Toxicity Studies in Preclinical Radionuclide Imaging and Treatment
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Review
VOLUME: 12 ISSUE: 2
P: 151 - 155
July 2026

Toxicity Studies in Preclinical Radionuclide Imaging and Treatment

Nucl Med Semin 2026;12(2):151-155
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No information available
Received Date: 10.06.2026
Accepted Date: 10.07.2026
Online Date: 23.07.2026
Publish Date: 23.07.2026
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Abstract

The most important part of preclinical imaging is the toxicity studies. The prediction of the toxicity and biodistribution of a radiopharmaceutical and determination of the dose adverse events requires these studies. Since there is production of new kind of radiopharmaceuticals constantly in nuclear medicine toxsicity studies are essential of this practice. The most important advantage of the radionuclide imaging and therapy modalities is that biodistribution and toxicity studies are relatively easy. By this specialty and computer aided analysis of the biodistribution of the radiopharmaceuticals (in organ basis calculations) there are some steps of the toxicity analysis might not be necessary contrary to other drugs. This review includes the recent studies and example analysis and literature summary about toxicity studies. 

Keywords:
Radionuclide imaging, toxicity, preclinical

References

1
Ankara Üniversitesi Açık Ders Malzemeleri. İlacın resmi makamlarca onayı öncesi sürecinde toksikolojinin yeri/toksikolojik değerlendirmeler. Ankara: Ankara Üniversitesi. Erişim linki: https://acikders.ankara.edu.tr/mod/resource/view.php?id=58449
2
Koziorowski J, Behe M, Decristoforo C, et al. Position paper on requirements for toxicological studies in the specific case of radiopharmaceuticals. EJNMMI Radiopharm Chem. 2017;1:1. Erratum in: EJNMMI Radiopharm Chem. 2018;3:13.
3
Marzin D. Preclinical evaluation of radiopharmaceutical toxicological prerequisites. Nucl Med Biol. 1998;25:733-736.
4
International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. Duration of chronic toxicity testing in animals (rodent and non rodent toxicity testing) S4. Geneva: ICH; 1998. Available from: https://database.ich.org/sites/default/files/S4_Guideline.pdf
5
DeGeorge J, Contrera JF. A regulatory perspective of the guidance on the utility of two rodent species. In: Proceedings of the Third International Conference on Harmonisation; 1996; Belfast, UK. Belfast: Queen’s University Belfast; 1996. p. 274-277.
6
International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. Testing for carcinogenicity of pharmaceuticals S1B. Geneva: ICH; 1995. Available from: https://database.ich.org/sites/default/files/S1B%20Guideline.pdf
7
Committee for Proprietary Medicinal Products (CPMP). Non-clinical local tolerance testing of medicinal products. Reference III/3979/88. 1990. Available from: https://www.ikev.org/docs/eu/3bs12aen.pdf?utm_source=
8
Boehlert JP. Impurities in new drug products. In: Proceeding of the Third International Conference on Harmonisation, Yokohama, 1995 (Edited by d’Arcy PF and Harron DWG). Greyston Books Ltd., Belfast, UK; 1996. p. 86-90.
9
Mayahara H. Rapporteur’s report: progress of the ICH guideline. In: Joint Safety/Efficacy Symposium “Timing of Safety Studies in Relation to Clinical Trials”; 1995; Yokohama, Japan. In: Proceedings of the Third International Conference on Harmonisation. Belfast: The Queen’s University Belfast; 1996. p. 339-342.
10
Mendes F, Terry SYA, Spiegelberg D, Cornelissen B, Bolcaen J, Nonnekens J; European Working group of Radiobiology of Molecular Radionuclide Therapy. Recommendations for reporting preclinical radiobiological studies in targeted radionuclide therapy. Eur J Nucl Med Mol Imaging. 2025;52:3066-3070.
11
