AzTrials
AzTrials

Magnetic Resonance ImagingPhase 1NCT00468819

A Study of Magnetic Resonance Imaging (MRI) With Gadavist in Children

A Phase 1 study testing Gadobutrol (Gadavist, Gadovist, BAY86-4875) in people with Magnetic Resonance Imaging, run by Bayer at 14 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

In this clinical study a contrast agent for magnetic resonance imaging (MRI), which has already been approved for application in adults, will be investigated in children and adolescents. Read more about this study

Who is it for?
Ages 2 to 17 years
Conditions the study is for
Magnetic Resonance Imaging
What is being tested?
Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
14 sitesin 4 countries
Study dates
May 2007to Apr 2008
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Patients (male/ female) of specific age groups (2-6 years, 7-11 years, 12-17 years) who are scheduled to undergo Gadolinium (Gd)-enhanced MRI of brain, spine, liver and/or kidneys or Gd-enhanced MRA (single field of view).

Who cannot join

  • Clinically unstable patients (e.g. intensive care unit)
  • Renal insufficiency
  • Patients undergoing a relevant change in chemotherapy </= 48 hours prior to and up to 24 hours after the administration of Gadovist.

Trial locations and contacts

14 sites in 4 countries.

14 sites in 4 countries

Germany8 sites
  • Study site

    Bonn, North Rhine-Westphalia, 53105

  • Study site

    Dresden, Saxony, 01307

  • Study site

    Erlangen, Bavaria, 91054

  • Study site

    Halle, Saxony-Anhalt, 06120

  • Study site

    Jena, Thuringia, 07740

  • Study site

    Kiel, Schleswig-Holstein, 24103

  • Study site

    Kiel, Schleswig-Holstein, 24105

  • Study site

    Leipzig, Saxony, 04103

Other trials in Germany

Sweden3 sites
  • Study site

    Gothenburg, 41485

  • Study site

    Stockholm, 17176

  • Study site

    Uppsala, 75185

Other trials in Sweden

Canada2 sites
  • Study site

    Edmonton, Alberta, T6G 2B7

  • Study site

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Austria1 site
  • Study site

    Vienna, State of Vienna, 1090

Other trials in Austria

About this study

Official title: Open-label Multi-center Study of Magnetic Resonance Imaging (MRI) With 0.1 mmol/kg Body Weight (BW) Gadavist (1.0 M) to Assess Pharmacokinetics, Safety and Tolerability in Children.

In this clinical study a contrast agent for magnetic resonance imaging (MRI), which has already been approved for application in adults, will be investigated in children and adolescents. MRI is a modern and safe examination method without delivering radiation burden using magnetic fields to produce cross-sectional images of the human body. A special computer program then puts these images together and creates a two or three-dimensional image of the inner organs thus facilitating the detection and evaluation of pathological changes. In contrast-enhanced MRI a contrast agent is injected into a peripheral vein before the examination which results in a stronger contrast in the examined area. Therefore, pathological changes can be more easily detected and evaluated compared to non-enhanced MRI. The company Bayer HealthCare Pharmaceuticals has developed a contrast agent for MRI called Gadavist 1.0 which was first approved in 1998 in Switzerland for MRI of brain and spine. Since 2003 Gadavist can also be used in magnetic resonance angiography (MRA) in adults, i.e. in the MRI examination of the blood vessels and since 2006 in MRI of liver and kidney disease. Gadavist was examined in more than 2,900 adults within the framework of clinical studies during development and has been used after its marketing authorization in meanwhile more than 600,000 patients. Yet, clinical studies investigating Gadavist have been only conducted with adults so far. Diseases requiring MRI examinations, however, often occur in children, too. Therefore, many contrast agents are already used on a regular basis in MRI examinations of children, some of these contrast agents being authorized already. Within the framework of this study the pharmacokinetic characteristics of Gadavist in children or adolescents will be investigated, i.e. how the contrast agent is distributed and behaves in the body. In addition, safety and tolerability will be evaluated in order to demonstrate that Gadavist 1.0 is a safe and well tolerated contrast agent also for children and adolescents. Furthermore, the study aims to obtain the dosage recommendation of 0.1 ml per kilogram body weight also for this population group.

