MedPath

Technetium Tc-99m sestamibi

Generic Name
Technetium Tc-99m sestamibi
Brand Names
Cardiolite
Drug Type
Small Molecule
Chemical Formula
C36H66N6O6Tc
CAS Number
109581-73-9
Unique Ingredient Identifier
971Z4W1S09

Overview

Technetium Tc-99m sestamibi (commonly sestamibi) is a pharmaceutical agent used in nuclear medicine imaging. The drug is a coordination complex consisting of the radioisotope technetium-99m bound to six methoxyisobutylisonitrile (MIBI) ligands, hence the name sesta (6) MIBI.. Following intravenous injection of the drug, Technetium Tc-99m sestamibi is taken up by the myocardium, parathyroid, and/or breast tissue. The mechanism by which sestamibi localizes to these tissues has not been established. Single photon emission computed tomography (SPECT) is then performed to detect the gamma ray emmitted by the decay of Technetium-99m to Technetium-99. Currently available within a preparation kit for injection, Technetium Tc 99m Sestamibi is indicated for: 1) detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects); and 2) evaluating myocardial function and developing information for use in patient management decisions.

Background

Technetium Tc-99m sestamibi (commonly sestamibi) is a pharmaceutical agent used in nuclear medicine imaging. The drug is a coordination complex consisting of the radioisotope technetium-99m bound to six methoxyisobutylisonitrile (MIBI) ligands, hence the name sesta (6) MIBI.. Following intravenous injection of the drug, Technetium Tc-99m sestamibi is taken up by the myocardium, parathyroid, and/or breast tissue. The mechanism by which sestamibi localizes to these tissues has not been established. Single photon emission computed tomography (SPECT) is then performed to detect the gamma ray emmitted by the decay of Technetium-99m to Technetium-99. Currently available within a preparation kit for injection, Technetium Tc 99m Sestamibi is indicated for: 1) detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects); and 2) evaluating myocardial function and developing information for use in patient management decisions.

Indication

Technetium Tc 99m Sestamibi is indicated for: 1) detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects); and 2) evaluating myocardial function and developing information for use in patient management decisions.

Associated Conditions

  • Coronary Artery Disease (CAD)

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2021/09/13
Not Applicable
Recruiting
2017/02/27
Phase 4
Terminated
Medstar Health Research Institute
2016/08/16
Not Applicable
Completed
Central Hospital, Nancy, France
2016/04/20
Early Phase 1
Active, not recruiting
2014/12/24
Not Applicable
Active, not recruiting
2013/08/19
Not Applicable
Completed
2008/02/21
Not Applicable
Completed
2005/09/13
Phase 4
Completed
2005/09/13
Phase 4
Completed
2005/09/13
Phase 1
Completed

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Jubilant Draximage (USA) Inc.
45548-141
INTRAVENOUS
1 mg in 1 mL
8/13/2017
Sun Pharmaceutical Industries, Inc.
45567-0555
INTRAVENOUS
1 mg in 10 mL
3/31/2020
Cardinal Health 414, LLC
65857-500
PARENTERAL
1 mg in 5 mL
11/16/2017

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
No HSA approvals found for this drug.

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Sestamibi for Injection
国药准字H19990038
化学药品
注射剂
8/13/2020
Technetium[99mTc] Sestamibi Injection
国药准字H19994149
化学药品
注射剂
2/5/2020
Technetium[99mTc] Sestamibi Injection
国药准字H10973070
化学药品
注射剂
7/28/2020
Technetium[99mTc] Sestamibi Injection
国药准字H10973065
化学药品
注射剂
2/23/2023
Technetium[99mTc] Sestamibi Injection
国药准字H10973049
化学药品
注射剂(小容量注射剂)
2/26/2021
Technetium[99mTc] Sestamibi Injection
国药准字H10973068
化学药品
注射剂
7/1/2022

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
No TGA approvals found for this drug.
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