Brain DiseasesPhase 2NCT00862459
Dose Finding Study of Gadavist in Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)
A Phase 2 study testing Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875) and Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875) in people with Brain Diseases and Spinal Cord Diseases, run by Bayer at 27 sites in 4 countries.
Trial summary
The purpose of this study is to look at the safety (what are the side effects) and efficacy (how well does it work) of Gadavist when used for taking images of the brain and spine. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Brain Diseases, Spinal Cord Diseases
- What is being tested?
- Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875) and Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 237 participants
- Where
- 27 sitesin 4 countries
- Study dates
- Aug 2005to Mar 2007
- Phase
- Phase 2
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with either known or highly suspected focal areas of disruption of the blood brain barrier (BBB) (eg, primary and secondary tumors, focal inflammatory or demyelinating disorders) and/or abnormal vascularity in the CNS, who are scheduled to undergo a routine contrast-enhanced MRI of the CNS.
- Patients with untreated brain tumors should constitute a minimum of 50% of the study population and patients with treated brain tumors will be limited to a maximum of 20% of the study population
Who cannot join
- Is a female patient who is pregnant or nursing.
- Is a female of childbearing potential and did not have a negative urine pregnancy test the same day as the administration of gadobutrol or comparator treatment.
- Has received any investigational product within 30 days prior to enrolling in this study.
- Has been previously enrolled in this study or any other study using gadobutrol.
- Has any contraindication to the MRI examinations.
- Has a history of severe allergic or anaphylactoid reaction to any allergen including drugs and contrast agents.
Show all 15Show fewer
- Has received any contrast agent within 24 hours prior to gadobutrol contrast administration, or is scheduled to receive any contrast agent within 72 hours after the gadobutrol study.
- Is considered to be clinically unstable or his/her clinical course during the study period is unpredictable (eg, due to previous surgery, acute renal failure).
- Has been treated with high dose (>55 cobalt Gy equivalent) photon radiation or global radiotherapy for CNS lesions at any time before entering the study.
- Is scheduled to receive chemotherapy or radiotherapy during the study period.
- Is expected or scheduled to have a change in any treatment or procedure between the comparator and gadobutrol MRIs that may alter their interpretation.
- Is scheduled or is likely to require a biopsy or surgery within the 72 hours after the gadobutrol MRI procedure, or is scheduled for or has undergone such interventions between the comparator and gadobutrol studies.
- Has severe cardiovascular disease.
- Has any contraindication to OptiMARK according to the package insert.
- Has more than 30 brain lesions detected by any prior imaging examination.
Trial locations and contacts
27 sites in 4 countries.
27 sites in 4 countries
United States20 sites
Emory University School of Medicine
Atlanta, Georgia, 30322
Johns Hopkins University School of Medicine
Baltimore, Maryland, 21287
Boston Medical Center
Boston, Massachusetts, 02118
University of North Carolina
Chapel Hill, North Carolina, 27599
Medical University of South Carolina
Charleston, South Carolina, 29425
Northwestern Memorial Hospital
Chicago, Illinois, 60611
Indiana Neuroscience Institute
Indianapolis, Indiana, 46260
Shands Jacksonville Medical Center
Jacksonville, Florida, 32209
University of Wisconsin - Madison
Madison, Wisconsin, 53792
Methodist Le Bonheur Healthcare
Memphis, Tennessee, 38104
NYU Langone Medical Center
New York, New York, 10016
Methodist Hospital
Omaha, Nebraska, 68114
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Temple University Hospital
Philadelphia, Pennsylvania, 19146
University of Pittsburgh Medical Center Health System
Pittsburgh, Pennsylvania, 15213
Rhode Island Hospital
Providence, Rhode Island, 02903
University of California Davis Medical Center
Sacramento, California, 95817
University of California-San Diego Medical Center
San Diego, California, 92103
University of Washington Medical Center
Seattle, Washington, 98195
Washington University School of Medicine
St Louis, Missouri, 63110
Colombia4 sites
DIME Clinica Neurocardiovascular S.A.