Read the detailed description

Please note that the present study is allocated two study phases, i.e. phase I and phase III.

Being tested
Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Keywords
Contrast-enhanced MRI, MR angiography (MRA) Children 2-17 years

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gadobutrol (Gadavist, Gadovist, BAY86-4875)Drug

    In an open-label design, all patients will receive a total dose of 0.1 mmol/kg BW Gadovist 1.01 Days Injection

Study groups in NCT00468819
Study groupRoleWhat they receive
Gadobutrol (Gadavist, BAY86-4875) - age 2 to 6 yearsExperimentalParticipants received Gadobutrol 0.1 mmol/kg body weight (BW) = 0.1 mL/kg BW as single intravenous bolus injection
Receives: Drug: Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Gadobutrol (Gadavist, BAY86-4875) - age 7 to 11 yearsExperimentalParticipants received Gadobutrol 0.1 mmol/kg body weight (BW) = 0.1 mL/kg BW as single intravenous bolus injection
Receives: Drug: Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Gadobutrol (Gadavist, BAY86-4875) - age 12 to 17 yearsExperimentalParticipants received Gadobutrol 0.1 mmol/kg body weight (BW) = 0.1 mL/kg BW as single intravenous bolus injection
Receives: Drug: Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Gadobutrol (Gadavist, BAY86-4875) - age 2 to 17 yearsExperimentalParticipants received Gadobutrol 0.1 mmol/kg body weight (BW) = 0.1 mL/kg BW as single intravenous bolus injection
Receives: Drug: Gadobutrol (Gadavist, Gadovist, BAY86-4875)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plasma Clearance Estimates of Gadobutrol by Age Group

    Total body clearance of Gadobutrol in plasma in L/h after intravenous injection.

    Measured: From injection of Gadobutrol up to 8 hours after injection.

  2. Body Weight-corrected Plasma Clearance Estimates of Gadobutrol by Age Group

    Total body clearance of Gadobutrol in plasma corrected for body weight (L/h/kg) after intravenous injection.

    Measured: From injection up to 8 hours after Gadobutrol injection

  3. Volume Distribution at Steady State (Vss) Estimates of Gadobutrol by Age Group

    Apparent volume of distribution at steady state expressed in L after intravenous injection.

    Measured: From injection up to 8 hours after Gadobutrol injection

  4. Body Weight-corrected Volume Distribution at Steady State (Vss) Estimates of Gadobutrol by Age Group

    Apparent volume of distribution at steady state corrected for body weight (L/h/kg) after intravenous injection.

    Measured: From injection to 8 hours after Gadobutrol injection

  5. Area Under the Drug Concentration-time Curve of Gadobutrol by Age Group

    Area under the concentration versus time curve from zero to infinity after intravenous injection expressed in µmol*h/L.

    Measured: From injection to 8 hours after Gadobutrol injection

  6. Terminal Elimination Half Life Estimates of Gadobutrol by Age Group

    Terminal elimination half-life of Gadobutrol from plasma expressed in h and derived from the terminal slope of the concentration versus time curve.

    Measured: From injection to 8 hours after Gadobutrol injection

  7. Mean Residence Time (MRT) Estimates of Gadobutrol by Age Group

    Mean residence time of Gadobutrol in plasma expressed in h.

    Measured: From injection to 8 hours after Gadobutrol injection

Secondary outcomes (11)
  1. Urinary Excretion of Gadolinium as Percent of Administered Dose

    Amount of gadolinium* excreted into urine during the collection interval 0 - 6 h post dose expressed as % of administered dose. *A metallic rare-earth element, used as a contrast medium for magnetic resonance imaging.

    Measured: up to 6 hours after Gadobutrol injection

  2. Number of Participants With Basic Technical Adequacy of Magnetic Resonance (MR) Images for Diagnosis by Age Group

    In the participants the technical adequacy (evaluability) of MR images was assessed on the following 4-point scale (1=not adequate [compromised quality], 2=partially adequate [evaluation possible], 3=adequate despite artifacts, 4=adequate with excellent quality).

