Evidence map›Paper›PMID 23424193›Full record

Trial reportJournal of nuclear medicine : official publication, Society of Nuclear Medicine2013

99mTc(CO)3(NTA) and 131I-OIH: comparable plasma clearances in patients with chronic kidney disease.

Andrew T Taylor, Malgorzata Lipowska, Hui Cai

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Non-invasive molecular imaging of kidney diseases.Nature reviews. Nephrology · 2021
    Review
  3. Head to head comparison of [EJNMMI research · 2021
    Article
  4. Inorganica chimica acta · 2019
    Article
  5. Re(CO)Nuclear medicine and biology · 2018
    Article
  6. MonoanionicNuclear medicine and biology · 2017
    Article
  7. Article
  8. Article
  9. Radionuclides in nephrourology, part 1: Radiopharmaceuticals, quality control, and quantitative indices.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2014
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Andrew T TaylorDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, GA 30322, USA. ataylor@emory.edu
Malgorzata Lipowska
Hui Cai

Funding

Development of Tc-99m Renal Tubular TracersR37DK038842 · NIDDK · EMORY UNIVERSITY · PI TAYLOR, ANDREW THOMPSON · 2009 to 2017
$3.4M
DEVELOPMENT OF TC-99M RENAL TUBULAR AGENTSR01DK038842 · NIDDK · EMORY UNIVERSITY · PI TAYLOR, ANDREW THOMPSON · 1986 to 2008
$2.6M
NIDDK NIH HHS R01 DK038842NIDDK NIH HHS R37 DK038842
6 · The paper itself

Abstract

unlabelledThe pharmacokinetics of the tricarbonyl core radiopharmaceutical (99m)Tc(CO)3-nitrilotriacetic acid ((99m)Tc(CO)3(NTA)) in rats and subjects with normal renal function are comparable to those of (131)I-o-iodohippuran ((131)I-OIH), the radiopharmaceutical gold standard for the measurement of effective renal plasma flow. Our objective was to compare the pharmacokinetics of these 2 tracers in subjects with renal failure.

methods(99m)Tc(CO)3(NTA) was prepared with commercially available NTA and a commercially available labeling kit and isolated by reversed-phase high-performance liquid chromatography. Approximately 74 MBq (2.0 mCi) of (99m)Tc(CO)3(NTA) were coinjected with approximately 11.1 MBq (300 μCi) of (131)I-OIH in 8 subjects with stage 3-4 renal failure; simultaneous images were obtained for 24 min, followed by an anterior image over the gallbladder and abdomen. Plasma clearances were determined from 10 blood samples obtained 3-180 min after injection using the single-injection, 2-compartment model. Plasma protein binding, red cell uptake, and percentage injected dose in the urine at 30 and 180 min were determined.

resultsThere was no difference in the plasma clearances of (99m)Tc(CO)3(NTA) and (131)I-OIH (177 ± 63 vs. 171 ± 66 mL/min/1.73 m(2), respectively) (P = 0.41). The plasma protein binding and red cell uptake of (99m)Tc(CO)3(NTA) were 35% ± 7% and 6% ± 3%, respectively; both values were significantly lower than the plasma protein binding (71% ± 5%) and red cell uptake (16% ± 2%) of (131)I-OIH (P < 0.001). There was no significant difference in the percentage injected dose in the urine at 30 min (P = 0.24) and at 3 h (P = 0.82); for comparison, the percentage dose in the urine at 3 h was 77% ± 9% for (99m)Tc(CO)3(NTA) and 78% ± 11% for (131)I-OIH. Image quality with (99m)Tc(CO)3(NTA) was excellent and no activity was identified in the gallbladder or intestine.

conclusionResults in patients with renal failure show the clearance and rate of urine excretion of (99m)Tc(CO)3(NTA) to be equivalent to that of (131)I-OIH.

Indexed as

Blood ProteinsFemaleGlomerular Filtration RateHumansIodine RadioisotopesIodohippuric AcidMaleMetabolic Clearance RateMiddle AgedOrganotechnetium CompoundsRenal Insufficiency, ChronicBlood ProteinsIodine RadioisotopesIodohippuric AcidOrganotechnetium Compoundstechnetium 99m tricarbonyl nitrilotriacetic acid

Identifiers

PMID23424193
PMCPMC3989841

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.