SAFETY OF GADOTERIDOL INJECTION - US CLINICAL-TRIAL EXPERIENCE

被引:21
作者
OLUKOTUN, AY [1 ]
PARKER, JR [1 ]
MEEKS, MJ [1 ]
LUCAS, MA [1 ]
FOWLER, DR [1 ]
LUCAS, TR [1 ]
机构
[1] BRACCO DIAGNOST INC,DEPT MED & SCI AFFAIRS,PLAINSBORO,NJ 08543
来源
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING | 1995年 / 5卷 / 01期
关键词
CONTRAST ENHANCEMENT; CONTRAST MEDIA; COMPLICATIONS; TOXICITY; GADOLINIUM; SAFETY;
D O I
10.1002/jmri.1880050106
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
As part of the clinical evaluation of gadoteridol injection, intravenous doses ranging from 0.05 to 0.3 mmol/kg were administered to 1,709 patients and volunteers. Safety monitoring included pre- and postdose physical examinations, vital signs, and clinical laboratory values, Adverse event recording included occurrence, duration, severity, relationship to injection, and clinical importance. No clinically important changes in physical examination results, electrocardiograms, or vital signs were attributed to gadoteridol injection except for one case of hypotension, Four clinically important changes in laboratory values possibly or definitely related to the contrast agent were noted in two patients (0.1%), Adverse events were recorded in 118 subjects (6.9%), including nausea in 24 subjects (1.4%) and taste perversion in 22 subjects (1.3%), All other adverse events occurred with a frequency of less than 1%, Adverse events related to contrast agent administration occurred in 79 subjects (4.6%), Gadoteridol injection demonstrated excellent clinical safety and patient tolerance at various doses and injection rates.
引用
收藏
页码:17 / 25
页数:9
相关论文
共 32 条
[1]  
Tweedle MF, Physicochemical properties of gadoteridol and other magnetic resonance contrast agents, Invest Radiol, 27, (1992)
[2]  
McLachlan SJ, Eaton S, De Simone DN, Pharmacokinetic behavior of gadoteridol injection, Invest Radiol, 27, (1992)
[3]  
Carr JJ, Magnetic resonance contrast agents for neuroimaging: safety issues, Neuroimaging Clin N Am, 4, pp. 43-54, (1994)
[4]  
Niendorf HP, Laniado M, Semmler W, Schorner W, Felix R, Dose administration of gadolinium‐DTPA in MR imaging of intracranial tumors, AJNR, 8, pp. 803-815, (1987)
[5]  
Yuh WTC, Fisher DJ, Engelken JD, Et al., MR evaluation of CNS tumors: dose comparison study with gadopentetate dimeglumine and gadoteridol, Radiology, 180, pp. 485-491, (1991)
[6]  
Runge VM, Gelblum DY, Pacetti ML, Carolan F, Heard G, Gd‐HP‐DO3A in clinical MR imaging of the brain, Radiology, 177, pp. 393-400, (1990)
[7]  
Davis PC, Gokhale KA, Joseph GJ, Et al., Pituitary adenoma: correlation of half‐dose gadolinium‐enhanced MR imaging with surgical findings in 26 patients, Radiology, 180, pp. 779-784, (1991)
[8]  
Glacometti AR, Joseph GJ, Peterson JE, Davis PC, Comparison of full‐ and half‐dose gadolinium DTPA: MR imaging of the normal sella, AJNR, 14, pp. 123-127, (1993)
[9]  
Yuh WTC, Engelken JD, Muhonen MG, Mayr NA, Fisher DJ, Experience with high‐dose gadolinium MR imaging in the evaluatlon of brain metastases, AJNR, 13, pp. 335-345, (1992)
[10]  
Runge VM, Bradley WG, Brant-Zawadzki MN, Et al., Clinical safety and efficacy of gadoteridol: a study in 411 patients with suspected intracranial and spinal disease, Radiology, 181, pp. 701-709, (1991)