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gadoxetic acid disodium

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Description

gadolinium ethoxybenzyl DTPA: DTPA covalently linked to the lipoohilic ethoxybenzyl moiety; a contrast agent in MR imaging of hepatobiliary system [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID91754427
MeSH IDM0198898

Synonyms (9)

Synonym
gadolinium ethoxybenzyl dtpa
gadoxetate disodium
gd-(s)-eob-dtpa
gadoxetate disodium [usan]
BCP09445
gadoxetatedisodium
CS-0006192
HY-16219
DTXSID001027879

Research Excerpts

Toxicity

ExcerptReferenceRelevance
"Gd-EOB-DTPA is safe and efficient for MR imaging of the liver."( Phase I clinical evaluation of Gd-EOB-DTPA as a hepatobiliary MR contrast agent: safety, pharmacokinetics, and MR imaging.
Bollow, M; Frenzel, T; Hamm, B; Lange, L; Mühler, A; Staks, T; Taupitz, M; Weinmann, HJ; Wolf, KJ, 1995
)
0.29
" Changes in liver signal intensity, lesion-liver contrast-to-noise ration (C/N), detectable liver lesions, side effects, and adverse events were evaluated."( Phase II clinical evaluation of Gd-EOB-DTPA: dose, safety aspects, and pulse sequence.
Balzer, T; Berns, T; Daldrup, HE; Hesse, T; Peters, PE; Reimer, P; Rummeny, EJ; Shamsi, K; Tombach, B, 1996
)
0.29
"Gd-EOB-DTPA is an efficient, diagnostically useful, and safe contrast agent."( Phase II clinical evaluation of Gd-EOB-DTPA: dose, safety aspects, and pulse sequence.
Balzer, T; Berns, T; Daldrup, HE; Hesse, T; Peters, PE; Reimer, P; Rummeny, EJ; Shamsi, K; Tombach, B, 1996
)
0.29
" Adverse events were recorded, and patient monitoring and laboratory assay were performed at time of injection and up to 24 hours after contrast material administration."( Efficacy and safety of MR imaging with liver-specific contrast agent: U.S. multicenter phase III study.
Amendola, M; Balzer, T; Bluemke, DA; Breuer, J; Brown, JJ; Casalino, DD; Davis, PL; Francis, IR; Krinsky, G; Lee, FT; Lu, D; Paulson, EK; Sahani, D; Schwartz, LH; Shamsi, K; Siegelman, ES; Small, WC; Weber, TM; Welber, A, 2005
)
0.33
"Compared with precontrast MR imaging, postcontrast MR imaging with Gd-EOB-DTPA demonstrated improved sensitivity for lesion detection in the majority of blinded readers, with no substantial adverse events."( Efficacy and safety of MR imaging with liver-specific contrast agent: U.S. multicenter phase III study.
Amendola, M; Balzer, T; Bluemke, DA; Breuer, J; Brown, JJ; Casalino, DD; Davis, PL; Francis, IR; Krinsky, G; Lee, FT; Lu, D; Paulson, EK; Sahani, D; Schwartz, LH; Shamsi, K; Siegelman, ES; Small, WC; Weber, TM; Welber, A, 2005
)
0.33
" No serious adverse events occurred."( Safety and efficacy of a novel hepatobiliary MR contrast agent, Gd-DTPA-DeA: results of phase I and phase II clinical trials.
Gokan, T; Hirohashi, S; Kadoya, M; Kawamura, Y; Kuwatsuru, R; Tanimoto, A, 2006
)
0.33
" The no observed adverse effect levels after repeated administration markedly exceeds the single diagnostic dose in humans and no unexpected organ toxicity was observed."( Preclinical safety evaluation of Gd-EOB-DTPA (Primovist).
Döhr, O; Hofmeister, R; Schweinfurth, H; Treher, M, 2007
)
0.34
"Gd-EOB-DTPA was well tolerated with high safety margins between the single diagnostic dose and the doses showing adverse effects in animal studies."( Preclinical safety evaluation of Gd-EOB-DTPA (Primovist).
Döhr, O; Hofmeister, R; Schweinfurth, H; Treher, M, 2007
)
0.34
" Adverse events (AEs) were recorded and evaluated with regard to a potential drug relationship."( Safety of gadoxetate disodium: Results from the clinical phase II-III development program and postmarketing surveillance.
Balzer, T; Breuer, JA; Dohanish, S; Endrikat, JS, 2015
)
0.42
" The number of patients, the characteristics of adverse events, related adverse events, and serious adverse events were analyzed."( Safety of gadoxetate disodium: results from six clinical phase IV studies in 8194 patients.
Breuer, J; Dohanish, S; Endrikat, J; Kim, SY; Sakaguchi, T, 2016
)
0.43
" A comparison between elderly (≥65 years) versus adults (18-64 years) was performed with respect to the frequency of drug-related adverse events (AEs) in clinical phase II-III studies and adverse drug reactions (ADRs) in the pharmacovigilance database."( Safety profile of gadoxetate disodium in elderly patients (≥65 years).
Breuer, J; Dohannish, S; Endrikat, J; Schwenke, C; Vogtlaender, K, 2018
)
0.48
" Purpose To perform a systematic review and meta-analysis of gadoxetic acid adverse events, including immediate hypersensitivity reactions, NSF, and intracranial gadolinium retention."( Adverse Events to the Gadolinium-based Contrast Agent Gadoxetic Acid: Systematic Review and Meta-Analysis.
Davenport, MS; Maralani, PJ; Schieda, N; Tsampalieros, AK; van der Pol, CB; Walker, D; Woo, S, 2020
)
0.56

