Evaluation of Gadopiclenol for Magnetic Resonance Imaging (MRI) in Japanese Adults and Children

Last updated: August 28, 2023
Sponsor: Guerbet
Overall Status: Active - Recruiting

Phase

3

Condition

N/A

Treatment

Comparator

Gadopiclenol

Clinical Study ID

NCT06010173
GDX-44-014 - GDX-101
  • All Genders

Study Summary

This trial conducted in Japan includes 2 different cohorts of patients: adult patients and pediatric patients with two different designs.

  • The cohort of adult patients has a prospective, multi-center, randomized, double-blind, controlled, and cross-over design.

  • The cohort of pediatric patients has a prospective, multi-center, non-randomized, open-label and single arm design.

Primary objective to demonstrate the non-inferiority of gadopiclenol-enhanced MRI at 0.05 mmol/kg body weight (BW) compared to gadobutrol-enhanced MRI at 0.1 mmol/kg BW in terms of lesion visualization is applicable for adult patients referred for contrast-enhanced MRI of Central Nervous System (CNS) or Body regions.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Inclusion criteria for all patients:
  1. All Patient presenting with known or suspected enhancing abnormality(ies) and/orlesion(s) in CNS or in at least one body region among head & neck, thorax (e.g.breast), abdomen (e.g. liver, pancreas and kidney), pelvis (e.g. uterus, ovaryand prostate) and musculoskeletal (e.g. extremities) based on a previous imagingprocedure performed within 12 months prior to Informed Consent Form (ICF)signature.
  2. All If the patient was treated (either with radiation, surgery, biopsy, or otherrelevant treatments) between previous imaging evaluation and trial MRI, thereshould still be a high suspicion of remaining enhancing abnormality(ies) and/orlesion(s) based on available clinical information.
  3. All Patient able and willing to participate in the trial.
  4. All Patient affiliated to national health insurance according to local regulatoryrequirements.
  • Inclusion criteria for adult patients:
  1. A Female or male adult patient having reached legal majority age of 18 years.
  2. A Patient scheduled for a contrast-enhanced MRI examination of CNS or a Bodyregion for clinical reasons and agreeing to have a second contrast-enhanced MRIexamination for the purpose of the trial.
  3. A Patient having read the information and having provided his/her consent toparticipate in writing by dating and signing the informed consent prior to anytrial related procedure being conducted.
  • Inclusion criteria for pediatric patients:
  1. P Female or male pediatric patient from birth to 17 years. For patients aged frombirth to 27 days, only term newborn infants are eligible. Patients may not have reached the age of 18 years at the MRI examination.
  2. P Patient whose parent(s) or legal guardian (where applicable) having read theinformation provided his/her/their consent to patient's participation in writingby dating and signing the informed consent prior to any trial related procedurebeing conducted.
  3. P Patient with capacity of understanding who received age- andmaturity-appropriate information and provided his/her assent to participate inthe trial.
  4. P-PK Patient and his/her parent(s) or legal guardian (where applicable) havingread the information and provided his/her consent in writing by dating andsigning the Informed Consent form or respectively in the patient assent formtheir consent to participate in the PK analyses.

Exclusion

Exclusion Criteria:

  • Non-inclusion criteria for all patients:
  1. All Patient referred for contrast-enhanced cardiac MRI as primary examination.
  2. All Patient having received any investigational medicinal product (IMP) within 7days prior to trial entry or scheduled to receive any investigational treatmentduring the trial.
  3. All Patient presenting with any contraindication to MRI examinations.
  4. All Patient having received any contrast agent (for MRI or CT) within 3 days (or 7 days for patients <1 year old) prior to trial product administration orscheduled to receive any contrast agent during the trial or within 24 hours afterthe last trial product administration (or 7 days after for patients <1 year old).
  5. All Patient with anticipated, current, or past condition (medical, psychological,social or geographical) that would compromise the patient's safety or her/hisability to participate in the trial in the Investigator's opinion.
  6. All Female patient of childbearing potential with a positive urine pregnancy testdone within 1 day prior to each contrast agent administration and not able / notwilling to use highly effective birth-controlled method during the trialduration. Female must have effective medically approved contraception until the last trialvisit, if of childbearing potential or with amenorrhea for less than 12 months ormust be surgically sterilized or post-menopausal (> 2 years amenorrhea).
  7. All Patient unlikely to comply with the protocol, e.g., uncooperative attitude,inability to return for follow-up visits and/or unlikelihood of completing thetrial.
  8. All Patient related to the Investigator or any other trial staff or relativedirectly involved in the trial conduct.
  9. All Patient with known contra-indication(s) to the use or with known sensitivityto one of the products under investigation or to other gadolinium based contrastagents (GBCAs) (such as hypersensitivity, post contrast acute kidney injury).
  • Non-inclusion criteria for adult patients:
  1. A Patient with acute disease that may rapidly evolve between the 2 MRIexaminations
  2. A Patient previously randomized in this trial.
  3. A Patient expected/scheduled to have any treatment or medical procedure (e.g.,chemotherapy, radiotherapy, biopsy, or surgery etc.) that may impact the aspectsof the imaged lesions between the 2 MRI examinations. (Patients undercorticosteroids and/or maintenance chemotherapy with a stable dose at the time ofscreening visit and throughout the trial can be included).
  4. A Patient presenting an estimated Glomerular Filtration Rate (eGFR) < 30mL/min/1.73 m^2 (based on Japanese coefficient-modified CKD-EPI (Chronic KidneyDisease - Epidemiology Collaboration) formula) assessed within 1 week prior toeach contrast agent administration.
  • Non-inclusion criteria for pediatric patients:
  1. P Patient with previously attributed IMP number in this trial.
  2. P Patient with known long QT syndrome.
  3. P Patient presenting an estimated Glomerular Filtration Rate (eGFR) outsideage-adjusted normal ranges (based on bedside Schwartz equation) assessed withinone week prior to contrast agent administration.

Study Design

Total Participants: 240
Treatment Group(s): 2
Primary Treatment: Comparator
Phase: 3
Study Start date:
July 21, 2023
Estimated Completion Date:
December 31, 2024

Study Description

Adult cohort:

The trial includes a maximum of 5 visits and the record of patient's diagnosis as standard of truth:

  • One screening visit (V1) up to 7 days prior to the imaging visit (V2) (V1 can be done on the same day as V2 if all the inclusion/non-inclusion criteria are met).

  • Two sequential imaging visits (V2 and V4, minimum interval 2 days and up to 14 days): each visit will consist of gadopiclenol injection or comparator injection and MRI procedure.

  • Two safety visits (V3 and V5): 1 day after each injection and MRI examination.

Pediatric cohort:

The inclusions will be divided into 4 age groups: patients from birth to 23 months of age inclusive, patients from 2 to 6 years, patients from 7 to 11 years and patients from 12 to 17 years. The recruitment in the 3 older groups of pediatric patients can be conducted in parallel with adult patients' enrolment. The decision to start the inclusion in the group of patients aged from birth to 23 months will be taken by the Trial Safety Review Board (TSRB).

The trial includes a maximum of 3 visits and the record of patient's diagnosis as standard of truth:

  • One screening visit (V1) up to 7 days prior to the imaging visit (V2) (V1 can be done on the same day as V2 if all the inclusion/non-inclusion criteria are met).

  • One imaging visit (V2): will consist of gadopiclenol injection and MRI procedure.

  • pharmacokinetics (PK) group: Blood sampling for PK will start after gadopiclenol injection according to defined blood sampling schedule and will take up to 8 hours.

  • One safety visit (V3): 1 day after gadopiclenol injection and MRI examination.

All Patients:

Images will be assessed off-site in a centralized manner.

Pediatric group :

24 patients of the pediatric cohort will be included in gadopiclenol PK profile assessment.

The approach implemented for pharmacokinetics (PK) analyses allows sparse blood sampling only and is selected to minimize the clinical burden to children.

All cohorts :

During the trial, the safety of the patients will be monitored and assessed based on the reporting of adverse events (AEs), including vital signs, ECG for pediatric patients and clinical laboratory parameters (blood samples).

Connect with a study center

  • Meitetsu Hospital

    Aichi, 451-8511
    Japan

    Site Not Available

  • Fukuoka University Hospital

    Fukuoka, 814-0180
    Japan

    Site Not Available

  • Gifu University Hospital

    Gifu, 501-1194
    Japan

    Site Not Available

  • Gunma University Hospital

    Gunma, 371-8511
    Japan

    Site Not Available

  • Hiroshima City Hiroshima Citizens Hospital

    Hiroshima, 730-8518
    Japan

    Site Not Available

  • Nakamura Memorial Hospital

    Hokkaido, 060-8570
    Japan

    Site Not Available

  • National Hospital Organization Shikoku Medical Center for Children and Adults

    Kagawa, 765-8507
    Japan

    Site Not Available

  • Kanagawa Children's Medical Center

    Kanagawa, 232-0066
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Kobe, 650-0047
    Japan

    Site Not Available

  • Kyoto City Hospital

    Kyoto, 604-8845
    Japan

    Site Not Available

  • University Hospital, Kyoto Prefectural University of Medicine

    Kyoto, 602-8566
    Japan

    Site Not Available

  • Tohoku University Hospital

    Miyagi, 980-8574
    Japan

    Site Not Available

  • Nara Medical University Hospital

    Nara, 634-8522
    Japan

    Site Not Available

  • Kawasaki Medical School Hospital

    Okayama, 701-0192
    Japan

    Site Not Available

  • Osaka Metropolitan University Hospital

    Osaka, 545-8586
    Japan

    Site Not Available

  • Takatsuki General Hospital

    Osaka, 569-1192
    Japan

    Site Not Available

  • Tominaga Hospital

    Osaka, 556-0017
    Japan

    Site Not Available

  • Saitama Prefectural Children's Medical Center

    Saitama, 330-8777
    Japan

    Site Not Available

  • Shin-Kuki General Hospital

    Saitama, 346-0021
    Japan

    Active - Recruiting

  • Hamamatsu University Hospital

    Shizuoka, 431-3192
    Japan

    Site Not Available

  • Shizuoka General Hospital

    Shizuoka, 420-8527
    Japan

    Site Not Available

  • Jichi Medical University Hospital

    Tochigi, 329-0498
    Japan

    Site Not Available

  • National Center for Child Health and Development

    Tokyo, 157-8535
    Japan

    Site Not Available

  • Toho University Omori Medical Center

    Tokyo, 143-8541
    Japan

    Site Not Available

  • Tokyo Metropolitan Children's Medical Center

    Tokyo, 183-8561
    Japan

    Site Not Available

  • Tokyo Shinagawa Hospital

    Tokyo, 140-8522
    Japan

    Site Not Available

  • Kurobe City Hospital

    Toyama, 938-8502
    Japan

    Site Not Available

  • Yamaguchi University Hospital

    Yamaguchi, 755-8505
    Japan

    Site Not Available

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