SH L 562BB Phase II/III Dose Justification and Gadoteridol-controlled Comparative Study
Multi-center, Randomized, Controlled, Single-blind, Intra-individual Comparisons of 2 Dose of Gadobutrol 1.0 Molar and Gadoteridol (ProHance) Crossover Studies With Corresponding Blinded Image Evaluation Following Multiple Injections of 0.1 mmol/kg bw of Gadobutrol and Gadoteridol in Patients With Known or Suspected Brain Metastasis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Fukuoka, Japan, 812-8582
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Osaka, Japan, 558-8558
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Aichi
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Nagoya, Aichi, Japan, 464-0021
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Ehime
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Matsuyama, Ehime, Japan, 791-0280
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Fukuoka
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Kitakyushu, Fukuoka, Japan, 807-8555
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Hokkaido
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Sapporo, Hokkaido, Japan, 060-8570
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Hyogo
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Kobe, Hyogo, Japan, 650-0047
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Kanagawa
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Sagamihara, Kanagawa, Japan, 228-8555
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Yokohama, Kanagawa, Japan, 222-0036
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Osaka
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Habikino, Osaka, Japan, 583-0852
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Habikino, Osaka, Japan, 583-8588
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Osakasayama, Osaka, Japan, 589-8511
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Shizuoka
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Hamamatsu, Shizuoka, Japan, 430-8558
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Sunto, Shizuoka, Japan, 411-8777
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8655
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Bunkyo-ku, Tokyo, Japan, 113-8431
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Chuo-ku, Tokyo, Japan, 104-0045
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Mitaka, Tokyo, Japan, 181-8611
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Shinagawa-ku, Tokyo, Japan, 141-0022
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Tottori
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Yonago, Tottori, Japan, 683-8504
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Japanese patients at least 20 years of age
- Patients with diagnosed primary cancer
- Patients with metastatic lesions by CT/MRI
Exclusion Criteria:
- Patients who have contraindication to the MRI examinations
- Patients who have severe renal disorder
- Patients in extremely serious general condition
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Gadobutrol 0.1 mmol/kg bw
Participants received first injection (intravenous [i.v.]) of gadobutrol 0.1 mmol/kg body weight (bw), corresponding to a dose of 0.1 mmol/kg bw
|
Gadobutrol enhanced MRI (first injection of gadobutrol 0.1 mmol/kg bw, corresponding to a dose of 0.1 mmol/kg bw)
Gadobutrol enhanced MRI (second injection of gadobutrol 0.1 mmol/kg bw, corresponding to a total dose of 0.2 mmol/kg bw)
|
|
EXPERIMENTAL: Gadobutrol 0.2 mmol/kg bw
Participants received second injection (i.v.) of gadobutrol 0.1 mmol/kg bw, corresponding to a total dose of 0.2 mmol/kg bw.
The interval of two bolus injections is 13-15 min
|
Gadobutrol enhanced MRI (first injection of gadobutrol 0.1 mmol/kg bw, corresponding to a dose of 0.1 mmol/kg bw)
Gadobutrol enhanced MRI (second injection of gadobutrol 0.1 mmol/kg bw, corresponding to a total dose of 0.2 mmol/kg bw)
|
|
EXPERIMENTAL: Gadoteridol (ProHance)
Participants received two injections (i.v.) of gadoteridol 0.1 mmol/kg bw, corresponding to a total dose of 0.2 mmol/kg bw.
