QSM and Regional DCE MRI Permeability Using GOCART Technique

NCT ID: NCT03091803

Last Updated: 2021-04-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-04

Study Completion Date

2021-04-04

Brief Summary

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This randomized pilot clinical trial studies quantitative susceptibility mapping (QSM) and regional dynamic contrast enhanced (DCE) magnetic resonance imaging (MRI) permeability using golden-angle cartesian randomized time-resolved (GOCART) technique in evaluating regional gadolinium retention in the brain in patients with intracranial neoplasm receiving gadobenate dimeglumine or gadoterate meglumine. MRI diagnostic techniques such as, QSM and DCE MRI, may help to gather information regarding brain changes associated with gadolinium deposits during 8 to 18 months after administration of gadobenate dimeglumine or gadoterate meglumine.

Detailed Description

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PRIMARY OBJECTIVES:

I. To obtain preliminary data (e.g. mean, variance, distribution) in the regional brain parenchymal changes associated with gadolinium (Gd) deposition during 8 to 18 months period after administration of gadolinium based contrast agents (GBCA) to Gd naive intracranial neoplasm patients who will be randomized to gadobenate dimeglumine (MultiHance) or gadoterate meglumine (Dotarem).

II. To explore if areas of increased regional Gd deposition at individual level are correlated with baseline regional DCE permeability metrics such as volume transfer coefficient reflecting vascular permeability (kTrans), extracellular volume ratio reflecting vascular permeability (ve) and plasma volume (vp) in intracranial neoplasm patients.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients undergo standard of care QSM and T1 weighted imaging (T1WI). Patients then receive gadobenate dimeglumine intravenously (IV) and undergo GOCART DCE MRI over 60 minutes.

ARM II: Patients undergo standard of care QSM and T1WI. Patients then receive gadoterate meglumine IV and undergo GOCART DCE MRI over 60 minutes.

After completion of study, patients are followed up at 8-18 months.

Conditions

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Intracranial Neoplasm

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Arm I (QSM, T1WI, gadobenate dimeglumine, GOCART DCE MRI)

Patients undergo standard of care QSM and T1WI. Patients then receive gadobenate dimeglumine IV and undergo GOCART DCE MRI over 60 minutes.

Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Intervention Type DEVICE

Undergo GOCART DCE MRI

Gadobenate Dimeglumine

Intervention Type DRUG

Given IV

Magnetic Resonance Imaging

Intervention Type DEVICE

Undergo QSM and T1WI imaging

Arm II (QSM, T1WI, gadoterate meglumine, GOCART DCE MRI)

Patients undergo standard of care QSM and T1WI. Patients then receive gadoterate meglumine IV and undergo GOCART DCE MRI over 60 minutes.

Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Intervention Type DEVICE

Undergo GOCART DCE MRI

Gadoterate Meglumine

Intervention Type DRUG

Given IV

Magnetic Resonance Imaging

Intervention Type DEVICE

Undergo QSM and T1WI imaging

Interventions

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Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Undergo GOCART DCE MRI

Intervention Type DEVICE

Gadobenate Dimeglumine

Given IV

Intervention Type DRUG

Gadoterate Meglumine

Given IV

Intervention Type DRUG

Magnetic Resonance Imaging

Undergo QSM and T1WI imaging

Intervention Type DEVICE

Other Intervention Names

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DCE MRI DCE-MRI DYNAMIC CONTRAST ENHANCED MRI Gd-BOPTA MultiHance DOTAREM Gd-DOTA Magnetic Resonance Imaging Scan Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance MRI MRI Scan NMR Imaging NMRI Nuclear Magnetic Resonance Imaging

Eligibility Criteria

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Inclusion Criteria

* Patient with suspected intracranial neoplasm scheduled for routine MRI with GBCA (gadolinium naive patients)
* Willingness to comply with the study protocol

Exclusion Criteria

* Contraindications for MRI or GBCA (standard of care)
* Abnormal renal function with estimated glomerular filtration rate (eGFR) less than 30 mL/min/m\^2 based on creatinine obtained within last 30 days
* History of previous administration of GBCA
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexander Lerner

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2017-00499

Identifier Type: REGISTRY

Identifier Source: secondary_id

6B-16-1

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA014089

Identifier Type: NIH

Identifier Source: secondary_id

View Link

6B-16-1

Identifier Type: -

Identifier Source: org_study_id

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