scholarly journals Safety of gadoxetate disodium: Results from the clinical phase II–III development program and postmarketing surveillance

2015 ◽  
Vol 42 (3) ◽  
pp. 634-643 ◽  
Author(s):  
Jan S. Endrikat ◽  
Susan Dohanish ◽  
Thomas Balzer ◽  
Josy A.M. Breuer
2017 ◽  
Vol 59 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Jan Endrikat ◽  
Carsten Schwenke ◽  
Kai Vogtlaender ◽  
Susan Dohannish ◽  
Josy Breuer

Background Safety data on routine clinical use of gadoxetate disodium in elderly patients is not reported yet. Purpose To assess the safety of liver specific gadoxetate disodium in contrast enhanced magnetic resonance imaging in elderly patients (≥65 years) in comparison to adults (18–64 years). Material and Methods Safety data on gadoxetate disodium were analyzed from 12 clinical phase II–III studies and from our pharmacovigilance database. 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. Results In clinical studies, 1989 patients were enrolled: 675 elderly and 1314 adults. Twenty-three elderly patients (3.4%) suffered at least one drug-related AE in contrast to 58 patients (4.4%) in the group of adults (odds ratio = 0.76; 95% confidence interval = 0.45–1.27). Since marketing authorization in 2004, more than 3.5 million patients have been exposed to gadoxetate disodium worldwide: 1.7 million (48.6%) in elderly and 1.8 million (51.4%) in adults. The number of patients with post-marketing ADRs (total n = 793) was 354 (0.021%) in the elderly group and 439 (0.024%) in the adult group. Thus, there were significantly fewer patients with ADRs reported in the group of elderly versus adults ( P = 0.028). Hypersensitivity/immune system disorders, gastrointestinal disorders, and respiratory disorders were the most frequent ADRs in both groups, elderly and adults. Conclusion The incidence of drug-related AEs in clinical studies was similar and that of patients with ADRs in the post-marketing setting was lower in elderly (≥65 years) compared with younger adults aged 18–64 years. Overall, gadoxetate disodium shows a favorable safety profile in both age groups.


Ophthalmology ◽  
2019 ◽  
Vol 126 (6) ◽  
pp. 792-800 ◽  
Author(s):  
David L. Wirta ◽  
Gail L. Torkildsen ◽  
Helen R. Moreira ◽  
John D. Lonsdale ◽  
Joseph B. Ciolino ◽  
...  

Oncology ◽  
2006 ◽  
Vol 70 (5) ◽  
pp. 330-338 ◽  
Author(s):  
Ali I. Shamseddine ◽  
Zaher K. Otrock ◽  
Mohamad J. Khalifeh ◽  
Hanan R. Yassine ◽  
Maya Charafeddine ◽  
...  

1984 ◽  
Vol 107 (1) ◽  
pp. 38-41 ◽  
Author(s):  
J. Sch�tte ◽  
N. Niederle ◽  
B. Grunenberg ◽  
W. Krischke ◽  
S. Seeber ◽  
...  

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216525 ◽  
Author(s):  
Yoshinari Morimoto ◽  
Tomoko Kinugawa ◽  
Megumi Hayashi ◽  
Takatoshi Iida ◽  
Tatsuo Yamamoto

2020 ◽  
Vol 14 (5) ◽  
pp. 551-563
Author(s):  
Masafumi Endo ◽  
Mitsuyoshi Tanishima ◽  
Kayo Ibaragi ◽  
Kenshi Hayashida ◽  
Tadashi Fukuda ◽  
...  

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