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Phase 4 N=229 Randomized Triple-blind Diagnostic

Comparison of Prohance® With Gadovist®/Gadavist™ in Magnetic Resonance Imaging (MRI) of the Brain

Brain Disease

Enrolled (actual)
229
Serious AEs
0.0%
Results posted
Jun 2015
Primary outcome: Primary: Global Diagnostic Preference Between the Two Exams — 14; 7; 1; 171 participant exams — p=0.8516

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
gadoteridol (Drug); gadobutrol (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Bracco Diagnostics, Inc
Primary completion
Apr 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Global Diagnostic Preference Between the Two Exams
14; 7; 1; 171; 180; 195 0.8516
SECONDARY
Lesion Border Delineation
8; 2; 1; 181; 189; 195 1.0
SECONDARY
Lesion Internal Morphology
2; 2; 1; 195; 188; 195 1.0
SECONDARY
Extent of Disease
1; 2; 1; 196; 190; 195 1.0
SECONDARY
Lesion Contrast Enhancement
14; 10; 2; 170; 174; 193 1.0
SECONDARY
Lesion to Background Ratio on Post T1-weighed Spin Echo Images
-0.02; -0.16; -0.01 0.2758
SECONDARY
Percentage Signal Intensity Enhancement on Postdose Images
1.06; -2.09; -1.59 0.6201
SECONDARY
Lesion Detection
133; 135; 137; 136; 136; 132 0.3173
SECONDARY
Accuracy for Tumor Characterization
94; 96; 106; 101; 93; 83 0.6949

Summary

This study aims at a direct comparison between ProHance (0.1 mmol/kg) and a validated comparator Gadovist/Gadavist (0.1 mmol/kg) in a crossover intra-individual design in subjects with brain tumors to confirm the identical overall technical and diagnostic performance of the two MR contrast agents.

Eligibility Criteria

Inclusion Criteria

  • Are scheduled to undergo MRI
  • Are willing to undergo two MRI procedures within 14 days
  • Have confirmed or are highly suspected of brain disease likely to enhance as determined by the following:
  • Clinical/neurological symptomatology;
  • Diagnostic testing, such as CT or previous MRI examinations; or
  • Have had previous brain surgery and are to be evaluated for recurrence.

Exclusion Criteria

  • Are pregnant or lactating females. Exclude the possibility of pregnancy:
  • by testing on site at the institution within 24 hours prior to the start of each investigational product administration; or
  • by history (i.e., tubal ligation or hysterectomy); or
  • post menopausal with a minimum of 1 year without menses
  • Have any known allergy to one or more of the ingredients in the investigational products, or have a history of hypersensitivity to any metals
  • Have congestive heart failure (class IV according to the classification of the New York Heart Association; see Appendix A)
  • Have suffered a stroke within a year
  • Have received or are scheduled to receive any other contrast medium in the 24 hours preceding through the 24 hours following Exam 1, and in the 24 hours preceding through the 24 hours following Exam 2
  • Have received or are scheduled to receive an investigational compound and/or medical device within 30 days before admission into the present study, through the 24 hours post-administration of the second investigational product.
  • Have moderate-to-severe renal impairment, defined as a GFR/eGFR < 45 mL/min.
  • Have been previously entered into this study
  • Have received or are scheduled for one of the following:
  • Surgery within three weeks prior to the first examination or between the two examinations
  • Initiation of steroid therapy between the two examinations
  • Radiosurgery between the two examinations
  • Have any contraindications to MRI such as a pace-maker, magnetic material (i.e., surgical clips) or any other conditions that would preclude proximity to a strong magnetic field.
  • Are suffering from severe claustrophobia
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01613417). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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