WO2017046694A1 - Process for preparing a pharmaceutical formulation of gadoterate meglumine - Google Patents

Process for preparing a pharmaceutical formulation of gadoterate meglumine Download PDF

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Publication number
WO2017046694A1
WO2017046694A1 PCT/IB2016/055436 IB2016055436W WO2017046694A1 WO 2017046694 A1 WO2017046694 A1 WO 2017046694A1 IB 2016055436 W IB2016055436 W IB 2016055436W WO 2017046694 A1 WO2017046694 A1 WO 2017046694A1
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Prior art keywords
acid
dota
meglumine
free
gadolinium
Prior art date
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PCT/IB2016/055436
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French (fr)
Inventor
Chandrashekhar Kocherlakota
Nagaraju Banda
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Leiutis Pharmaceuticals Pvt Ltd
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Publication of WO2017046694A1 publication Critical patent/WO2017046694A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/08Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by the carrier
    • A61K49/10Organic compounds
    • A61K49/101Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals
    • A61K49/106Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals the complex-forming compound being cyclic, e.g. DOTA
    • A61K49/108Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals the complex-forming compound being cyclic, e.g. DOTA the metal complex being Gd-DOTA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/18Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes

Definitions

  • Gadoteric acid is a drug that is approved as a contrast agent for magnetic resonance imaging.
  • the chemical name of Gadoteric acid is 2-[4,7,10- tris(carboxymethyl)-l,4,7,10-tetraazacyclododec-l-yl]acetate.
  • the compound has the following structure:
  • Gadoterate Meglumine is marketed by Guerbet under the brand name DOTAREM .
  • Each molecule of Gadoteric acid contains one gadolinium ion, which is complexed by l,4,7,10-tetraazacyclododecane-l,4,7,10-tetraacetic acid (DOTA).
  • DOTA l,4,7,10-tetraazacyclododecane-l,4,7,10-tetraacetic acid
  • Gadoteric acid is the most stable gadolinium complex.
  • WO 2013/076743 to Jagadeesh et al. discloses process for the synthesis and purification of DOTA.
  • EP 0270483 to Heinz et al., describes pharmaceutical metal- containing complex compounds and processes for their preparation
  • Free ions of Gadolinium i.e. non-complexed Gadolinium
  • DOTA is believed to form the most thermodynamically and kinetically stable complexes with Gadolinium.
  • Gd-DOTA very stable complexes
  • WO 2009/103744 to Meyer et al. suggests measuring the concentration of free macrocyclic chelate and/or free Gadolinium oxide in the liquid pharmaceutical formulation after mixing of initial amounts of Gadolinium oxide and DOTA, and then adjusting the concentrations of free DOTA and/or free Gadolinium ions in order to obtain free chelate within the desired concentration range.
  • WO 2014/161925 to Diederik et al. describes a process for producing a complex of a lanthanide or similar compound with a macrocyclic ligand, based on the measurement of the moisture content of the material comprising a macrocyclic ligand.
  • the present invention relates to a process of preparing a liquid parenteral pharmaceutical formulation containing Gadoterate meglumine.
  • the invention further provides a process for preparing a liquid parenteral pharmaceutical formulation containing Gadoterate meglumine comprising of the following steps:
  • the amount of DOTA present in the free form is in the range of 0.002% to 0.5% and the content of free Gadolinium is 0.02% or less.
  • the inventors of the present invention have found that an accurate level of free DOTA in the finished dosage form may be easily obtained by titrating up a solution of Gadoterate Meglumine with DOTA or an acidifying agent until a desired pH-value is reached. This process is simple unlike the prior art time consuming in-process measurements of Gadolinium and/or free DOTA.
  • free DOTA means any DOTA not complexed with Gadolinium or with other metal ions.
  • free Gadolinium means any Gadolinium not complexed with chelate DOTA.
  • Gadoterate meglumine comprises of complex of Gadolinium oxide (Gd 2 03) and 1, 4,7, 10-tetraazacyclododecane- 1,4,7, 10- tetraacetic acid (DOTA) used in form of the meglumine salt i.e., DOTA-Gd meglumine.
  • Gd 2 03 Gadolinium oxide
  • DOTA 10-tetraazacyclododecane- 1,4,7, 10- tetraacetic acid
  • the process of preparing a liquid pharmaceutical formulation of Gadoterate meglumine encompasses the following steps: a) mixing a pre-determined amount of Gadolinium oxide, DOTA and Meglumine in water.
  • the amount of free DOTA present is in the range of 0.002% to 0.5% and the content of free Gadolinium is 0.02% or less.
  • the amounts of free DOTA and Gd 2 0 3 added are such that not all the DOTA is complexed with the Gd 2 0 3 or such that not all the Gd 2 0 3 is complexed with the DOTA. Consequently, after the step b), the pharmaceutical formulation will typically comprise DOTA-gadolinium complex and either free DOTA, or free gadolinium.
  • the pharmaceutical formulation according to the present invention is characterized in that the formulation contains from about 0.002 to 0.5% of free DOTA and 0.02% or less of free Gadolinium.
  • Formulations of the present invention have a pH value of about 6.5 to 8.2.
  • the pH of the formulation is adjusted to desired range using DOTA or any suitable acidifying agent such as mineral acids, organic carboxylic acids, sulfonic acids and the like.
  • suitable acidifying agents include, but not limited to hydrochloric acid, sulfuric acid, boric acid, silica acid, acetic acid, phosphoric acid, formic acid, maleic acid, citric acid, trichloroacetic acid, trifluoroacetic acid, benzoic acid, fumaric acid, tartaric acid, methanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid and the like.
  • the manufacturing process for preparing liquid parenteral pharmaceutical formulation of Gadoterate meglumine according to the present invention comprises of the following steps:
  • Water for injection is heated in a manufacturing vessel to about 80+5°C.
  • Gadolinium oxide (Gd 2 0 3 ) is added to the above solution and stirred till it dissolves completely, maintaining the temperature of solution at 80+5 °C. iv.
  • the solution is cooled to 25+2°C and meglumine is added to the solution and stirred.
  • the pH of the solution is adjusted to around 6.5 to 8.2, by the addition of DOTA or acidifying agent.
  • the solution is filtered and filled into suitable containers or vials, stoppered and sealed followed by terminal sterilization.
  • Formulations prepared according to the invention are tested for various parameters such as pH, Assay, free Gd and free DOTA content and the results are tabulated in table 1.
  • the amount of free Gd present in the formulation is analysed by Agilent Fluorescence detector.
  • the amount of free DOTA in the formulation is analysed by HPLC method.

