Clinical Trials

Numerous clinical trials evaluate iohexol as an exogenous filtration marker to assess renal function across Phase 1 through Phase 4 studies, including early Phase 1 protocols. Sponsored by academic medical centers, government organizations, and pharmaceutical entities such as Eli Lilly and Mayo Clinic, these protocols range from completed to actively recruiting. They examine plasma clearance in conditions including type 2 diabetes, chronic kidney disease, acute decompensated heart failure, HIV, and kidney transplantation, underscoring iohexol's essential role in quantifying precise glomerular filtration rates across nephrology, cardiology, and metabolic disease research.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07246265 RECRUITING
Sickle Cell Disease; Glomerular Hyperfiltration; Sickle Cell Nephropathy; Vaso-Occlusive Crises; Acute Chest Syndrome
University Hospital, Tours
2026-03-05
NCT07643467 NOT_YET_RECRUITING
Augmented Renal Clearance; Critical Illness
Aaron Cook
2026-09 PHASE4
NCT03997370 ACTIVE_NOT_RECRUITING
Malignant Solid Neoplasm
NRG Oncology
2020-01-15 PHASE1
NCT07042698 NOT_YET_RECRUITING
Kidney Diseases; Tomography; X-Ray Computed
Assistance Publique - Hôpitaux de Paris
2025-07-15
NCT05065372 RECRUITING
Type 1 Diabetes; Diabetic Kidney Disease; Cardiovascular Diseases; Endothelial Dysfunction; Insulin Sensitivity
Kalie Tommerdahl
2022-07-01 PHASE1
NCT07339722 RECRUITING
Healthy
Eli Lilly and Company
2026-01-15 PHASE1
NCT07174440 RECRUITING
Pain
University Hospitals Cleveland Medical Center
2025-09-15
NCT07349797 RECRUITING
Glomerular Filtration Rate; Heart Failure
MediBeacon
2026-08-10
NCT04126824 ACTIVE_NOT_RECRUITING
Uterine Fibroids; Adenomyosis
University of California, Los Angeles
2022-01-06 EARLY_PHASE1
NCT06709521 COMPLETED
Bacterial Infection
National Institute of Allergy and Infectious Diseases (NIAID)
2025-02-12 PHASE4
NCT05754749 TERMINATED
Breast Cancer
UNC Lineberger Comprehensive Cancer Center
2023-03-13 EARLY_PHASE1
NCT04776486 COMPLETED
Augmented Renal Clearance; Critically Ill
Assistance Publique - Hôpitaux de Paris
2020-09-03
NCT06820320 COMPLETED
Chylous Ascites; Abdominal Neoplasm; Pelvic Neoplasms; Retroperitoneal Lymph Node Metastasis; Retroperitoneal Lymphadenectomy; Extended Lymphadenectomy
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2025-02-15 PHASE2
NCT06259422 UNKNOWN
Kidney Function Issue; Diagnosis; Chronic Kidney Diseases
University Medical Center Groningen
2024-06-01
NCT04649229 COMPLETED
Heart Failure
Yale University
2021-05-27 PHASE4
NCT04113109 COMPLETED
Heart Failure
Vanderbilt University Medical Center
2019-11-01 PHASE4
NCT05136963 UNKNOWN
Kidney Function Test
Centre Hospitalier Universitaire de Saint Etienne
2024-06 PHASE1
NCT06238310 UNKNOWN
Acute Kidney Injury; Chronic Kidney Insufficiency
Katalin Kiss
2023-08-01
NCT05967117 UNKNOWN
Pulmonary Disease
Jung Im Jung
2023-11-24 PHASE4
NCT03620773 COMPLETED
Type 2 Diabetes Mellitus; Obesity; Bariatric Surgery Candidate; Nephropathy; Diabetic Kidney Disease; Diabetes Mellitus, Type 2; Diabetes Mellitus; Diabetes Complications; Weight Loss; Diabetic Nephropathies; Adolescent Obesity; Pediatric Obesity
University of Colorado, Denver
2018-10-01 PHASE1; PHASE2
NCT05672134 COMPLETED
Heart Failure With Preserved Ejection Fraction
Amsterdam UMC, location VUmc
2023-04-26 PHASE2
NCT03631771 WITHDRAWN
Hypothyroidism
GE Healthcare
2022-03 PHASE4
NCT05136963 Not yet recruiting
Kidney Function Test
Centre Hospitalier Universitaire de Saint Etienne
2024-06 Phase 1
NCT06244758 Recruiting
Type2diabetes
University of Erlangen-Nürnberg Medical School|Bayer
2024-01-18 Phase 3
NCT06110299 UNKNOWN
Ureteral Obstruction
Assiut University
2023-10-29
NCT06036914 Enrolling by invitation
Heart Failure; With Decompensation
Mayo Clinic
2023-11-27 Phase 2
NCT05105009 COMPLETED
Chronic Kidney Failure
Instituto Nacional de Cardiologia Ignacio Chavez
2020-03-03 PHASE1
NCT03584217 ACTIVE_NOT_RECRUITING
Type 2 Diabetes Mellitus; Obesity; Nephropathy; Adolescent Obesity