Terry SYA, Nonnekens J, Aerts A, Baatout S, de Jong M, Cornelissen B, Pouget JP. Call to arms: need for radiobiology in molecular radionuclide therapy. Eur J Nucl Med Mol Imaging. 2019;46:1588-1590.
12
Nonnekens J, Pouget JP, Cornelissen B, Terry SYA; European Working Group; Radiobiology of Molecular Radionuclide Therapy. Status of radiobiology in molecular radionuclide therapy - hope for the future. Nucl Med Biol. 2022;110-111:45-46.
13
Franken NA, Rodermond HM, Stap J, Haveman J, van Bree C. Clonogenic assay of cells in vitro. Nat Protoc. 2006;1:2315-2319.
14
Wang J, Lou K, Chen L, et al. Noninvasive imaging of Claudin 18.2 Expression in gastric adenocarcinoma: synthesis, preclinical evaluation, and preliminary clinical study of a novel [ 89 Zr]Zr-DFO-NY005 ımmuno-positron emission tomography tracer. Int J Radiat Oncol Biol Phys. 2026;124:541-551.
15
Gao X, Ma J, Zhang S, et al. Linker manipulation with beta 3 -amino acids potentiates the efficacy and safety of PSMA radiopharmaceuticals. Adv Healthc Mater. 2026;15:e05128.
16
Dai D, Gao X, Zhang S, et al. First-in-human evaluation of four novel PSMA-targeted PET radiotracers with non-canonical amino acid linkage: a comparative study. Pharmacol Res. 2026;225:108138.
17
Tran S, Grindel AL, Kereselidze D, et al. Shifting the paradigm of PSMA delivery in prostate cancer for internal radiotherapy: an innovative ultrasound-mediated approach. Biomed Pharmacother. 2026;196:119075.
18
Dimcevski G, Kotopoulis S, Bjånes T, et al. A human clinical trial using ultrasound and microbubbles to enhance gemcitabine treatment of inoperable pancreatic cancer. J Control Release. 2016;243:172-181.
19
Tang M, Zhang H, Du H, et al. Preclinical study of CDH3-targeted 89 Zr/ 177 Lu theranostics in triple-negative breast cancer. Mol Pharm. 2026;23:1213-1223.
20
Gómez-Sánchez M, Blanco-González E, Montes-Bayón M, Behe M, Schibli R, Rioja-Blanco E. The use of mass cytometry (CyTOF) to evaluate the cellular uptake of stable radiopharmaceutical surrogates in single cells: a proof-of-concept study. EJNMMI Radiopharm Chem. 2026;11:22.
21
Wallimann RH, Hensinger H, Müller C, Schibli R, Kneuer R, Schindler P. Liquid chromatography ICP-MS to assess the stability of 175 Lu- and nat Ga-based tumor-targeting agents towards the development of 177 Lu- and 68 Ga-labeled radiopharmaceuticals. Pharmaceutics. 2024;16:299.
22
Wallimann RH, Schindler P, Hensinger H, et al. Inductively coupled plasma mass spectrometry-a valid method for the characterization of metal conjugates in view of the development of radiopharmaceuticals. Mol Pharm. 2023;20:2150-2158.
23
Liu L, He S, Huang Z, et al. Molar Dose optimization for accurate pharmacokinetic and biodistribution evaluation of FAP-targeted radiopharmaceuticals in a mouse syngeneic tumor model. Mol Pharm. 2026;23:1189-1200.
24
International Atomic Energy Agency. Guidance for preclinical studies with radiopharmaceuticals. Vienna: International Atomic Energy Agency; 2023. IAEA Radioisotopes and Radiopharmaceuticals Series No. 8. Available from: https://www-pub.iaea.org/MTCD/Publications/PDF/PUB2031_web.pdf
25
European Medicines Agency. ICH guideline M3(R2) on non-clinical safety studies for the conduct of human clinical trials and marketing authorisation for pharmaceuticals: Step 5. London: European Medicines Agency; 2009. EMA/CPMP/ICH/286/1995. Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/ich-guideline-m3r2-non-clinical-safety-studies-conduct-human-clinical-trials-and-marketing-authorisation-pharmaceuticals-step-5_en.pdf
26
U.S. Food and Drug Administration. Microdose radiopharmaceutical diagnostic drugs: nonclinical study recommendations: guidance for industry. Silver Spring, MD: U.S. Food and Drug Administration; 2018. Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/microdose-radiopharmaceutical-diagnostic-drugs-nonclinical-study-recommendations