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  • Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)

Abstract

The present invention relates to a process for preparing a liquid parenteral formulation of Gadoterate meglumine which is used as a contrast agent for magnetic resonance imaging.

Description

PROCESS FOR PREPARING A PHARMACEUTICAL FORMULATION OF
GADOTERATE MEGLUMINE
Background of the invention
Gadoteric acid (Gd-DOTA) is a drug that is approved as a contrast agent for magnetic resonance imaging. The chemical name of Gadoteric acid is 2-[4,7,10- tris(carboxymethyl)-l,4,7,10-tetraazacyclododec-l-yl]acetate. The compound has the following structure:
Figure imgf000002_0001
Gadoterate Meglumine is marketed by Guerbet under the brand name DOTAREM .
Each molecule of Gadoteric acid contains one gadolinium ion, which is complexed by l,4,7,10-tetraazacyclododecane-l,4,7,10-tetraacetic acid (DOTA). Compared with other Gadolinium complexes such as Gadopentetic acid, Gadobenic acid, Gadoxetic acid, Gadoteridol or Gadobutrol, Gadoteric acid is the most stable gadolinium complex.
WO 2013/076743 to Jagadeesh et al., discloses process for the synthesis and purification of DOTA.
European patent No. EP 0270483 to Heinz et al., describes pharmaceutical metal- containing complex compounds and processes for their preparation
Free ions of Gadolinium, i.e. non-complexed Gadolinium, are very toxic. Hence it is essential to select a proper chelating agent to form a complex with the Gadolinium. Amongst several related compounds that are used to complex Gadolinium, DOTA is believed to form the most thermodynamically and kinetically stable complexes with Gadolinium. However, even very stable complexes such as Gd-DOTA tend to release Gadolinium. In order to prevent the undesired release of Gadolinium, it is common practice to use an excess of DOTA. Since free DOTA is also toxic, the excess quantity has to be kept within a certain range.
Prior art disclosures suggest that it is not possible to obtain Gadoteric acid solutions with an excess of DOTA in the desired target range by simply weighing and mixing together Gadolinium oxide, DOTA and Meglumine in water for injection.
To overcome this obstacle, WO 2009/103744 to Meyer et al., suggests measuring the concentration of free macrocyclic chelate and/or free Gadolinium oxide in the liquid pharmaceutical formulation after mixing of initial amounts of Gadolinium oxide and DOTA, and then adjusting the concentrations of free DOTA and/or free Gadolinium ions in order to obtain free chelate within the desired concentration range.
WO 2014/161925 to Diederik et al., describes a process for producing a complex of a lanthanide or similar compound with a macrocyclic ligand, based on the measurement of the moisture content of the material comprising a macrocyclic ligand.
In order to obtain a final composition with the concentration of free DOTA within the specifications, both processes known in the art require several additional process steps such as the measurement of free Gadolinium oxide and the moisture content in the DOTA.
It is thus desirable to obtain an accurate, but simpler process for the manufacture of liquid formulations of Gadoteric acid for the pharmaceutical use on an industrial scale.
Summary of the invention
The present invention relates to a process of preparing a liquid parenteral pharmaceutical formulation containing Gadoterate meglumine. The invention further provides a process for preparing a liquid parenteral pharmaceutical formulation containing Gadoterate meglumine comprising of the following steps:
a) mixing a pre-determined amount of Gadolinium oxide, DOTA and Meglumine in water.
b) adjusting the pH-value of the mixture in the range of about 6.5 to 8.2, by adding DOTA or any suitable acidifying agent,
wherein the amount of DOTA present in the free form is in the range of 0.002% to 0.5% and the content of free Gadolinium is 0.02% or less.
Detailed description of the invention
The inventors of the present invention have found that an accurate level of free DOTA in the finished dosage form may be easily obtained by titrating up a solution of Gadoterate Meglumine with DOTA or an acidifying agent until a desired pH-value is reached. This process is simple unlike the prior art time consuming in-process measurements of Gadolinium and/or free DOTA.
In the context of the present invention the term "free DOTA" means any DOTA not complexed with Gadolinium or with other metal ions.
In the context of the present invention the term "free Gadolinium" means any Gadolinium not complexed with chelate DOTA.
In the context of the present invention the term "Gadoterate meglumine" comprises of complex of Gadolinium oxide (Gd203) and 1, 4,7, 10-tetraazacyclododecane- 1,4,7, 10- tetraacetic acid (DOTA) used in form of the meglumine salt i.e., DOTA-Gd meglumine.
According to the present invention, the process of preparing a liquid pharmaceutical formulation of Gadoterate meglumine encompasses the following steps: a) mixing a pre-determined amount of Gadolinium oxide, DOTA and Meglumine in water.
b) adjusting the pH-value of the mixture in the range of about 6.5 to 8.2, by adding DOTA or any suitable acidifying agent,
wherein, the amount of free DOTA present is in the range of 0.002% to 0.5% and the content of free Gadolinium is 0.02% or less.
Thus, in one advantageous embodiment, the amounts of free DOTA and Gd203 added are such that not all the DOTA is complexed with the Gd203 or such that not all the Gd203 is complexed with the DOTA. Consequently, after the step b), the pharmaceutical formulation will typically comprise DOTA-gadolinium complex and either free DOTA, or free gadolinium.
