Imaging Biomarkers in Drug Safety Assessment

Quantitative MRI biomarkers supporting drug safety assessment, risk mitigation, and regulatory-ready evidence.

Dynamic contrast-enhanced MRI of the lung showing passage of contrast agent through the pulmonary vasculature.

Most successful drug developments involve a careful balance between safety and efficacy. The FDA recognises the importance of biomarkers, including imaging biomarkers, in drug safety assessment. Imaging biomarkers of drug safety have played a major role in avoiding drug-induced harm to important organ systems, including liver, lung, brain, heart, and the musculoskeletal system.

Gadoxetate-enhanced liver MRI supporting transporter safety biomarkers
Gadoxetate-enhanced MRI supports liver safety biomarkers and transporter function assessment.

Bioxydyn has deep expertise in the role of imaging biomarkers in drug safety and has contributed to multiple reviews and position papers. We played a leading role in the IMI/IHI-funded TRISTAN partnership for drug-induced interstitial lung disease and adverse liver transporter fluxes, focusing on cross-site standardisation and biological validation.

Drug developers must minimise the risk of false-positive readouts in clinical trials. Our attention to technical and biological validation, and our transparent VoxelFlow pipeline, helps clients avoid misleading safety signals.

Quantitative MRI of joints for musculoskeletal safety monitoring
Quantitative MRI of joints supports safety monitoring of musculoskeletal systems.

Safety signals may occur sporadically and often without strong baselines, so safety studies require meticulous cross-site standardisation. Bioxydyn's imaging metrology ensures that biomarkers measured on one scanner are quantitatively comparable with measurements from other sites and vendors.

Bioxydyn's imaging biomarkers for lung toxicity are described in our Respiratory section and for liver in our Liver imaging section. Please contact us for advice on how best to deploy these tools as safety biomarkers.

Drug safety publications

Evidence base for imaging biomarkers in safety assessment, including transporter and toxicity studies.

2 publications Refine by area, year, or keyword.
  • Use of in vivo imaging and physiologically based kinetic modelling to predict hepatic transporter mediated drug-drug interactions in rats
    2023 Research Article
    Key Publication

    Use of in vivo imaging and physiologically based kinetic modelling to predict hepatic transporter mediated drug-drug interactions in rats

    Melillo N, Scotcher D, Kenna JG, Green C, Hines CDG, Laitinen I, et al.

    Pharmaceutics 15(3)

    Why it matters: Translational framework linking gadoxetate imaging with transporter-mediated DDI risk.

  • Bias, repeatability and reproducibility of liver T1 mapping with variable flip angles
    2022 Research Article

    Bias, repeatability and reproducibility of liver T1 mapping with variable flip angles

    Tadimalla S, Wilson DJ, Shelley D, Bainbridge G, Saysell M, Mendichovszky IA, et al.

    J Magn Reson Imaging 56(4):1042-1052

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