Market brief

European Radiopharma & Nuclear Medicine 2026: Alpha Emitters, PET, Theranostics

European radiopharmaceuticals in 2026 concentrate at 7 directory-surfaced operators covering four distinct tracks: medical-isotope + nuclear-medicine supply (Eckert & Ziegler, Berlin), peptide radiopharmaceuticals (3B Pharmaceuticals, Berlin), alpha-emitter radiopharmaceuticals (Thor Medical and Oncoinvent in Oslo, producing Radium-224 and Pb-212 programmes), theranostic antibodies (Diaprost, Lund, prostate cancer radioimmunotherapy), PET and SPECT precursors (PharmaSynth, Tartu), and reference standards + isotope-labeled internal standards (Chiron, Trondheim). Oslo concentrates the Norwegian alpha-emitter operator count with Thor Medical and Oncoinvent, with Chiron (Trondheim) supplying analytical reference standards in the same country. Berlin hosts the medical-isotope + peptide-radiopharma layer through Eckert & Ziegler + 3B Pharmaceuticals. The directory-surfaced radiopharma operator count is small relative to the wider biotech picture, and the Oslo alpha-emitter cluster is the European cluster the directory covers in this modality.

Summary

Key findings

Eckert & Ziegler (Berlin, Germany) is the European medical-isotope + nuclear-medicine supply anchor the directory surfaces, covering radioisotope manufacturing, nuclear-medicine components, and radiation-therapy supply at commercial scope.
Oslo concentrates the European alpha-emitter cluster with Thor Medical ASA (Radium-224, Pb-212 production) and Oncoinvent ASA (Radium-224 microspheres for ovarian peritoneal metastases) — two clinical-stage alpha-emitter radiopharmaceutical operators.
3B Pharmaceuticals (Berlin) runs peptide radiopharmaceuticals + companion diagnostics at clinical scope, covering oncology indications that combine peptide targeting with radioisotope payload.
Diaprost (Lund, Sweden) operates humanized antibody theranostics with a prostate-cancer radioimmunotherapy programme + preclinical antibody licensing — the Nordic antibody-radioisotope entry.
Numbers

Quick numbers

Radiopharma operators7Isotope supply + alpha-emitter + peptide-radiopharma + PET/SPECT
Medical-isotope anchorEckert & ZieglerBerlin, commercial-scope radiopharmaceutical supply
Oslo alpha-emitter clusterThor Medical + OncoinventRadium-224 + Pb-212 programmes
Estonian PET precursorPharmaSynth (Tartu)PET + SPECT custom synthesis
Analysis

Eckert & Ziegler and the medical-isotope supply layer

Eckert & Ziegler (Berlin, Germany) operates as the European medical-isotope + nuclear-medicine + radiation-components anchor the directory surfaces. The company runs radiopharmaceutical components, radioisotope manufacturing, and nuclear-medicine supply at commercial scope, supplying radiation-therapy operators, PET/SPECT imaging programmes, and research institutions across Europe. Eckert & Ziegler is the directory’s default reference for sponsors needing bulk isotope supply, radiopharmaceutical components, or nuclear-medicine infrastructure partnership. Complementary supply comes from Chiron AS (Trondheim, Norway), which provides certified reference standards and isotope-labeled internal standards for analytical and regulatory workflows.

Analysis

The Oslo alpha-emitter cluster: Thor Medical + Oncoinvent

Oslo holds two alpha-emitter radiopharmaceutical operators the directory surfaces. Thor Medical ASA runs Radium-224 and Pb-212 (lead-212) production plus oncology radionuclide therapy programmes. Oncoinvent ASA runs a clinical-stage Radium-224-microsphere programme for ovarian peritoneal metastases. Together, the two operators form the Nordic alpha-emitter cluster. Alpha-emitters deliver highly localised radiation with short path length, attractive for oncology where spatially targeted cell kill is desirable; they have attracted clinical interest since Bayer’s Xofigo (Radium-223) commercialisation and across the wider Lutetium-177 + Actinium-225 therapeutic landscape. For sponsors running alpha-emitter programmes or partnerships, Oslo is where the directory concentrates European capacity.

