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Phase 4 N=177 Randomized Triple-blind Diagnostic

Crossover Comparison of MultiHance and Dotarem

Brain Disease

Enrolled (actual)
177
Serious AEs
0.0%
Results posted
Jan 2017
Primary outcome: Primary: Global Diagnostic Preference Between the Two Exams — 31; 51; 43; 14 participant exams — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
MultiHance 0.1 mmol/kg (Drug); Dotarem (Drug); MultiHance 0.05 mmol/kg (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Bracco Diagnostics, Inc
Primary completion
Mar 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Global Diagnostic Preference Between the Two Exams
31; 51; 43; 14; 18; 15 <0.0001 sig
SECONDARY
Lesion Border Delineation
29; 34; 25; 11; 12; 8 <0.0001 sig
SECONDARY
Lesion Internal Morphology
10; 14; 23; 4; 3; 5 0.0020 sig
SECONDARY
Extent of Disease
15; 18; 15; 6; 5; 7 <0.0001 sig
SECONDARY
Lesion Contrast Enhancement
31; 51; 43; 10; 18; 14 <0.0001 sig
SECONDARY
Lesion to Background Ratio on Post T1-weighed Spin Echo Images
0.22; 0.24; 0.21; -0.01; 0.03; 0.01 <0.0001 sig
SECONDARY
Lesion-brain Contrast-to-noise Ratio
17.40; 31.82; 39.73; 15.72; 19.06; 23.03 0.0002 sig

Summary

This study aims at a comparison between MultiHance at a dose of 0.1 mmol/kg and 0.05 mmol/kg and Dotarem at a dose of 0.1 mmol/kg in brain tumor patients to show superiority of MultiHance.

Eligibility Criteria

Inclusion Criteria

  • Are at least 18 years of age or older
  • Are able to give written informed consent and are willing to comply with the protocol requirements
  • Are scheduled to undergo MRI
  • Are willing to undergo two MRI procedures within 14 days
  • Have confirmed or are highly suspected to have brain tumor(s) (primary or secondary), as determined by:
  • Clinical/neurological symptomatology;
  • Diagnostic testing, such as CT or previous MRI examinations; or
  • Have had recent 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)
  • 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 Glomerular Filtration Rate (GFR)/estimated GFR < 45 mL/min
  • Have been previously entered into this study
  • Have received or are scheduled for one of the following:
  • Surgical or chemotherapeutic treatment 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
  • Have any medical condition or other circumstances which would significantly decrease the chances of obtaining reliable data, achieving study objectives, or completing the study and/or post-dose follow-up examinations
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02070380). 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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