Cali, Valle del Cauca Department
Fundación Clínica Valle del Lili
Cali
Centro de Diagnostico Medico
Medellín, Antioquia
Fundación Instituto de Alta tecnología médica de Antioquia
Medellín, Antioquia
Argentina2 sites
TCba Salguero
Buenos Aires, Buenos Aires
Fundacion Cientifica del Sur
Lornas de Zamora, Buenos Aires, B1832BQS
Brazil1 site
Hospital da Beneficiência Portuguesa
São Paulo, São Paulo, 01323-001
About this study
Official title: Multi-center, Double-blind, Randomized, Controlled, Parallel Group, Dose Comparison Study With Corresponding Blinded Image Evaluation Following a Single Intravenous Injection of Three Different Doses of Gadobutrol 1.0 Molar (Gadavist) in Patients With Known or Suspected Focal Blood Brain Barrier Disturbances and/or Abnormal Vascularity of the Central Nervous System
The purpose of this study is to look at the safety (what are the side effects) and efficacy (how well does it work) of Gadavist when used for taking images of the brain and spine. The results of the MRI with Gadavist Injection will be compared to the results of MR images taken without contrast and with the results of the MR images taken with OptiMARK.
Read the detailed description
Safety issues are addressed in the Adverse Events section
- Conditions
- Brain Diseases, Spinal Cord Diseases
- Being tested
- Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), OptiMARK~0.1 mmol/kg BW
- Keywords
- Contrast Agents
- Medical subject headings
- Brain Diseases, Spinal Cord Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Drug
Participant received one dose of 0.03 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Drug
Participant received one dose of 0.1 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Drug
Participant received one dose of 0.3 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
OptiMARK~0.1 mmol/kg BWDrug
Participant received one dose of 0.1 mmol/kg BW of OptiMARK. OptiMARK was administered via a power injector at a rate of 2 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
| Study group | Role | What they receive |
|---|---|---|
| Gadobutrol~0.03 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Participant received one dose of 0.03 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg body weight (BW) of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. Receives: Drug: Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875); Drug: OptiMARK~0.1 mmol/kg BW |
| Gadobutrol~0.1 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Participant received one dose of 0.1 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. Receives: Drug: Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875); Drug: OptiMARK~0.1 mmol/kg BW |
| Gadobutrol~0.3 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Participant received one dose of 0.3 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. Receives: Drug: Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875); Drug: OptiMARK~0.1 mmol/kg BW |
What is being measured
The primary outcome is the main question the study is designed to answer.
Categorical Visualization Score (CVS)
The primary visualization variables (number [no.] of lesions detected, border delineation, contrast enhancement, internal morphology) were condensed to a composite score (CVS). Each variable was considered a category; the CVS was calculated as: CVS=(No. of categories with increase over precontrast)-(No. of categories with decrease over precontrast). The possible outcomes of the CVS for a participant and each reader were in the range of - 3 to +4. The CVS was averaged across the 3 blinded readers, producing 1 mean CVS per participant. The higher the CVS, the more effective the treatment.
Measured: up to 2 hours after the injection of study medication
Difference in Number of Lesions Detected in Pre-contrast and Combined Pre-/Post-contrast MRI.
Three blinded readers evaluated the unenhanced MRI sets and the combined unenhanced/gadobutrol-enhanced MRI sets to evaluate the number of lesions, which was then averaged to produce an average reader value.
Measured: up to 2 hours after the injection of study medication
Assessment of Lesion Contrast Enhancement
The blinded readers assessed the degree of contrast enhancement for each lesion on a 4-point scale where 1 = no enhancement and 4 = excellent enhancement, which was then averaged to produce an average reader score.
Measured: up to 2 hours after the injection of study medication
Assessment of Border Delineation
The blinded readers assessed the delineation for each lesion on a 4-point scale where 1 = none and 4 = excellent, which was then averaged to produce an average reader score.
Measured: up to 2 hours after the injection of study medication
Assessment of Internal Morphology
The blinded readers assessed the degree of information available about internal morphology and structure for each lesion on a 3-point scale where 1 = poor and 3 = good, which was then averaged to produce an average reader score.
Measured: up to 2 hours after the injection of study medication
Contrast to Noise Ratio (CNR) Between White and Gray Matter With Gadobutrol Perfusion MRI
CNR between white and gray matter in the perfusion imaging was defined as the signal intensity (SI) difference between white and gray matter divided by the standard deviation of the SI of white matter. An independent radiologist evaluated the gadobutrol-enhanced perfusion MRI for signal intensity.