Analysis

Peptide radiopharmaceuticals and theranostic antibodies

Two directory operators cover peptide radiopharmaceuticals and theranostic antibodies. 3B Pharmaceuticals (Berlin, Germany) runs peptide radiopharmaceutical + oncology + companion-diagnostic programmes at clinical scope — peptide-targeted radioligand therapeutics where the peptide delivers the radioisotope to the tumor-associated receptor. Diaprost (Lund, Sweden) runs humanized antibody theranostics + prostate cancer radioimmunotherapy programmes + preclinical antibody licensing. Both operators sit at the discovery + clinical development layer rather than commercial-scale manufacturing; both typically partner with radioisotope suppliers like Eckert & Ziegler for the radiochemistry step.

Analysis

PET and SPECT precursors

PharmaSynth (Tartu, Estonia) runs PET and SPECT precursor synthesis, custom synthesis, and small-scale API production for radiopharmaceutical programmes. PET precursors are short-half-life compounds (often [18F]- or [11C]-labeled) that couple with on-site cyclotron radiochemistry to produce PET imaging agents. SPECT precursors are typically [99mTc]- or [123I]-based. PharmaSynth is the Baltic + Estonian entry point for research-grade PET/SPECT precursor synthesis at clinical-scale volumes.

Analysis

How European radiopharma regulation works in 2026

Radiopharmaceuticals in the EU are governed by both EMA (Committee for Medicinal Products for Human Use) + national regulators (BfArM in Germany, Swissmedic in Switzerland, etc.) for therapeutic approval, AND by the relevant national radiation-protection agencies for radioisotope handling + facility licensing. EURATOM rules cover radiation safety. For PET and theranostic programmes, the short-half-life nature of many PET isotopes (F-18 at 110 min; C-11 at 20 min) means on-site cyclotron + radiochemistry lab infrastructure is often mandatory. Clinical-trial authorisation for radiopharmaceuticals goes through CTIS like any other IMP, with additional radiation-dosimetry and safety documentation. The EU Biotech Regulation 2026 brief covers the wider EMA + pharmaceutical-reform context.

Analysis

Supply chain and cross-border movement

Radiopharmaceutical logistics is a specialised sub-category of pharmaceutical cold chain. GDP-certified logistics operators (DHL Life Sciences & Healthcare, Kuehne+Nagel Healthcare, World Courier) all publish radiopharmaceutical handling capability, with time-critical distribution for short-half-life isotopes the defining constraint. Eckert & Ziegler operates its own radioisotope-specific distribution network for bulk supply. For long-half-life alpha-emitters (Radium-224 has a half-life of ~3.7 days), standard GDP logistics with radiation labeling is sufficient. For PET isotopes (F-18 half-life 110 min), cyclotron-adjacent infrastructure is the practical constraint — most programmes co-locate PET production with the clinical site. The European Pharma Cold Chain & GDP Logistics 2026 brief covers the non-radiopharma pharmaceutical distribution layer.

Analysis

How to pick a European radiopharma partner in 2026

Match the decision to the programme. Medical-isotope or radioisotope supply: Eckert & Ziegler (Berlin). Peptide radiopharmaceutical partnership: 3B Pharmaceuticals (Berlin). Theranostic antibody or radioimmunotherapy (oncology, prostate cancer): Diaprost (Lund). Alpha-emitter (Radium-224, Pb-212) clinical programme partnership: Thor Medical (Oslo) or Oncoinvent (Oslo). PET/SPECT precursor custom synthesis: PharmaSynth (Tartu). Certified reference standards + isotope-labeled internal standards for analytical work: Chiron AS (Trondheim). The Nordic Biotech Landscape 2026 brief covers the wider Nordic + Oslo context around the alpha-emitter cluster.