Advantageously, the pharmaceutical formulation according to the present invention is characterized in that the formulation contains from about 0.002 to 0.5% of free DOTA and 0.02% or less of free Gadolinium.
Formulations of the present invention have a pH value of about 6.5 to 8.2. The pH of the formulation is adjusted to desired range using DOTA or any suitable acidifying agent such as mineral acids, organic carboxylic acids, sulfonic acids and the like. Suitable acidifying agents include, but not limited to hydrochloric acid, sulfuric acid, boric acid, silica acid, acetic acid, phosphoric acid, formic acid, maleic acid, citric acid, trichloroacetic acid, trifluoroacetic acid, benzoic acid, fumaric acid, tartaric acid, methanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid and the like.
The manufacturing process for preparing liquid parenteral pharmaceutical formulation of Gadoterate meglumine according to the present invention comprises of the following steps:
i. Water for injection is heated in a manufacturing vessel to about 80+5°C.
ii. DOTA is added to the above solution and stirred well.
iii. Gadolinium oxide (Gd203) is added to the above solution and stirred till it dissolves completely, maintaining the temperature of solution at 80+5 °C. iv. The solution is cooled to 25+2°C and meglumine is added to the solution and stirred.
v. The pH of the solution is adjusted to around 6.5 to 8.2, by the addition of DOTA or acidifying agent.
vi. The solution is filtered and filled into suitable containers or vials, stoppered and sealed followed by terminal sterilization.
Experiments were carried out in order to limit the amount of free DOTA and free gadolinium (Gd), and thus to reduce the toxicity of the product. Formulations prepared according to the invention are tested for various parameters such as pH, Assay, free Gd and free DOTA content and the results are tabulated in table 1. The amount of free Gd present in the formulation is analysed by Agilent Fluorescence detector. The amount of free DOTA in the formulation is analysed by HPLC method.
Table 1: pH-adjustment with DOTA
Figure imgf000006_0001
From the above results it can be concluded that the manufacturing process by the pH- adjustment method is suitable and meets the specifications for gadoterate meglumine injection.
The formulation prepared according to the invention is compared with commercially available Gadoterate meglumine injection i.e., Dotarem Injection (Batch No: 12GD100A, 11GD089A), the results are tabulated in table 2. Table 2: Comparison with Dotarem1
Figure imgf000007_0001
From table 2 it is evident that the product prepared according to the invention is comparable to that of the commercially available product.
The following examples further describe certain specific aspects and embodiments of the present invention and demonstrate the practice and advantages thereof. It is to be understood that the examples are given by way of illustration only and are not intended to limit the scope of the invention in any manner.
Example 1
Figure imgf000007_0002
Manufacturing process
Water for injection was taken in a manufacturing vessel and heated to 80+5°C. DOTA was added and stirred, followed by the addition of Gadolinium oxide while maintaining the temperature at 80+5°C. The solution was cooled to 25+2°C, then meglumine was added and stirred till a homogenous solution was obtained. The pH of the solution was adjusted to around 7.5 to 8.0 with hydrochloric acid. The final pH of the solution was adjusted using DOTA to around 7.3+0.2. The obtained solution was filtered followed by filling into the vials. Example 2
Figure imgf000008_0001
Manufacturing process
Water for injection was taken in a manufacturing vessel and heated to 80+5°C. DOTA was added and stirred, followed by the addition of Gadolinium oxide while maintaining the temperature at 80+5°C. The solution was cooled to 25+2°C, then meglumine was added and stirred till a homogenous solution was obtained. The pH of the solution was adjusted using DOTA to around 7.3+0.2. The obtained solution was filtered followed by filling into the vials.
Example 3
Figure imgf000008_0002
Manufacturing process
Water for injection was taken in a manufacturing vessel and heated to 80+5°C. DOTA was added and stirred, followed by the addition of Gadolinium oxide while maintaining the temperature at 80+5°C. The solution was cooled to 25+2°C, then meglumine was added and stirred till a homogenous solution was obtained. The pH of the solution was adjusted using DOTA to around 7.3+0.2. The obtained solution was filtered followed by filling into the vials. Example 4
Figure imgf000009_0001
Manufacturing process
Water for injection was taken in a manufacturing vessel and heated to 80+5°C. DOTA was added and stirred, followed by the addition of Gadolinium oxide while maintaining the temperature at 80+5°C. The solution was cooled to 25+2°C, then meglumine was added and stirred till a homogenous solution was obtained. The pH of the solution was adjusted to around 7.4 using acetic acid. The obtained solution was filtered followed by filling into the vials.
Example 5
Figure imgf000009_0002
Manufacturing process
Water for injection was taken in a manufacturing vessel and heated to 80+5°C. DOTA was added and stirred, followed by the addition of Gadolinium oxide while maintaining the temperature at 80+5°C. The solution was cooled to 25+2°C, then meglumine was added and stirred till a homogenous solution was obtained. The pH of the solution was adjusted to around 7.4 using phosphoric acid and/or DOTA. The obtained solution was filtered followed by filling into the vials.