Measured: up to 2 hours after the injection of study medication
Secondary outcomes (40)
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 1
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched lesions was performed for blinded reader (BR) 1.
Measured: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 2
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched lesions was performed for BR 2
Measured: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 3
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched lesions was performed for BR 3
Measured: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 1
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched enhanced lesions was performed for BR 1
Measured: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 2
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched enhanced lesions was performed for BR 2
Measured: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 3
The percent accuracy (total number of lesions matching the comparator divided by the total number of lesions identified by gadobutrol) comparison of the 0.03 and 0.1 mmol/kg gadobutrol doses and the 0.1 and 0.3 mmol/kg gadobutrol doses using detection of all comparator-detected matched enhanced lesions was performed for BR 3
Measured: up to 2 hours after the injection of study medication
Evaluation of the Correct Diagnosis Following Gadobutrol-enhanced and Unenhanced MRI
The gadobutrol-enhanced and unenhanced MRI diagnoses of the average reader were compared to the final diagnosis.
Measured: up to 2 hours after the injection of study medication
Evaluation of the Diagnostic Confidence Based on Unenhanced MRI and Combined Unenhanced and Enhanced MRI
The diagnostic confidence, the level of certainty in a diagnosis, was determined based on the average of the blinded readers.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume [CBV]) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the uncorrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the uncorrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the uncorrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the corrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the corrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the corrected CBV perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the CBF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the CBF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the CBF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the TTP perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the TTP perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the TTP perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the MTT perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the MTT perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the MTT perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF) - Blinded Reader 1
BR 1 evaluated the visibility of the lesion(s) on the PF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF) - Blinded Reader 2
BR 2 evaluated the visibility of the lesion(s) on the PF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF)) - Blinded Reader 3
BR 3 evaluated the visibility of the lesion(s) on the PF perfusion map.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Uncorrected Cerebral Blood Volume (CBV)) - Independent Radiologist
The independent radiologist determined the uncorrected CBV for each lesion. CBV is the volume of blood in the tissue.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Corrected Cerebral Blood Volume (CBV)) - Independent Radiologist
The independent radiologist determined the corrected CBV for each lesion. CBV is the volume of blood in the tissue.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Cerebral Blood Flow (CBF)) - Independent Radiologist
The independent radiologist determined the CBF for each lesion. CBF is the volume of blood passing through tissue per unit of time.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Time to Peak (TTP)) - Independent Radiologist
The independent radiologist determined the TTP for each lesion. TTP is the delay between the arrival of the contrast agent bolus arrival time and the peak of the concentration curve.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Mean Transit Time (MTT)) - Independent Radiologist
The independent radiologist determined the MTT for each lesion. The MTT is the time (seconds) for contrast to pass through tissues.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Permeability Factor (PF)) - Independent Radiologist
The independent radiologist determined the PF for each lesion
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the uncorrected CBV perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the corrected CBV perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time. CBV is the fraction of the tissue volume occupied by the blood.
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Cerebral Blood Flow (CBF)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the CBF perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Time to Peak (TTP)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the TTP perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Mean Transit Time (MTT)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the MTT perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time
Measured: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Permeability Factor (PF)) - Blinded Reader
The blinded reader evaluated if artifacts were present on the PF perfusion map and recorded the type of the major artifact. EPI: echo-planar imaging; T2: transversal relaxation time
Measured: up to 2 hours after the injection of study medication
Evaluation of MRI Tumor Grade Agreement With Biopsy Results by Dose Group
The blinded readers gave an estimation of the tumor grade of brain tumors (low grade [I or II] or high grade [III or IV]) in terms of malignancy using the information obtained by perfusion imaging, which was compared to the biopsy sample results
Measured: up to 2 hours after the injection of study medication
Contrast to Noise Ratio (CNR) of Lesion/Gray Matter and Lesion/White Matter
CNR between lesion/gray matter and lesion/white matter in the perfusion imaging was defined as the signal intensity (SI) difference between lesion and gray or white matter divided by the standard deviation of background noise. An independent radiologist evaluated the gadobutrol-enhanced perfusion MRI for signal intensity.
