Pivotal Phase 3 Theranostic Trials: Future Indications
Details
Publication Year 2026-09-11,Volume 67,Issue #9 Suppl 2,Page 30S-35S
Journal Title
Journal of Nuclear Medicine
Publication Type
Review
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.
Publisher
Society of Nuclear Medicine and Molecular Imaging
Keywords
Humans; *Clinical Trials, Phase III as Topic; Radiopharmaceuticals/therapeutic use; *Theranostic Nanomedicine/methods; Male; Neuroendocrine Tumors/radiotherapy; Prostatic Neoplasms/radiotherapy; clinical trial; phase 3; prospective; theranostic
Department(s)
Cancer Imaging
Open Access at Publisher's Site
https://doi.org/10.2967/jnumed.125.269486
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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Last Modified: 2026-10-28 06:10:23
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