A Study of a Gadolinium-Based Contrast Agent (GBCA) for Adults Undergoing Magnetic Resonance Imaging (MRI) for Known or Highly Suspected Central Nervous System (CNS) Lesions
A Multicenter, Randomized, Double-Blind, Positive-Controlled, Cross-Over Phase Ⅲ Clinical Trial Evaluating the Efficacy and Safety of HRS-9231 for Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)
1 other identifier
interventional
250
1 country
2
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of HRS-9231 for Central Nervous System (CNS) Magnetic Resonance Imaging (MRI); to demonstrate that, in patients requiring CNS MRI examinations, HRS-9231 is non-inferior to Gadobutrol in lesion visualization scores and show that, in patients requiring CNS MRI examinations, contrast-enhanced MRI with HRS-9231 is superior to unenhanced MRI in lesion visualization scores using the patients as their own controls; and to explore the population pharmacokinetic characteristics of HRS-9231 in CNS MRI subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Nov 2025
Shorter than P25 for phase_3
2 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
Study Start
First participant enrolled
November 17, 2025
CompletedFirst Submitted
Initial submission to the registry
November 18, 2025
CompletedFirst Posted
Study publicly available on registry
December 10, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedApril 21, 2026
April 1, 2026
5 months
November 18, 2025
April 16, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
To compare the lesion visualization scores (border delineation) of HRS-9231-enhanced with gadobutrol-enhanced MRI.
Day 1 after procedure.
To compare the lesion visualization scores (internal morphology) of HRS-9231-enhanced with gadobutrol-enhanced MRI.
Day 1 after procedure.
To compare the lesion visualization scores (degree of contrast enhancement) of HRS-9231-enhanced with gadobutrol-enhanced MRI.
Day 1 after procedure.
Secondary Outcomes (9)
To compare the lesion visualization scores of HRS-9231-enhanced with unenhanced MRI.
Day 1 after procedure.
Number, size, and location of CNS lesions in MRI images after receiving HRS-9231.
Day 1 after procedure.
Number, size, and location of CNS lesions in MRI images after receiving gadobutrol.
Day 1 after procedure.
HRS-9231 plasma concentration.
Day 1 after procedure.
Population pharmacokinetic parameters - clearance.
Day 1 after procedure.
- +4 more secondary outcomes
Study Arms (2)
Gadobutrol + HRS-9231 Group
EXPERIMENTALHRS-9231 enhanced MRI then Gadobutrol enhanced MRI.
HRS-9231 + Gadobutrol Group
EXPERIMENTALGadobutrol enhanced MRI then HRS-9231 enhanced MRI.
Interventions
Magnetic Resonance Imaging (MRI).
Eligibility Criteria
You may qualify if:
- Sign the informed consent form, willing to cooperate with the study, and comply with trial requirements.
- Age ≥ 18 years, male or female.
- Have at least one known or highly suspected CNS enhancement abnormality or lesion detected by imaging (e.g., CT and MRI) within 12 months prior to ICF signing.
You may not qualify if:
- Clinically unstable condition or severe diseases that may affect trial results, such as inability to ensure imaging comparability or reliability of study parameters.
- Severe renal impairment, defined as aGFR \< 30 mL/min/1.73 m2.
- Acute kidney injury, irrespective of eGFR levels.
- Contraindications to MRI examinations or Gadobutrol, such as metallic implants ,pacemakers or claustrophobia.
- History of severe allergies, including drugs, contrast agents, or other allergens.
- Severe cardiovascular disease.
- Female subjects who are pregnant or breastfeeding.
- Other conditions deemed unsuitable by the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Peking University People's Hospital
Beijing, Beijing Municipality, 100044, China
Henan Provincial People's Hospital
Zhengzhou, Henan, 450003, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 18, 2025
First Posted
December 10, 2025
Study Start
November 17, 2025
Primary Completion
April 1, 2026
Study Completion
May 1, 2026
Last Updated
April 21, 2026
Record last verified: 2026-04