What to watch

What to watch next

Eckert & Ziegler radioisotope capacity expansion and new nuclear-medicine partnerships
Thor Medical commercial progression of Radium-224 + Pb-212 therapeutic programmes
Oncoinvent Radium-224-microsphere clinical readouts for peritoneal metastases
3B Pharmaceuticals peptide-radiopharmaceutical clinical-stage progression
Actinium-225 and Lutetium-177 European supply dynamics
EURATOM + EMA radiopharmaceutical regulatory coordination
FAQ

Frequently asked questions

Who supplies medical isotopes in Europe in 2026?

Eckert & Ziegler (Berlin, Germany) is the primary European medical-isotope + nuclear-medicine supply operator the directory surfaces — covering radioisotope manufacturing, nuclear-medicine components, and radiation-therapy supply at commercial scope. Chiron AS (Trondheim, Norway) supplements with certified reference standards and isotope-labeled internal standards for analytical and regulatory workflows. PharmaSynth (Tartu, Estonia) provides PET and SPECT precursor synthesis at research + clinical scale.

Where is the European alpha-emitter radiopharmaceutical cluster?

Oslo, Norway. Thor Medical ASA runs Radium-224 and Pb-212 (lead-212) production plus oncology radionuclide therapy. Oncoinvent ASA runs Radium-224 microspheres for ovarian peritoneal metastases at clinical stage. Chiron AS (Trondheim) adds analytical reference standards. Together these three operators form the Nordic alpha-emitter cluster. Alpha-emitters have gained traction since Bayer’s Xofigo (Radium-223) commercialisation and across the wider Lutetium-177 + Actinium-225 therapeutic landscape.

What European companies run peptide-targeted radiopharmaceuticals?

3B Pharmaceuticals (Berlin) runs peptide radiopharmaceuticals + companion diagnostics at clinical scope — peptide-targeted radioligand therapeutics where the peptide delivers the radioisotope to a tumor-associated receptor. Diaprost (Lund, Sweden) runs theranostic antibodies with prostate-cancer radioimmunotherapy programmes. Both sit at discovery + clinical development and typically partner with Eckert & Ziegler for the radiochemistry supply step.

How do PET isotope programmes work in Europe?

PET isotopes have short half-lives (F-18 at 110 min, C-11 at 20 min), so production infrastructure must be co-located with the clinical site. Most European PET programmes run through hospital-based cyclotron + radiochemistry labs rather than centralized manufacturing. PharmaSynth (Tartu) provides PET precursor synthesis + custom small-scale API production for research and clinical programmes. For long-half-life radioisotopes used in therapy (Lutetium-177 at 6.6 days, Actinium-225 at 10 days), standard cross-border GDP logistics with radiation labeling is sufficient.

How does European radiopharma regulation compare to traditional pharma?

Radiopharmaceuticals are governed by EMA + national regulators (BfArM, Swissmedic, etc.) for therapeutic approval, AND by national radiation-protection agencies for radioisotope handling and facility licensing. EURATOM rules cover radiation safety. Clinical trials submit through CTIS with additional radiation-dosimetry documentation. The practical operational constraint for most radiopharma is the dual-regulator posture (drug + radiation) rather than the drug-regulator interface alone. The EU Biotech Regulation 2026 brief covers the wider EMA + pharmaceutical reform context.

Methodology note

Sources and interpretation

Sources: verified Memel Biotech directory entries for every radiopharma operator, official company disclosures, and editorial comparison against the Nordic Biotech Landscape 2026 and European Pharma Cold Chain & GDP Logistics 2026 briefs. The directory entry for each operator links to the authoritative company sources.

Disclaimer

Use limits

This brief is an editorial map of visible European radiopharmaceutical and nuclear-medicine activity in 2026. It does not rank operators, certify any specific regulatory status beyond public disclosures, or disclose non-public capacity — sponsors should verify directly with each operator before engagement.

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