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Last Updated: December 12, 2025

Drugs in ATC Class V08AB


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Drugs in ATC Class: V08AB - Watersoluble, nephrotropic, low osmolar X-ray contrast media

Market Dynamics and Patent Landscape for ATC Class V08AB - Watersoluble, Nephrotropic, Low Osmolar X-ray Contrast Media

Last updated: July 29, 2025

Introduction

The global market for watersoluble, nephrotropic, low osmolar X-ray contrast media within the Anatomical Therapeutic Chemical (ATC) classification V08AB is experiencing significant evolution driven by technological innovations, rising diagnostic imaging needs, and increasingly stringent safety regulations. This class primarily encompasses contrast agents designed to enhance imaging of renal structures with minimized systemic osmotic effects, thus reducing nephrotoxicity risk. Understanding the complex market forces and the patent landscape surrounding these agents is critical for stakeholders including pharmaceutical companies, investors, and healthcare providers.


Market Overview

The ATC class V08AB comprises contrast agents formulated to be water-soluble, nephrotropic (targeted towards renal tissues), and characterized by low osmolarity, aiming to optimize safety and efficacy in renal imaging. The demand for these media correlates closely with the growth of diagnostic imaging modalities like computed tomography (CT) and fluoroscopy, with an increasing emphasis on kidney-specific imaging.

Market Size and Growth Trajectory

According to recent industry reports, the global contrast media market was valued at approximately $4.45 billion in 2021 and is projected to reach $6.2 billion by 2030, growing at a CAGR of 4.2% [1]. The low osmolar, nephrotropic subgroup, such as iohexol and ioversol, constitutes a significant share, driven by its safety profile compared to high osmolar contrast media (HOCM).

Key Market Drivers

  • Rising Incidence of Renal Diseases: The increasing prevalence of chronic kidney disease (CKD) and diabetic nephropathy fuels demand for renal imaging agents [2].
  • Advancements in Imaging Technology: The proliferation of high-resolution CT scanners demands compatible contrast agents that optimize image clarity while minimizing nephrotoxicity.
  • Safety Profile of Low Osmolar Agents: Regulatory agencies favor low osmolar contrast media (LOCM) due to their reduced side effects, prompting widespread adoption.
  • Growing Preference in Pediatric and Geriatric Populations: These populations exhibit heightened sensitivity to contrast media, further supporting the shift toward nephrotropic, low osmolar agents [3].

Regional Market Insights

North America holds the dominant market share, attributed to advanced healthcare infrastructure and early adoption of innovative contrast agents. Europe follows, with Asia-Pacific poised for rapid growth, fueled by expanding healthcare access, increased diagnostic procedures, and growing awareness about contrast agent safety [4].


Competitive Landscape

Major players in the watersoluble, nephrotropic, low osmolar contrast media market include:

  • Bayer AG: Known for iohexol (Omnipaque), a leading low osmolar, water-soluble contrast agent with extensive global presence.
  • GE Healthcare: Offers ioversol-based agents, emphasizing safety and imaging clarity.
  • Bracco Imaging: Manufactures iopamidol and iopromide, with focus on renal compatibility.
  • Guerbet: Provides various low osmolar contrast media like iobitridol (Xenetix).

Emerging players are innovating with tailored formulations, slow-release delivery systems, and improved nephrotropic targeting to differentiate in this competitive arena.


Patent Landscape Analysis

The patent environment for V08AB agents is characterized by extensive patent filings, primarily focusing on formulation innovations, delivery mechanisms, and targeted imaging capabilities.

Patent Filing Trends

Patent applications peaked between 2000 and 2015, coinciding with technological advances in contrast agent formulation. Post-2015, filings have plateaued, indicating a maturation phase or consolidation of innovation efforts. Notable patent applicants include Bayer, GE Healthcare, and Bracco, accounting for over 70% of filings [5].

