Definite human ADME insights from Phase 1

Peregrion is a specialized CRO supporting pharma and biotech companies with human mass balance, metabolite profiling and absolute bioavailability data already from Phase 1 via microtracer technology. By reducing radiation doses at least 100-fold, we can generate critical PK data already in early clinical development.

End-to-end capabilities
for microtracer studies

Full design support for radiolabeled studies

Using our experience with more than 100 drug assets we team up with you to support decisions on position of radiolabel(s), dosing and formulation, 14C-synthesis, clinical design, bioanalytical methods, metabolite profiling.

15+ years of AMS expertise

In the past 15+ years, Peregrion (spin-off from TNO) supported AMS studies for more than 50 pharmaceutical and biotech companies and we have co-authored 13 peer-reviewed papers with companies like AstraZeneca, BMS, Merck KGaA, Novartis, PTC Therapeutics, and Pfizer.

100% focused on AMS-enabled studies

We are solely focused on Mass Balance, Metabolite Profiling and Identification, and Absolute Bioavailability studies. We take pride in our service levels and Quality standards.

Teamwork with our scientists

Direct interactions of scientist to scientist, no account managers in between, regular progress meetings throughout the study.

Peregrion is your go-to CRO for hADME studies 
via AMS technology

Thanks to the low level of radioactivity in microtracer studies, data can be generated as early as Phase 1/2a. 

Accelerator Mass Spectrometry technology has 500 to 10,000-fold higher sensitivity than LSC. It can measure compounds at 100 to 1,000x lower radiation doses than conventional methods for human mass balance, absolute bioavailability, and metabolite profiling studies. This means that ethics committees approve these studies in healthy participants and patient populations already early instead of late stage.

Services

AMS-enabled services for early clinical development

Traditionally, finding out exactly how a new drug asset transits and metabolizes inside the human body happens very late in the process. By the time human ADME is finally tested you’ve invested large amounts of time and resources with the risk of finding a human unique metabolite late during development.

At Peregrion, we’re changing this timeline. Our AMS technology enables pharmaceutical teams to obtain complete human mass balance, metabolism and bioavailability data as early as Phase 1/2a.

Explore our Services

Absolute Bioavailability

Determination of the drug fraction that reaches the systemic circulation unchanged

Many regulatory agencies request information on the absolute bioavailability of orally dosed drugs. The study is often conducted as part of a two-arm study and provides, together with the mass-balance and metabolite profiling study, information on absolute bioavailability, first pass effect and fraction absorbed. 

Mass Balance/Total Radioactivity (TRA)

Insights into absorption and excretion of drugs in humans

You will receive a PK profile via measurements of total radioactivity, providing the routes, the rates and the quantity of total drug-related material in plasma and excreta. Mass balance data support the discharge of study trial participants from a clinical unit.

Metabolite Profiling 

Mapping of metabolites in your clinical samples

Metabolite profiling provides a comprehensive snapshot of metabolites in biological samples (e.g., plasma, urine, feces). The concentration of each metabolite is characterized using a combined UPLC+AMS approach, which is known for its ultra-high sensitivity.

Metabolite Identification

Determination of the structure of unknown metabolites

Metabolite identification provides the chemical structures and molecular formulas of metabolites derived from a parent drug. Human-unique metabolites need to be identified when these are >10% of the parent drug. Metabolites are identified by our trained experts using our state-of-the-art hrMS/MS systems. 

Benefits of microtracer AMS vs
conventional radiolabeled studies 

Conventional radiolabel studiesMicrotracer studies
Human metabolitesIdentified late (Phase 2b/3) → ADME on critical pathIdentified early (Phase 1) → early risk mitigation
DosimetryRequired (ICRP Class 2 / QWBA)Not required before study
DDI & impairment studiesBased on in vitro + animal dataCan be optimized using early human ADME data
Sensitivity / doseHigh dose (~100 µCi) required (LSC sensitivity ~0.5 Bq/LC)Only 0.1-1 uCi required (AMS sensitivity is ~10 uBq/LC)
Study design (ADME & AbsBA)Conducted as separate studies at therapeutic doseCan be combined in a single cohort study
AbsBA designTwo-arm cross-over requiredDetermined in a one-arm, two-period study
IV toxicityIV toxicity study required prior to human studyNo IV toxicity data required
Fraction absorbed (Fa)Separate studies do not allow determination of fraction absorbed (Fa)Fraction absorbed can be determined in a two-period study
Material requirementsFull GMP material requiredQualified 14C material often tolerated
Formulation (IV)Therapeutic dose formulations are complex for BCS II/IV (low solubility)Microdose IV generally below solubility limits
Operational setupRequires dedicated facilitiesCan piggy-back on existing clinical trials
Value for de-riskingAminal MB/MP studies required to de-riskEarly human data enables early MIST assessment

