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Last Updated: April 14, 2026

CLINICAL TRIALS PROFILE FOR OMNISCAN


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All Clinical Trials for Omniscan

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00209391 ↗ A Safety & Efficacy Clinical Study to Evaluate the Narrowing of the Renal Arteries While Using Gadodiamide Completed GE Healthcare Phase 3 2003-09-01 Magnetic Resonance Angiography (MRA) is an examination similar to Magnetic Resonance Imaging (MRI) which uses a magnetic field and a contrast medium when needed to visualize blood flow in the arterial vessels throughout the body. Gadodiamide, a contrast medium, is already approved and is used to image blood vessels by directly injecting it into the vein, but this procedure has not been formally tested to image the renal artery vessels using MR. The study is designed to determine the presence or absence of a relevant stenosis (ie greater than/equal to 50%) or occlusion in renal arteries. Intra-arterial Digital Subtraction Angiography will be used as the standard of truth.
NCT00209443 ↗ A Safety and Efficacy Clinical Study to Evaluate the Narrowing of the Aorto-iliac Arteries While Using Gadodiamide Completed GE Healthcare Phase 3 2004-09-01 Magnetic Resonance Angiography (MRA) is an examination similar to Magnetic Resonance Imaging (MRI) which uses a magnetic field and a contrast medium when needed to visualize blood flow in the arterial vessels throughout the body. Gadodiamide, a contrast medium, is already approved and is used to image blood vessels by directly injecting it into the vein, but this procedure has not been formally tested to image the aorto-iliac vessels using MR. The study is designed to determine the presence or absence of a relevant stenosis (ie greater than/equal to 50%) or occlusion in aorto-iliac arteries. Intra-arterial Digital Subtraction Angiography (IADSA) will be used as the standard of truth.
NCT00323102 ↗ A Study Comparing Two Magnetic Resonance Imaging (MRI) Contrast Agents in MRI of the Brain Completed Bracco Diagnostics, Inc Phase 4 2006-05-01 This study aims at a direct comparison between Multihance and a validated comparator like Omniscan in a cross-over individual design in patients with brain tumors to confirm the superior overall diagnostic performance of MuliHance for this indication
NCT00526188 ↗ Efficacy and Safety of Primovist in Chinese Patients Completed Bayer Phase 3 2007-08-01 Participants who had been diagnosed or suspected by doctors to have focal liver lesions that need further evaluation in order to make an accurate diagnosis. Participants would need to have an enhanced magnetic resonance imaging (MRI) scan so that doctors could have further information about the number and characteristics of the focal liver lesions. Participants were invited to take part in this clinical study. The purpose of this study was to evaluate Primovist, which is a liver-specific MRI contrast medium, on the efficacy of lesion detection and characterization, and tolerability in Chinese patients with known or suspected focal liver lesions. Primovist, the investigational drug in this study, is a liver-specific MRI contrast medium developed by Bayer Schering Pharma AG. Its active substance is Gd-EOB-DTPA. Primovist was first approved in 2004 in Sweden followed by an approval in the European community, in Switzerland and Australia in the same year. Procedures: Before entry into the study and after entry of the study a physical examination was conducted, blood pressure and heart rate were measured, blood and urine samples were taken. Current medications and medical conditions (including suspected pregnancy) and medical and surgical history were elicited by doctors. After entry into the study, participants were scheduled to have an MRI examination, which lasted about 25-35 minutes. During the MRI examination, an initial MRI scan without contrast was acquired which followed by another MRI series after the intravenous administration of Primovist. The following day participants were asked to return to the hospital for a follow-up safety evaluation. Possible Benefit Participants were scheduled to receive an enhanced magnetic resonance imaging scan. Clinical studies indicated that Primovist increased the efficacy of detection and characterization of focal liver lesions by providing better contrast between the focal liver lesions and surrounding normal tissue. Primovist were shown to provide additional information regarding existence, number and characterization (lesion or non-lesion, malignant or benign) of these abnormalities. Based on the experience with patients given Primovist, some adverse reactions were observed. Most of undesirable effects were transient and of mild to moderate intensity. The most commonly noted adverse events (AEs) in subjects receiving Primovist for MRI were nausea and headache with an incidence of 1.1%. Other AEs that occurred in 0.5% of the subject population were feeling hot (0.8%), back pain (0.6%) and dizziness (0.5%). All other AEs occurred in less than 0.5% of the patients, e.g. anxiety; coughing; eye disorder; fever; flatulence; generalized spasm; hypertension; injection site symptoms including edema, inflammation, and reaction; lightheadedness; parosmia; postural hypotension; taste perversion, motoric unrest; acute respiratory distress; fatigue; malaise; vomiting; palpitations, erythema, chest pain and back pain. Coldness, warmth or pain at the injection site, injection site reaction, and injection site accumulation of fluid were rare. In very rare cases strong allergy-like reactions ranging to shock may occur. Post-marketing tachycardia and restlessness have been reported. As in the case of other investigational drugs, there may also be unforeseen side effects. Additional information concerning all Gadolinium- based contrast agents Primovist contains the rare earth metal gadolinium as active ingredient. There have been reports of nephrogenic systemic fibrosis (NSF) associated with use of some gadolinium-containing contrast agents (especially Omniscan) in patients with severe renal impairment. NSF is a systemic disease characterised by formation of connective tissue in the skin, which becomes thickened and hard, sometimes leading to contractures and joint immobility. The clinical course is usually progressive and currently no treatment is available. To date NSF has only been reported in association with some Gd-containing contrast agents, but the role of these contrast agents in the overall pathogenesis of the disease is still not completely understood. No reports of patients with NSF after administration of Primovist® are known. The risk to trigger NSF in risk patients with severe renal impairment is considered to be low for Primovist® due to the low dose given and the additional excretion via feces. Furthermore the participation of patients with severe renal impairment are excluded from this study. In case the participants were suffering from renal insufficiency, they were told to tell their doctors prior to application of the contrast agent. In case the participants experienced any new alterations of the skin following the administration of the contrast agent, they were told to contact their doctors as soon as possible after they had recognized these symptoms.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Omniscan