Claims

We Claim:
Claim 1: Process for preparing a liquid parenteral pharmaceutical formulation of Gadoterate meglumine comprising of the following steps:
a) mixing a pre-determined amount of gadolinium oxide, DOTA and meglumine in water.
b) adjusting the pH-value of the mixture in the range of about 6.5 to 8.2, by adding DOTA or any suitable acidifying agent.
Claim 2: Process for preparing a liquid parenteral pharmaceutical formulation containing Gadoterate meglumine of claim 1, wherein the amount of free DOTA in the formulation ranges from about 0.002% to 0.5% and the content of free Gadolinium is 0.02% or less.
Claim 3: A process for preparing formulation according to claim 1, wherein the pH of the formulation ranges from about 7.0 and 8.0.
Claim 4: The parenteral pharmaceutical formulation of Gadoterate meglumine of claiml, wherein the acidifying agent is selected from the group comprising of hydrochloric acid, sulfuric acid, boric acid, silica acid, acetic acid, phosphoric acid, formic acid, maleic acid, citric acid, tri-chloroacetic acid, trifluoroacetic acid, benzoic acid, fumaric acid, tartaric acid, methanesulfonic acid, benzenesulfonic acid and p- toluenesulfonic acid.
PCT/IB2016/055436 2015-09-15 2016-09-13 Process for preparing a pharmaceutical formulation of gadoterate meglumine WO2017046694A1 (en)

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018125916A1 (en) * 2016-12-29 2018-07-05 Inventure, LLC Solvent-free gadolinium contrast agents
WO2019020662A1 (en) * 2017-07-27 2019-01-31 Sanochemia Pharmazeutika Ag Preparation containing a contrast agent, and method for the production thereof
US10653804B2 (en) 2016-12-29 2020-05-19 Inventure, LLC Solvent-free gadolinium contrast agents
EP3315141B1 (en) * 2016-10-28 2020-10-21 B.E. Imaging GmbH Method for the manufacture of pharmaceutical compositions comprising gadolinium chelate complexes with reduced toxic contamination
CN111989124A (en) * 2018-02-23 2020-11-24 萨诺化学药物有限公司 Method for preparing contrast medium
CN113527222A (en) * 2020-04-21 2021-10-22 威智医药有限公司 Preparation method of meglumine gadoterate
CN113801071A (en) * 2021-09-14 2021-12-17 安徽普利药业有限公司 Refining method of meglumine gadoterate
CN115779105A (en) * 2022-11-17 2023-03-14 华润双鹤药业股份有限公司 Gadobutrol injection and preparation method thereof
CN115869426A (en) * 2022-12-28 2023-03-31 华润双鹤药业股份有限公司 A kind of gadoterate meglumine injection and preparation method thereof

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WO2009103744A2 (en) * 2008-02-19 2009-08-27 Guerbet Process for preparing a pharmaceutical formulation of contrast agents

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EP2786768A1 (en) 2013-04-04 2014-10-08 Agfa Healthcare Process for preparing a material comprising a macrocyclic ligand and for producing a pharmaceutical formulation comprising said ligand with a lanthanide

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3315141B1 (en) * 2016-10-28 2020-10-21 B.E. Imaging GmbH Method for the manufacture of pharmaceutical compositions comprising gadolinium chelate complexes with reduced toxic contamination
EP3789044A1 (en) * 2016-10-28 2021-03-10 B.E. Imaging GmbH Method for the manufacture of pharmaceutical compositions comprising gadolinium chelate complexes with reduced toxic contamination
WO2018125916A1 (en) * 2016-12-29 2018-07-05 Inventure, LLC Solvent-free gadolinium contrast agents
US10653804B2 (en) 2016-12-29 2020-05-19 Inventure, LLC Solvent-free gadolinium contrast agents
WO2019020662A1 (en) * 2017-07-27 2019-01-31 Sanochemia Pharmazeutika Ag Preparation containing a contrast agent, and method for the production thereof
CN111989124A (en) * 2018-02-23 2020-11-24 萨诺化学药物有限公司 Method for preparing contrast medium
CN113527222A (en) * 2020-04-21 2021-10-22 威智医药有限公司 Preparation method of meglumine gadoterate
CN113527222B (en) * 2020-04-21 2023-06-13 威智医药股份有限公司 Preparation method of gadoteric acid meglumine
CN113801071A (en) * 2021-09-14 2021-12-17 安徽普利药业有限公司 Refining method of meglumine gadoterate
CN113801071B (en) * 2021-09-14 2023-04-07 安徽普利药业有限公司 Refining method of meglumine gadoterate
CN115779105A (en) * 2022-11-17 2023-03-14 华润双鹤药业股份有限公司 Gadobutrol injection and preparation method thereof
CN115869426A (en) * 2022-12-28 2023-03-31 华润双鹤药业股份有限公司 A kind of gadoterate meglumine injection and preparation method thereof

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