TheraRadar
Data updated: Jun 17, 2026

LIPIODOL (ethiodized oil)

X-Ray Contrast Activity Trial Activity: Stable 3 active trials
Oncology Approved 1954-03-31

Lipiodol is an oil-based contrast agent used for specialized imaging procedures in both adults and children. It helps patients undergoing hysterosalpingography or lymphography by making internal structures visible on scans. Additionally, it is used in adults with hepatocellular carcinoma to help image tumors through selective hepatic intra-arterial delivery.

Source: FDA Label • GUERBET • Radiographic Contrast Agent

How LIPIODOL Works

This agent works by opacifying the vessels and body structures it flows through. By making these areas radiopaque, it allows clinicians to clearly visualize internal structures that would otherwise be difficult to see.

Development Insights

VA Office of Research and Development conducting 1 trials (10%)
21 indications explored (Broad Platform)
hepatocellular carcinoma (3 trials)
endobronchial metastases (2 trials)
lung non-small cell carcinoma (1 trials)
2
Indications
--
Phase 3 Trials
1
Priority Reviews
72
Years on Market

Details

Status
Prescription
First Approved
1954-03-31
Routes
INTRALYMPHATIC, INTRAUTERINE
Dosage Forms
OIL

Companies

Active Ingredient: ETHIODIZED OIL

LIPIODOL Approval History

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Original
New Indication
New Form
Label Update
12 FDA actions from 1954 to 2023 · 1 indication expansions
Apr 2023 SUPPL
Label · Labeling
Jun 2020 SUPPL
Label · Labeling
Sep 2018 SUPPL
Mfg · Manufacturing (CMC)

What LIPIODOL Treats

2 indications

LIPIODOL is approved for 2 conditions since its original approval in 1954. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Lymphography
  • Hepatocellular Carcinoma
Source: FDA Label

LIPIODOL Boxed Warning

FOR INTRALYMPHATIC, INTRAUTERINE AND SELECTIVE HEPATIC INTRA-ARTERIAL USE ONLY Pulmonary and cerebral embolism can result from inadvertent intravascular injection or intravasation of Lipiodol. Inject Lipiodol slowly with radiologic monitoring; do not exceed recommended dose ( 5.1 ). WARNING: FOR INTRALYMPHATIC, INTRAUTERINE AND SELECTIVE HEPATIC INTRA-ARTERIAL USE ONLY See Full Prescribing Information for complete Boxed Warning Pulmonary and cerebral embolism can result from inadvertent intravas...

LIPIODOL Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in LIPIODOL's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications LIPIODOL treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to LIPIODOL

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FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

CYRAMZA
RAMUCIRUMAB
1 shared
Eli Lilly
Shared indications:
Hepatocellular Carcinoma
IMJUDO
TREMELIMUMAB-ACTL
1 shared
AstraZeneca
Shared indications:
Hepatocellular Carcinoma
KEYTRUDA
PEMBROLIZUMAB
1 shared
Merck
Shared indications:
Hepatocellular Carcinoma

GUERBET's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Clinical Trial Registry

10 trials
Trial Sponsor ID Phase Status Title
NCT04728633 20P.1076 JT 15505 Ph 2 active not recruiting Transarterial Chemoembolization for the Treatment of Uveal Melanoma With Liver Metastases
NCT05842174 TAQE ONCC-008-22S IO1CX002542 Ph 1, Ph 2 recruiting Targeting Ischemia-Induced Autophagy Dependence in Hepatocellular Carcinoma
NCT05435014 TACE-OHEP-001 Ph 1, Ph 2 suspended T-ACE Oil by TAE/TACE in Patients With Hepatocellular Carcinoma
NCT05672108 22067 P30CA033572, NCI-2022-10436 Ph 2 recruiting Phase II Trial of Lung Chemoemobolization
NCT04200417 19-371 Ph 1 completed Chemoembolization for Lung Tumors
NCT02762266 results posted IRB-35937 NCI-2016-00418, P30CA124435 Ph 3 terminated Transarterial Chemoembolization Compared With Stereotactic Body Radiation Therapy or Stereotactic Ablative Radiation Therapy in Treating Patients With Residual or Recurrent Liver Cancer Undergone Initial Transarterial Chemoembolization
NCT05490381 RG1121599 NCI-2022-05693, STUDY00009998 Ph 1 withdrawn Preoperative Embolization of Hypervascular Head and Neck Tumors to Improve Surgical Outcomes
NCT04733092 LipioJoint1 APHP190891 2020-002206-10 Ph 1 completed Safety and Efficacy of a Lipiodol Emulsion for the Embolization of Hypervascularizations in Patients With Knee Pain (LipioJoint1)
NCT01877187 results posted J12115 NA_00074005, HIC1601017054 Ph 2 completed Lipiodol as an Imaging Biomarker in Patients With Primary and Metastatic Liver Cancer
NCT02585479 TA-C/Ahcc Ph 2, Ph 3 withdrawn Systemic Chemotherapy Versus Transcatheter Arterial Chemoembolization(TACE) for Hepatocellular Carcinoma
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

LIPIODOL FDA Label Details

Indications & Usage

FDA Label (PDF)

LIPIODOL is indicated for the treatment of Lymphography; Hepatocellular Carcinoma.

⚠️ BOXED WARNING

WARNING: FOR INTRALYMPHATIC, INTRAUTERINE AND SELECTIVE HEPATIC INTRA-ARTERIAL USE ONLY Pulmonary and cerebral embolism can result from inadvertent intravascular injection or intravasation of Lipiodol. Inject Lipiodol slowly with radiologic monitoring; do not exceed recommended dose ( 5.1 ). WARNING...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment