FDA, NRC Ensure Domestic Technetium Supply

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FDA says it and the Nuclear Regulatory Commission (NRC) have taken steps to ensure a stable and secure supply of Technetium-99m (Tc-99m), the most widely used radioisotope in medical imaging. An FDA news release says the agency approved NorthStar Medical Radioisotope’s RadioGenix System, a unique system for producing Tc-99m, while the NRC is issuing guidance and will license the RadioGenix System to enable the Tc-99m it produces to be used for its medical purpose.

The release says that while the radioisotope is vital to disease detection, healthcare professionals have faced challenges with adequate supply due to a complex supply chain that sometimes led to shortages.

“Today’s approval has been the result of years of coordination across FDA and with U.S. government organizations and marks the first domestic supply of Mo-99, the source of Tc-99m, in 30 years, which will help to ensure more reliable, clean and secure access to this important imaging agent used in nuclear medicine,” says CDER director Janet Woodcock.

Before this change, the release says, Molybdenum-99 (Mo-99), the parent of Tc-99m, could only be produced from enriched uranium by several facilities outside the U.S., requiring a complicated supply chain that involved shipping enriched uranium from the U.S. FDA says that process left the country vulnerable to possible shortages and/or supply chain issues.

The agency action granted approval for the RadioGenix System to produce sodium pertechnetate Tc-99m injection to ne injected intravenously, instilled into the bladder or eye, or used with other FDA-approved imaging drugs to examine specific tissues and organs. The approval did not require new clinical studies, the release says, because it relied on safety and efficacy information and data from an already approved TC-99m generator.

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