Efficacy and Safety of Gadopiclenol for Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)

NCT ID: NCT03996447

Last Updated: 2025-09-22

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

PHASE3

Total Enrollment

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-03

Study Completion Date

2020-09-11

Brief Summary

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This trial aimed to evaluate the Efficacy and Safety of gadopiclenol for Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)

Detailed Description

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The purpose of this trial was to evaluate a new gadolinium-based contrast agent (GBCA) gadopiclenol injection for Central Nervous System (CNS) lesion detection and visualization by conventional steady-state CNS imaging.

This is a multi-center, international, prospective, double-blind, randomized, controlled, cross-over with comparator trial in male and female patients presenting with known or highly suspected CNS lesion(s) with focal areas of disrupted Blood Brain Barrier (BBB) (e.g., primary and secondary tumors) who are scheduled to undergo a routine contrast-enhanced Magnetic Resonance Imaging (MRI) of the CNS.

This trial was conducted in 33 centers worldwide.

During the course of the trial, two MRIs were obtained from each patient: one unenhanced and gadopiclenol-enhanced MRI; and one unenhanced and gadobutrol-enhanced MRI. MRI evaluations were performed by on-site investigators and three independent off-site blinded readers.

Conditions

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CNS Lesion Blood Brain Barrier Defect

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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gadopiclenol-enhanced MRI then gadobutrol-enhanced MRI

cross-over design. each patient will receive gadopiclenol for the first MRI and gadobutrol for the second MRI

Group Type OTHER

gadopiclenol

Intervention Type DRUG

single intravenous (IV) bolus injection at a rate of 2ml/second

Gadobutrol 1Mmol/mL Solution for Injection Vial

Intervention Type DRUG

single intravenous (IV) bolus injection at a rate of 2ml/second

gadobutrol-enhanced MRI then gadopiclenol-enhanced MRI

cross-over design. each patient will receive gadobutrol for the first MRI and gadopiclenol for the second MRI

Group Type OTHER

gadopiclenol

Intervention Type DRUG

single intravenous (IV) bolus injection at a rate of 2ml/second

Gadobutrol 1Mmol/mL Solution for Injection Vial

Intervention Type DRUG

single intravenous (IV) bolus injection at a rate of 2ml/second

Interventions

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gadopiclenol

single intravenous (IV) bolus injection at a rate of 2ml/second

Intervention Type DRUG

Gadobutrol 1Mmol/mL Solution for Injection Vial

single intravenous (IV) bolus injection at a rate of 2ml/second

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient presenting with known or highly suspected CNS lesion(s) with focal areas of disrupted Blood Brain Barrier (BBB) (e.g., primary and secondary tumors) based on results of a previous imaging procedure such as Computed Tomography (CT) or MRI, which should have been performed within 12 months prior to ICF signature.

Exclusion Criteria

* Patient presenting with acute or chronic renal insufficiency, defined as an estimated Glomerular Filtration Rate (eGFR) \< 30 mL/min/1.73 m² assessed within 1 day prior to each contrast agent injection
* Patient presenting extra cranial lesions and/or extra-dural lesions.
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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Lorie Loevner, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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ASCLEPES Research Centers

Panorama City, California, United States

Site Status

University of Connecticut Health Center

Farmington, Connecticut, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Northwest Neurology, Ltd.

Rolling Meadows, Illinois, United States

Site Status

University of Missouri Hospital and Clinic

Columbia, Missouri, United States

Site Status

University Of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

South Carolina Clinical & Translational Research (SCTR) Institute

Charleston, South Carolina, United States

Site Status

University Of Washington - Medical Center

Seattle, Washington, United States

Site Status

ZNA Middelheim

Antwerp, , Belgium

Site Status

UZ Brussel - Campus Jette

Brussels, , Belgium

Site Status

CHRU - Hôpital Roger Salengro - Neurologie

Lille, , France

Site Status

Centre Hospitalier Sainte-Anne

Paris, , France

Site Status

CHU La Miletrie

Poitiers, , France

Site Status

CHRU Strasbourg Hôpital de Hautepierre

Strasbourg, , France

Site Status

Uniklinik Mannheim

Mannheim, , Germany

Site Status

Semmelweis Egyetem - Neurology

Budapest, , Hungary

Site Status

Orszagos Klinikai Idegtudomanyi Intezet

Budapest, , Hungary

Site Status

Debreceni Egyetem Klinikai Kozpont

Debrecen, , Hungary

Site Status

Pecsi Tudomanyegyetem Klinikai Kozpont - Idegsebeszeti Klinika

Pécs, , Hungary

Site Status

Szegedi Tudomanyegyetem AOK

Szeged, , Hungary

Site Status

ASL 1 Abruzzo Avezzano-Sulmona-L'Aquila, Ospedale Regionale San Salvatore

L’Aquila, , Italy

Site Status

Fondazione I.R.C.C.S. C.Mondino

Pavia, , Italy

Site Status

Istituto Neurologico Mediterraneo-Neuromed, I.R.C.C.S.

Pozzilli, , Italy

Site Status

Azienda Sanitaria Universitaria Integrata di Trieste-PO Cattinara

Trieste, , Italy

Site Status

Axis Heilsa S. de R.L. de C.V. (Althian)

Monterrey, , Mexico

Site Status

Clinical Research Institute S.C

Tlalnepantla, , Mexico

Site Status

Uniwersyteckie Centrum Kliniczne w Gdańsku, Zakład Radiologii

Gdansk, , Poland

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

M.D. Anderson Cancer Center Madrid

Madrid, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Belgium France Germany Hungary Italy Mexico Poland South Korea Spain Taiwan

References

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Loevner LA, Kolumban B, Hutoczki G, Dziadziuszko K, Bereczki D, Bago A, Pichiecchio A. Efficacy and Safety of Gadopiclenol for Contrast-Enhanced MRI of the Central Nervous System: The PICTURE Randomized Clinical Trial. Invest Radiol. 2023 May 1;58(5):307-313. doi: 10.1097/RLI.0000000000000944. Epub 2022 Dec 19.

Reference Type RESULT
PMID: 36729404 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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GDX-44-010

Identifier Type: -

Identifier Source: org_study_id

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