Efficacy and Safety of Gadobutrol 1.0 Molar (Gadovist) for Breast Magnetic Resonance Imaging (MRI)

NCT ID: NCT01104584

Last Updated: 2014-11-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

460 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study is to look at the efficacy (how does it work) and safety of gadobutrol when used for obtaining MR images of both breasts.Women with a recent diagnosis of breast cancer by mammogram (X-ray examination of the breasts) may benefit from MRI of the breasts as MRI may detect additional breast cancers

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Gadobutrol (Gadavist, BAY86-4875)

Patients first received an unenhanced magnetic resonance mammography (MRM), followed by a gadobutrol-enhanced MRM. Gadobutrol was administered at the standard dose of 0.1 mmol/kg body weight (bw) \[0.1 ml/kg bw\] as an intravenous injection (i.v.) at a rate of 2 ml/sec. Unenhanced MRM (UMRM) and combined unenhanced and contrast (gadobutrol)-enhanced MRM (CMRM) image sets were evaluated in a randomized fashion. After the evaluation of the UMRM or CMRM the respective X-ray mammography (XRM) was added and evaluated together with the UMRM images.

Group Type EXPERIMENTAL

Gadobutrol (Gadavist, Gadovist, BAY86-4875)

Intervention Type DRUG

A single bolus injection of gadobutrol 1.0 M; 0.1 mmol/kg body weight

Interventions

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Gadobutrol (Gadavist, Gadovist, BAY86-4875)

A single bolus injection of gadobutrol 1.0 M; 0.1 mmol/kg body weight

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Recent histologically proven diagnosis of breast cancer after having obtained X-Ray Mammography (XRM) of both breasts (according to American College of Radiology \[ACR\] and performed no longer than 6 weeks prior to enrollment into the study) and has been referred for a contrast-enhanced Magnetic Resonance Mammography (MRM) prior to surgery of the breast.
* if female, a digital XRM is required if any of the following criteria is met:

* a. patient is younger than 50 years;
* b. patient has heterogeneously or extremely dense breasts;
* c. is not post-menopausal (post-menopause defined as at least 12 months prior to inclusion without menstruation).
* if female of childbearing potential, MRM should be performed on the 7-14th day of the menstrual cycle.
* has an estimated glomerular filtration rate (eGFR) value \>/= 60 mL/min/1.73m\^2 derived from a serum creatinine result within 2 weeks prior to study enrollment.

Exclusion Criteria

* is a female patient who is pregnant or lactating
* has any contraindication to the MRM examination (e.g. metal implants, phobia) or the use of gadolinium-containing contrast agents.
* has received any contrast agent within 24 hours prior to the study MRM, or is scheduled to receive any contrast agent within 24 hours after the study MRM.
* has severe cardiovascular disease (e.g., known long QT syndrome, acute myocardial infarction \[\< 14 days\], unstable angina, congestive heart failure New York Heart Association class IV) or acute stroke (\< 48 hours)).
* has acute renal insufficiency of any severity due to hepato-renal syndrome or in the peri-operative liver transplantation period or who has acute or chronic moderate or severe renal insufficiency (glomerular filtration rate \< 60 mL/min/1.73m\^2).
* has received chemotherapy or hormonal therapy for breast cancer within 6 months.
* has received hormone replacement therapy within 4 weeks prior to study drug administration.
* is scheduled or likely to require a surgery and/or biopsy in the time period up to 24 hours following study drug application
* has prior excisional biopsy or breast surgery less than 6 months before enrollment and between XRM and study MRM
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Tucson, Arizona, United States

Site Status

Oakland, California, United States

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Englewood, Colorado, United States

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Chicago, Illinois, United States

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New York, New York, United States

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Columbus, Ohio, United States

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Providence, Rhode Island, United States

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San Antonio, Texas, United States

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Tacoma, Washington, United States

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Hamilton, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Erlangen, Bavaria, Germany

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München, Bavaria, Germany

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Frankfurt am Main, Hesse, Germany

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Göttingen, Lower Saxony, Germany

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Göttingen, Lower Saxony, Germany

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Greifswald, Mecklenburg-Vorpommern, Germany

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Bochum, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Gera, Thuringia, Germany

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Berlin, , Germany

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Mumbai, Maharashtra, India

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Delhi, , India

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Mumbai, , India

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Eindhoven, EJ, Netherlands

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Maastricht, , Netherlands

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Nijmegen, , Netherlands

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Bydgoszcz, , Poland

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Gliwice, , Poland

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Krakow, , Poland

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Szczecin, , Poland

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Warsaw, , Poland

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Barcelona, Barcelona, Spain

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Sabadell, Barcelona, Spain

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Girona, Girona, Spain

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Alzira, Valencia, Spain

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Córdoba, , Spain

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Taipei, Taiwan, Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taizung, , Taiwan

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Countries

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United States Argentina Canada Germany India Netherlands Poland Spain Taiwan

References

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Endrikat J, Schmidt G, Haverstock D, Weber O, Trnkova ZJ, Barkhausen J. Sensitivity of Contrast-Enhanced Breast MRI vs X-ray Mammography Based on Cancer Histology, Tumor Grading, Receptor Status, and Molecular Subtype: A Supplemental Analysis of 2 Large Phase III Studies. Breast Cancer (Auckl). 2022 Apr 19;16:11782234221092155. doi: 10.1177/11782234221092155. eCollection 2022.

Reference Type DERIVED
PMID: 35462754 (View on PubMed)

Sardanelli F, Newstead GM, Putz B, Jirakova Trnkova Z, Trimboli RM, Abe H, Haverstock D, Rosenberg M. Gadobutrol-Enhanced Magnetic Resonance Imaging of the Breast in the Preoperative Setting: Results of 2 Prospective International Multicenter Phase III Studies. Invest Radiol. 2016 Jul;51(7):454-61. doi: 10.1097/RLI.0000000000000254.

Reference Type DERIVED
PMID: 26840494 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu

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Other Identifiers

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2009-009598-90

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

91782

Identifier Type: -

Identifier Source: org_study_id