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Last Updated: April 30, 2025

CLINICAL TRIALS PROFILE FOR TECHNETIUM TC 99M GENERATOR


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All Clinical Trials for Technetium Tc 99m Generator

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01437254 ↗ To Compare Safety and the General Imaging Pattern of Cyclotron Produced Technetium vs. Generator Produced Technetium in Patients With Thyroid Cancer Completed Edmonton PET Centre Phase 1 2011-10-01 The cyclotron production model of Tc-99m pertechnetate (CPERT) has received significant validation in the independent expert review conducted by Natural Resources Canada (NRCan) in the follow up to the Chalk River crisis. The University of Alberta's Edmonton PET Centre and the Edmonton Radiopharmaceutical Centre is a cyclotron / radiopharmacy unit, providing a safe, cost effective, unsubsidized, and reliable supply of radiopharmaceuticals to hospitals and clinics in Edmonton and northern Alberta. A Phase I study is proposed to show safety of CPERT as well as comparability with generator-produced Tc-99m pertechnetate (GPERT) in subjects with well differentiated thyroid carcinoma post-thyroidectomy and prior to planned I-131 Iodide treatment.
NCT01437254 ↗ To Compare Safety and the General Imaging Pattern of Cyclotron Produced Technetium vs. Generator Produced Technetium in Patients With Thyroid Cancer Completed Natural Resources, Canada Phase 1 2011-10-01 The cyclotron production model of Tc-99m pertechnetate (CPERT) has received significant validation in the independent expert review conducted by Natural Resources Canada (NRCan) in the follow up to the Chalk River crisis. The University of Alberta's Edmonton PET Centre and the Edmonton Radiopharmaceutical Centre is a cyclotron / radiopharmacy unit, providing a safe, cost effective, unsubsidized, and reliable supply of radiopharmaceuticals to hospitals and clinics in Edmonton and northern Alberta. A Phase I study is proposed to show safety of CPERT as well as comparability with generator-produced Tc-99m pertechnetate (GPERT) in subjects with well differentiated thyroid carcinoma post-thyroidectomy and prior to planned I-131 Iodide treatment.
NCT01437254 ↗ To Compare Safety and the General Imaging Pattern of Cyclotron Produced Technetium vs. Generator Produced Technetium in Patients With Thyroid Cancer Completed AHS Cancer Control Alberta Phase 1 2011-10-01 The cyclotron production model of Tc-99m pertechnetate (CPERT) has received significant validation in the independent expert review conducted by Natural Resources Canada (NRCan) in the follow up to the Chalk River crisis. The University of Alberta's Edmonton PET Centre and the Edmonton Radiopharmaceutical Centre is a cyclotron / radiopharmacy unit, providing a safe, cost effective, unsubsidized, and reliable supply of radiopharmaceuticals to hospitals and clinics in Edmonton and northern Alberta. A Phase I study is proposed to show safety of CPERT as well as comparability with generator-produced Tc-99m pertechnetate (GPERT) in subjects with well differentiated thyroid carcinoma post-thyroidectomy and prior to planned I-131 Iodide treatment.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Technetium Tc 99m Generator

Condition Name

Condition Name for Technetium Tc 99m Generator
Intervention Trials
Bone Metastases From Breast or Prostate Cancer 1
Cancer of Bone 1
Hyperthyroidism 1
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Condition MeSH

Condition MeSH for Technetium Tc 99m Generator
Intervention Trials
Neoplasm Metastasis 2
Thyroid Diseases 2
Prostatic Neoplasms 2
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Clinical Trial Locations for Technetium Tc 99m Generator

Trials by Country

Trials by Country for Technetium Tc 99m Generator
Location Trials
Canada 10
China 1
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Clinical Trial Progress for Technetium Tc 99m Generator

Clinical Trial Phase

Clinical Trial Phase for Technetium Tc 99m Generator
Clinical Trial Phase Trials
Phase 3 3
Phase 1/Phase 2 1
Phase 1 1
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Clinical Trial Status

Clinical Trial Status for Technetium Tc 99m Generator
Clinical Trial Phase Trials
Completed 3
Recruiting 1
Terminated 1
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Clinical Trial Sponsors for Technetium Tc 99m Generator

Sponsor Name

Sponsor Name for Technetium Tc 99m Generator
Sponsor Trials
Natural Resources, Canada 2
Canadian Institutes of Health Research (CIHR) 2
British Columbia Cancer Agency 2
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Sponsor Type

Sponsor Type for Technetium Tc 99m Generator
Sponsor Trials
Other 16
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Technetium-99m (Tc-99m) Generator: Clinical Trials, Market Analysis, and Projections

Introduction to Technetium-99m

Technetium-99m (Tc-99m) is a radioisotope widely used in nuclear medicine for diagnostic imaging. Its ideal properties, including a short half-life of 6 hours and optimal gamma energy for imaging, make it a crucial component in over 40 million diagnostic procedures annually[1][3].

Clinical Trials and Regulatory Approvals

Recent Developments

BWXT Medical Ltd., a subsidiary of BWX Technologies, Inc., has made significant strides in the clinical and regulatory landscape of Tc-99m generators. In September 2022, BWXT Medical submitted a new drug application to the U.S. Food and Drug Administration (FDA) for its Tc-99m generator. This generator is produced from natural molybdenum targets irradiated at a commercial power reactor, reducing complex waste by-products compared to traditional methods using uranium[1].

Innovation in Production

The new production method involves irradiating natural molybdenum targets at commercial power reactors, which is a more sustainable and environmentally friendly approach. This innovation is expected to provide a lower-cost, more reliable alternative to current generators, aligning with BWXT Medical's aspiration for global leadership in nuclear medicine manufacturing[1].

