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Colorectal NeoplasmsPhase 4NCT00764621

Health Economic Evaluation of Primovist-enhanced Liver MRI

A Phase 4 study testing Primovist MRI, Extracellular contrast media (ECCM) MRI and Contrast-enhanced CT in people with Colorectal Neoplasms and Neoplasm Metastasis, run by Bayer at 44 sites in 9 countries.

Completed

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

Official record
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Trial summary

Patients with a history of colorectal cancer and known or suspected liver metastases who are scheduled for contrast-enhanced tomographic imaging will be included in this study. After randomization to either Primovist-enhanced MRI, extracellular contrast media (ECCM)-enhanced MRI or contrast-enhanced (CE)-CT outcomes… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Neoplasms, Neoplasm Metastasis
What is being tested?
Primovist MRI, Extracellular contrast media (ECCM) MRI and Contrast-enhanced CT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
44 sitesin 9 countries
Study dates
Oct 2008to Nov 2010
Phase
Phase 4
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with known or suspected metachronous liver metastases secondary to colorectal cancer who are scheduled for further contrast-enhanced tomographic imaging

Who cannot join

  • Patients (men or women) under 18 years of age
  • Patients who have received any contrast material within 24 hours before injection of study drug, or who are scheduled to receive any contrast material within 24 hours after injection
  • Patients not eligible to contrast media (CM) injection according to product labeling
  • Women who are pregnant, lactating or who are of childbearing potential and have not had a negative urine pregnancy test at baseline visit(s)
  • Patients scheduled for liver-specific MRI other than Primovist-enhanced MRI, i.e. Multihance-, Teslascan- or SPIO-enhanced MRI
  • Patients who are clinically unstable and whose clinical course is unpredictable (e.g. due to previous surgery, acute myocardial infarction)
Show all 9Show fewer
  • Patients with known anaphylactoid or anaphylactic reaction to any contrast media or hypersensitivity to any allergen including drugs
  • Patients with a contraindication for MRI or CT.
  • Patients with severe renal impairment (eGFR < 30ml/min/1.73m2) or patients on dialysis

Trial locations and contacts

44 sites in 9 countries.

