Last Updated: August 3, 2026

CLINICAL TRIALS PROFILE FOR GADOBENATE DIMEGLUMINE


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All Clinical Trials for GADOBENATE DIMEGLUMINE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00323310 ↗ Safety and Efficacy of MultiHance in Pediatric Patients Terminated Bracco Diagnostics, Inc Phase 3 2006-04-01 The purpose of this study was to assess the safety and enhancing properties of the magnetic resonance imaging (MRI) contrast agent MultiHance in children aged 2 to 17 years having central nervous system (CNS) disorders.
NCT00395863 ↗ Multihance at 3 Tesla (3T) in Brain Tumors Completed Bracco Diagnostics, Inc Phase 4 2006-11-01 Compare the efficacy of MultiHance and Magnevist
NCT01165892 ↗ Pulmonary MR Angiography and Lower Extremity MR Venous Imaging Using Gadofosveset (Ablavar) Completed Lantheus Medical Imaging 2011-07-01 The use of the contrast agent, Ablavar, will help with the diagnosis of pulmonary embolism in magnetic resonance imaging (MRI).
NCT01165892 ↗ Pulmonary MR Angiography and Lower Extremity MR Venous Imaging Using Gadofosveset (Ablavar) Completed Washington University School of Medicine 2011-07-01 The use of the contrast agent, Ablavar, will help with the diagnosis of pulmonary embolism in magnetic resonance imaging (MRI).
NCT01260636 ↗ Crossover Comparison of Two Gadolinium Contrast Agents for Use With MRA of Carotid, Renal and Peripheral Arteries Completed Bracco Diagnostics, Inc Phase 3 2009-09-01 To compare two gadolinium contrast agents in terms of global paired diagnostic preference (primary endpoint) for the assessment of contrast-enhanced MR Angiography of the carotid, renal/abdominal and peripheral arteries
NCT01710254 ↗ Regadenoson Stress-MRI to Identify Coronary Artery Disease in Atrial Fibrillation Patients Completed University of Utah Phase 2 2013-01-01 Atrial fibrillation (AF) is growing into an epidemic affecting 1 in 4 adults. There is a need for research to elucidate the prevalence of ischemic cardiomyopathy in patients diagnosed with AF. The objective of this study is to demonstrate the utility of MRI in assessment of coronary artery disease. The specific objective is to demonstrate sensitivity/specificity comparable to that reported in meta-analyses of non-AF patients and adenosine (90% /80%) in an AF population using the time-efficient vasodilator regadenoson that requires only a single intravenous (IV).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for GADOBENATE DIMEGLUMINE

Condition Name

Condition Name for GADOBENATE DIMEGLUMINE
Intervention Trials
Breast Cancer 2
CNS Lesion 1
Metastatic Malignant Neoplasm in the Brain 1
Adult Giant Cell Glioblastoma 1
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Condition MeSH

Condition MeSH for GADOBENATE DIMEGLUMINE
Intervention Trials
Brain Neoplasms 3
Nervous System Diseases 2
Central Nervous System Diseases 2
Breast Neoplasms 2
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Clinical Trial Locations for GADOBENATE DIMEGLUMINE

Trials by Country

Trials by Country for GADOBENATE DIMEGLUMINE
Location Trials
United States 24
Belgium 1
Hungary 1
Mexico 1
China 1
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Trials by US State

Trials by US State for GADOBENATE DIMEGLUMINE
Location Trials
Illinois 3
California 3
Wisconsin 2
Texas 2
Massachusetts 2
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Clinical Trial Progress for GADOBENATE DIMEGLUMINE

Clinical Trial Phase

Clinical Trial Phase for GADOBENATE DIMEGLUMINE
Clinical Trial Phase Trials
PHASE3 1
Phase 4 3
Phase 3 2
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Clinical Trial Status

Clinical Trial Status for GADOBENATE DIMEGLUMINE
Clinical Trial Phase Trials
Completed 7
Recruiting 5
Terminated 3
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Clinical Trial Sponsors for GADOBENATE DIMEGLUMINE

Sponsor Name

Sponsor Name for GADOBENATE DIMEGLUMINE
Sponsor Trials
National Cancer Institute (NCI) 6
Bracco Diagnostics, Inc 5
Guerbet 2
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Sponsor Type

Sponsor Type for GADOBENATE DIMEGLUMINE
Sponsor Trials
Other 15
Industry 9
NIH 6
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Gadobenate Dimeglumine clinical trials update, market size and forecast, and patent/IP outlook

Last updated: July 28, 2026

What is gadobenate dimeglumine’s current clinical development status?

No active late-stage (Phase 3) clinical development signal is reliably identifiable from publicly indexed sources. Gadobenate dimeglumine is an established diagnostic contrast agent used in MRI, and the published body of work is dominated by older registration-era studies and incremental formulation or labeling updates rather than ongoing Phase 3 programs.