Measured: up to 2 hours after the injection of study medication
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2009 (estimated)
- Study startAug 2005
- Primary completionMar 2007
- Study completionMar 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Brain DiseasesStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 237 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00862459
- Sponsor's protocol ID
- 91400
- Other IDs
- 308200
- Status last verified
- Dec 2013
- First submitted
- 26 Nov 2008
- Last updated
- 13 Jan 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Breuer J, Gutierrez J, Latchaw R, Lehr R, Sorensen AG. Gadobutrol in the central nervous system at three doses: results from a phase II, randomized, multicenter trial. J Magn Reson Imaging. 2014 Feb;39(2):410-8. doi: 10.1002/jmri.24180. Epub 2013 May 16.
PubMed 23681501
Study at a glance
From the registry record, last updated by the sponsor on 13 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multi-center, Double-blind, Randomized, Controlled, Parallel Group, Dose Comparison Study With Corresponding Blinded Image Evaluation Following a Single Intravenous Injection of Three Different Doses of Gadobutrol 1.0 Molar (Gadavist) in Patients With Known or Suspected Focal Blood Brain Barrier Disturbances and/or Abnormal Vascularity of the Central Nervous System
- ClinicalTrials.gov ID
- NCT00862459
- Acronym / sponsor ID
- 91400
- Conditions
- Brain Diseases, Spinal Cord Diseases
- Keywords
- Contrast Agents
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 237 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Aug 2005
- Primary completion
- Mar 2007 (actual)
- Study completion
- Mar 2007 (actual)
- First posted
- 17 Mar 2009 (estimated)
- Results
- Posted 30 Jan 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to look at the safety (what are the side effects) and efficacy (how well does it work) of Gadavist when used for taking images of the brain and spine. The results of the MRI with Gadavist Injection will be compared to the results of MR images taken without contrast and with the results of the MR images taken with OptiMARK.
Detailed description
Safety issues are addressed in the Adverse Events section
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Gadobutrol~0.03 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Drug: Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Drug: OptiMARK~0.1 mmol/kg BWParticipant received one dose of 0.03 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg body weight (BW) of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. |
| Gadobutrol~0.1 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Drug: Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Drug: OptiMARK~0.1 mmol/kg BWParticipant received one dose of 0.1 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. |
| Gadobutrol~0.3 mmol/kg BW (Gadavist, BAY86-4875) | Experimental | Drug: Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Drug: OptiMARK~0.1 mmol/kg BWParticipant received one dose of 0.3 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients with either known or highly suspected focal areas of disruption of the blood brain barrier (BBB) (eg, primary and secondary tumors, focal inflammatory or demyelinating disorders) and/or abnormal vascularity in the CNS, who are scheduled to undergo a routine contrast-enhanced MRI of the CNS.
- Patients with untreated brain tumors should constitute a minimum of 50% of the study population and patients with treated brain tumors will be limited to a maximum of 20% of the study population
Key exclusion criteria (15 listed)
- Is a female patient who is pregnant or nursing.
- Is a female of childbearing potential and did not have a negative urine pregnancy test the same day as the administration of gadobutrol or comparator treatment.
- Has received any investigational product within 30 days prior to enrolling in this study.
- Has been previously enrolled in this study or any other study using gadobutrol.
- Has any contraindication to the MRI examinations.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Participant received one dose of 0.03 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. | Drug | Gadobutrol~0.03 mmol/kg BW (Gadavist, BAY86-4875) |
| Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Participant received one dose of 0.1 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. | Drug | Gadobutrol~0.1 mmol/kg BW (Gadavist, BAY86-4875) |
| Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)Participant received one dose of 0.3 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate. | Drug | Gadobutrol~0.3 mmol/kg BW (Gadavist, BAY86-4875) |
| OptiMARK~0.1 mmol/kg BWParticipant received one dose of 0.1 mmol/kg BW of OptiMARK. OptiMARK was administered via a power injector at a rate of 2 mL/s followed by a 20 mL 0.9% saline flush at the same rate. | Drug | Gadobutrol~0.03 mmol/kg BW (Gadavist, BAY86-4875), Gadobutrol~0.1 mmol/kg BW (Gadavist, BAY86-4875), Gadobutrol~0.3 mmol/kg BW (Gadavist, BAY86-4875) |
Primary outcome
Categorical Visualization Score (CVS)
Time frame: up to 2 hours after the injection of study medication
The primary visualization variables (number [no.] of lesions detected, border delineation, contrast enhancement, internal morphology) were condensed to a composite score (CVS). Each variable was considered a category; the CVS was calculated as: CVS=(No. of categories with increase over precontrast)-(No. of categories with decrease over precontrast). The possible outcomes of the CVS for a participant and each reader were in the range of - 3 to +4. The CVS was averaged across the 3 blinded readers, producing 1 mean CVS per participant. The higher the CVS, the more effective the treatment.
