Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors

NCT ID: NCT02034708

Last Updated: 2016-12-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

279 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2015-09-30

Brief Summary

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The purpose of this study is to demonstrate non-inferiority of Dotarem®-enhanced MRI as compared to Gadovist®/ Gadavist®-enhanced MRI in the diagnosis of brain tumors in terms of overall lesion visualization and characterization (off-site assessment).

270 patients will be randomized between 2 arms defining the sequence of administration of the contrast agents at the dose of 0.1mmol/kg, with a minimum of 48 hours and a maximum of 14 days in between.

Each patient will, therefore, receive two MRI during his/her participation in the study.

The two arms consist in :

* Dotarem® in the first MRI, then Gadovist®/Gadavist® in the second MRI.
* Gadovist®/Gadavist® in the first MRI, then Dotarem® in the second MRI.

Contrast-enhanced MRIs will be performed on 1.5 or 3 Tesla systems.

MRI examinations will be evaluated centrally by blinded independent readers for the main evaluation criterion.

Detailed Description

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Conditions

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Primary Brain Tumor

Keywords

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Primary brain tumor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dotarem®/Gadovist®

Dotarem®-enhanced MRI, then Gadovist®/Gadavist®-enhanced MRI

Group Type EXPERIMENTAL

Dotarem®

Intervention Type DRUG

Dotarem® 0.1 mmoL/kg (0.2 mL/kg), intravenous (I.V.) bolus.

Gadovist®/Gadavist®

Intervention Type DRUG

Gadovist®/Gadavist®, 0.1mmol/kg (0.1mL/kg), intravenous (I.V.) bolus.

Gadovist®/Dotarem®

Gadovist®/Gadavist®-enhanced MRI then Dotarem® enhanced MRI

Group Type EXPERIMENTAL

Dotarem®

Intervention Type DRUG

Dotarem® 0.1 mmoL/kg (0.2 mL/kg), intravenous (I.V.) bolus.

Gadovist®/Gadavist®

Intervention Type DRUG

Gadovist®/Gadavist®, 0.1mmol/kg (0.1mL/kg), intravenous (I.V.) bolus.

Interventions

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Dotarem®

Dotarem® 0.1 mmoL/kg (0.2 mL/kg), intravenous (I.V.) bolus.

Intervention Type DRUG

Gadovist®/Gadavist®

Gadovist®/Gadavist®, 0.1mmol/kg (0.1mL/kg), intravenous (I.V.) bolus.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female or male adult patient (patient having reached legal majority age)
* Patient with known or highly suspected primary intracranial tumors (intra-axial or extra-axial) detected by previous CT or MRI examination who are scheduled to undergo a routine contrast-enhanced MRI
* Female patient must have effective contraception throughout the study and must have a negative urine pregnancy test at inclusion, or be surgically sterilized, or post-menopausal (minimum 12 months of amenorrhea)
* Patient having provided his/her written informed consent to participate in the trial prior to any study-related procedure being conducted
* Patient with national health insurance (according to local regulatory requirements)

Exclusion Criteria

* Patient with rapidly evolving brain tumor that could change in appearance between the time of the two study MRI examinations.
* Patient undergoing current or recent treatment within past 6 weeks or scheduled for any treatment that could results in changes of lesion appearance between the two study examinations. This would include, but not restricted to, the following: current or recent radiation therapy, surgery, starting or recent chemotherapy.
* Patient with a contraindication to MRI (e.g., pacemaker, aneurysm clip, severe claustrophobia, infusion pumps, cochlear implants metallic or others according to the imaging site standard practice)
* Patient with known severely impaired renal function (defined as eGFR MDRD\< 30 ml/min/1.73m2)
* Patient with known Class III/IV congestive heart failure according to the New York Heart Association classification
* Patient with known severe adverse drug reaction or contraindication to Gadolinium-Based Contrast Agent
* Patient having received any contrast agent within 48 hours prior to first study contrast agent injection scheduled for the study and patient expected to receive any other contrast agent within 24 hours of the last study contrast agent injection
* Patient presenting with any condition which, based on the investigator's clinical judgment, would prevent the patient from completing all trial assessments and visits
* Patient under guardianship and/or unable or unwilling to cooperate with the requirements of this trial
* Pregnant or breast feeding female patient
* Patient already included in this trial
* Patient included in another clinical trial involving an IMP within 30 days before the first investigational contrast agent injection.
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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Kenneth Maravilla, MD

Role: STUDY_CHAIR

University of Washington Medical Center, Seattle, USA

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

University of Arizona Medical Center

Tucson, Arizona, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Yale University School Of Medicine

New Haven, Connecticut, United States

Site Status

Infinity Clinical Research, LLC

Hollywood, Florida, United States

Site Status

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Quest Research Institute

Farmington Hills, Michigan, United States

Site Status

Spectrum Health

Grand Rapids, Michigan, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Winthrop University Hospital Clinical Trials Center

Mineola, New York, United States

Site Status

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status

MUSC (Medical University of South Carolina)

Charleston, South Carolina, United States

Site Status

UVM MRI Center for Biomedical Imaging

Burlington, Vermont, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Fundacion Abood Shaio

Bogotá, , Colombia

Site Status

Fundacion Cardioinfantil Instituto de Cardiologia

Bogotá, , Colombia

Site Status

Instituto Nacional de Cancerologia

Bogotá, , Colombia

Site Status

Centro Medico Imbanaco

Cali, , Colombia

Site Status

Fundacion Instituto de Alta Tecnologia Medica de Antioquia IATM

Medellín, , Colombia

Site Status

Hospital Pablo Tobon Uribe

Medellín, , Colombia

Site Status

Hospital CIMA

Chihuahua City, Chihuahua, Mexico

Site Status

Morales Vargas Centro de Investigación S.C.

León, Guanajuato, Mexico

Site Status

Centro Neurologico ABC

México, Mexico Distrito Federal, Mexico

Site Status

Hospital Universitario Dr. Jose Eleuterio Gonzalez

Monterrey, Nuevo León, Mexico

Site Status

Winsett Rethman S.A. de C.V.

Monterrey, Nuevo León, Mexico

Site Status

Centro Regiomontano de Investigacion S.C.

Monterrey, , Mexico

Site Status

Clinical Research Institute S.C.

Tlanepantla, , Mexico

Site Status

Chonbuk national Univ Hosp

Jeonju, Jeollabuk-do, South Korea

Site Status

Chungbuk National University

Cheongju-si, North Chungcheong, South Korea

Site Status

Seoul St.Mary Hospital

Seoul, Seocho-gu, South Korea

Site Status

Asan medical center

Seoul, Songpa-Gu, South Korea

Site Status

Ajou University Hospital

Suwon, , South Korea

Site Status

Countries

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United States Colombia Mexico South Korea

Other Identifiers

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DGD-44-058

Identifier Type: -

Identifier Source: org_study_id