search
Back to results

Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors (REMIND)

Primary Purpose

Primary Brain Tumor

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Dotarem®
Gadovist®/Gadavist®
Sponsored by
Guerbet
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Primary Brain Tumor focused on measuring Primary brain tumor

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 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
  • Female patient must have effective contraception throughout the study and must have a negative urine pregnancy test at inclusion, or be surgically sterilized, or post-menopausal (minimum 12 months of amenorrhea)
  • 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)

Exclusion Criteria:

  • 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.

Sites / Locations

  • University of Alabama at Birmingham
  • University of Arizona Medical Center
  • Cedars-Sinai Medical Center
  • Yale University School Of Medicine
  • Infinity Clinical Research, LLC
  • University of Michigan Health System
  • Quest Research Institute
  • Spectrum Health
  • Washington University
  • Winthrop University Hospital Clinical Trials Center
  • Temple University Hospital
  • MUSC (Medical University of South Carolina)
  • UVM MRI Center for Biomedical Imaging
  • University of Washington Medical Center
  • Fundacion Abood Shaio
  • Fundacion Cardioinfantil Instituto de Cardiologia
  • Instituto Nacional de Cancerologia
  • Centro Medico Imbanaco
  • Fundacion Instituto de Alta Tecnologia Medica de Antioquia IATM
  • Hospital Pablo Tobon Uribe
  • Chungbuk National University
  • Chonbuk national Univ Hosp
  • Seoul St.Mary Hospital
  • Asan medical center
  • Ajou University Hospital
  • Morales Vargas Centro de Investigación S.C.
  • Centro Neurologico ABC
  • Hospital Universitario Dr. Jose Eleuterio Gonzalez
  • Winsett Rethman S.A. de C.V.
  • Hospital CIMA
  • Centro Regiomontano de Investigacion S.C.
  • Clinical Research Institute S.C.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Dotarem®/Gadovist®

Gadovist®/Dotarem®

Arm Description

Dotarem®-enhanced MRI, then Gadovist®/Gadavist®-enhanced MRI

Gadovist®/Gadavist®-enhanced MRI then Dotarem® enhanced MRI

Outcomes

Primary Outcome Measures

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.

Secondary Outcome Measures

Full Information

First Posted
January 10, 2014
Last Updated
November 9, 2016
Sponsor
Guerbet
search

1. Study Identification

Unique Protocol Identification Number
NCT02034708
Brief Title
Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors
Acronym
REMIND
Official Title
Intra-individual Cross-over Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/ Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
September 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guerbet

4. Oversight

Data Monitoring Committee
No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Brain Tumor
Keywords
Primary brain tumor

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
279 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dotarem®/Gadovist®
Arm Type
Experimental
Arm Description
Dotarem®-enhanced MRI, then Gadovist®/Gadavist®-enhanced MRI
Arm Title
Gadovist®/Dotarem®
Arm Type
Experimental
Arm Description
Gadovist®/Gadavist®-enhanced MRI then Dotarem® enhanced MRI
Intervention Type
Drug
Intervention Name(s)
Dotarem®
Intervention Description
Dotarem® 0.1 mmoL/kg (0.2 mL/kg), intravenous (I.V.) bolus.
Intervention Type
Drug
Intervention Name(s)
Gadovist®/Gadavist®
Intervention Description
Gadovist®/Gadavist®, 0.1mmol/kg (0.1mL/kg), intravenous (I.V.) bolus.
Primary Outcome Measure Information:
Title
Percentage of Patients With Overall Lesion Visualization and Characterization Scored as Good or Excellent
Description
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.
Time Frame
Up to 15 days after randomization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 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 Female patient must have effective contraception throughout the study and must have a negative urine pregnancy test at inclusion, or be surgically sterilized, or post-menopausal (minimum 12 months of amenorrhea) 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) Exclusion Criteria: 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kenneth Maravilla, MD
Organizational Affiliation
University of Washington Medical Center, Seattle, USA
Official's Role
Study Chair
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
University of Arizona Medical Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
AZ 85724
Country
United States
Facility Name
Cedars-Sinai Medical Center
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Yale University School Of Medicine
City
New Haven
State/Province
Connecticut
Country
United States
Facility Name
Infinity Clinical Research, LLC
City
Hollywood
State/Province
Florida
ZIP/Postal Code
FL 33021
Country
United States
Facility Name
University of Michigan Health System
City
Ann Arbor
State/Province
Michigan
Country
United States
Facility Name
Quest Research Institute
City
Farmington Hills
State/Province
Michigan
Country
United States
Facility Name
Spectrum Health
City
Grand Rapids
State/Province
Michigan
Country
United States
Facility Name
Washington University
City
St. Louis
State/Province
Missouri
Country
United States
Facility Name
Winthrop University Hospital Clinical Trials Center
City
Mineola
State/Province
New York
ZIP/Postal Code
NY 11501
Country
United States
Facility Name
Temple University Hospital
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
MUSC (Medical University of South Carolina)
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
UVM MRI Center for Biomedical Imaging
City
Burlington
State/Province
Vermont
Country
United States
Facility Name
University of Washington Medical Center
City
Seattle
State/Province
Washington
Country
United States
Facility Name
Fundacion Abood Shaio
City
Bogota
Country
Colombia
Facility Name
Fundacion Cardioinfantil Instituto de Cardiologia
City
Bogota
Country
Colombia
Facility Name
Instituto Nacional de Cancerologia
City
Bogota
Country
Colombia
Facility Name
Centro Medico Imbanaco
City
Cali
Country
Colombia
Facility Name
Fundacion Instituto de Alta Tecnologia Medica de Antioquia IATM
City
Medellin
Country
Colombia
Facility Name
Hospital Pablo Tobon Uribe
City
Medellin
Country
Colombia
Facility Name
Chungbuk National University
City
Cheongju-si
State/Province
Chungcheongbuk-do
ZIP/Postal Code
361-711
Country
Korea, Republic of
Facility Name
Chonbuk national Univ Hosp
City
Jeonju-si
State/Province
Jeollabuk-do
ZIP/Postal Code
561-712
Country
Korea, Republic of
Facility Name
Seoul St.Mary Hospital
City
Seoul
State/Province
Seocho-gu
ZIP/Postal Code
137-701
Country
Korea, Republic of
Facility Name
Asan medical center
City
Seoul
State/Province
Songpa-Gu
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Ajou University Hospital
City
Suwon
Country
Korea, Republic of
Facility Name
Morales Vargas Centro de Investigación S.C.
City
Leon
State/Province
Guanajuato
ZIP/Postal Code
37000
Country
Mexico
Facility Name
Centro Neurologico ABC
City
Mexico
State/Province
Mexico Distrito Federal
ZIP/Postal Code
5300
Country
Mexico
Facility Name
Hospital Universitario Dr. Jose Eleuterio Gonzalez
City
Monterrey
State/Province
Nuevo Leon
ZIP/Postal Code
64020
Country
Mexico
Facility Name
Winsett Rethman S.A. de C.V.
City
Monterrey
State/Province
Nuevo León
Country
Mexico
Facility Name
Hospital CIMA
City
Chihuahua
ZIP/Postal Code
31238
Country
Mexico
Facility Name
Centro Regiomontano de Investigacion S.C.
City
Monterrey
Country
Mexico
Facility Name
Clinical Research Institute S.C.
City
Tlanepantla
Country
Mexico

12. IPD Sharing Statement

Learn more about this trial

Efficacy Evaluation of Dotarem®-Enhanced MRI Compared to Gadovist®/Gadavist®-Enhanced MRI in the Diagnosis of Brain Tumors

We'll reach out to this number within 24 hrs