Key Patent Areas

  • Formulation Patents: Core innovations involve aqueous solutions with specific osmolarity ranges, stabilizers, and solvents. Bayer’s iohexol patents exemplify this, with claims covering chemical stability and bioavailability [6].
  • Targeting and Delivery: Patents explore conjugates and carriers for renal targeting, enhancing nephroselectivity. Guerbet’s filings on conjugation with nephrotropic ligands exemplify this approach.
  • Safety and Osmolarity Reduction: Innovations aimed at reducing osmolarity below 300 mOsm/kg to enhance safety dominate in recent filings, aligning with regulatory demands.

Patent Expiry and Litigation

Many foundational patents expire or are nearing expiration, leading to increased generic competition. Litigation over patent infringements has been reported, especially regarding formulation specifics and delivery methods. Companies are increasingly filing secondary patents to extend market exclusivity or defend against generics.

Open Patent Strategies

Some players adopt open licensing of certain patents to promote wider adoption, especially in emerging markets, balancing innovation with broader access under strategic agreements.


Regulatory and Intellectual Property Challenges

Regulatory agencies such as the FDA, EMA, and PMDA have set stringent standards for contrast media safety, influencing patent development priorities. Patent filings increasingly encompass combinations of safety features and targeted delivery mechanisms to meet these regulatory demands.

In addition, patent thickets and evergreening strategies pose challenges, requiring strategic patent portfolio management to mitigate infringement risks and sustain market exclusivity.


Future Outlook

The future landscape indicates continued innovation centered on enhancing nephroselectivity, reducing osmolarity further, and developing biodegradable delivery systems. Digital and personalized imaging protocols may drive demand for customizable contrast formulations. Patent activity will likely focus on molecular targeting, advanced delivery methods, and safety-enhancing additives.

Key market growth sectors include the Asia-Pacific region and emerging economies, where increasing health infrastructure development and rising disease prevalence necessitate advanced contrast media solutions.


Key Takeaways

  • The market for low osmolar, watersoluble, nephrotropic contrast media is expanding, driven by technological advances, safety concerns, and rising renal disease prevalence.
  • Innovative formulations and targeted delivery systems are central to competitive differentiation; patent filings emphasize formulation stability, safety, and improved targeting.
  • The patent landscape is mature, with many foundational patents nearing expiry, fostering a more open environment for generics but also stimulating secondary patent filings.
  • Regulatory standards and patent strategies are closely intertwined, guiding innovation toward safety, efficacy, and exclusivity.
  • Geographic expansion, especially in emerging markets, presents lucrative growth opportunities, necessitating tailored patent and market strategies.

FAQs

  1. What distinguishes low osmolar contrast media from high osmolar alternatives?
    Low osmolar contrast media (LOCM) like iohexol possess osmolarity close to blood plasma, decreasing risks of adverse reactions and nephrotoxicity compared to high osmolar media, which are more osmotically active.

  2. Which patents dominate the watersoluble nephrotropic contrast agent space?
    Bayer’s iohexol patent portfolio remains influential, alongside filings from GE Healthcare and Bracco, focusing on formulation stabilization, safety, and targeting mechanisms.

  3. How do patent expirations impact the market for V08AB agents?
    Expiry of key patents enables generics to enter the market, increasing competition but potentially reducing innovation incentives unless new patents cover improved formulations or delivery systems.

  4. Are there emerging innovations in renal-specific contrast media?
    Yes, recent patents focus on conjugates with nephroselective ligands, nanocarrier systems, and osmolarity reduction techniques for safer, targeted renal imaging.

  5. What regulatory trends influence innovation in this class?
    Agencies prioritize safety, pushing innovators to develop agents with lower osmolarity, enhanced nephroselectivity, and biocompatibility, often reflected in patent filings emphasizing these features.


References

[1] MarketWatch, “Contrast Media Market Size, Share & Trends Analysis,” 2022.
[2] National Kidney Foundation, “Chronic Kidney Disease Facts,” 2021.
[3] Radiology Today, “Pediatric Contrast Media Safety,” 2020.
[4] MarketsandMarkets, “Global Contrast Media Market,” 2021.
[5] PatentScope, “Patent Filing Trends in Contrast Media,” 2022.
[6] Bayer AG, “Patent Portfolio on Iohexol Formulations,” 2018.

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