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


Authors: Korde, A.; Mikolajczak, R.; Kolenc, P.; Bouziotis, P.; Westin, H.; Lauritzen, M.; Koole, M.; Herth, M. M.; Bardiès, M.; Martins, A. F.; Paulo, A.; Lyashchenko, S. K.; Todde, S.; Nag, S.; Lamprou, E.; Abrunhosa, A.; Giammarile, F.; Decristoforo, C.
Review Title: Practical considerations for navigating the regulatory landscape of non-clinical studies for clinical translation of radiopharmaceuticals
Abstract: 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. © 2022, The Author(s).
Keywords: radiopharmaceuticals; clinical translation; preclinical development; iaea; non-clinical testing; regulations
Journal Title: EJNMMI Radiopharmacy and Chemistry
Volume: 7
ISSN: 2365-421X
Publisher: SpringerOpen  
Date Published: 2022-07-19
Start Page: 18
Language: English
DOI: 10.1186/s41181-022-00168-x
PROVIDER: scopus
PMCID: PMC9296747
PUBMED: 35852679
DOI/URL:
Notes: Review -- Export Date: 1 August 2022 -- Source: Scopus
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