Wu Jiancai,Wang Mengmeng,Liu Qiaoling,et al.Current status of registration of radiopharmaceutical clinical trials[J].Chinese Journal of Radiological Medicine and Protection,2025,45(8):790-794
Current status of registration of radiopharmaceutical clinical trials
Received:March 06, 2025  
DOI:10.3760/cma.j.cn112271-20250306-00079
KeyWords:Radiopharmaceutical  Medical isotopes  Clinical research  Drug clinical trial
FundProject:湖北省卫生健康科研项目(WJ2023M039)
Author NameAffiliationE-mail
Wu Jiancai Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Wang Mengmeng Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Liu Qiaoling Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Zhang Da Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Lu Danhua Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Wang Huamei Institution for Drug Clinical Trials, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China  
Lei Ziqiao Radiology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China ziqiao_lei@hust.edu.cn 
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Abstract::
      Objective To analyze the status of registration of clinical trials of radiopharmaceuticals in China, and to provide reference for the development and clinical application of radiopharmaceuticals. Methods By searching the clinical trial registration and information disclosure platform of the Center for Drug Evaluation of the National Medical Products Administration (NMPA), the data on clinical trials of radiopharmaceuticals registered from 2014 to 2024 were collected and analyzed for trial design, administered dose, common indications, and geographical distribution. Results A total of 77 clinical trials were included. The Compound Annual Growth Rate for the number of projects from 2014 to 2024 was 40%. Diagnostic radiopharmaceuticals were predominantly based on 18F and 99Tcm, while therapeutic radiopharmaceuticals primarily utilized 177Lu and 90Y. All indications were concentrated in the field of oncology. Regarding trial design, non-randomized (71.4%), open-label (89.6%), and single-arm (66.2%) trials accounted for the highest proportions. Geographical distribution showed Beijing (29 trials), Shanghai (18 trials), and Jiangsu province (14 trials) as the regions with the highest concentration of clinical trials. Conclusions Radiopharmaceutical clinical trials in China have shown rapid growth. However, research remains predominantly focused on oncology, with a relatively high proportion of early-stage trials. In order to fully utilize the potentials of radiopharmaceuticals and improve the quality of clinical trials, nuclear medicine researches should broaden therapeutic applications, implement prudently administerd dose in clinical trials, and implement optimized radiation protection procedures across all clinical trial centers.
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