Myocardial Perfusion MRI

NCT ID: NCT01490294

Last Updated: 2014-05-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2006-05-31

Brief Summary

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The object of this study is to compare four different dosages of Gadavist 1.0 in cardiac Magnetic Resonance Tomography (MRT) imaging with the imaging results of a cardiac SPECT examination in terms of diagnostic quality.

For this purpose Gadavist dosages of 0.01 mmol/kg, 0.025 mmol/kg, 0.05 mmol/kg or 0.1mmol/kg body weight are administered. A study participant receives the respective dose twice i.e. at rest and at stress using Adenosine (which puts circulation into a state of stress similar to that of physical exercise). The time between both injections is 10-15 min.

The total imaging time is about 45 min.

Detailed Description

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Conditions

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Myocardial Perfusion Imaging Magnetic Resonance Imaging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Gadobutrol 0.01 mmol/kg BW (Gadavist, BAY86-4875)

Participants received 1 i.v. bolus injections of Gadobutrol 0.01 mmol/kg body weight (BW) (0.01mL/kg) for stress magnetic resonance imaging (MRI) via a power injector at a rate of 3 mL/s. The second i.v. bolus injection of Gadobutrol 0.01 mmol/kg BW was given after a 10-15 minutes wash-out period of the stressor for the rest MRI.

Group Type EXPERIMENTAL

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

Intervention Type DRUG

0.01 mmol/kg BW (0.01 mL/kg) for stress MRI and 0.01 mmol/kg BW (0.01 mL/kg) for rest MRI (total dose 0.02 mmol/kg)

Gadobutrol 0.025 mmol/kg BW (Gadavist, BAY86-4875)

Participants received 1 i.v. bolus injections of Gadobutrol 0.025 mmol/kg BW (0.01mL/kg) for stress MRI via a power injector at a rate of 3 mL/s. The second i.v. bolus injection of Gadobutrol 0.025 mmol/kg BW was given after a 10-15 minutes wash-out period of the stressor for the rest MRI.

Group Type EXPERIMENTAL

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

Intervention Type DRUG

0.025 mmol/kg BW (0.025 mL/kg) for stress MRI and 0.025 mmol/kg BW (0.025 mL/kg) for rest MRI (total dose 0.05 mmol/kg)

Gadobutrol 0.05 mmol/kg BW (Gadavist, BAY86-4875)

Participants received 1 i.v. bolus injections of Gadobutrol 0.05 mmol/kg BW (0.01mL/kg) for stress MRI via a power injector at a rate of 3 mL/s. The second i.v. bolus injection of Gadobutrol 0.05 mmol/kg BW was given after a 10-15 minutes wash-out period of the stressor for the rest MRI.

Group Type EXPERIMENTAL

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

Intervention Type DRUG

0.05 mmol/kg BW (0.05 mL/kg) for stress MRI and 0.05 mmol/kg BW (0.05 mL/kg) for rest MRI (total dose 0.1 mmol/kg)

Gadobutrol 0.1 mmol/kg BW (Gadavist, BAY86-4875)

Participants received 1 i.v. bolus injections of Gadobutrol 0.1 mmol/kg BW (0.01mL/kg) for stress MRI via a power injector at a rate of 3 mL/s. The second i.v. bolus injection of Gadobutrol 0.1 mmol/kg BW was given after a 10-15 minutes wash-out period of the stressor for the rest MRI.

Group Type EXPERIMENTAL

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

Intervention Type DRUG

0.1 mmol/kg BW (0.1 mL/kg) for stress MRI and 0.1 mmol/kg BW (0.1 mL/kg) for rest MRI (total dose 0.2 mmol/kg)

Interventions

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Gadobutrol (Gadavist,Gadovist, BAY86-4875)

0.01 mmol/kg BW (0.01 mL/kg) for stress MRI and 0.01 mmol/kg BW (0.01 mL/kg) for rest MRI (total dose 0.02 mmol/kg)

Intervention Type DRUG

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

0.025 mmol/kg BW (0.025 mL/kg) for stress MRI and 0.025 mmol/kg BW (0.025 mL/kg) for rest MRI (total dose 0.05 mmol/kg)

Intervention Type DRUG

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

0.05 mmol/kg BW (0.05 mL/kg) for stress MRI and 0.05 mmol/kg BW (0.05 mL/kg) for rest MRI (total dose 0.1 mmol/kg)

Intervention Type DRUG

Gadobutrol (Gadavist,Gadovist, BAY86-4875)

0.1 mmol/kg BW (0.1 mL/kg) for stress MRI and 0.1 mmol/kg BW (0.1 mL/kg) for rest MRI (total dose 0.2 mmol/kg)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males or females of any ethnic group with reversible focal hypoperfusion in at least 2 adjoining segments in SPECT
* The SPECT examination had been performed within 4 weeks prior to the MRI examination and had been performed for clinical reasons only

Exclusion Criteria

* Generalized myocardial hypoperfusion (e.g. severe 3 vessel disease)
* Recent myocardial infarction (MI) (within 1 week prior to the study procedure)
* Event that significantly altered cardiac performance between SPECT and MRI imaging, e.g. myocardial infarction, unstable angina, alteration of cardiac medication
* Non-sinus rhythm
* Sinus node disease or symptomatic bradycardia
* Second or third degree atrial ventricular (AV) block
* Complete left bundle branch block (LBBB)
* Known congenital long QT syndrome or a family history of congenital long QT syndrome
* Known previous arrhythmias on drugs that prolong cardiac repolarization
* Uncorrected hypokalemia
* Uncontrolled hypertension (e.g. systolic blood pressure \>185 mm Hg, diastolic blood pressure \>110 mm Hg)
* Baseline hypotension (e.g. mean arterial pressure \<60 mm Hg)
* Ejection fraction below 35%
* Cardiomyopathy, congenital heart defect or higher degree valvular pathology
* Coronary artery stent placement within 4 weeks prior to the MRI procedure
* Previous heart transplantation
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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Pölten, , Austria

Site Status

Freiburg im Breisgau, Baden-Wurttemberg, Germany

Site Status

Tübingen, Baden-Wurttemberg, Germany

Site Status

Ulm, Baden-Wurttemberg, Germany

Site Status

München, Bavaria, Germany

Site Status

München, Bavaria, Germany

Site Status

Frankfurt am Main, Hesse, Germany

Site Status

Bad Oeynhausen, North Rhine-Westphalia, Germany

Site Status

Bonn, North Rhine-Westphalia, Germany

Site Status

Essen, North Rhine-Westphalia, Germany

Site Status

Berlin, , Germany

Site Status

Krakow, , Poland

Site Status

Basel, Canton of Basel-City, Switzerland

Site Status

Lugano, Canton Ticino, Switzerland

Site Status

Countries

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Austria Germany Poland Switzerland

Other Identifiers

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305501

Identifier Type: OTHER

Identifier Source: secondary_id

2005-005158-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

91054

Identifier Type: -

Identifier Source: org_study_id

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