Oncology

Bringing new cancer therapies to the market is a complex and challenging process that requires a partner who can support you every step of the way.

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Overview

Perceptive combines operational excellence with extensive scientific and medical expertise to support you with preclinical work through late-phase clinical trials. Our consultative approach allows us to design, execute, and deliver results that can be used to make critical decisions across all stages of the cancer drug development continuum. We have experience working with a wide range of therapeutics, including small molecules, peptides, antibodies, multi-specific proteins, CAR-T cells, and many more. Our comprehensive oncology biomarker services include:

  • Preclinical and clinical novel molecular imaging tracer development and implementation
  • Regulatory filing support (e.g. IND-enabling support)
  • Theranostics and radiopharmaceutical therapy
  • Central imaging core lab for Phase 0-IV clinical studies
  • Qualitative and quantitative image analytics for radiology

Radiopharmaceutical Therapy and Theranostics

Overview

Radiopharmaceutical therapies represent an effective way to treat solid cancers by using tumor-targeting small molecules, peptides, or biologics to deliver a cytotoxic payload that induces DNA damage in tumor cells while limiting damage to normal and healthy tissue.

Streamlined development, evaluation, and clinical translation of radiopharmaceuticals requires a partner that has extensive scientific, regulatory, and operational expertise. Working with a CRO that provides a complete solution ensures data is delivered in a timely manner to make a go/no-go decision on your imaging or therapeutic candidates.

Services Include:

  • Radiochemistry development – conjugation, radiolabeling, stability and immunoreactivity
  • Preclinical proof-of-concept studies – biodistribution, efficacy, toxicology
  • Investigational New Drug (IND)/Clinical Trial Application (CTA) submission support with clinical protocol development
  • Single-site, first-in-human through multi-site, late-phase clinical study support
  • Good manufacturing practice (GMP) radiochemistry development and production support for imaging agents
  • Preclinical and clinical dosimetry and advanced quantitative image analysis

Radiochemistry

Our team has experience with novel and commercially available radioisotopes used for targeted radiotherapy. Our capabilities for novel radiotracers span preclinical to first-in-human clinical studies and GMP production with Perceptive’s CMO partners. Our team has experience working with many isotopes including:

  • 225Ac
  • 177Lu
  • 131I
  • 111ln
  • 68Ga/177Lu
  • 111In/225Ac
  • 203Pb/212Pb
  • 67Cu/64Cu

Preclinical Solutions

Bringing new therapeutic radiopharmaceuticals to the market is a complex and challenging process. When filing an Investigational New Drug (IND) or Clinical Trial Application (CTA) prior to the initiation of human trials, it is crucial to have strong non-clinical data to support a new candidate. Perceptive provides complete preclinical support for your project, including:

  • Study design and consultation
  • Radiolabeling/conjugation to support alpha, beta, and gamma-emitting isotopes
  • in vitro/ex vivo cell and tissue-based assays
  • Primary pharmacology studies to demonstrate MOA
  • in vivo Imaging model development to support theranostic imaging
  • Advanced image analytics
  • Dosimetry
  • IND support
  • Development of chemistry, manufacturing, and controls package for imaging agents

Early/Late Phase Clinical

Seamless transition of your radiopharmaceutical into the clinic requires an imaging partner with experience supporting first-in-human, single-site, and late-phase, multi-site global clinical studies. Perceptive has the unique blend of scientific expertise and operational experience to deliver studies from Phase 0-IV. Clinical radiopharmaceutical therapeutic development services include:

  • First-in-human, single-site clinical trial support
  • Study design and consultation
  • Criteria-based centralized independent reviews and internal analysis
  • Late-stage, global multi-center clinical trial support with response criteria reads
  • Advanced image analytics including dosimetry
  • Safety profile and therapeutic efficacy studies

Dosimetry and Advanced Analytics

Our in-house image analytics team has experience supporting preclinical and clinical radiopharmaceutical therapy studies, spanning from customized and automated image processing techniques using deep learning to dosimetry analysis for safety profile analysis. Some advanced image analytic techniques include:

  • Algorithms for automated and semi-automated lesion identification
  • Image quality control and co-registration
  • Preclinical dosimetry safety studies and validated clinical workflows
  • Extrapolating dosimetry of therapeutics from imaging agents
  • Expertise across various species, radionuclides, and novel administration routes
Scientist looking forward, working on her computer

PSMA-PET Imaging Solutions

Perceptive is an industry-leading CRO providing full-service PSMA-PET solutions from radiochemistry development to preclinical and Phase 0-IV clinical trials. We support researchers that are developing PSMA-targeted prostate cancer therapeutics or multi-specificsand groups using PSMA expression as a biomarker for patient selection, and treatment response in prostate cancer clinical trials. Perceptive advances PSMA-PET standard of care by combining advanced image analytics and artificial intelligence with standard PET SUV readouts to ensure you are receiving the most meaningful data from your images. In recent years, Perceptive has overseen more clinical PSMA-PET scans (>3,600) than most other imaging CROs and is one of the only organizations to support an FDA submission combining AI and quantitative PET.