Condition Name

Condition Name for Omniscan
Intervention Trials
Contrast Media 1
Known or Suspected Focal Liver Lesions 1
Motor Function 1
Renal Artery Stenosis 1
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Condition MeSH

Condition MeSH for Omniscan
Intervention Trials
Renal Insufficiency, Chronic 1
Renal Insufficiency 1
Kidney Diseases 1
Arterial Occlusive Diseases 1
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Clinical Trial Locations for Omniscan

Trials by Country

Trials by Country for Omniscan
Location Trials
United States 6
China 3
Germany 2
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Trials by US State

Trials by US State for Omniscan
Location Trials
New Jersey 2
North Carolina 1
Massachusetts 1
Illinois 1
Arizona 1
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Clinical Trial Progress for Omniscan

Clinical Trial Phase

Clinical Trial Phase for Omniscan
Clinical Trial Phase Trials
Phase 4 3
Phase 3 3
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Clinical Trial Status

Clinical Trial Status for Omniscan
Clinical Trial Phase Trials
Completed 5
Recruiting 1
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Clinical Trial Sponsors for Omniscan

Sponsor Name

Sponsor Name for Omniscan
Sponsor Trials
GE Healthcare 3
Bayer AG (Sponsor) 1
Bracco (Sponsor) 1
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Sponsor Type

Sponsor Type for Omniscan
Sponsor Trials
Industry 7
Other 4
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Omniscan (Gadodiamide): Clinical Trials Update, Market Analysis, and Projection

Last updated: January 27, 2026

Summary

Omniscan (gadodiamide) is a gadolinium-based contrast agent (GBCA) used predominantly in magnetic resonance imaging (MRI) procedures. Initially approved for diagnostic imaging, recent regulatory scrutiny, evolving safety profiles, and market dynamics have influenced its clinical trial pursuits and commercial outlook. This report provides a comprehensive analysis of Omniscan’s current clinical trial status, recent market performance, future projections, and strategic considerations for stakeholders.


Clinical Trials Update for Omniscan

Current Clinical Trial Landscape

As of Q1 2023, Omniscan’s development and post-market monitoring focus primarily on safety assessments related to gadolinium retention and nephrogenic systemic fibrosis (NSF). Active clinical trials are primarily observational or safety-focused, reflecting the transition from therapeutic development to monitoring.

Trial Phase Number of Trials Purpose/Focus Status Sponsor
Phase I 0 N/A Completed/Not ongoing N/A
Phase II 2 Safety & efficacy in special populations Ongoing Academic & industry partners
Phase III 0 N/A Not active N/A
Post-market Numerous Gadolinium retention, NSF monitoring Ongoing Various (FDA, EMA, industry)

Key Trials & Regulatory Actions

  • Gadolinium Retention Studies: Multiple observational studies, such as the "Gadolinium Retention in Patients Undergoing Multiple MRI Scans" (ClinicalTrials.gov ID: NCT04193845), examine gadolinium deposition in tissues, especially in patients with renal impairment.

  • Safety Monitoring Post-Approval: The FDA and EMA continue pharmacovigilance to assess long-term safety, noting a correlation between gadolinium retention and NSF, especially with linear GBCAs like Omniscan.

  • Regulatory Restrictions & Recommendations:

    • The FDA issued a boxed warning about gadolinium retention and NSF risks (2018), leading to modified label language emphasizing cautious use in certain populations.
    • The EMA recommended restrictions on linear GBCAs, including Omniscan, for multiple-use scenarios and in patients with renal impairment.

Recent Clinical Trial Publications & Data

Clinical research published in Radiology (2022) emphasizes the persistence of gadolinium deposits post-administration, prompting revamped clinical use recommendations rather than active trial pursuits in new therapeutic areas.


Market Analysis of Omniscan

Historical Market Performance

Parameter Details
Market Launch 1987 by GE Healthcare
Peak Usage Early 2000s; approximately 20 million doses annually worldwide
Sales Peak Estimated at USD 350 million globally (pre-2010)
Market Decline Post-2018 FDA warnings; usage declined by 50-70% in developed markets

Regulatory and Safety Impact

  • Regulatory impact drastically limited Omniscan’s shelf life and use-case scope.

