparing surrounding structures, resulting in synovectomy without surgical intervention.

Side Effects

Adverse reactions are generally related to the local radiation effect and injection procedure.

Common Side Effects

  • Joint pain or discomfort at the injection site.
  • Swelling or effusion of the treated joint.
  • Warmth or mild erythema around the injection area.
  • Transient low‑grade fever.
  • Temporary increase in joint stiffness.
  • Minor bruising or hematoma.

Serious or Rare Side Effects

  • Radiation‑induced cartilage damage leading to joint degeneration.
  • Severe joint infection (septic arthritis).
  • Allergic reaction to the citrate carrier.
  • Systemic radiation exposure causing hematologic abnormalities.
  • Development of secondary malignancy in the treated joint (very rare).

Precautions & Warnings

Prior to administration, clinicians should assess patient suitability and follow radiation safety guidelines.

  • Patient selection: avoid in joints with active infection or severe osteoarthritis.
  • Pregnancy and lactation: contraindicated unless benefits clearly outweigh potential fetal or infant risk.
  • Bleeding disorders: evaluate risk of hemarthrosis before intra‑articular injection.
  • Concomitant immunosuppressive therapy: monitor for delayed wound healing.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Yttrium-90 citrate may interact with other therapies that affect radiation exposure or joint health.

Major Interactions (Avoid)

  • Concurrent intra‑articular radioisotope therapy: cumulative radiation dose may exceed safety limits.
  • Systemic Yttrium-90 therapy: overlapping radiation exposure can increase toxicity.

Moderate Interactions (Monitor Closely)

  • Disease‑modifying antirheumatic drugs (e.g., methotrexate, biologics): may alter joint healing response.
  • Anticoagulants or antiplatelet agents: increased risk of joint bleeding post‑injection.
  • Corticosteroid intra‑articular injections: may affect distribution of the radiopharmaceutical.

Frequently Asked Questions

Ittrio is a radiopharmaceutical containing Yttrium-90 citrate that is injected directly into a joint to perform radiosynovectomy. It is used to treat chronic synovial inflammation in rheumatoid arthritis, hemophilic arthropathy and other inflammatory joint conditions, providing localized radiation to reduce pain and swelling.

Yttrium-90 citrate emits beta radiation that penetrates the synovial membrane. The radiation destroys proliferating inflammatory synovial cells while sparing surrounding tissues, resulting in a chemical synovectomy that decreases joint inflammation and improves function without the need for surgical removal.

The dose of Ittrio is individualized by the prescribing physician based on joint size, disease severity and patient factors. The prescriber determines the appropriate activity (in megabecquerels) and volume to be injected for each specific joint.

Safety of Ittrio in pregnancy or lactation has not been established. Because it involves localized radiation, it is generally avoided in pregnant or nursing patients unless the potential therapeutic benefit clearly outweighs the possible risk to the fetus or infant.

To order Ittrio, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Ittrio uses Yttrium-90, a high‑energy beta emitter, offering deeper tissue penetration compared with agents like Phosphorus‑32. This can be advantageous for larger joints but may require careful dosing. Clinical choice depends on joint size, disease characteristics and physician experience.

Ittrio must be stored refrigerated at 2‑8 °C, protected from light, and kept in its original container. Do not freeze or shake the vial, and handle it according to local radiation safety regulations to prevent contamination and maintain product stability.

Ittrio is administered as an intra‑articular injection by a qualified healthcare professional. After aseptic preparation of the joint, the calculated volume of the Yttrium-90 citrate solution is injected directly into the synovial cavity under imaging guidance if needed.

Serious risks include radiation‑induced cartilage damage, severe joint infection (septic arthritis), systemic radiation exposure leading to hematologic effects, and, very rarely, secondary malignancy in the treated joint. Patients should be monitored closely for signs of infection or unexpected joint deterioration.

Ittrio is contraindicated in patients with active joint infection, severe osteoarthritis where synovectomy is not indicated, pregnant or nursing women (unless benefits outweigh risks), and individuals with uncontrolled bleeding disorders without appropriate correction.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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