Our full-service PSMA-PET solutions include:

    • Complete global core lab support for Phase 0-IV clinical trials
    • Radiology expertise for study design, image analysis, and sub-specialty reads (PCWG3)
    • Advanced analytical tools for whole body image quantification to estimate disease burden, lesion localization, and response to therapy
    • Radiochemistry development and expert guidance on PSMA ligand access and utilization, including external manufacturing support
    • Preclinical solutions for discovery research
    • Extensive experience with Regulatory filing support (e.g., IND-enabling support)

Clinical Capabilities

Perceptive’s clinical team has expertise in medical imaging and a vast range of tools to support your cancer drug discovery and development needs. With over 200 scientists and 4,800+ qualified imaging centers and clinical sites across the globe, Perceptive has the advanced scientific, medical, and regulatory expertise and project management scale to deliver studies from Phase 0-IV. Our technology platforms support key decision-making in:

  • First-in-human, single-site clinical trial support
  • Late-stage, global multi-center clinical trial support with response criteria reads
  • Advanced image analytics including dosimetry
  • Safety profile and therapeutic efficacy studies
  • Study design and consultation
  • Criteria-based centralized independent reviews and internal analysis

Our imaging core lab offers criteria-driven reads for standard-of-care projects and our state-of-the-art in-house software enables 3D region-of-interest generation to support quantitative analysis methods, such as PERCIST. We also partner with subspecialist independent readers that focus on specific areas of expertise. Some of the validated criteria examples include:

  • RECIST 1.0/1.1
  • PCWG 2.0/3.0
  • RANO
  • LUGANO
  • IMWG
  • CHESON
  • iRECIST
  • irRECIST
  • LYRIC
  • irRC

Quantitative Oncology Image Analytics

Perceptive’s medical image analysis team supports standard analysis of FDG PET imaging, including PERCIST and other SUV-based metrics, metabolic tumor volume, and total lesion glycolysis. The image analysis team also specializes in developing and applying a broad range of tools to support advanced quantitative oncology tracer characterization and analytics across a broad range of modalities and studies. Some examples include:

  • Powerful, multi-modal tumor and organ Segmentation tools
  • A range of flexible Biomathematical Modeling tools
  • Dosimetry calculations across radionuclide, administration route, and species
  • Integrated Radiomics pipelines using standard and custom feature vectors
  • Preclinical and clinical support for Tracer Characterization
  • Sophisticated batch Image Triage and preprocessing methods

For more information, check out some of our most popular case studies. A full list is also available in our case studies section.

Discovery and Preclinnical Capabilities

Perceptive’s discovery and preclinical services team provides study design, study execution, and data analysis services for a broad range of solid and non-solid tumor studies. Our preclinical oncology team uses state-of-the-art imaging techniques to characterize the behavior of novel therapies, including antibodies, radioligand therapies, peptides, cell therapies (e.g., CAR-T), exosomes, and other tumor-targeting modalities in diverse tumor model types (e.g., subcutaneous, orthotopic, metastatic). Non-clinical work supported by Perceptive can be used to move into first-in-human studies to late-stage clinical multicenter trials. Our core capabilities include the measurement of multiple readouts, including:

  • Biodistribution of test articles
  • Target density/engagement
  • Pharmacokinetics (PK)
  • Pharmacodynamics (PD)
  • Tumor growth properties
  • Therapeutic efficacy
  • Dosimetry
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Learn about Perceptive's extensive imaging experience and capabilities in:

Central Nervous System (CNS)

Person pointing at musculoskeletal image scan on computer screen with a ballpoint pen

Bringing new cancer therapies to the market is a complex and challenging process that requires a partner who can support you every step of the way.

Radioligand Therapy

Image of rat xray scans showing tumors

Streamlined development, evaluation and clinical translation of radiopharmaceuticals requires a partner that has extensive scientific, regulatory and operational expertise. Working with a CRO that provides a complete solution ensures data is delivered in a timely manner to make a go/no-go decision on your imaging or therapeutic candidates.