Market Analysis

Market Size and Growth

The Tc-99m market is projected to experience significant growth in the coming years. By 2032, the market is expected to reach USD 5.8 billion at a Compound Annual Growth Rate (CAGR) of 4.19%[2]. Another forecast indicates that the market will grow to nearly USD 6.54 billion by 2030, with a CAGR of 4.05% from 2024 to 2030[3].

Segmentation and Applications

The Tc-99m market is segmented based on production methods, formulation types, application areas, end users, and supply chain modes. Key application areas include nuclear medicine, biomedical research, and radioisotope studies. The cardiovascular segment holds the largest market share due to its critical role in myocardial perfusion imaging, which assesses blood flow in the heart[3].

Regional Market

North America, particularly the United States and Canada, dominates the global Tc-99m market due to advanced healthcare infrastructure, high prevalence of chronic diseases, and significant investments in medical imaging technology. The U.S. alone conducts over 40,000 Tc-99m-based imaging procedures daily[3].

Emerging Markets

Emerging markets in South America, Africa, and Asia are expected to show higher growth rates compared to mature markets. These regions currently represent about 15% of the global market but are projected to grow at rates of +40% to +50% in the mid-term and long-term, respectively[5].

Market Drivers

Increasing Demand for Diagnostic Imaging

The rising demand for Tc-99m-based radiopharmaceuticals, particularly for cardiovascular imaging, cancer detection, and other clinical applications, is a significant driver of market growth. Tc-99m is used in more than 80% of all nuclear medicine procedures in the United States, highlighting its critical role in diagnostic imaging[3].

Advancements in Radiopharmaceuticals

Ongoing research and development efforts are focused on creating new Tc-99m-based radiopharmaceuticals with improved specificity and sensitivity. These advancements enable more accurate diagnosis and targeted imaging of various diseases, including cancer, cardiovascular disease, and neurological disorders[3].

Supply Chain Stability

Efforts to stabilize the supply chain, such as Curium's restart of Mo-99 production at the HFR reactor in the Netherlands, are crucial in meeting the growing demand for Tc-99m generators. Additional production runs and increased processing help in ramping up the availability of Mo-99 and reducing patient backlogs[4].

Market Challenges

Supply Chain Disruptions

The global nuclear medicine industry has faced challenges due to unplanned outages and scheduled maintenance programs at individual facilities, leading to shortages of Mo-99. These disruptions highlight the need for robust and reliable supply chains to ensure consistent availability of Tc-99m generators[4].

Regulatory Hurdles

Navigating regulatory approvals is a significant challenge. Companies like BWXT Medical must ensure compliance with stringent FDA regulations, which can be time-consuming and costly. However, successful approvals can significantly enhance market presence and credibility[1].

Future Projections

Growth Opportunities

The Tc-99m market is poised for substantial growth driven by increasing demand for diagnostic imaging, advancements in radiopharmaceuticals, and expanding therapeutic applications. BWXT Medical, for instance, is focusing on commercializing its Tc-99m generator, expanding its base business of cGMP-quality isotopes, and providing new therapeutic radioisotopes to address growing demand for innovative therapies[1].

Emerging Therapeutic Applications

Beyond diagnostic imaging, Tc-99m is expected to play a crucial role in therapeutic nuclear medicine. Breakthroughs in this area are anticipated to drive further growth and diversification of the Tc-99m market[1].

Key Takeaways

  • Clinical Trials and Regulatory Approvals: BWXT Medical's submission of a new drug application for its Tc-99m generator marks a significant milestone in the clinical and regulatory landscape.
  • Market Size and Growth: The Tc-99m market is projected to reach USD 5.8 billion to USD 6.54 billion by 2032, driven by a CAGR of 4.05% to 4.19%.
  • Segmentation and Applications: The market is segmented by production methods, formulation types, and application areas, with cardiovascular imaging being a major segment.
  • Regional Market: North America dominates the market, but emerging markets in South America, Africa, and Asia are expected to show higher growth rates.
  • Market Drivers: Increasing demand for diagnostic imaging, advancements in radiopharmaceuticals, and supply chain stability are key drivers.
  • Future Projections: The market is poised for growth driven by expanding therapeutic applications and advancements in radiopharmaceuticals.

FAQs

What is the primary use of Technetium-99m (Tc-99m) in medical procedures?

Tc-99m is primarily used in diagnostic imaging procedures, particularly in nuclear medicine, for applications such as cardiovascular imaging, bone scans, and tumor imaging.

How is the new Tc-99m generator by BWXT Medical produced?

The new Tc-99m generator by BWXT Medical is produced from natural molybdenum targets irradiated at commercial power reactors, reducing complex waste by-products compared to traditional methods.

What are the key drivers of the Tc-99m market growth?

Key drivers include increasing demand for diagnostic imaging, advancements in radiopharmaceuticals, and efforts to stabilize the supply chain.

Which regions are expected to show higher growth rates in the Tc-99m market?

Emerging markets in South America, Africa, and Asia are expected to show higher growth rates compared to mature markets in North America, Europe, and other regions.

What are the potential therapeutic applications of Tc-99m beyond diagnostic imaging?

Tc-99m is expected to play a crucial role in therapeutic nuclear medicine, with breakthroughs anticipated in treating various diseases, including cancer and cardiovascular diseases.

Sources

  1. BWXT Medical Submits Tc-99m Generator New Drug Application to FDA. BWXT, September 13, 2022.
  2. Technetium 99M Market Size, Trends, Growth Report 2032. Market Research Future, December 2024.
  3. Technetium-99m Market: Industry Analysis and Forecast 2030. Maximize Market Research.
  4. Curium's Customers to benefit from Mo-99 Production restart. Curium, November 24, 2022.
  5. An Assessment of Long-term Global Demand for Technetium-99m. OECD-NEA.

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