Process

How AMS enabled microtracer studies add value to your clinical development process 

Start with 
Phase 1 dosing

Standard Phase 1 studies establish initial human safety and tolerability. At this stage, a microtracer can be seamlessly added to the same cohort.

Unlock early 
ADME data

Using highly sensitive AMS detection, the microtracer enables collection of early human ADME data without altering the main study design.

Measure key parameters

Same-route dosing enables mass balance and metabolite profiling, while alternate-route dosing (IV vs oral) allows determination of absolute bioavailability — providing a clear view of drug disposition.

Decide earlier

Combining safety, PK, and ADME data in one study enables a more complete understanding of drug disposition — earlier in development — supporting faster and more informed decisions.

FDA and EMA guidances support early-stage human mass balance studies

FDA (United States)

FDA recommendation: “Usually, sponsors have conducted human in vivo metabolism studies relatively later in drug development, but we strongly recommend that sponsors conduct in vivo metabolic evaluation in humans as early as feasible.” 

EMA (Europe) 

EMA guideline: “The results of the mass-balance study should generally be available before starting phase III” 

Our track record in microtracer ADME studies

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investigational drug products analyzed 

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top-tier pharma companies have trusted us since 2012

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operational AMS systems allowing flexible planning

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peer-reviewed publications

View publications

What do others say about us

“I consider Peregrion as a great option for future mass balance studies, based on my experience with acoziborole, which received an EMA positive opinion for the treatment of sleeping sickness in February 2026. The mass balance study conducted with TNO, of which Peregrion is a spin off, was part of the package that was submitted to health authorities and very much helped in the discussion of the drug label with them.”

Jean-Yves Gillon PharmD, PhD

Head of Translational Sciences, Drugs for Neglected Diseases initiative (DNDi)

“Peregrion continues to impress with their science and collaborative approach. Bi-monthly meetings are very valuable to keep informed and on track. Peregrion met all study timelines. Quality data delivered on time.” Will you recommend Peregrion to other companies? “Definitely YES”.”

Anonymous

Sr Principal Scientist, Big Pharma

Meet the scientific and operational team leads

Wouter Vaes

Chief Science Officer (CSO)

Co-founder of Peregrion BV and founder of the earlier established TNO AMS laboratories. Wouter has a background in a analytical chemistry and holds a PhD in Toxicology. He has over 25 years experience in leading GxP, ISO17025 and ISO9001 accredited laboratories.

Rianne de Ligt

Chief Operating Officer (COO)

Rianne is a pharmacist from training (MSc) and holds a PhD in Medicinal Chemistry/Molecular Pharmacology. She has over 20 years of experience in project management of GxP studies, is IPMC-trained and has a green belt (LEAN Six Sigma).

Esther van Duijn

Senior Director/Principal Scientist

Esther has a background in analytical chemistry and holds a PhD in (native) mass spectrometry. She has more than 10 years of experience as a scientist in AMS. She drives technological advancements for existing and new applications and focusses on scientific growth, quality and teamwork.

Latest insights and events

June 2026

AMS Microtracer Studies in Early Drug Development: Wouter Vaes on the Clinical Pharmacology Podcast 

AMS microtracer studies let teams generate human ADME and mass balance data early in clinical development, while there is still time to…

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June 2026

Peregrion at ISSX Europe 2026

June 29 – July 2, 2026 | Basel ISSX Europe 2026ISSX Europe is the leading European meeting on xenobiotic metabolism…

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June 2026

Peregrion at EBF Open Symposium 2026

November 17-19, 2026 | Barcelona EBF Open Symposium 2026EBF Open is the European Bioanalysis Forum’s annual symposium for the European…

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Ready to accelerate your clinical development?

Tell us about your compound and development stage. Our scientists can assess if a microtracer study fits into your timeline and clinical program, no commitment required.  

Discuss Your Study Design