University of Colorado, Denver
2018-10-01 PHASE1; PHASE2
NCT02276066 COMPLETED
Sepsis
University of Florida
2015-02
NCT05065073 COMPLETED
Coronary Artery Disease; Contrast Media Reaction
Minneapolis Heart Institute Foundation
2021-09-30 PHASE4
NCT04627831 WITHDRAWN
Contrast-induced Nephropathy
Ligand Pharmaceuticals
2022-01 PHASE2
NCT05536804 Recruiting
Overweight|Obesity|Chronic Kidney Disease|Type 2 Diabetes|T2D
Eli Lilly and Company
2023-02-08 Phase 2
NCT05615467 COMPLETED
Healthy
Eli Lilly and Company
2022-11-15 PHASE1
NCT05580250 WITHDRAWN
Healthy
Eli Lilly and Company
2022-11-22 PHASE1
NCT02961478 COMPLETED
Acute Renal Failure
University Hospital, Angers
2017-02-10 PHASE3
NCT04742816 COMPLETED
Transgender; Renal Function; Hormone Replacement Therapy
University of California, San Diego
2020-09-17 PHASE4
NCT02772276 COMPLETED
Acute Kidney Injury
MediBeacon
2016-05-11 PHASE2
NCT05179564 COMPLETED
Iohexol; Pharmacokinetics; Renal Function; Critically Ill Children; Acute Kidney Injury; Augmented Renal Clearance
University Hospital, Ghent
2018-05-20
NCT04008992 COMPLETED
Healthy Participants
Bristol-Myers Squibb
2019-06-18 PHASE1
NCT03912012 COMPLETED
Diabetes Mellitus, Type 1; Type1diabetes
Hospices Civils de Lyon
2019-07-09
NCT04156750 COMPLETED
Healthy
Eli Lilly and Company
2019-11-20 PHASE1
NCT03618420 COMPLETED
Diabetes Mellitus, Type 1; Nephropathy; Diabetic Nephropathies; Juvenile Diabetes; Diabetes Mellitus Complication; Autoimmune Diabetes; Type 1 Diabetes Mellitus
University of Colorado, Denver
2018-10-01 PHASE1; PHASE2
NCT03769597 COMPLETED
Cirrhosis Renal
University Hospital, Limoges
2019-01-02 PHASE4
NCT03869983 COMPLETED
Contrast-induced Nephropathy; Coronary Angiography
CyDex Pharmaceuticals, Inc.
2019-04-12
NCT03826602 COMPLETED
Drug-drug Interaction
Seagen Inc.
2019-02-12 PHASE1
NCT02133599 COMPLETED
ALL
Ann & Robert H Lurie Children's Hospital of Chicago
2014-07-24
NCT03545087 WITHDRAWN
Renal Insufficiency
Eli Lilly and Company
2018-06 PHASE1
NCT03415997 COMPLETED
Contrast Media Dosing
Nova Scotia Health Authority
2018-02-21 PHASE4
NCT01188486 TERMINATED
Lung Cancer; Lung Cancer Non-Small Cell Cancer (NSCLC); Lung Cancer Small Cell Lung Cancer (SCLC); Mesothelioma
Stanford University
2010-08
NCT02884089 COMPLETED
Healthy
Eli Lilly and Company
2016-08 PHASE1
NCT01839526 TERMINATED
Fabry Disease
Genzyme, a Sanofi Company
2013-05 PHASE1
NCT02050269 COMPLETED
Acute Circulatory Failure
University Hospital, Tours
2014-01 PHASE3
NCT02246998 COMPLETED
HIV-1 Infection
Gilead Sciences
2014-12-15 PHASE4
NCT02202512 COMPLETED
Healthy
Boehringer Ingelheim
2014-09 PHASE1
NCT01978314 COMPLETED
Chronic Kidney Disease; Acute Kidney Injury
FAST BioMedical
2013-08
NCT02098187 COMPLETED
Glomerular Filtration Rate; Acute Kidney Injury
MediBeacon
2014-03 PHASE1
NCT02420041 COMPLETED
Sacroiliitis
United States Naval Medical Center, San Diego
2012-10
NCT02098174 COMPLETED
Glomerular Filtration Rate; Acute Kidney Injury
MediBeacon
2013-11 PHASE1
NCT02522338 COMPLETED
HIV
Centre Hospitalier Universitaire de Saint Etienne
2011-02 PHASE4
NCT01790139 COMPLETED
Colorectal Neoplasms
Asan Medical Center
2013-02
NCT01214993 COMPLETED
Infections, Human Immunodeficiency Virus and Tuberculosis
ViiV Healthcare
2010-10 PHASE1
NCT01392313 WITHDRAWN
Carnitine Ingestion
Montefiore Medical Center
2010-05

(data from https://clinicaltrials.gov, updated on 2026-03-10)

Check the Iohexol product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a non-ionic, low-osmolality iodinated radiographic contrast agent, iohexol undergoes complete glomerular filtration at the renal nephron without experiencing significant tubular reabsorption or secretion. Consequently, its elimination kinetics directly reflect true physiological clearance, enabling accurate quantitative measurement of glomerular filtration rate in clinical trials assessing kidney function, chronic kidney disease, and decompensated heart failure.

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>).

Note: Technical data last updated: Sep 1, 2026.