Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors
REMIND
Intra-individual Cross-over Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/ Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors
1 other identifier
interventional
279
4 countries
32
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jun 2014
32 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 10, 2014
CompletedFirst Posted
Study publicly available on registry
January 13, 2014
CompletedStudy Start
First participant enrolled
June 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedResults Posted
Study results publicly available
October 25, 2016
CompletedDecember 30, 2016
November 1, 2016
1.3 years
January 10, 2014
September 2, 2016
November 9, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Patients With Overall Lesion Visualization and Characterization Scored as Good or Excellent
Overall lesion visualization and characterization, based on assessment of the primary or largest lesion if there is more than one lesion present, was assessed by 3 independent off-site readers on a 4-point scale: 0\. Poor: does not allow adequate visualization and characterization of the lesion; 1. Fair: allows partial visualization and characterization of the lesion ; 2. Good: allows adequate visualization and characterization of the lesion; 3. Excellent: allows excellent visualization and characterization of the lesion.
Up to 15 days after randomization
Study Arms (2)
Dotarem®/Gadovist®
EXPERIMENTALDotarem®-enhanced MRI, then Gadovist®/Gadavist®-enhanced MRI
Gadovist®/Dotarem®
EXPERIMENTALGadovist®/Gadavist®-enhanced MRI then Dotarem® enhanced MRI
Interventions
Dotarem® 0.1 mmoL/kg (0.2 mL/kg), intravenous (I.V.) bolus.
Gadovist®/Gadavist®, 0.1mmol/kg (0.1mL/kg), intravenous (I.V.) bolus.
Eligibility Criteria
You may qualify if:
- 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
- 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)
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Guerbetlead
Study Sites (32)
University of Alabama at Birmingham
Birmingham, Alabama, United States
University of Arizona Medical Center
Tucson, Arizona, AZ 85724, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
Yale University School Of Medicine
New Haven, Connecticut, United States
Infinity Clinical Research, LLC
Hollywood, Florida, FL 33021, United States
University of Michigan Health System
Ann Arbor, Michigan, United States
Quest Research Institute
Farmington Hills, Michigan, United States
Spectrum Health
Grand Rapids, Michigan, United States
Washington University
St Louis, Missouri, United States
Winthrop University Hospital Clinical Trials Center
Mineola, New York, NY 11501, United States
Temple University Hospital
Philadelphia, Pennsylvania, United States
MUSC (Medical University of South Carolina)
Charleston, South Carolina, United States
UVM MRI Center for Biomedical Imaging
Burlington, Vermont, United States
University of Washington Medical Center
Seattle, Washington, United States
Fundacion Abood Shaio
Bogotá, Colombia
Fundacion Cardioinfantil Instituto de Cardiologia
Bogotá, Colombia
Instituto Nacional de Cancerologia
Bogotá, Colombia
Centro Medico Imbanaco
Cali, Colombia
Fundacion Instituto de Alta Tecnologia Medica de Antioquia IATM
Medellín, Colombia
Hospital Pablo Tobon Uribe
Medellín, Colombia
Hospital CIMA
Chihuahua City, Chihuahua, 31238, Mexico
Morales Vargas Centro de Investigación S.C.
León, Guanajuato, 37000, Mexico
Centro Neurologico ABC
México, Mexico Distrito Federal, 5300, Mexico
Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64020, Mexico
Winsett Rethman S.A. de C.V.
Monterrey, Nuevo León, Mexico
Centro Regiomontano de Investigacion S.C.
Monterrey, Mexico
Clinical Research Institute S.C.
Tlanepantla, Mexico
Chonbuk national Univ Hosp
Jeonju, Jeollabuk-do, 561-712, South Korea
Chungbuk National University
Cheongju-si, North Chungcheong, 361-711, South Korea
Seoul St.Mary Hospital
Seoul, Seocho-gu, 137-701, South Korea
Asan medical center
Seoul, Songpa-Gu, 138-736, South Korea
Ajou University Hospital
Suwon, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Corinne Dubourdieu, PharmD, Head of Clinical Projects and Medical
- Organization
- Guerbet
Study Officials
- STUDY CHAIR
Kenneth Maravilla, MD
University of Washington Medical Center, Seattle, USA
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 10, 2014
First Posted
January 13, 2014
Study Start
June 1, 2014
Primary Completion
September 1, 2015
Study Completion
September 1, 2015
Last Updated
December 30, 2016
Results First Posted
October 25, 2016
Record last verified: 2016-11