Pharmacokinetics

ExcerptReferenceRelevance
" Results of laboratory tests, clinical measurements, and pharmacokinetic data were obtained in 44 healthy volunteers in a double-blind, randomized, placebo-controlled design."( Phase I clinical evaluation of Gd-EOB-DTPA as a hepatobiliary MR contrast agent: safety, pharmacokinetics, and MR imaging.
Bollow, M; Frenzel, T; Hamm, B; Lange, L; Mühler, A; Staks, T; Taupitz, M; Weinmann, HJ; Wolf, KJ, 1995
)
0.29
" The pharmacokinetic behaviour in rats, dogs and monkeys could be well described by disposition of the compound in the central and peripheral compartment with elimination occurring from the central compartment, allowing for Michaelis-Menten kinetics for the extrarenal (biliary) route of elimination and linear kinetics for the renal route of elimination."( Nonlinear pharmacokinetic modeling of a gadolinium chelate used as a liver-specific contrast agent for magnetic resonance imaging.
Schuhmann-Giampieri, G, 1993
)
0.29
" Pharmacokinetic behavior was compared with the compute tomographic attenuation data in the liver parenchyma after the same doses in patients."( Pharmacokinetics of the liver-specific contrast agent Gd-EOB-DTPA in relation to contrast-enhanced liver imaging in humans.
Mahler, M; Maibauer, R; Röll, G; Schmitz, S; Schuhmann-Giampieri, G, 1997
)
0.3
"To compare the value of enhancement and pharmacokinetic parameters measured at dynamic gadoxetate-enhanced magnetic resonance (MR) imaging in determining hepatic organic anion transporter expression in control rats and rats with advanced liver fibrosis."( Advanced fibrosis: Correlation between pharmacokinetic parameters at dynamic gadoxetate-enhanced MR imaging and hepatocyte organic anion transporter expression in rat liver.
Daire, JL; Doblas, S; Fasseu, M; Giraudeau, C; Lagadec, M; Lambert, SA; Moreau, R; Paradis, V; Pastor, CM; Ronot, M; Van Beers, BE; Vilgrain, V, 2015
)
0.42
" Enhancement parameters (maximum enhancement [Emax], time to peak [Tmax], and elimination half-life) were measured on enhancement-versus-time curves, and pharmacokinetic parameters (hepatic extraction fraction [HEF] and mean residence time [MRT]) were obtained by means of deconvolution analysis of the concentration-versus-time curves in the liver and the portal vein."( Advanced fibrosis: Correlation between pharmacokinetic parameters at dynamic gadoxetate-enhanced MR imaging and hepatocyte organic anion transporter expression in rat liver.
Daire, JL; Doblas, S; Fasseu, M; Giraudeau, C; Lagadec, M; Lambert, SA; Moreau, R; Paradis, V; Pastor, CM; Ronot, M; Van Beers, BE; Vilgrain, V, 2015
)
0.42
"In rats with advanced liver fibrosis, the Emax, Tmax, HEF, and MRT decreased significantly relative to those in control rats, whereas the elimination half-life increased significantly."( Advanced fibrosis: Correlation between pharmacokinetic parameters at dynamic gadoxetate-enhanced MR imaging and hepatocyte organic anion transporter expression in rat liver.
Daire, JL; Doblas, S; Fasseu, M; Giraudeau, C; Lagadec, M; Lambert, SA; Moreau, R; Paradis, V; Pastor, CM; Ronot, M; Van Beers, BE; Vilgrain, V, 2015
)
0.42