44 sites in 9 countries

Germany11 sites
  • Study site

    Berlin, State of Berlin, 10117

  • Study site

    Dortmund, North Rhine-Westphalia, 44137

  • Study site

    Dortmund, North Rhine-Westphalia, 44263

  • Study site

    Dresden, Saxony, 01067

  • Study site

    Frankfurt am Main, Hesse, 60596

  • Study site

    Greifswald, Mecklenburg-Vorpommern, 17489

  • Study site

    Karlsruhe, Baden-Wurttemberg, 76133

  • Study site

    Magdeburg, Saxony-Anhalt, 39112

  • Study site

    München, Bavaria, 81377

  • Study site

    München, Bavaria, 81675

  • Study site

    Tübingen, Baden-Wurttemberg, 72076

Other trials in Germany

South Korea8 sites
  • Study site

    Gyeunggi-do, South Korea, 463-707

  • Study site

    Hwasun, 519809

  • Study site

    Jeonbuk, 561-712

  • Study site

    Seoul, Korea, 152-703

  • Study site

    Seoul, 110-744

  • Study site

    Seoul, 135-710

  • Study site

    Seoul, 138-736

  • Study site

    Seoul

Other trials in South Korea

Italy6 sites
  • Study site

    Ancona, 60126

  • Study site

    Bologna, 40138

  • Study site

    Brescia, 25100

  • Study site

    Candiolo, Torino, 10060

  • Study site

    Chieti, 66100

  • Study site

    Naples, 80138

Other trials in Italy

Switzerland5 sites
  • Study site

    Basel, Canton of Basel-City, 4031

  • Study site

    Bern, 3010

  • Study site

    Geneva, Canton of Geneva, 1211

  • Study site

    Lucerne, Canton of Lucerne, 6000

  • Study site

    Sankt Gallen, Canton of St. Gallen, 9007

Other trials in Switzerland

Austria3 sites
  • Study site

    Graz, 8036

  • Study site

    Vienna, State of Vienna, 1090

  • Study site

    Vienna, 1030

Other trials in Austria

Netherlands3 sites
  • Study site

    Amsterdam, 1066CX

  • Study site

    Leiden, 2333 ZA

  • Study site

    Utrecht, 3584 CX

Other trials in Netherlands

Spain3 sites
  • Study site

    Barcelona, Barcelona, 08036

  • Study site

    Santa Cruz de Tenerife, Canary Islands, 38009

  • Study site

    Seville, Sevilla, 41013

Other trials in Spain

Sweden3 sites
  • Study site

    Stockholm, 17176

  • Study site

    Stockholm, 182 88

  • Study site

    Uppsala, 75185

Other trials in Sweden

Thailand2 sites
  • Study site

    Bangkok, 10700

  • Study site

    Songkhla, 90110

Other trials in Thailand

About this study

Official title: Multi-center, Randomized Comparison Study to eVALUatE Outcomes and Resource Needs of Imaging and Treatment Following Primovist-enhanced MRI of the Liver in Comparison to Extracellular Contrast Media (ECCM)-Enhanced MRI and Contrast-enhanced Computed Tomography (CT) in Patients With a History of Colorectal Cancer and Known or Suspected Metachronous Liver Metastases.

Patients with a history of colorectal cancer and known or suspected liver metastases who are scheduled for contrast-enhanced tomographic imaging will be included in this study. After randomization to either Primovist-enhanced MRI, extracellular contrast media (ECCM)-enhanced MRI or contrast-enhanced (CE)-CT outcomes and resource needs of the diagnostic work-up and treatment will be evaluated for each of the three imaging modalities. Main objectives of the study are to assess the proportion of patients for whom further imaging is required to come to a therapy decision and to evaluate the proportion of patients with intraoperatively modified surgical plans after Primovist-enhanced MRI as compared to ECCM-enhanced MRI and CE-CT.

Being tested
Primovist MRI, Extracellular contrast media (ECCM) MRI, Contrast-enhanced CT
Keywords
Gadolinium ethoxybenzyl DTPA, Contrast media, Outcome Assessment (Health Care), Magnetic Resonance Imaging, Tomography, X-Ray Computed, Liver
Medical subject headings
Colorectal Neoplasms, Neoplasm Metastasis

What participants receive

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

  • Primovist MRIProcedure or surgery

    Contrast-enhanced MRI with an i.v. application of Primovist in the approved dosage

  • Extracellular contrast media (ECCM) MRIProcedure or surgery

    Contrast-enhanced MRI with an i.v. application of an approved extracellular contrast medium in the approved dosage

  • Contrast-enhanced CTProcedure or surgery

    Contrast-enhanced 3 phase multidetector CT with an i.v. application of an approved iodinated contrast medium in the approved dosage

Study groups in NCT00764621
Study groupRoleWhat they receive
Arm 1ExperimentalNot described
Receives: Procedure: Primovist MRI
Arm 2Active comparatorNot described
Receives: Procedure: Extracellular contrast media (ECCM) MRI
Arm 3Active comparatorNot described
Receives: Procedure: Contrast-enhanced CT

What is being measured

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

  1. Primary variable is the proportion of patients in each of the three treatment groups for whom further imaging is required after initial imaging to come to a therapy decision.

    Measured: At end of the study (per patient)

Secondary outcomes (1)
  1. Proportion of patients with intra-operatively modified surgical plans based on initial imaging with either Primovist-, ECCM-MRI or CE-CT

    Measured: After end of the study

Timeline

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

  1. First posted2 Oct 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionSep 2010
  4. Study completionNov 2010

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 4
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
360 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00764621
Sponsor's protocol ID
91789
Other IDs
312041, 2008-000583-16, 2008
Status last verified
Nov 2014
First submitted
1 Oct 2008
Last updated
4 Nov 2014
Results posted
No
Data monitoring committee
No

Publications

  • Zech CJ, Korpraphong P, Huppertz A, Denecke T, Kim MJ, Tanomkiat W, Jonas E, Ba-Ssalamah A; VALUE study group. Randomized multicentre trial of gadoxetic acid-enhanced MRI versus conventional MRI or CT in the staging of colorectal cancer liver metastases. Br J Surg. 2014 May;101(6):613-21. doi: 10.1002/bjs.9465. Epub 2014 Mar 20.

    PubMed 24652690

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Primovist MRI, Extracellular contrast media (ECCM) MRI and Contrast-enhanced CT in people with Colorectal Neoplasms and Neoplasm Metastasis, run by Bayer at 44 sites in 9 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 9 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 4 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in Germany, South Korea, Italy, Switzerland, Austria and 4 more countries. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Primary variable is the proportion of patients in each of the three treatment groups for whom further imaging is required after initial imaging to come to a therapy decision. (time frame: At end of the study (per patient)). 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 NCT00764621, which also lists 1 linked publication.

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 4 Nov 2014.

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