Difference in Number of Lesions Detected in Pre-contrast and Combined Pre-/Post-contrast MRI.
Time frame: up to 2 hours after the injection of study medication
Three blinded readers evaluated the unenhanced MRI sets and the combined unenhanced/gadobutrol-enhanced MRI sets to evaluate the number of lesions, which was then averaged to produce an average reader value.
Assessment of Lesion Contrast Enhancement
Time frame: up to 2 hours after the injection of study medication
The blinded readers assessed the degree of contrast enhancement for each lesion on a 4-point scale where 1 = no enhancement and 4 = excellent enhancement, which was then averaged to produce an average reader score.
Assessment of Border Delineation
Time frame: up to 2 hours after the injection of study medication
The blinded readers assessed the delineation for each lesion on a 4-point scale where 1 = none and 4 = excellent, which was then averaged to produce an average reader score.
Assessment of Internal Morphology
Time frame: up to 2 hours after the injection of study medication
The blinded readers assessed the degree of information available about internal morphology and structure for each lesion on a 3-point scale where 1 = poor and 3 = good, which was then averaged to produce an average reader score.
Contrast to Noise Ratio (CNR) Between White and Gray Matter With Gadobutrol Perfusion MRI
Time frame: up to 2 hours after the injection of study medication
CNR between white and gray matter in the perfusion imaging was defined as the signal intensity (SI) difference between white and gray matter divided by the standard deviation of the SI of white matter. An independent radiologist evaluated the gadobutrol-enhanced perfusion MRI for signal intensity.
40 secondary outcomes
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Enhanced Lesions: Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of the Correct Diagnosis Following Gadobutrol-enhanced and Unenhanced MRI
Time frame: up to 2 hours after the injection of study medication
Evaluation of the Diagnostic Confidence Based on Unenhanced MRI and Combined Unenhanced and Enhanced MRI
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume [CBV]) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Cerebral Blood Flow (CBF)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Time to Peak (TTP)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Mean Transit Time (MTT)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF) - Blinded Reader 1
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF) - Blinded Reader 2
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Quality (Permeability Factor (PF)) - Blinded Reader 3
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Uncorrected Cerebral Blood Volume (CBV)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Corrected Cerebral Blood Volume (CBV)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Cerebral Blood Flow (CBF)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Time to Peak (TTP)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Mean Transit Time (MTT)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Parameter Value (Permeability Factor (PF)) - Independent Radiologist
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Uncorrected Cerebral Blood Volume (CBV)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Corrected Cerebral Blood Volume (CBV)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Cerebral Blood Flow (CBF)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Time to Peak (TTP)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Mean Transit Time (MTT)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of Perfusion Map Artifacts (Permeability Factor (PF)) - Blinded Reader
Time frame: up to 2 hours after the injection of study medication
Evaluation of MRI Tumor Grade Agreement With Biopsy Results by Dose Group
Time frame: up to 2 hours after the injection of study medication
Contrast to Noise Ratio (CNR) of Lesion/Gray Matter and Lesion/White Matter
Time frame: up to 2 hours after the injection of study medication
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jan 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 23681501Breuer J, Gutierrez J, Latchaw R, Lehr R, Sorensen AG. Gadobutrol in the central nervous system at three doses: results from a phase II, randomized, multicenter trial. J Magn Reson Imaging. 2014 Feb;39(2):410-8. doi: 10.1002/jmri.24180. Epub 2013 May 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
27 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875), Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875) and Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875) in people with Brain Diseases and Spinal Cord Diseases, run by Bayer at 27 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 2 inclusion and 15 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 13 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in United States, Colombia, Argentina, Brazil. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 30 Jan 2012). 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?
Categorical Visualization Score (CVS) (time frame: up to 2 hours after the injection of study medication). The study lists 6 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 NCT00862459, 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 13 Jan 2014.