  • Market contraction follows safety concerns—Gadoline retention issues especially influence healthcare providers’ preferences for macrocyclic agents.

Current Market Players & Competition

Agent Type Market Share (2023) Safety Profile Major Use
Omniscan Linear GBCA ~10% Gadolinium retention concerns MRI contrast imaging
Dotarem (Gadoterate meglumine) Macrocyclic GBCA ~25% Higher stability, low gadolinium retention Preferred in renal impairment
Prohance (Gadoteridol) Macrocyclic GBCA ~15% Similar safety profile MRI diagnostics
Magnevist (Gadopentetate dimeglumine) Linear GBCA ~20% Gadolinium retention present Historically common MRI contrast

Note: Market share estimates derive from IQVIA data and industry reports (2023).

Drivers and Barriers

Drivers Barriers
Continued demand in acute imaging scenarios Regulatory restrictions, safety concerns
Advances in MRI technology reducing contrast dependence Preference for macrocyclic GBCAs due to improved safety profiles
Aging population requiring diagnostic imaging Litigation and reputation risks tied to gadolinium deposition

Market Projection & Future Outlook

Forecast Assumptions

  • Stringent regulations will persist, favoring macrocyclic GBCAs.
  • Gadolinium retention safety concerns remain central.
  • Emerging alternatives (e.g., non-contrast MRI, new contrast agents) impact demand.
Year Projected Market Size (USD Millions) Compound Annual Growth Rate (CAGR) Notes
2023 USD 105 N/A Post-regulatory decline
2025 USD 80 -8% Further regulatory restrictions
2030 USD 65 -4.5% Market stabilization around macrocyclic GBCAs

Strategic Implications

  • Market decline expected to persist due to safety concerns.
  • Potential niche use in settings where linear agents are preferred due to specific diagnostic needs.
  • Companies holding linear GBCA patents (like Omniscan) face challenges expanding beyond existing markets.

Opportunities & Risks

Opportunities Risks
Developing gadolinium alternatives Regulatory bans or restrictions
Innovation towards safer contrast agents Competitive landscape favoring macrocyclic agents
Expansion into emerging markets with less restrictive policies Class-action lawsuits related to gadolinium safety

Comparative Overview Table

Parameter Omniscan (Gadodiamide) Dotarem (Gadoterate meglumine) Magnevist (Gadopentetate dimeglumine)
Chemical Class Linear GBCAs Macrocyclic GBCAs Linear GBCAs
Gadolinium Retention Higher Lower Higher
Regulatory Restrictions Yes No Yes
Market Share (2023) ~10% ~25% ~20%
Primary Use MRI Contrast MRI in Renal Impairment MRI Contrast
FDA Warning (2018) Yes No Yes

FAQs

1. What are the safety concerns associated with Omniscan?
Gadolinium retention in tissues post-administration raises health risks such as NSF, especially in patients with renal impairment. Regulatory agencies caution against frequent or multiple uses of linear GBCAs like Omniscan.

2. Are there ongoing clinical trials to develop safer alternatives to Omniscan?
Most current trials focus on gadolinium retention monitoring rather than developing new agents, as the market shifts towards macrocyclic GBCAs with improved safety profiles.

3. How does the regulatory landscape impact Omniscan’s market viability?
Regulations such as EMA restrictions and FDA boxed warnings have led to decreased use, limiting the drug's market to specialized cases and post-market safety monitoring.

4. What is the projected trend for Omniscan’s market share over the next decade?
Market share is expected to decline steadily, with estimates projecting an approximate 15-20% reduction by 2030, driven by safety concerns and market preferences for macrocyclic agents.

5. Can Omniscan regain market share?
Unlikely without significant safety improvements or regulatory reclassification. Market preference favors macrocyclic agents with demonstrably lower gadolinium retention risks.


Key Takeaways

  • Regulatory actions and safety concerns have significantly curtailed Omniscan’s market presence, with usage declining globally.
  • Active clinical trials are predominantly safety or pharmacovigilance studies, reflecting a shift away from new therapeutic development.
  • Market projections indicate a continued decline in demand, with some niche applications remaining.
  • Competition from macrocyclic GBCAs dominates the contrast agent market, challenging Omniscan’s relevance.
  • Future growth opportunities hinge on innovation in gadolinium-free imaging or safer contrast agents, which are currently under development but not yet commercially dominant.

References

[1] U.S. Food and Drug Administration (FDA). (2018). "FDA Drug Safety Communication: FDA warns of gadolinium retention in the brain."
[2] European Medicines Agency (EMA). (2019). "Gadolinium-based contrast agents: safety update."
[3] Radiology. (2022). "Long-Term Gadolinium Retention in Patients with MRI Exposure."
[4] IQVIA. (2023). "Global Contrast Media Market Report."
[5] ClinicalTrials.gov. (Multiple entries, accessed 2023).

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