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Research ArticleContinuing Education

From Concept to Regulatory Drug Approval: Lessons for Theranostics

Marlon Perera and Michael J. Morris
Journal of Nuclear Medicine December 2022, 63 (12) 1793-1801; DOI: https://doi.org/10.2967/jnumed.121.263301
Marlon Perera
1Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York; and
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Michael J. Morris
2Genitourinary Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
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Article Information

vol. 63 no. 12 1793-1801
DOI 
https://doi.org/10.2967/jnumed.121.263301
PubMed 
36456108

Published By 
Society of Nuclear Medicine
Print ISSN 
0161-5505
Online ISSN 
2159-662X
History 
  • Received for publication June 17, 2022
  • Revision received November 3, 2022
  • Published online December 1, 2022.

Copyright & Usage 
© 2022 by the Society of Nuclear Medicine and Molecular Imaging.

Author Information

  1. Marlon Perera1 and
  2. Michael J. Morris2
  1. 1Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York; and
  2. 2Genitourinary Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
  3. Learning Objectives: On successful completion of this activity, participants should be able to (1) describe an overview of the FDA approval process, including data required for FDA application; (2) consider the difficulties and hurdles of FDA approval for therapies relating to prostate cancer and radiopharmaceuticals; and (3) recognize that despite these difficulties, recent FDA approval of radiopharmaceuticals in prostate cancer has occurred, specifically for 223Ra and 177Lu-PSMA-617.Financial Disclosure: Dr. Morris is a consultant paid less than $5,000 for the National Comprehensive Cancer Network and an investigator for accelerator applications for Johnson & Johnson and Novartis. This work was supported by the Sidney Kimmel Center for Prostate and Urologic Cancers at MSK and an NIH/NCI Cancer Center support grant to Memorial Sloan Kettering Cancer Center (P30 CA008748). Dr. Perera is sponsored by the Australian–American Fulbright Commission administered through a 2021–2022 Fulbright Future Scholarship funded by the Kinghorn Foundation. The authors of this article have indicated no other relevant relationships that could be perceived as a real or apparent conflict of interest.CME Credit: SNMMI is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing education for physicians. SNMMI designates each JNM continuing education article for a maximum of 2.0 AMA PRA Category 1 Credits. Physicians should claim only credit commensurate with the extent of their participation in the activity. For CE credit, SAM, and other credit types, participants can access this activity through the SNMMI website (http://www.snmmilearningcenter.org) through December 2025.
  1. For correspondence or reprints, contact Michael J. Morris (morrism{at}mskcc.org).
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Journal of Nuclear Medicine: 63 (12)
Journal of Nuclear Medicine
Vol. 63, Issue 12
December 1, 2022
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From Concept to Regulatory Drug Approval: Lessons for Theranostics
Marlon Perera, Michael J. Morris
Journal of Nuclear Medicine Dec 2022, 63 (12) 1793-1801; DOI: 10.2967/jnumed.121.263301

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From Concept to Regulatory Drug Approval: Lessons for Theranostics
Marlon Perera, Michael J. Morris
Journal of Nuclear Medicine Dec 2022, 63 (12) 1793-1801; DOI: 10.2967/jnumed.121.263301
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  • Article
    • Abstract
    • OVERVIEW OF THE FDA APPROVAL PROCESS
    • ISSUES WITH DEVELOPMENT OF RADIOPHARMACEUTICALS
    • ISSUES WITH DRUG APPROVALS IN PCa
    • PATHWAYS TO APPROVAL FOR 223RA-DICHLORIDE AND 177LU-PSMA-617
    • FUTURE OF RADIOPHARMACEUTICALS IN PCa
    • CONCLUSION
    • REFERENCES
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Keywords

  • theranostics
  • PSMA
  • FDA
  • drug approval
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