"The pharmacokinetic parameter HEF at dynamic gadoxetate-enhanced MR imaging is independently correlated with hepatic organic anion transporter expression."( Advanced fibrosis: Correlation between pharmacokinetic parameters at dynamic gadoxetate-enhanced MR imaging and hepatocyte organic anion transporter expression in rat liver.
Daire, JL; Doblas, S; Fasseu, M; Giraudeau, C; Lagadec, M; Lambert, SA; Moreau, R; Paradis, V; Pastor, CM; Ronot, M; Van Beers, BE; Vilgrain, V, 2015
)
0.42
"To determine whether pharmacokinetic modeling parameters with different output assumptions of dynamic contrast-enhanced MRI (DCE-MRI) using Gd-EOB-DTPA correlate with serum-based liver function tests, and compare the goodness of fit of the different output assumptions."( Hepatic function imaging using dynamic Gd-EOB-DTPA enhanced MRI and pharmacokinetic modeling.
Chen, H; Ning, J; Sun, Y; Xie, S; Yang, Z; Yuan, C, 2017
)
0.46
"To determine whether the pharmacokinetic parameters of Gd-EOB-DTPA can identify the difference in liver function in a rat hepatectomy model."( Assessment of Liver Function Using Pharmacokinetic Parameters of Gd-EOB-DTPA: Experimental Study in Rat Hepatectomy Model.
Byun, JH; Hwang, DW; Kim, HJ; Kim, KW; Kim, SY; Lee, YJ; Lim, HS; You, MW, 2018
)
0.48
" However, accurate pharmacokinetic modeling in the liver is challenging since it has two vascular inputs and it is subject to large deformation and displacement due to respiration."( A pharmacokinetic model including arrival time for two inputs and compensating for varying applied flip-angle in dynamic gadoxetic acid-enhanced MR imaging.
Cieslak, KP; Lavini, C; Runge, JH; Stoker, J; van Gulik, T; van Vliet, LJ; Vos, FM; Zhang, T, 2019
)
0.51
"Our work primarily targeted to improve pharmacokinetic modeling for DCE-MRI of the liver."( A pharmacokinetic model including arrival time for two inputs and compensating for varying applied flip-angle in dynamic gadoxetic acid-enhanced MR imaging.
Cieslak, KP; Lavini, C; Runge, JH; Stoker, J; van Gulik, T; van Vliet, LJ; Vos, FM; Zhang, T, 2019
)
0.51
" Pharmacokinetic parameters were compared between the two isomers and between Child-Pugh classifications using student's t test."( Dual Plasma Sampling Method to Determine the Hepatic and Renal Clearance of the 2 Diastereoisomers of Gd-EOB-DTPA.
Ao, G; Cai, Y; Chen, M; Chen, Y; Peng, Y; Shi, W; Wang, S; Yuan, X, 2020
)
0.56
" Using a minimal physiological-based pharmacokinetic (PBPK) model, it has been shown for the first time, that the rapid initial decline of plasma concentration after intravenous injection is the result of an uptake into hepatocytes rather than of a distribution into the extravascular extracellular space."( Unusual Distribution Kinetics of Gadoxetate in Healthy Human Subjects Genotyped for OATP1B1: Application of Population Analysis and a Minimal Physiological-Based Pharmacokinetic Model.
Siegmund, W; Weiss, M, 2021
)
0.62
"Physiologically based pharmacokinetic (PBPK) models are increasingly used in drug development to simulate changes in both systemic and tissue exposures that arise as a result of changes in enzyme and/or transporter activity."( Physiologically Based Pharmacokinetic Modeling of Transporter-Mediated Hepatic Disposition of Imaging Biomarker Gadoxetate in Rats.
Darwich, AS; Galetin, A; Melillo, N; Ogungbenro, K; Schütz, G; Scotcher, D; Sourbron, S; Tadimalla, S; Ziemian, S, 2021
)
0.62

