Renal Safety Evaluation After Dotarem®-Enhanced MRI

NCT ID: NCT00650845

Last Updated: 2015-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2011-08-31

Brief Summary

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Although there is a well documented risk of acute renal failure with the iodinated contrast agents, the implication of intravenous gadolinium-based contrast agents in nephrotoxicity remains controversial. The aim of this study was to evaluate the safety profile of gadoterate meglumine (Dotarem®) in patients with chronic renal insufficiency by evaluating the rate of patients experiencing contrast-induced nephrotoxicity following the injection of gadoterate meglumine.

Detailed Description

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Patients with renal insufficiency not requiring hemodialysis and scheduled to undergo a contrast enhanced MRI or unenhanced MRI examination to specify a diagnosis, were selected for inclusion. Two groups of patients were defined on the basis of the planned imaging procedure selected to obtain a diagnosis: those undergoing a Dotarem®-enhanced MRI and those undergoing an unenhanced MRI.

A clinically significant increase in serum creatinine levels after the contrast-enhanced MRI exam was used as an indication of contrast induced nephrotoxicity. A blood test was performed 24h before the MRI in order to evaluate baseline creatinine values. 72h after the exam, a second blood test was performed. An increase in creatinemia above 25% from baseline levels was defined as a contrast-induced nephrotoxic reaction. The primary endpoint of the study assessed the percentage of patients presenting a contrast-induced nephrotoxic reaction in order to show a non inferiority of enhanced as compared to non-enhanced MRI exams.

Conditions

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Renal Insufficiency

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Dotarem®-enhanced MRI

Patients undergoing Dotarem®-enhanced MRI for diagnostic purposes

Group Type EXPERIMENTAL

Dotarem®-enhanced MRI

Intervention Type DRUG

Single IV administration before MRI exam

Non-enhanced MRI

Patients undergoing non-enhanced MRI for diagnostic purposes

Group Type OTHER

non-enhanced MRI

Intervention Type OTHER

non injected MRI

Interventions

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Dotarem®-enhanced MRI

Single IV administration before MRI exam

Intervention Type DRUG

non-enhanced MRI

non injected MRI

Intervention Type OTHER

Other Intervention Names

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Gadoterate meglumine Gadoteric acid unenhanced MRI

Eligibility Criteria

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Inclusion Criteria

* Male or female, \> or equal 18 years ;
* Patient with a known stable renal insufficiency ;
* Patient scheduled to undergo an MRI examination to specify a diagnosis ;
* Patient able to understand and provide written informed consent to participate in the trial ;

Exclusion Criteria

* Patient with a contra-indication to MRI ;
* Patient who has a diagnosis of an hemodynamic instability or acute myocardial infarction within 15 days prior the inclusion ;
* Patient who needs hemodialysis ;
* Patient with known allergy to gadolinium chelates ;
* Patient receiving medications known to be nephrotoxic or to cause increases in serum creatinine level within 2 weeks before the inclusion ;
* Patients planned to either undergo surgery or receive chemotherapy ;
* Any condition which, based on the investigator's clinical judgement, would prevent the patient from completing all trial assessments and visits ;
* Patient under guardianship and/or inability or unwillingness to cooperate with the requirements of this trial ;
* Patient with newly discovered unstable diabetes.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guerbet

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilbert Deray, Pr, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Groupe Hospitalier Pitie-Salpetriere

Locations

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Onze Lievevrouwziekenhuis

Aalst, , Belgium

Site Status

University Hospital Ghent

Ghent, , Belgium

Site Status

Alg. Inwendige Ziekten -Nierziekten

Roeselare, , Belgium

Site Status

Groupe Hospitalier Pellegrin

Bordeaux, , France

Site Status

Hôpital A. Calmette

Lille, , France

Site Status

Hôpital Edouard Herriot

Lyon, , France

Site Status

Hopital Pitie Salpetriere

Paris, , France

Site Status

Hopital Bichat

Paris, , France

Site Status

Hôpital Tenon

Paris, , France

Site Status

CHU Strasbourg

Strasbourg, , France

Site Status

Hôpital Trousseau

Tours, , France

Site Status

Azienda Ospedaliera Universitaria di Ferrara

Ferrara, , Italy

Site Status

Ente Ospedaliero Ospedali Galliera,

Genova, , Italy

Site Status

Hospital San Carlos

Madrid, , Spain

Site Status

Hospital Dr PESET

Valencia, , Spain

Site Status

Countries

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Belgium France Italy Spain

Other Identifiers

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DGD-44-044

Identifier Type: -

Identifier Source: org_study_id

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