    Measured: Up to 1 hour after Gadobutrol injection

  3. Number of Participants With Overall Contrast Quality of Post Contrast Images by Age Group

    In the participants qualitative overall contrast quality of post contrast images was assessed on the following 6-point scale (none, poor, moderate, good, excellent, not assessable).

    Measured: up to 1 hour after Gadobutrol injection

  4. Pre-Contrast Lesions by Location and by Age Group

    Number of lesions on pre-contrast images by organ location and age group.

    Measured: up to 1 hour after Gadobutrol injection

  5. Post-Contrast Lesions by Location and by Age Group

    Number of lesions on post-contrast images by organ location and age group.

    Measured: up to 1 hour after Gadobutrol injection

  6. Pre-Contrast Delineation of Lesion/Vessel Border by Age Group

    In the participants pre-contrast delineation of each lesion/vessel border was assessed on the following 5-point scale (no, moderate, good, excellent, not assessable).

    Measured: up to 1 hour after Gadobutrol injection

  7. Post-Contrast Delineation of Lesion/Vessel Border by Age Group

    In the participants post-contrast delineation of each lesion/vessel border was assessed on the following 5-point scale (no, moderate, good, excellent, not assessable).

    Measured: up to 1 hour after Gadobutrol injection

  8. Pre-Contrast Lesion Characterization by Age Group

    In the participants the internal morphology and structure of each pre-contrast lesion was assessed on the following 4-point scale (1=poor, 2=moderate, 3=good, 4=not applicable).

    Measured: up to 1 hour after Gadobutrol injection

  9. Post-Contrast Lesion Characterization by Age Group

    In the participants the internal morphology and structure of each post-contrast lesion was assessed on the following 4-point scale (1=poor, 2=moderate, 3=good, 4=not applicable).

    Measured: up to 1 hour after Gadobutrol injection

  10. Degree of Contrast Enhancement in Lesion/Vessel by Age Group (Given Are Total Numbers of Lesions)

    In the participants the degree of contrast enhancement in each lesion/vessel was assessed on the following 5-point scale (1=no, 2=moderate, 3=good, 4=excellent, 5=not applicable).

    Measured: up to 1 hour after Gadobutrol injection

  11. Number of Participants With Change in Diagnostic Confidence by Age Group

    In the participants the change in diagnostic confidence (additional diagnostic gain by the post-contrast scan) was assessed on the following 3-point scale (1=unchanged, 2=improved, 3=worsened).

    Measured: up to 1 hour after Gadobutrol injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2007 (estimated)
  2. Study startMay 2007
  3. Primary completionApr 2008
  4. Study completionApr 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00468819
Sponsor's protocol ID
91552
Other IDs
2006-004153-22, 310788
Status last verified
Jun 2015
First submitted
2 May 2007
Last updated
22 Jul 2015
Data monitoring committee
No

Publications

  • Hahn G, Sorge I, Gruhn B, Glutig K, Hirsch W, Bhargava R, Furtner J, Born M, Schroder C, Ahlstrom H, Kaiser S, Moritz JD, Kunze CW, Shroff M, Stokland E, Trnkova ZJ, Schultze-Mosgau M, Reif S, Bacher-Stier C, Mentzel HJ. Pharmacokinetics and safety of gadobutrol-enhanced magnetic resonance imaging in pediatric patients. Invest Radiol. 2009 Dec;44(12):776-83. doi: 10.1097/RLI.0b013e3181bfe2d2.

    PubMed 19858730
  • Reif S, Schultze-Mosgau M, Sutter G. From adults to children: simulation-based choice of an appropriate sparse-sampling schedule. Paediatr Drugs. 2012 Jun 1;14(3):189-200. doi: 10.2165/11595430-000000000-00000.

    PubMed 22409261

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Gadobutrol (Gadavist, Gadovist, BAY86-4875) in people with Magnetic Resonance Imaging, run by Bayer at 14 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Germany, Sweden, Canada, Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Sep 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Plasma Clearance Estimates of Gadobutrol by Age Group (time frame: From injection of Gadobutrol up to 8 hours after injection.). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00468819, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2015.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in