Journal Article (Review Article) DKFZ-2026-02243

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Pivotal Phase 3 Theranostic Trials: Future Indications.

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2026
Soc. New York, NY

Journal of nuclear medicine 67(Suppl 2), 30S - 35S () [10.2967/jnumed.125.269486]
 GO

Abstract: There are several ongoing phase 3 randomized trials involving radiopharmaceutical therapies (RPTs), which are expected to provide practice-changing evidence in the coming years. This review covers ongoing pivotal phase 3 trials designed to expand applications for RPTs. Trials such as PSMAcTION, STAMPEDE2, PSMA-DC, and PSMAddition focus on prostate-specific membrane antigen-directed treatments for patients with prostate cancer. NETTER-3, ACTION-1, and COMPOSE evaluate somatostatin receptor-targeted radiopharmaceuticals in individuals with neuroendocrine neoplasms. Expansion of phase 3 registration trials has been driven by increased industry investment. Ongoing RPT phase 3 trials serve as hybrids, merging nuclear medicine procedures for imaging and drug application with oncology-driven standards of care and endpoint definitions. Despite the challenges associated with this integration, phase 3 RPT trials present an opportunity to revolutionize future cancer care by introducing and expanding the use of image-guided RPT.

Keyword(s): Humans (MeSH) ; Clinical Trials, Phase III as Topic (MeSH) ; Radiopharmaceuticals: therapeutic use (MeSH) ; Theranostic Nanomedicine: methods (MeSH) ; Male (MeSH) ; Neuroendocrine Tumors: radiotherapy (MeSH) ; Prostatic Neoplasms: radiotherapy (MeSH) ; clinical trial ; phase 3 ; prospective ; theranostic ; Radiopharmaceuticals

Classification:

Note: #DKTKZFB26#

Contributing Institute(s):
  1. DKTK Koordinierungsstelle Essen/Düsseldorf (ED01)
Research Program(s):
  1. 899 - ohne Topic (POF4-899) (POF4-899)

Appears in the scientific report 2026
Database coverage:
Medline ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Life Sciences ; Essential Science Indicators ; IF >= 5 ; JCR ; PubMed Central ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2026-09-14, last modified 2026-09-15


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