What clinical trial phases and study types have historically defined the program?

Published literature for gadobenate dimeglumine has centered on:

  • Comparative efficacy and safety versus other gadolinium-based contrast agents (GBCA) in MRI indications (central nervous system, body imaging, and contrast-enhanced angiography use cases in selected markets).
  • Dosing and imaging protocol optimization (standard dose vs weight-based approaches, timing of image acquisition).
  • Safety characterization, including hypersensitivity surveillance and tolerability in populations such as pediatrics and patients with renal impairment in historical post-marketing programs.

What do the most recent public trial databases show for “gadobenate dimeglumine”?

A search of publicly indexed trial registries typically yields older records and non-identical-synonym variants of the active ingredient (salt form and brand name mix). The net result is that ongoing interventional trials are not consistently detectable as “current” late-stage programs.

How big is the gadobenate dimeglumine market and what is the forecast period?

A definitive, single-source market size for gadobenate dimeglumine alone is not consistently available in mainstream market dashboards, which commonly report the GBCA market in aggregate (or by macro-classes: linear vs macrocyclic) and sometimes by brand portfolio rather than each active ingredient.

What is the realistic market structure for GBCA brands?

Commercially, gadobenate dimeglumine competes in MRI contrast with:

  • Macrocyclic GBCA brands (generally perceived as having lower kinetic stability risk profiles)
  • Other linear GBCA brands
  • Hospital formularies and procurement contracts that increasingly shift toward macrocyclic-first policies in several countries

This dynamic constrains long-term growth for legacy linear agents even when absolute MRI volumes grow.

How do market drivers change the outlook for a linear GBCA like gadobenate dimeglumine?

Key drivers that shape projections:

  • Regulatory and guideline preferences for more stable GBCA chemistry and risk mitigation in patients with impaired renal function.
  • Tendering economics in hospital networks: GBCAs are purchased through multi-year supply agreements where switching costs are technical and workflow-driven.
  • MRI utilization trends: growth in outpatient MRI offsets substitution pressures but does not eliminate them.
  • Competitive substitution: formulary movement to macrocyclic agents reduces incremental share.

Market projection: what scenario is most consistent with historical dynamics?

Given the absence of identifiable late-stage clinical expansions and the category’s policy headwinds, the most defensible projection is:

  • Low single-digit annual volume growth aligned with MRI volume expansion
  • Flat to modestly negative share trend vs macrocyclic competitors
  • Revenue growth that tracks inflation and utilization, with limited organic share gains

(Brand-level CAGR estimates are not provided here because there is no single reliable public consensus dataset that isolates gadobenate dimeglumine.)

Which companies sell gadobenate dimeglumine and how does competitive positioning work?

Commercial availability varies by geography and brand registration. In most markets, gadobenate dimeglumine is sold as a legacy GBCA through local distributors or incumbent manufacturers that hold marketing authorizations.

What are the competitive substitutes in MRI contrast?

Competitors typically include:

  • Macrocyclic GBCA agents positioned on stability and risk posture
  • Other linear ionic or linear non-ionic GBCA products

Formulary decisions frequently treat macrocyclic agents as default choices for higher-risk patients (e.g., chronic kidney disease populations), which limits room for long-term share gains for linear agents.

What patents protect gadobenate dimeglumine (and its salts) and how strong is the estate?

Patent coverage for gadobenate dimeglumine itself is largely legacy and generally not expected to support modern exclusivity beyond historical timeframes for composition and early processes. The remaining enforceable IP is more likely to be:

  • Second-generation salt/formulation improvements
  • Manufacturing process improvements
  • Specific packaging or labeling-linked claims
  • Regional formulation patents tied to local registrations

How to interpret “strength” in a legacy GBCA context

For gadobenate dimeglumine, “strongest” residual leverage is usually:

  • Limited to specific jurisdictions where formulation or manufacturing process patents were filed or granted later
  • Or limited to a particular dosage form, concentration, or method if patents exist that are not coextensive with generic entries

When does gadobenate dimeglumine lose exclusivity and how do Orange Book listings map to it?

The exclusivity framework is typically managed through:

  • Patent term expiration for listed patents (if any were listed in the US)
  • Regulatory exclusivity that is distinct from patent protection (less relevant for already-established products)

What is the Orange Book status of gadobenate dimeglumine?

Orange Book listings apply to FDA-approved drugs in the US. For older, widely marketed contrast agents, Orange Book activity tends to be:

  • Completed for key composition patents
  • Potentially still populated for late-granted or formulation-linked claims in some cases, but this varies by product listing history and strength

(An exact Orange Book status summary requires product-specific Orange Book record retrieval; it is not reliably extractable from the information provided.)

What patent litigation affects gadobenate dimeglumine or GBCA generics?

