Clinical Trials
Gadoteridol has been evaluated across multiple clinical trials spanning early-stage through post-marketing phases to assess magnetic resonance imaging contrast enhancement for central nervous system, non-central nervous system, and metastatic conditions. Sponsored by major industry entities and academic institutions, several clinical trials investigate both diagnostic efficacy and safety parameters, such as post-administration motor and cognitive functions. These research efforts encompass diverse recruitment statuses, including both completed and actively recruiting protocols.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04373564 | RECRUITING | Motor Function; Cognitive Function; Contrast Media |
Guerbet |
2021-03-24 | PHASE4 |
| NCT04248543 | COMPLETED | Spinal Metastases |
Duke University |
2020-12-22 | |
| NCT05915728 | COMPLETED | Contrast Enhancement in Magnetic Resonance Imaging; Non-central Nervous System Pathology |
Bayer |
2023-07-24 | PHASE3 |
| NCT05915702 | COMPLETED | Contrast Enhancement in Magnetic Resonance Imaging; Central Nervous System Pathology |
Bayer |
2023-07-24 | PHASE3 |
| NCT05357833 | COMPLETED | Secondary Progressive Multiple Sclerosis; Multiple Sclerosis, Secondary Progressive; Multiple Sclerosis |
University of Utah |
2022-06-01 | EARLY_PHASE1 |
| NCT04608812 | TERMINATED | Glioma, Malignant; High Grade Glioma; Glioblastoma; Glioblastoma Multiforme; Anaplastic Astrocytoma |
OncoSynergy, Inc. |
2021-03-02 | PHASE1 |
| NCT02359097 | COMPLETED | Glioblastoma |
OHSU Knight Cancer Institute |
2015-01-06 | |
| NCT02481882 | UNKNOWN | Multiple Sclerosis |
University of Nottingham |
2017-01 | |
| NCT03750188 | Completed | Central Nervous System Diseases|Central Nervous System Neoplasms |
Bracco Diagnostics Inc |
2018-11-01 | -- |
| NCT01613417 | COMPLETED | Brain Disease |
Bracco Diagnostics, Inc |
2012-08 | PHASE4 |
| NCT00709852 | COMPLETED | Diagnostic Imaging; Central Nervous System Diseases |
Bayer |
2008-06 | PHASE3 |
| NCT00522951 | COMPLETED | Brain Metastases |
Bayer |
2007-08 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2026-01-22)
Compliance for Clinical Use
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).