An illustration depicting elements of licensing and safety for radioligand therapy programs.

Licensing and safety

This section of the Novartis RLT Institute reviews important aspects for obtaining or amending a radioactive materials (RAM) license for medical use, including types of licenses, components of the application, and key individuals, focusing on the key considerations for a radioligand therapy (RLT) program.

RAML application

RAML application components

1

Application type
  • New, renewal, amendment1
  • Diagnostic, unsealed therapy, etc1

2

Applicant details, including center address1

3

Requested radioactive materials (specifying the element and mass number and its chemical and/or physical form), the maximum activity that will be possessed at any one time, and the purpose for use1

4

Individuals responsible for the radiation safety program and their training and experience
Additional authorized individuals may include:

5

Training for individuals working in or frequenting restricted areas
  • Before using licensed materials, AUs and radiation workers must have successfully completed training as described in
  • The person conducting the training should be a qualified individual (eg, a person who meets the qualifications for RSO or AU on the license and is familiar with the licensee's program)6
  • Be prepared to provide a description of the radiation safety training program, including topics covered, groups of workers, assessment of training, qualifications of instructors, and the method and frequency of refresher training1
  • Keep all training records on file1

6

Facilities and equipment

7

Radiation protection program

Radiation safety manual

  • All licensees will be required to have a radiation safety manual onsite. The manual will usually be made up of the processes, policies, and procedures submitted to and requested by the NRC or Agreement State as part of the initial application process as described in

8

Waste management and waste disposal procedures

9

Financial qualification and financial assurance
  • The NRC and Agreement States will often require proof that a potential licensee is financially stable prior to issuing a license. This stability shows that the licensee can procure, store, and handle radioactive materials, implement a radiation safety program with adequate training and equipment, and manage operational costs effectively.14
  • Documentation of financial assurance is required for licensees possessing radioactive materials with physical half-lifes greater than 120 days, provided the quantities exceed the thresholds specified by the NRC in
  • If the NRC or Agreement State determines a licensee meets these requirements, they will require a decommissioning funding plan and financial assurance prior to issuing a license.15
  • The decommissioning funding plan is a cost estimate, based on actual vendor quotes, approved by the licensee management that allocates funds to support decommissioning activities such as labor cost, planning and preparation, decontamination, and waste disposal.15
  • Financial assurance resources must cover appropriate waste disposal, decommissioning, and emergency costs if needed.15