For legacy GBCA actives, litigation commonly clusters around:

  • ANDA Paragraph IV challenges for non-innovator GBCA products
  • Process and formulation disputes rather than broad composition fights
  • Settlement-driven market entry timing

What is the typical litigation pattern for contrast-agent generics?

  • Innovator alleges that generic manufacture or formulation does not infringe specific claims.
  • Generic challenges validity and/or non-infringement.
  • Settlements commonly result in delayed launch tied to patent expiry or design-around.

No specific, continuously updated litigation docket for gadobenate dimeglumine can be stated here without a verified case list and docket references.

How does gadobenate dimeglumine compare with macrocyclic GBCA brands on risk posture and formulary preference?

In practice, formularies use chemistry differences as proxy for stability and clinical risk mitigation. Macrocyclic agents are often preferred for patients with:

  • Reduced kidney function
  • Higher likelihood of repeated GBCA exposure

Linear agents such as gadobenate dimeglumine face more scrutiny in protocols, which affects:

  • Uptake in higher-risk subpopulations
  • Longer-term share trends in competitive tenders

What drives substitution at hospital and payer level?

  • Institutional protocol updates
  • National or local guideline changes
  • Supply chain pricing and contract lock-in cycles
  • Procurement standardization policies

What generic entry risks exist for gadobenate dimeglumine?

Given the market maturity and the likelihood that primary composition protections have expired, generic entry risk is lower for the active itself, and more constrained by:

  • Remaining regional process or formulation patents
  • Regulatory manufacturing readiness for sterility assurance and traceability
  • Labeling and protocol alignment in local formularies

What manufacturing/IP barriers can delay entry for a gadobenate dimeglumine generic?

Barrier categories:

  • Sterile manufacturing process validation complexity for parenteral contrast agents
  • Specifications (particulate limits, osmolality, pH, chelate integrity)
  • Stability data across shelf-life and shipping conditions
  • Regulatory inspection readiness

These are not IP barriers per se but often determine timelines for generic launches.

Which indications drive use of gadobenate dimeglumine and how does that affect revenue?

Revenue is tied to MRI utilization and the portion of exams that specify contrast. Indication mix matters:

  • Brain imaging use frequency is high and stabilizes demand
  • Body imaging is more variable by region and service-line expansion
  • Angiography protocols drive demand spikes where contrast-enhanced MR angiography is favored

If formularies shift away from linear agents for higher-risk patients, revenue can still hold if hospitals continue to use gadobenate for lower-risk routine imaging, but the growth headroom narrows.


Key tables

Commercial outlook drivers for gadobenate dimeglumine (qualitative)

Driver Direction for gadobenate dimeglumine Implication
MRI volume growth Up Supports baseline demand
Macrocyclic preference in protocols Down Share pressure
Hospital tender pricing Mixed Can cap revenue growth
Safety and renal-risk scrutiny Down Limits expansion in CKD cohorts
Residual regional IP Mixed Affects generic timing by jurisdiction

Patent and exclusivity mapping framework (how to evaluate fast in practice)

IP bucket Typical relevance for legacy GBCA Practical effect
Composition of matter Usually expired Low launch delay risk
Formulation/process Possible residuals Can block or delay specific generics
Method-of-use Uncommon for GBCA actives More frequent in newer therapeutic areas
Packaging/label Rarely blocks generics Mostly procedural differences

Key Takeaways

  • Gadobenate dimeglumine is a mature MRI contrast agent; publicly visible late-stage clinical development is not apparent in a way that would change its near-term competitive position.
  • The market is constrained by GBCA category-level chemistry preferences, with macrocyclic agents favored in many protocols, limiting share upside even if MRI demand grows.
  • Patent exclusivity for gadobenate dimeglumine is likely largely exhausted; any remaining IP leverage is most plausibly tied to regional formulation or process improvements, which can create localized generic entry delays.
  • Revenue outlook should be modeled as volume-led with share headwinds, producing low-growth or flat-to-modestly negative share-adjusted scenarios.

FAQs

  1. Why do hospitals shift from linear to macrocyclic GBCA agents even when MRI volume grows?
  2. Do gadobenate dimeglumine generics face manufacturing or sterility validation bottlenecks that affect launch timing?
  3. What factors most influence GBCA procurement in hospital tender cycles (pricing, contracts, protocol constraints)?
  4. How do renal impairment screening workflows change the mix of GBCA use across patient populations?
  5. Which regulatory changes for GBCAs typically drive formulary revisions and prescribing behavior?

References

  1. Food and Drug Administration (FDA). Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. FDA.
  2. European Medicines Agency (EMA). Public assessment reports and product information for gadobenate-containing GBCA products. EMA.
  3. Published clinical literature on gadobenate dimeglumine MRI comparative efficacy and safety (registry-era studies). Peer-reviewed journals.

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