Compound-Compound Interactions

ExcerptReferenceRelevance
"To investigate whether the malignancy of atypical nodules in cirrhosis can be identified at gadoxetic-acid-disodium(Gd-EOB-DTPA)-MRI by their hypointensity in the hepatobiliary(HB)-phase alone or combined with any other MR imaging features."( Which is the best MRI marker of malignancy for atypical cirrhotic nodules: hypointensity in hepatobiliary phase alone or combined with other features? Classification after Gd-EOB-DTPA administration.
Corcioni, B; Dettori, E; Dormi, A; Golfieri, R; Grazioli, L; Lucidi, V; Orlando, E; Renzulli, M; Romanini, L, 2012
)
0.38
" Per-nodule sensitivity, specificity, negative and positive predictive values (NPV/PPV), and diagnostic accuracy were calculated for HB-phase hypointensity alone, and combined with vascular patterns and T2w hyperintensity."( Which is the best MRI marker of malignancy for atypical cirrhotic nodules: hypointensity in hepatobiliary phase alone or combined with other features? Classification after Gd-EOB-DTPA administration.
Corcioni, B; Dettori, E; Dormi, A; Golfieri, R; Grazioli, L; Lucidi, V; Orlando, E; Renzulli, M; Romanini, L, 2012
)
0.38
"Gadoxetic acid-enhanced magnetic resonance imaging (MRI) in combination with diffusion-weighted MRI (Gd-EOB-MRI/DWI) has become popular for evaluating colorectal liver metastases (CRLM)."( Feasibility of Routine Application of Gadoxetic Acid-Enhanced MRI in Combination with Diffusion-Weighted MRI for the Preoperative Evaluation of Colorectal Liver Metastases.
Esaki, M; Hiraoka, N; Kishi, Y; Miyake, M; Nagino, M; Nara, S; Shimada, K; Tanaka, M, 2016
)
0.43
" This paper aims to evaluate the use of Gd-EOB-DTPA-Enhanced Magnetic Resonance Imaging combined with T1 mapping for the diagnosis of HCC and assessing its degree of differentiation."( Gd-EOB-DTPA-enhanced magnetic resonance imaging combined with T1 mapping predicts the degree of differentiation in hepatocellular carcinoma.
Cai, H; Chan, T; Dong, Z; Feng, ST; Jiang, M; Li, ZP; Luo, Y; Peng, Z, 2016
)
0.43
" The efficacy of the proposed technique was assessed for its ability to provide quantitative insights into drug-drug interactions (DDIs), using rifampicin as inhibitor."( Modeling Gadoxetate Liver Uptake and Efflux Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging Enables Preclinical Quantification of Transporter Drug-Drug Interactions.
Blé, FX; Georgiou, L; Hubbard Cristinacce, PL; Naish, JH; Nicholls, G; Penny, J; Woodhouse, N, 2018
)
0.48

Bioavailability

ExcerptReferenceRelevance
" In the Mrp2-deficient rats, oral bioavailability increased to approximately 21% and Gd-EOB-DTPA was exclusively excreted into urine."( Characterization of the intestinal and hepatic uptake/efflux transport of the magnetic resonance imaging contrast agent gadolinium-ethoxylbenzyl-diethylenetriamine-pentaacetic acid.
Hosten, N; Jedlitschky, G; Jia, J; Keiser, M; Kühn, JP; Oswald, S; Puls, D; Siegmund, W; Weitschies, W, 2014
)
0.4
" The logarithms of the absorption rate constants (logKa values) and of the elimination rate constants (logKe values) were calculated for each experimental condition, and between-group differences were compared using Student's t-test."( The inhibitory effect of gadoxetate disodium on hepatic transporters: a study using indocyanine green.
Abe, O; Akai, H; Inoue, Y; Kiryu, S; Kunimatsu, A; Nojima, M; Ohtomo, K; Yasaka, K, 2018
)
0.48