The interval of two bolus injections is 13-15 min
|
ProHance enhanced MRI (two injections of gadoteridol 0.1 mmol/kg bw, corresponding to a total dose of 0.2 mmol/kg bw)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Lesions Detected by Blinded Readers (BR) and Investigator
Time Frame: one day
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Number of metastatic lesions (unenhanced and enhanced) per participant detected on postcontrast Magnetic resonance (MR) images by averaged blinded reader and investigator
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one day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Score of Visibility Assessment - Degree of Lesion Contrast Enhancement by Blinded Reader
Time Frame: one day
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Degree of contrast enhancement for each lesion on postcontrast MR images using the 4-point scale by averaged blinded reader (Score 1=No, 2=Moderate, 3=Good, 4=Excellent)
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one day
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Score of Visibility Assessment - Degree of Lesion Contrast Enhancement by Investigator
Time Frame: one day
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Degree of contrast enhancement for each lesion on postcontrast MR images using the 4-point scale by investigator (Score 1=No, 2=Moderate, 3=Good, 4=Excellent)
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one day
|
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Score of Visibility Assessment - Border Delineation by Blinded Reader
Time Frame: one day
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Border delineation for each lesion on postcontrast MR images using the 4-point scale by averaged blinded reader (Score 1=None, 2=Moderate, 3=Good, 4=Excellent)
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one day
|
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Score of Visibility Assessment - Border Delineation by Investigator
Time Frame: one day
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Border delineation for each lesion on postcontrast MR images using the 4-point scale by investigator (Score 1=None, 2=Moderate, 3=Good, 4=Excellent)
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one day
|
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Treatment Planning Confidence - Gadobutrol 0.1 mmol/kg bw vs. Gadoteridol (ProHance) 0.2 mmol/kg bw by Treatment Planning Experts (TPE)
Time Frame: one day
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Treatment planning confidence evaluated separately for each image set (gadobutrol [Gado-] 0.1 mmol/kg bw and gadoteridol [Pro-] 0.2 mmol/kg) by TPE (category: not confident, confident, and not assessable)
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one day
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Treatment Planning Confidence - Gadobutrol 0.1 mmol/kg bw vs. Gadoteridol (ProHance) 0.2 mmol/kg bw by Investigator
Time Frame: one day
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Treatment planning confidence evaluated separately for each image set (gadobutrol 0.1 mmol/kg bw and gadoteridol 0.2 mmol/kg) by investigator (category: not confident, confident, and not assessable)
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one day
|
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Treatment Planning Confidence - Gadobutrol 0.2 mmol/kg bw vs. Gadoteridol (ProHance) 0.2 mmol/kg bw by TPE
Time Frame: one day
|
Treatment planning confidence evaluated separately for each image set (gadobutrol 0.2 mmol/kg bw and gadoteridol 0.2 mmol/kg) by TPE (category: not confident, confident, and not assessable)
|
one day
|
|
Treatment Planning Confidence - Gadobutrol 0.2 mmol/kg bw vs. Gadoteridol (ProHance) 0.2 mmol/kg bw by Investigator
Time Frame: one day
|
Treatment planning confidence evaluated separately for each image set (gadobutrol 0.2 mmol/kg bw and gadoteridol 0.2 mmol/kg) by investigator (category: not confident, confident, and not assessable)
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one day
|
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Number of Participants With Performance in Stereotactic Radiosurgery (SRS) Planning by TPE
Time Frame: one day
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Comparison of overall image quality for SRS treatment planning between gadobutrol and gadoteridol by TPE
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one day
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Number of Participants With Performance in Stereotactic Radiosurgery (SRS) Planning by Investigator
Time Frame: one day
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Comparison of overall image quality for SRS treatment planning between gadobutrol and gadoteridol by investigator
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one day
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Number of Participants With Reasons for Performance in SRS Planning by TPE
Time Frame: one day
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Reasons for comparison results of overall image quality for SRS treatment planning between gadobutrol and gadoteridol by investigator (multiple answers applicable)
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one day
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Number of Participants With Reasons for Performance in SRS Planning by Investigator
Time Frame: one day
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Reasons for comparison results of overall image quality for SRS treatment planning between gadobutrol and gadoteridol by investigator (multiple answers applicable)
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one day
|
|
Lesion Size Evaluated by Independent Radiologist
Time Frame: one day
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Size of each lesion on postcontrast MR images evaluated by independent radiologist (mean and standard deviation of 603 lesions)
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one day
|
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Contrast Noise Ratio (CNR) of Lesions Evaluated by Independent Radiologist
Time Frame: one day
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CNR of lesion/normal white matter based on the signal intensity of MR images evaluated by independent radiologist (mean and standard deviation of 306 lesions)
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one day
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Intraclass Correlation Coefficient (ICC) Among 3 Blinded Readers on the Number of Detected Lesions
Time Frame: one day
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ICC among 3 blinded readers calculated for number of detected lesions using the statistical model with two random effects, i.e., blinded readers and individual patients.
|
one day
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 91569
- 310864 (OTHER: Company internal)
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