Practical considerations for navigating the regulatory landscape of non-clinical studies for clinical translation of radiopharmaceuticals

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  • Aruna Korde
  • Renata Mikolajczak
  • Petra Kolenc
  • Penelope Bouziotis
  • Hadis Westin
  • Mette Lauritzen
  • Michel Koole
  • Herth, Matthias Manfred
  • Manuel Bardiès
  • Andre F. Martins
  • Antonio Paulo
  • Serge K. Lyashchenko
  • Sergio Todde
  • Sangram Nag
  • Efthimis Lamprou
  • Antero Abrunhosa
  • Francesco Giammarile
  • Clemens Decristoforo

Background: The development of radiopharmaceuticals requires extensive evaluation before they can be applied in a diagnostic or therapeutic setting in Nuclear Medicine. Chemical, radiochemical, and pharmaceutical parameters must be established and verified to ensure the quality of these novel products. Main body: To provide supportive evidence for the expected human in vivo behaviour, particularly related to safety and efficacy, additional tests, often referred to as “non-clinical” or “preclinical” are mandatory. This document is an outcome of a Technical Meeting of the International Atomic Energy Agency. It summarises the considerations necessary for non-clinical studies to accommodate the regulatory requirements for clinical translation of radiopharmaceuticals. These considerations include non-clinical pharmacology, radiation exposure and effects, toxicological studies, pharmacokinetic modelling, and imaging studies. Additionally, standardisation of different specific clinical applications is discussed. Conclusion: This document is intended as a guide for radiopharmaceutical scientists, Nuclear Medicine specialists, and regulatory professionals to bring innovative diagnostic and therapeutic radiopharmaceuticals into the clinical evaluation process in a safe and effective way.

Original languageEnglish
Article number18
JournalEJNMMI Radiopharmacy and Chemistry
Volume7
Issue number1
DOIs
Publication statusPublished - 2022

Bibliographical note

Funding Information:
The meeting on “Preclinical Testing of Radiopharmaceuticals,” held in Coimbra, Portugal from November 15th–19th 2021, was supported by the International Atomic Energy Agency (IAEA). The work was also supported by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) under Germany’s Excellence Strategy–EXC 2180–390900677.

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    Research areas

  • Clinical translation, IAEA, Non-clinical testing, Preclinical development, Radiopharmaceuticals, Regulations

ID: 315266545