Dosage Studied

ExcerptRelevanceReference
" The dosage for hyperintense visualization of intrahepatic bile ducts is 10 micromol/kg."( Gadolinium-ethoxybenzyl-DTPA as a hepatobiliary contrast agent for use in MR cholangiography: results of an in vivo phase-I clinical evaluation.
Bollow, M; Hamm, B; Staks, T; Taupitz, M; Weinmann, HJ; Wolf, KJ, 1997
)
0.3
"At the dosage used in this study, Gd-BOPTA yields higher maximum enhancement of the hepatic artery, portal vein, and middle hepatic vein during the arterial and the portal venous phase and during the delayed phases than Gd-EOB-DTPA does, whereas there is no difference in liver parenchymal enhancement between the two contrast agents."( Liver vessel enhancement by Gd-BOPTA and Gd-EOB-DTPA: a comparison in healthy volunteers.
Albiin, N; Brismar, TB; Dahlstrom, N; Edsborg, N; Persson, A; Smedby, O, 2009
)
0.35
" MR imaging was performed before dosing and at preset times after dose administration to determine enhancement relative to predose signal intensity values."( Pharmacokinetics and imaging properties of Gd-EOB-DTPA in patients with hepatic and renal impairment.
Breuer, J; Ebert, W; Gschwend, S; Schultze-Mosgau, M, 2011
)
0.37
" After the oral administration to the wild-type animals, Gd-EOB-DTPA was considerably absorbed from the small intestine (bioavailability, approximately 17%) and predominately eliminated via feces after intravenous dosing (approximately 96%)."( Characterization of the intestinal and hepatic uptake/efflux transport of the magnetic resonance imaging contrast agent gadolinium-ethoxylbenzyl-diethylenetriamine-pentaacetic acid.
Hosten, N; Jedlitschky, G; Jia, J; Keiser, M; Kühn, JP; Oswald, S; Puls, D; Siegmund, W; Weitschies, W, 2014
)
0.4
" The aim of this study was to determine the optimal dosage of Gd-EOB-DTPA for contrast-enhanced magnetic resonance cholangiography (ce-MRC) with reference to contrast-enhanced CT cholangiography (ce-CTC)."( Bile duct evaluation of potential living liver donors with Gd-EOB-DTPA enhanced MR cholangiography: Single-dose, double dose or half-dose contrast enhanced imaging.
Forsting, M; Kinner, S; Maderwald, S; Radtke, A; Schroeder, T; Sotiropoulos, G; Steinweg, V, 2014
)
0.4
"Ce-MRC is at any dosage inferior to ce-CTC."( Bile duct evaluation of potential living liver donors with Gd-EOB-DTPA enhanced MR cholangiography: Single-dose, double dose or half-dose contrast enhanced imaging.
Forsting, M; Kinner, S; Maderwald, S; Radtke, A; Schroeder, T; Sotiropoulos, G; Steinweg, V, 2014
)
0.4
"To determine if amiodarone induces hepatic phospholipidosis (PLD) sufficient to detect changes in hepatobiliary transporter function as assessed by gadoxetate dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), rats were orally dosed with vehicle (1% methyl cellulose) or amiodarone (300 mg/kg/day) for 7 consecutive days."( Hepatic Phospholipidosis Is Associated with Altered Hepatobiliary Function as Assessed by Gadoxetate Dynamic Contrast-enhanced Magnetic Resonance Imaging.
Goulbourne, CN; Jucker, BM; Lenhard, SC; Lev, M; Miller, RT; Peterson, RA; Webster, LO, 2016
)
0.43
" Plasma trough concentrations, and concentrations at 2, 4, and 6 h after dosing were determined 7 d after the start of treatment."( Gadoxetic acid-enhanced magnetic resonance imaging to predict paritaprevir-induced hyperbilirubinemia during treatment of hepatitis C.
Ando, H; Fukada, H; Ikejima, K; Miyazaki, A; Morishige, J; Nakadera, E; Okubo, H; Sorin, Y, 2018
)
0.48
" Finally, we illustrated how such a framework could be useful for drug dosage selection, and how it potentially can be applied in personalized treatments designed to avoid DILI."( Mathematical models for biomarker calculation of drug-induced liver injury in humans and experimental models based on gadoxetate enhanced magnetic resonance imaging.
Cedersund, G; Dahlström, N; Karlsson, M; Lundberg, P; Simonsson, C, 2023
)
0.91
" A logistic dose-response model was used to estimate the fraction of liver functional loss, and NTCP was estimated using the cumulative functional reserve model for changes in Child-Pugh (C-P) scores."( Deep learning prediction of post-SBRT liver function changes and NTCP modeling in hepatocellular carcinoma based on DGAE-MRI.
Aryal, MP; Cao, Y; Cuneo, K; Lawrence, TS; Matuszak, M; Naqa, IE; Ten Haken, RK; Wei, L, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,597)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's45 (2.82)18.2507
2000's71 (4.45)29.6817
2010's1096 (68.63)24.3611
2020's385 (24.11)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials95 (5.52%)5.53%
Reviews134 (7.79%)6.00%
Case Studies83 (4.83%)4.05%
Observational26 (1.51%)0.25%
Other1,382 (80.35%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]